Felix Health vs MyRocky (2026): Which Canadian GLP-1 Service Wins?

At a Glance

Price Comparison

Felix Health and MyRocky have arrived at essentially the same price point for generic semaglutide in mid-2026. Both charge a $99 one-time intake fee and both price their all-in monthly program at approximately $149 when using generic semaglutide.

The structural difference is in what that monthly cost includes. Felix's program includes clinical support and quarterly check-ins with an assigned physician from its network. MyRocky's program includes clinical support on a tighter 4-week follow-up cadence plus the 6-month money-back guarantee. On price alone, neither platform has a meaningful advantage over the other for generic semaglutide patients.

For brand-name Ozempic and Mounjaro, pricing on both platforms reflects current Canadian brand-name drug prices - typically $200-450/month for Ozempic depending on dose, and $350-630/month for Mounjaro depending on dose. These prices are substantially higher than generic semaglutide but may be clinically indicated for patients who need higher doses or dual-agonist therapy.

Province Coverage

This is the clearest differentiator between the two platforms. Felix Health currently serves 9 Canadian provinces - it explicitly excludes Quebec and New Brunswick. MyRocky operates in all 10 provinces.

For approximately 10 million Canadians who live in Quebec, this is not a theoretical distinction - it is the difference between being able to use the platform at all. Felix's exclusion of Quebec reflects the regulatory complexity of operating a telehealth pharmacy in that province. Quebec maintains its own pharmacy regulatory framework under the Ordre des pharmaciens du Quebec, and French-language service requirements add operational overhead that many national platforms have not cleared.

New Brunswick's exclusion from Felix's service area is less widely noted but similarly concrete. Felix has not disclosed a timeline for expanding to either province.

If you live in any province other than Quebec and New Brunswick, province coverage is not a deciding factor between the two platforms. Both serve Ontario, British Columbia, Alberta, Saskatchewan, Manitoba, Nova Scotia, PEI, and Newfoundland and Labrador.

Speed to First Prescription

Felix Health typically delivers a first prescription within 5-7 business days from intake to medication in hand, for patients who have recent lab results available or whose intake does not require new labs. Felix uses a 24-hour clinician review turnaround with partner pharmacies handling dispensing and shipping.

MyRocky's timeline is similar: 3-5 business days for patients with recent labs on file, and 5-10 business days for patients requiring new labs. The in-house pharmacy speeds up the dispensing step because no external transfer is required. In practice, both platforms deliver in a comparable window for most patients.

Neither platform has a substantial speed advantage over the other for the majority of patients. The edge goes to MyRocky for patients with labs already on file, where the in-house pharmacy means same-day dispensing after the prescription is written.

Clinical Model

Felix Health operates through a network of independent Canadian physicians who assess patients asynchronously and write prescriptions through the Felix platform. Patients are assigned to physicians from that network. Felix does not publicly name individual prescribers in the way MyRocky does with Dr. Mankaryous.

MyRocky runs an in-house clinic with Dr. George Mankaryous MD CCFP as the named clinical lead. The in-house model means clinical staff, protocols, and quality oversight are all under one operational roof. MyRocky's 4-week follow-up schedule is more frequent than Felix's quarterly check-in approach - this matters for patients who are titrating doses quickly or experiencing side effects that need clinical attention.

Both platforms use asynchronous review for intake - there is no live video call required to start. Both offer access to a clinician for questions and dose adjustments throughout treatment. The difference is structural: Felix uses a distributed physician network; MyRocky uses a centralized clinic.

Prescription Pipeline

Felix Health routes completed prescriptions to a network of partner pharmacies across Canada. The pharmacy receives the prescription, processes it, and ships to the patient. This means there is a transfer step between the Felix clinical system and the pharmacy fulfillment system - typically adding 24-48 hours to the process.

MyRocky's prescription pipeline is end-to-end within the same organization. The clinic writes the prescription; the in-house pharmacy dispenses it the same day. This eliminates the inter-organization transfer delay and simplifies the patient experience - there is only one entity handling your account throughout.

The practical impact is modest for most patients - a day or two of difference in fulfillment. It becomes more meaningful on refills, where coordination between a telehealth platform and a third-party pharmacy can occasionally introduce gaps. MyRocky's integrated model reduces the surface area for those gaps.

Generic Semaglutide Pricing

Since the Apotex generic semaglutide launch in May 2026, the Canadian GLP-1 market has been repriced significantly. Both Felix and MyRocky offer generic semaglutide at approximately $149/month all-in, which includes clinical support, free delivery, and ongoing prescription management.

For context, the same generic molecule is available at in-person retail pharmacies for less - Costco approximately $88-99, Walmart approximately $95-110, Shoppers Drug Mart approximately $100-120. These prices require an existing prescription from a family doctor or specialist and do not include telehealth clinical support, ongoing follow-up, or delivery. If you already have a physician managing your GLP-1 therapy, a retail pharmacy is likely the most cost-effective option. If you need the clinical infrastructure - prescription access, titration management, follow-up - then either Felix or MyRocky at $149/month is competitive relative to the cost of private specialist consultations.

Pros and Cons

Our Verdict

For most Canadians, the choice between Felix and MyRocky comes down to one primary question: do you live in Quebec or New Brunswick? If yes, the decision is made for you - MyRocky is your only option among the two.

For the 9 provinces where both platforms operate, the verdict is closer but MyRocky has the edge. The integrated pharmacy model, more frequent clinical follow-ups, named and verifiable clinical leadership, and the 6-month money-back guarantee collectively make MyRocky the stronger overall offering. The pricing is identical, so there is no cost reason to choose Felix over MyRocky in those provinces.

Felix Health retains a meaningful advantage in brand recognition and reputation, particularly among patients who have been using the platform since before generic semaglutide became available. If you are already enrolled with Felix and satisfied with the service, there is no urgent reason to switch. If you are starting fresh and are not in Quebec or New Brunswick, MyRocky is the more complete platform.