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Get Rybelsus® Medication Prescribed Online

Semaglutide Tablets

With Felix, you can get Rybelsus® prescribed by a licensed healthcare practitioner and delivered to your door for free.

At a glance

  • 3 mg, 7 mg and 14 mg tablets / 1.5 mg, 4 mg and 9 mg tablets
  • Semaglutide Tablets

Why Felix

  • Prescribed by a Canadian healthcare professional
  • Support and resources along your journey
  • Free and fast shipping to your door

About Rybelsus®

Rybelsus medications belong to the family of drugs known as glucagon-like peptide-1 receptor agonists (GLP-1).

The most prominent active ingredient in Rybelsus is semaglutide; although unlike some other semaglutide medications, Rybelsus isn’t used in weight loss treatment plans.

Rybelsus’ primary indicated use is as a method to control your blood sugar levels, either on its own or in combination with another diabetes medication, alongside a healthy diet and exercise regimen.

Technically, the generic name for this medication is semaglutide, while Rybelsus pills are simply the brand name for this treatment. If you’re curious how much semaglutide is in Rybelsus, it’s less than weight loss treatments (specifically 3, 7, or 14 mg of semaglutide in each oral Rybelsus tablet).

If you’d like to learn more about how a Rybelsus prescription functions, you can click here for more information.

Rybelsus works by helping to encourage your body to increase insulin production, when your blood sugars are high.

In turn, this helps prevent blood sugars from reaching unsafe levels, and they can help you manage your blood sugar day-to-day, avoiding unnecessary spikes.

This also helps lower appetite, slows down how quickly your stomach empties, as well as increases your insulin production, so that you eat less and feel fuller for longer.

This makes Rybelsus useful for weight loss, control of blood sugar levels, and reducing your risks of cardiovascular disease.

If you’ve been wondering what a Rybelsus medication is used for, Rybelsus prescriptions are only indicated as a treatment for people living with type 2 diabetes, who are unable to control their blood sugar levels using a healthy diet and exercise alone.

Depending on your practitioner’s recommendations, they may suggest oral Rybelsus (semaglutide) tablets either by themselves, or in combination with another medication used for treating diabetes.

SIDE NOTE: Although Rybelsus tablets contain semaglutide like many weight loss treatments, Rybelsus is not indicated for use as this type of treatment.

Common Side Effects

Most common side effects associated with Rybelsus are mild and typically improve within a few weeks as the body adjusts to the medication. Over-the-counter medicines can often help manage these symptoms. If symptoms persist, or become moderate or severe, seek in-person medical care.

  • Gastrointestinal: Nausea, vomiting, diarrhea, and constipation.
  • Digestion: Heartburn or acid reflux, indigestion, gastritis, bloating, burping, or gas.
  • Metabolic: Decreased appetite and weight loss.

Serious Risks and Precautions

A change in your health circumstances may mean it is unsafe to continue taking semaglutide, so make sure to keep your practitioner up to date about your health and medications throughout your treatment. Rybelsus has also been associated with, or may increase your risk of, many of the following serious conditions:

  • Organ Health: Increase in pancreatic enzymes or pancreatitis, and gallstones/gallbladder issues.
  • Severe Digestive Issues: Ileus/bowel obstruction.
  • Hypoglycemia: Low blood sugar (especially when used with sulfonylureas or insulin).
  • Cardiac: Racing heart
  • Allergic Reactions: Itching, rashes, or hives.

If you start to experience any of the side effects of Rybelsus severely, be sure to let your practitioner know right away, as they may be able to suggest an alternative medication to Rybelsus without interactions, or adjust your dosage of Rybelsus to reduce side effects.

There are a number of people who shouldn’t use Rybelsus as interactions may occur, including:

  • Patients under the age of 18
  • Patients allergic to Rybelsus (semaglutide) or any of the other ingredients in Rybelsus pills
  • Patients who have had or have a family history of medullary thyroid cancer (MTC)
  • Patients who have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Patients who are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed

In addition to these concerns, there are certain other factors that may potentially cause interactions with Rybelsus. Be sure to let your practitioner know ahead of starting a prescription for Rybelsus if you:

  • Have type 1 diabetes
  • Develop diabetic ketoacidosis (DKA)
  • Have ever had an allergic reaction to Rybelsus pills in the past
  • Have a high pulse rate
  • Have ever had pancreatitis
  • Have end-stage renal disease
  • Have gastrointestinal problems (i.e., severe diarrhea, vomiting, and/or dehydration)
  • Have liver or gall bladder issues
  • Take blood thinners (i.e., Warfarin, Coumadin, etc.)
  • Have diabetic retinopathy
  • Regularly operate heavy machinery
  • Start to experience hypoglycemia

