Generic Semaglutide Prescription Requirements in Canada

"Generic semaglutide" is no longer one product. Health Canada authorized a semaglutide injection from Dr. Reddy’s Laboratories on 2026-04-28 and APO-SEMAGLUTIDE INJECTION from Apotex on 2026-05-01, both against Ozempic as the reference product; a third line, Apotex’s SEVMIA, followed on 2026-06-29 against Wegovy as the reference product; and a fourth, ASPEN-SEMAGLUTIDE from Aspen Pharmacare Canada, appears in Health Canada’s Drug Product Database. Which brand product that fourth line is authorized against is not something we could confirm, so this page does not say. (Authorization dates, sponsors and reference products verified 2026-08-14 against Health Canada’s own releases and product database.)

Which of those lines an online provider actually dispenses is a separate question, and Felix does not answer it: its published price list names the product simply "Semaglutide", with no brand and no manufacturer (verified 2026-08-14). Any page — including an earlier version of this one — that ties that price to a specific manufacturer is filling in a blank Felix left deliberately. Official product listings hold the per-product detail, and they hold it accurately.

Two claims this page deliberately does not make. The first is that any generic is interchangeable with any brand product: that is decided by clinicians, pharmacies, and provincial substitution rules, never by a website. The second is that one product can stand in for another on a prescription you already hold — same reason. What is left is exactly this site’s lane, and it is the useful part anyway: what an application requires, who reviews it, and what the published route costs.

• A prescription. Generic status changes the price story, not the prescription status — prescription-only in every province and territory, online or at the counter.
• Adult age. Felix states anyone 18 or older can use its service — 16 or older for two categories unrelated to this one — and Hims Canada states the same 18 minimum (both verified 2026-08-14). Maple publishes no minimum age we could find; its membership covers dependants under 18, which is a different statement.
• A province the provider serves. The Felix route runs in Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and Prince Edward Island — six, per Felix’s category-scoped help-centre article (verified 2026-08-14). The rest of the country is covered further down.
• Identity documents. Felix states its visit walks you through creating a profile, submitting ID and insurance details, and completing a medical assessment (verified 2026-08-14). Which documents count as acceptable ID is not published by any provider we checked, so we do not list any.
• Your intake information. Health history, a complete current-medication list, and height and weight — screened by a licensed clinician against the provider's published intake criteria, never auto-scored by the form.
• A way to pay for two separate things. At Felix the visit and the medication are different charges: $0 for the initial visit, $40 for every follow-up visit, and then the medication itself, billed per pen if a clinician prescribes (verified 2026-08-14). The ladder is in the next section.

Felix bills the medication per pen, separately from the visit fees above, and the price moves with the dose rather than sitting flat. That is the whole reason this page carries a ladder instead of a rate.

Two things that ladder says which no single figure can. First, $149 buys one pen at the three lowest doses Felix lists — it is an entry price, not a monthly rate, and at 1.5mg the published figure is $298 for two pens. Second, it sits alongside the visit fees, not inside them. Felix’s own summary of its whole line is wider still: it states that prices range from $149 to $678 depending on the prescription (verified 2026-08-14). Shipping is the one thing Felix does state is included — it publishes no charge for sending medication from its pharmacy network (verified 2026-08-14).

The three routes side by side, on fees only. This table says nothing about the medications themselves — that is deliberate, and it is the whole method of this site.

One correction worth stating plainly, because this page carried the opposite for a day: the generic is not the only product Felix prices. Felix publishes per-pen prices for brand-name Ozempic on the same ladder as the generic, for Wegovy at $374.82 per pen at every dose it lists, and for Mounjaro from $350.60 to $501.88 per pen, and it publishes pricing pages for Zepbound and Contrave as well (all verified 2026-08-14, all carrying the Ontario and Patient Support Program conditions above). What the medication costs at a counter pharmacy, as opposed to inside a provider’s program, is our sister site’s territory: glp1prices.ca tracks apo-semaglutide pharmacy prices.

1. Apply online. Account, identity and province, then the intake questionnaire — health history, medications, height and weight. The initial visit is $0 (verified 2026-08-14).
2. A licensed Canadian prescriber reviews the file. A physician or nurse practitioner licensed in your province, screening against the provider’s published intake criteria, sometimes with follow-up questions through the platform. Felix’s own pages disagree about the wait — its pricing pages say a practitioner generally responds within 24 hours, its category page says within 48 — so read it as a 24-to-48-hour window rather than a commitment (verified 2026-08-14). Declines happen here; Felix states it refunds the visit fee in this category only where a patient is found clinically ineligible. With the initial visit at $0, a first application has no fee at risk — but every follow-up and renewal visit costs $40, and Felix publishes no refund rule for a decline on one of those that is not a finding of clinical ineligibility.
3. If prescribed, the pharmacy network ships. Felix states its pharmacy fills a prescription within 2–3 business days and ships by Express Post, which usually takes another 2–3 business days, at no separate cost; refills then go out automatically on a schedule you choose — monthly, bi-monthly, or quarterly (all verified 2026-08-14). Each shipment is billed at the per-pen price for the dose you are on, not at a flat monthly figure.

A generic-semaglutide prescription behaves like any other: a set supply, a set number of refills, then a prescriber’s renewal or nothing. A renewal is a clinical decision every time, never an automatic continuation. At Felix the mechanics are published: it emails you when a prescription is nearing its end and shows a banner on the treatment, you complete the renewal visit yourself, and that visit is a shortened version of the initial assessment reviewed by a practitioner. Re-review generally happens about every three months at first and less often after that, and each renewal visit in this category costs $40 (all verified 2026-08-14).

A prescription that started elsewhere can be brought in as a renewal application that gets the same full review as a new file. The mechanics live on the logistics pages: renewals for the decision layer, refills for dispensing schedules, and transfers for moving an active prescription between pharmacies or providers.