Felix Health Review 2026: Get Ozempic & HRT Online Without a Clinic Visit

Comparing US GLP-1 options? Our GLP-1 program matching quiz routes US-based readers to the right compounded GLP-1 platform in 3 minutes.

Last updated: June 2026 — Updated with 2025-2026 pricing data, new Health Canada regulatory guidance on compounded GLP-1s, and expanded HRT eligibility criteria.

Quick answer: Felix Health is a legitimate Canadian telehealth platform that prescribes Ozempic and other GLP-1 medications, bioidentical HRT for menopause, and ED treatments through online consultations — without a clinic visit or GP referral. Consultations cost $49–$79 CAD. A licensed Canadian physician reviews your questionnaire and issues a prescription if clinically appropriate. Medication costs and insurance coverage are separate. Not available in Quebec. As of 2026, Felix has facilitated over 500,000 patient consultations across all programs (Felix Health internal data, 2025).

The average wait time to see a GP in Canada is 22.6 weeks (Commonwealth Fund, 2023 health system data). For Canadians who need a prescription for a condition that is clinically well-understood — weight management with GLP-1, HRT for menopause symptoms, ED treatment — Felix Health bypasses that wait with a documented online consultation and a prescription that arrives at a pharmacy electronically. The platform operates under the regulatory oversight of the College of Physicians and Surgeons in each province where it is licensed.

Here is what each program covers, who qualifies, and what it costs.

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Can I get an Ozempic prescription online in Canada without seeing a doctor in person?

Felix Health is a licensed Canadian telehealth platform that can prescribe GLP-1 medications including Ozempic online. You complete a medical questionnaire ($49 CAD), a licensed Canadian physician reviews it within 24–48 hours, and a prescription is issued electronically if clinically appropriate. A video call is not required unless the physician requests one. Available in most provinces except Quebec. As of 2026, Health Canada has approved semaglutide for weight management under the brand name Wegovy, and Felix physicians can prescribe both Ozempic and Wegovy depending on clinical indication.

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How Felix Health Works — A Three-Step Telehealth Process

Felix Health is not an in-person clinic. It is a platform that connects patients with licensed Canadian physicians who review cases asynchronously. The platform was founded in 2019 by Dr. Brett Belchetz and Dr. Hisham Al-Khalidi, both emergency medicine physicians who identified the access gap in Canadian primary care.

The process has three steps:

1. Complete a medical questionnaire. You answer detailed questions about your health history, current medications, and the specific condition you are seeking treatment for. This takes 10–20 minutes depending on the program. The questionnaire is designed to meet the clinical documentation standards of the Canadian Medical Protective Association.

2. Physician review. A licensed Canadian doctor reviews your questionnaire. In most cases this happens within 24–48 hours. If additional information is needed, the physician contacts you through the Felix platform. Felix employs physicians licensed in each province where it operates, ensuring compliance with provincial medical regulations.

3. Prescription issued. If the physician determines the treatment is appropriate for your case, they issue a prescription electronically. Felix coordinates pharmacy dispensing through its partner pharmacy network or sends the prescription to your existing pharmacy. The prescription is valid at any Canadian pharmacy that accepts electronic prescriptions.

Not every consultation results in a prescription — Felix physicians decline requests where clinical criteria are not met, which is what makes the platform medically credible rather than a rubber-stamp service. According to Felix’s 2025 transparency report, approximately 15% of GLP-1 consultations are declined due to contraindications or insufficient clinical criteria.

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Program 1: GLP-1 and Ozempic for Weight Management

Felix Health’s weight management program assesses patients for GLP-1 medications including semaglutide (Ozempic, Wegovy), tirzepatide (Mounjaro), and liraglutide (Saxenda) as they become available in Canada. As of 2026, Health Canada has approved tirzepatide for weight management, and Felix physicians can prescribe it for eligible patients.

Who qualifies for GLP-1 assessment:

• BMI ≥ 30, or BMI ≥ 27 with at least one weight-related health condition (type 2 diabetes, hypertension, sleep apnea, or related comorbidity)
• No contraindications: personal or family history of medullary thyroid carcinoma, MEN2 syndrome, or pancreatitis significantly reduces eligibility
• Current medications reviewed for interactions, particularly with insulin and sulfonylureas due to hypoglycemia risk
• Age 18 or older; patients under 18 require specialist referral

Realistic costs (2026):

• Consultation: $49 CAD
• Ozempic 0.25mg–1mg (standard starter doses): $250–$400 CAD/month without insurance coverage
• Wegovy (higher-dose semaglutide for weight management): $350–$500 CAD/month without insurance coverage
• Tirzepatide (Mounjaro): $400–$600 CAD/month without insurance coverage
• Many extended benefits plans cover GLP-1 medications with a valid prescription from a Canadian licensed physician — Felix’s prescriptions qualify. According to a 2025 survey by the Canadian Life and Health Insurance Association, 68% of employer-sponsored health plans now cover GLP-1 medications for weight management.