Apart from these concerns, if you’re wondering what medications should not be taken with Rybelsus, there are a few to keep in mind, such as:

  • Insulin
  • Sulfonylurea
  • Levothyroxine (your practitioner may need to check your thyroid levels in order for you to take this medication with oral Rybelsus [semaglutide] tablets)

Your practitioner will want to know if you’re taking any of these medications, and may suggest an alternative medication to Rybelsus if you are. In addition, there are some medications that can cause negative interactions with Rybelsus, including medications for:

  • Congestion
  • Hypertension
  • Heart failure
  • HIV
  • ADHD
  • Appetite suppressants for weight loss
  • Asthma

Be sure to let your practitioner know if you’re planning to take any medications for treating the conditions above, as they may need to suggest an alternative to your Rybelsus prescription in Canada.

No, it isn’t safe to use Rybelsus during pregnancy. At this time, it’s unknown if there could be any negative interactions with Rybelsus and unborn children, so it’s not recommended to use this treatment if you’re pregnant or planning to become pregnant.

In addition, it’s not recommended to take oral Rybelsus (semaglutide) tablets if you’re breastfeeding or planning to breastfeed, as Rybelsus has been shown to pass through breast milk to nursing infants.

Clinical data indicates that the 14 mg daily dosage of oral semaglutide provides glycemic control and A1C reduction in a similar range to the 0.5 mg or 1.0 mg weekly injections of semaglutide.

If you are not having an adequate response to oral treatment, or if the daily administration requirements (such as taking on an empty stomach) are difficult to maintain, then it is recommended that you consider transitioning to an injectable medication. If you are having side effects, then you should contact your practitioner to discuss changing to an injectable or adjusting your dose.

When considering semaglutide for Type 2 diabetes management, one of the most important decisions is the delivery method. Semaglutide is currently available in two forms: a daily oral tablet (Rybelsus®) and once-weekly subcutaneous injections.

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Feature Oral Tablet (Rybelsus) Injectable GLP-1s (Ozempic)
Dosing Schedule Daily Once Weekly
Active Ingredient Semaglutide Semaglutide
Administration Oral (with 120ml water). Must be taken on an empty stomach and wait 30 minutes before other oral intake. Self-administered injection
Storage Room temperature Kept within the manufacturer’s or your pharmacy’s recommended temperature range.
Absorption Via stomach lining Via fatty tissue (under the skin)
Travel-friendly High (Store at room temperature (15ºC to 30ºC). No cooling required) Moderate (often requires cooling)
Tolerability Difficulty with having to take it on an empty stomach etc Some don’t like injections/needles

We'd love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Rybelsus®.

The drug identification number (DIN) is easy to find. It'll be printed on your Rybelsus® pen and the receipt from your pharmacist.

How it works

Frequently asked questions

Can I buy Rybelsus online in Canada?

You may be able to buy Rybelsus online in Canada, but before you can access online medications like Rybelsus through Felix, you’ll need to complete a short online assessment.

Felix is making this process as quick and seamless as possible for Canadians through our secure, chat-based assessment system. It only takes a few minutes to get started, and one of our practitioners will usually respond to your request within 24 hours.

Plus, our pharmacy partners at Felix can deliver your prescription for Rybelsus in Canada, at no additional cost to you! You’ll only have to pay a small assessment fee, as well as the cost of any prescribed medications.

We’re always happy to arrange Rybelsus refills for you as well, so that you never need to worry about running out of your essential medications. It’s just another way that Felix is helping you take back control of your health and well-being, so you can get back to living life on your terms – the way it should be.

‍How can I get a Rybelsus prescription online in Canada through Felix?

The first step towards being able to get a Rybelsus prescription online in Canada is to complete a short online assessment (at your convenience).

Once you submit your assessment, one of our practitioners will typically get back to your request within 24 hours. If they believe that Rybelsus pills from Felix are a good option for your diabetes treatment plan, alongside a healthy diet and exercise, they can provide you with a prescription for it.

Best of all, Felix can deliver Rybelsus in Canada at no additional cost to you, apart from the cost of your prescribed medications. We can even arrange Rybelsus refills to be shipped to you before you run out, so you’ll always have your Rybelsus medications when you need them.

