BirchRx
Checked 3 Oct 2026Prescription service- First visit
- $0 assessment; charged only if a physician approves treatment
- Plans
- Generic semaglutide: $149 first month, then from $199/mo (medication, physician oversight and shipping included)
Online providers all offer a way to get a GLP-1 prescription without a clinic visit, but the care behind it differs. We sort each one into one of four care models and document it on the same ten fields.

We earn a commission when you sign up with some providers through our links. It never changes our prices or how we rank providers. How we rank
Sources disagree on provinces and fees. Not yet confirmed by us.
Sources disagree on fees. Not yet confirmed by us.
An online GLP-1 provider is a service that connects you with a licensed Canadian prescriber over the internet, then arranges a pharmacy to fill and ship the prescription. A GLP-1 is a prescription medication in the class that includes semaglutide and tirzepatide. Whether you may take one is a decision for a prescriber, not for this page.
Most provider sites describe the same three steps: answer questions, get a prescription, receive a delivery. The difference is what happens around those steps. One service stops at the prescription. Another has its own pharmacy. Another runs the weight program as one of many treatments on a single account. Another builds the whole program around lab work, scheduled visits and coaching.
We group these into four care models: prescription service, pharmacy program, multi-service platform and metabolic program. Each has its own page section on care models, and every provider card below shows its primary model. We classify from what a provider does in its sign-up flow and terms, not from its marketing, and we date every check. The full method is on our methodology page.
Look for two numbers when you compare. The program cost is what you pay the service: an assessment or visit fee, a monthly membership, or a follow-up fee. The medication cost is what the pharmacy charges for the drug itself, plus any dispensing fee, which is the pharmacy’s charge for filling a prescription.
Some providers bundle both into one monthly price. Others separate them, so the program fee looks small while the medication is billed on top. Neither is wrong, but you cannot compare them until you put both on the same footing. For medication prices on their own, see our price pages. For what your plan may pay, see coverage.
These are worth asking before you pay anything, whichever service you choose.
If a provider has not published the answer, you can ask its support team. If you do, tell us what you learn through our corrections page and we will update the profile.
The cards and matrix show the same ten fields for every provider: care model, first step, who prescribes, lab work, follow-up, support between visits, how you get your medication, other treatments offered, cost model and provinces served. Providers that serve your province appear first, then the rest alphabetically. Whether a provider pays us never affects order or wording, and we never score or rank them. Paid relationships are labelled and explained in our disclosure.
Nothing here is medical advice. A prescriber or pharmacist can tell you what is appropriate for you.
Not to start. Every provider we document has its own prescribers. Some say plainly that they do not replace primary care, so ask who monitors you between renewals.
It depends on the provider. Some bundle medication into one monthly price, some charge a visit or membership fee and bill the pharmacy separately. The cost model row in the comparison shows which.
Coverage depends on your plan and the drug, not on the provider. Providers that bill insurers say they can bill a plan directly, but visit and program fees are usually not covered.
A licensed prescriber still reviews your answers and decides whether to prescribe. What differs is the format: a form, a message thread, or a video visit.