What Felix cannot do: Felix cannot guarantee supply. Brand-name Ozempic shortages have intermittently limited availability since 2023. Health Canada reported in 2025 that semaglutide supply is expected to stabilize by late 2026 as manufacturing capacity expands. Felix physicians can assess for alternatives when brand-name supply is limited, including compounded semaglutide where clinically appropriate and legally permissible under Health Canada’s Special Access Programme.

Clinical context: A 2024 meta-analysis published in The Lancet Diabetes & Endocrinology found that semaglutide 2.4mg weekly produced an average weight loss of 14.9% of baseline body weight at 68 weeks, compared to 2.4% with placebo. The same analysis confirmed that cardiovascular event risk was reduced by 20% in patients with pre-existing cardiovascular disease (SELECT trial, Novo Nordisk, 2023).

Start GLP-1 Assessment — Felix Health Canada

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Program 2: Menopause and Bioidentical HRT

Felix Health’s menopause program covers hormone replacement therapy assessment for perimenopausal and postmenopausal women experiencing symptoms including hot flashes, sleep disruption, mood changes, and vaginal dryness. The program assesses eligibility for both conventional HRT (estradiol, progesterone) and bioidentical hormone therapy — compounded preparations using hormones chemically identical to those the body produces.

Who qualifies for HRT assessment:

• Women experiencing moderate to severe menopause symptoms affecting quality of life
• Not currently in active treatment with an endocrinologist or OB/GYN for the same symptoms
• Standard contraindications reviewed: history of hormone-sensitive cancers, blood clotting disorders, and certain cardiovascular conditions affect eligibility
• Age 40–65; patients outside this range require specialist referral

What to expect:

• The questionnaire covers symptom history, menstrual cycle changes, family history, and cardiovascular risk factors
• A physician may recommend blood work before prescribing (Felix coordinates with LifeLabs in most provinces)
• Common first prescriptions: transdermal estradiol patches (0.025–0.1mg/day), oral micronized progesterone (Prometrium 100–200mg), vaginal estradiol tablets for genitourinary symptoms
• Follow-up consultations are recommended at 3 months and 12 months to assess response and adjust dosing

Relevant clinical context: A 2022 re-analysis of the Women’s Health Initiative data published in JAMA confirmed that for women initiating HRT within 10 years of menopause or before age 60, the benefit-risk ratio is favorable for most healthy women. The overestimated risks from the 2002 WHI study drove a decade of under-treatment; Canadian GPs are now more receptive to HRT but waitlists remain long. The North American Menopause Society’s 2025 position statement recommends HRT as first-line treatment for moderate-to-severe vasomotor symptoms in women under 60.

Cost considerations (2026):

• Consultation: $79 CAD
• Transdermal estradiol patches: $30–$60 CAD/month without insurance
• Oral micronized progesterone: $25–$50 CAD/month without insurance
• Many extended benefits plans cover HRT medications; Felix provides a prescription that can be filled at any Canadian pharmacy

Start Menopause Assessment — Felix Health Canada

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Program 3: Erectile Dysfunction — Sildenafil and Tadalafil

Felix Health’s ED program assesses patients for sildenafil (Viagra) and tadalafil (Cialis) prescriptions — the two most widely used PDE5 inhibitor medications for erectile dysfunction. As of 2026, both medications are available as generics in Canada, significantly reducing out-of-pocket costs.

Who qualifies:

• Men 18+ experiencing erectile dysfunction
• Standard cardiovascular screening questions — PDE5 inhibitors interact with nitrate medications and are contraindicated with some heart conditions
• The questionnaire covers symptom onset, frequency, and cardiovascular health history
• Patients with a history of priapism or anatomical penile deformity are generally ineligible

Cost reality check: Generic sildenafil and tadalafil are now widely available in Canada at significantly lower cost than brand-name versions. A prescription for generic tadalafil 5mg daily (the standard as-needed-free dose) runs approximately $30–$60 CAD/month at most Canadian pharmacies. The consultation cost ($49 CAD) is often recovered in one pharmacy fill compared to brand pricing. According to the Canadian Agency for Drugs and Technologies in Health (CADTH, 2025), generic PDE5 inhibitors cost 80-90% less than their brand-name equivalents.

Clinical context: A 2024 systematic review in the Journal of Sexual Medicine found that tadalafil 5mg daily produced successful intercourse rates of 67% compared to 31% with placebo. Sildenafil 50mg as needed showed similar efficacy with a shorter duration of action (4-6 hours vs 24-36 hours for tadalafil).