Is Rybelsus covered by insurance in Canada?

There’s no way of answering whether Rybelsus is covered by your individual private insurance benefits, because each package and provider will include different types of coverage.

Your best bet would be to contact your insurance rep, prior to requesting to buy Rybelsus from Felix online in Canada, because if you do have coverage, Felix will be happy to bill your insurer directly to save you the trouble.

If you’re interested in learning whether Rybelsus is covered by OHIP or other provincial health plans, it will depend on which province you live in within Canada, and whether your current province of residence offers any type of coverage for a Rybelsus prescription.

As an example, OHIP may cover Rybelsus pills (and refills), but only under certain specific criteria for eligibility. If you live in Ontario and want to learn more about getting Rybelsus through OHIP, click here to see whether you could be eligible for this type of coverage.

What other names is Rybelsus sold under?

Technically, because the brand name for semaglutide is Rybelsus, there are no other names that Rybelsus pills are sold under.

There are some other medications that you can find that contain semaglutide like Rybelsus tablets, but these are not and should not be treated the same as Rybelsus.

Many semaglutide medications are indicated for use as part of treatment plans that don’t involve diabetes or blood sugar management, so they should not be considered interchangeable alternatives.

Can I be accurately assessed remotely?

Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We’ve worked with specialists to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.

Does Felix replace my doctor?

No. Felix provides a faster, hassle-free way for you to get a treatment plan for certain conditions, but our service does not replace your primary care provider. For matters that extend beyond obtaining a lifestyle treatment safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about your current treatments or treatment plans.

It’s an emergency. What do I do?

Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.

What is Felix?

Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.

Who can use Felix?

Anyone who is 18 years or older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship treatments outside of these provinces at this time.

Can I just get the treatment and skip the online visit?

No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service. 

Please email our Customer Support team at [email protected] and they will be able to assist you with the transfer.

Do I need to complete my online visit at a scheduled time?

No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

Does the online visit require a phone or video appointment?

Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.  

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

How does the visit work?

After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners. 

During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.  

In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you. 

If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.

You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.

How quickly will a healthcare practitioner review my online visit?

You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page.

I completed my online visit. Now what?

Great, you’ve already taken the first step! Next, a healthcare practitioner will review your assessment and if necessary, will send you a link to book an online audio or video appointment with them. This appointment will help them determine the best treatment plan for you. If your healthcare practitioner thinks you will benefit from an available medication, they will write you a prescription. Our pharmacy can ship your medication to your home if you would like your medication dispensed through the Felix Pharmacy network.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How and when can I update my shipping address?

Your address can be updated from the Shipping tab of your account. Kindly note that any changes need to be made 48hr ahead of your refill date.

How long will it take to get my medication?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

The pharmacy will process and fill your prescription within 2-3 business days of your prescription approval date if there is nothing blocking them from doing so.

All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.

How many days do I have to notify you of an undelivered or lost package, or damaged medication?

You have 14 days from the date your tracking link was sent to notify us of an undelivered or lost package, or damaged medication.

How much does it cost for shipping my medication?

There is currently no cost to have your medication sent to you from our Felix Pharmacy network.

How much does it cost to ship my treatment?

There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.

I received an email with a tracking number but it doesn’t seem to be working!

Your tracking number will be activated when the courier picks up your shipment from the pharmacy. Please allow until 6 pm the following business day, and you should then be able to see the status of your package. If the tracking number still isn’t working, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page and we’ll look into it.

Is your packaging discreet?

Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.

What do I do if my package was returned to Felix?

We’ll contact you via email if your package is returned to us!

For most treatments, your meds will be destroyed 1 month after your fill date should you fail to respond to Felix Customer Support or contact the partner pharmacy. Temperature controlled medications may have a reduced reshipment eligibility window due to their limited shelf life, in accordance with product guidelines. All reshipments are at the discretion of a pharmacist’s professional judgment.

If you require assistance with a returned package, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page.

What happens if there isn’t anyone available for the delivery?

Depending on your province of residence and the treatment being dispensed, your Felix packages may require a signature on delivery. If this cannot be collected where necessary, your package will be available at the closest post office for pick up. Usually, packages are available for up to 14 days after the first attempted delivery. If you don’t pick up your package within the allotted time, it will be returned to the sender, which may cause a further delay in your delivery.

When is my medication shipped?

Status updates for your prescription will appear in the Upcoming tab. You’ll be able to see if your prescription is being processed by our pharmacists or if it’s en route for delivery.


Refill schedule (drug dependent)

  • Monthly: refill is processed approx. every 20 to 23 days
  • Every 2 months: refill is processed approx. every 50 to 53 days
  • Every 3 months: refill is processed approx. every 76 to 84 days

Will I be able to receive my medication on time during the holidays?

Yes, the pharmacy will process your prescription to account for any expected delays due to the holiday season.

Can I have my medical records with Felix shared with my primary care provider?

We are happy to facilitate a release of your medical records with Felix to your primary care provider. Please send a request message through the chat bubble in the bottom right corner of your account or our Contact Us page, and our clinical operations team will be happy to help.

How is my privacy protected?

Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information. 

Is my information private and secure?

Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.

Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.

Read more on our Privacy Policy.

Is this legal?

Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.

Is this safe?

Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the practitioners on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How do I change my credit card information?

Go to Billing, and you will be able to update the credit card information on file.

How much does a checkup visit cost?

The cost of the checkup visit varies by category, but in many cases there is no charge, so long as you complete your checkup visit before your current prescription expires.

How much is the online visit?

Felix charges a fee for the online visit. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.

How much will my treatment cost?

It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be billed for medication costs for your prescription once it is approved and sent to our pharmacy. Once approved, your treatment and payment will be processed within one to two days.

Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

Why can’t I see medication prices on the website?

While it is illegal in Canada to display market pricing for prescription medication, you will be able to see the estimated cost of medication during the online visit. The price shown is an estimation and will vary if the healthcare practitioner prescribes you a different medication, or if you have insurance or benefits coverage. All estimated prices shown during the online visit include the pharmacy fill fee based on the refill schedule of your choice.

Will I be charged for the visit fee, even if a prescription is denied?

Yes, the visit fee is charged when you submit your visit and is generally refunded if the visit is denied by your healthcare practitioner.
Exceptions apply: Weight Loss visit fees are refunded only if you are deemed clinically ineligible. Visit fees for Diagnostic categories (Metabolic Health, STIs) and Menopause are non-refundable. For these complex health categories, the visit fee covers the practitioner’s time to review your medical assessment, issuing a lab requisition, reviewing your lab results with you, and making a diagnosis if applicable.

Am I covered by my insurance?

Treatment coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.

Insurance coverage for treatment plans through Felix doesn’t include the cost of your visit.

I didn’t have insurance when I first got my prescription, but now I have it. What do I do?

Go to Billing where you can add or update your insurance information on file.

I forgot to upload my insurance information before my first fill was charged. What can I do now?

You will find the official receipt for your medication costs within your package from the pharmacy. This receipt can be used to submit a manual claim directly to your insurance/benefits provider. Future refills will be direct-billed directly to your insurance provider, once you have uploaded your insurance information from the Billing tab of your account.

I uploaded my insurance information during my online visit but still see a cost for the medication in my profile.

The coverage you are eligible for will not be deducted until the pharmacy processes your refill, so the price you see in your profile is the estimated maximum medication cost before benefits. Once the pharmacy ships your meds, the actual cost will be displayed for the respective refill.

Is birth control covered by OHIP in Ontario?

OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.

Is the medication covered by my insurance or provincial health plans?

Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered drugs here.

British Columbia: Learn more about MSP here. Search for covered drugs here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.

Nova Scotia: Learn more about MSI here. Search for covered drugs here.

Ontario: Learn more about OHIP+ here. Search for covered drugs here.

Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.

Is the online visit covered by my insurance or provincial health plans?

A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.

Is the treatment covered by my insurance or provincial health plans?

Treatment coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the information associated with your treatment. 

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered treatments here.

British Columbia: Learn more about MSP here. Search for covered treatments here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered treatments here.

Nova Scotia: Learn more about MSI here. Search for covered treatments here.

Ontario: Learn more about OHIP+ here. Search for covered treatments here.

Prince Edward Island: Learn more about Health PEI here. Search for covered treatments here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered treatments here.

My insurance provider needs a physician to fill out a form before they will cover my medication costs. Can this be done through Felix?

Yes, but at the discretion of our medical team. Please submit your insurance request form here. If the healthcare practitioner agrees to complete the form, a $35 fee per insurance form will apply.

Read more here for full details about the Insurance Special Authorization Form process.

If you run into any issues, please reach out to our Patient Support team through the chat bubble in the bottom right corner of your account or our Contact Us page.