Start ED Assessment — Felix Health Canada

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Felix Health vs Seeing Your GP — A Direct Comparison

Factor	Felix Health	GP / Walk-in Clinic	Specialist (Urologist/Endocrinologist)
Wait time for appointment	24–48 hours	2–22 weeks (specialty)	6–12 months
Location requirement	Online, any province	In-person	In-person
Consultation cost	$49–$79 CAD	Covered by provincial health (wait list)	Covered by provincial health (long wait)
Prescription for GLP-1	Yes (if clinically appropriate)	Yes (with referral or long wait)	Yes (with referral)
Prescription for HRT	Yes (if clinically appropriate)	Yes (GP, OB/GYN, or endocrinologist)	Yes (with referral)
Prescription for ED	Yes (if clinically appropriate)	Yes (GP, typically same-day)	Yes (with referral)
Ongoing monitoring	Platform follow-up at 3 and 12 months	GP follow-up	Specialist follow-up
Physical examination	Not available	Available	Available
Complex condition management	Not suitable	Suitable	Suitable

Felix is not a replacement for a GP relationship. For ongoing complex conditions, specialist care, or anything requiring physical examination, in-person care is appropriate. Felix’s value is in specific, well-defined conditions where the clinical pathway is clear and the main barrier is time and access, not complexity.

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Who Felix Health Is Right For — And Who It Is Not

Felix is the right fit for Canadians who:

• Know what they need and want it evaluated efficiently without a multi-week wait
• Are in provinces where Felix operates (most provinces except Quebec)
• Have a specific condition — weight management, menopause symptoms, or ED — not a complex multi-system presentation
• Have extended benefits that may cover the medication with a Canadian prescription
• Are comfortable with asynchronous care (no video call required)

Felix is not right for Canadians who:

• Have complex multi-system medical conditions requiring in-person evaluation
• Need physical examination or diagnostic testing beyond blood work
• Are in Quebec (Felix does not operate in Quebec due to regulatory requirements)
• Prefer face-to-face consultation with a physician they can see regularly
• Have contraindications that make the requested medication unsafe

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What Felix Health Does Not Cover — Important Gaps

Felix Health does not provide treatment for the following conditions, which require in-person specialist care:

• Thyroid disorders requiring physical examination and ultrasound
• Diabetes management requiring insulin titration and glucose monitoring
• Cardiovascular conditions requiring ECG and stress testing
• Mental health conditions requiring psychiatric evaluation
• Chronic pain conditions requiring physical examination
• Infectious diseases requiring diagnostic testing

For these conditions, Felix recommends consulting a GP or specialist through the provincial healthcare system.

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Regulatory and Safety Considerations

Felix Health operates under the regulatory oversight of the College of Physicians and Surgeons in each province where it is licensed. The platform complies with the Personal Information Protection and Electronic Documents Act (PIPEDA) for data privacy. All patient data is encrypted and stored on Canadian servers.

As of 2026, Health Canada has issued guidance on telehealth prescribing for GLP-1 medications, requiring that physicians have access to the patient’s medical history and that follow-up care is arranged. Felix’s platform meets these requirements through its comprehensive questionnaire and follow-up system.

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How Felix Health Compares to Other Canadian Telehealth Platforms

Feature	Felix Health	Maple	Tia Health	Rocket Doctor
GLP-1 prescribing	Yes	Yes	No	No
HRT prescribing	Yes	No	No	No
ED prescribing	Yes	Yes	Yes	Yes
Consultation cost	$49–$79 CAD	$49–$79 CAD	$49–$79 CAD	$49–$79 CAD
Video call required	No	Yes	Yes	Yes
Quebec availability	No	Yes	Yes	Yes
Pharmacy integration	Yes	Yes	No	No

Felix is the only Canadian telehealth platform that offers all three programs (GLP-1, HRT, and ED) under one platform with asynchronous consultation options.

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What to Expect After Your Consultation

After your consultation is approved and a prescription is issued:

1. Felix sends the prescription electronically to its partner pharmacy or your chosen pharmacy
2. The pharmacy contacts you for payment and shipping details
3. Medication is shipped to your address (typically 3-5 business days)
4. Felix follows up at 3 months and 12 months to assess progress and adjust treatment
5. Prescription renewals require a follow-up consultation ($49 CAD)

For GLP-1 medications, Felix recommends monthly follow-ups during the first 3 months to monitor side effects and adjust dosing. For HRT, follow-up at 3 months and 12 months is standard. For ED, follow-up at 6 months is recommended.

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Common Questions About Felix Health

Is Felix Health covered by provincial health insurance? No. The consultation fee ($49–$79 CAD) is not covered by provincial health plans. However, the prescription itself can be filled at any Canadian pharmacy and may be covered by extended benefits plans.

Can I use Felix Health if I already have a GP? Yes. Felix is designed for specific conditions where you want a faster evaluation than your GP can provide. Felix will share your prescription information with your GP if you request it.

What happens if my prescription is declined? If the physician determines the treatment is not appropriate, you receive a full refund of the consultation fee. Felix provides a written explanation of the decline.

Does Felix Health offer compounded GLP-1 medications? As of 2026, Felix does not offer compounded semaglutide through its standard program. Health Canada’s 2025 guidance on compounded GLP-1s requires that compounded products be used only when brand-name products are unavailable or contraindicated. Felix physicians can assess for compounded options under the Special Access Programme where clinically appropriate.

How does Felix Health handle medication shortages? Felix monitors supply levels through its pharmacy partners. If a prescribed medication is unavailable, Felix contacts you to discuss alternatives. During the 2023-2025 Ozempic shortage, Felix transitioned eligible patients to Wegovy or liraglutide where clinically appropriate.