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BirchRx Review
This BirchRx review covers how the weight management service works and what it costs, using only what BirchRx says about itself. BirchRx is a Canadian telehealth platform for weight management, hair loss and erectile dysfunction, with women's health listed as coming soon. It says it is not a healthcare provider but a technology platform that connects patients with licensed Canadian physicians and pharmacies, and it is operated by Vitalis Holdings Group Inc., a corporation registered in British Columbia. Treatment is subject to physician approval.
Quick verdict
BirchRx states its price as connected figures, and the thing to hold onto is that the first month is a one-month price, not the monthly price. It also says the physician decides whether treatment is appropriate and that pricing covers standard doses, so what you pay can change with the dose and with whether you are approved at all. This review does not list physician names or registration numbers, and PCF does not rate whether a provider is legitimate; it records what BirchRx says about itself and when we checked.
At a glance
- Availability
- Canada only; availability is confirmed during the assessment
- Provinces (per BirchRx)
- Ontario, British Columbia, Alberta, Nova Scotia, Saskatchewan
- Assessment
- Free, about 10 minutes, no video call required
- Physician review
- Within 24 to 48 hours; treatment is subject to physician approval
- Price
- CA$125 for the first month, then CA$175 a month
- Doses
- Pricing covers standard doses; higher doses may cost more and are confirmed before charging
- Dispensing
- Licensed Canadian pharmacy
- Insurance
- Direct pay; receipts may go to private insurance; coverage varies
- Shipping
- Included; plain packaging, most within 2 to 5 business days
Who BirchRx is best for
People in the provinces BirchRx says it serves who want weight management assessed online without a video call, and who meet BirchRx's stated eligibility: a BMI of 30 or above, or a BMI of 27 to 29.9 with a weight-related condition. Treatment is subject to physician approval, and the physician makes the final eligibility decision.
This profile is designed to help users compare the program before beginning intake. It is not a recommendation that any treatment is appropriate.
Pricing and access
The first month is CA$125, with the CA$50 monthly care fee waived for that month. After the first month the price is CA$175 a month (Canadian dollars, checked 28 October 2026). BirchRx says the monthly price includes the physician assessment, the prescription, the medication, dispensing, shipping and ongoing clinical follow-up. Pricing covers standard doses; higher doses may cost more and are confirmed before charging. The assessment is free: patients pay only if a physician approves treatment, and the card hold is released if treatment is not approved.
The first month price is not the monthly price: the monthly care fee is waived for the first month only, so read both figures together. BirchRx says there is no required membership and no cancellation fee, and that treatment can be paused or adjusted from the patient portal. It is a direct-pay service: receipts may be submitted to private insurance, and BirchRx's partner pharmacies can submit insurance claims, but coverage varies.
Available in Canada only. BirchRx says weight management is available in Ontario, British Columbia, Alberta, Nova Scotia and Saskatchewan. Availability is confirmed during the assessment.
Treatment, consultation, and delivery
Weight management is the only service this review covers. The physician decides after the assessment whether treatment is appropriate and which treatment, so a prescription is never guaranteed. BirchRx also lists hair loss and erectile dysfunction, and women's health as coming soon.
An online assessment that BirchRx says takes about 10 minutes, with no video call required. A licensed Canadian physician reviews it within 24 to 48 hours and decides whether treatment is appropriate, so treatment is subject to physician approval. If it is not, the patient pays nothing.
If a physician prescribes, a licensed Canadian pharmacy dispenses it and ships it in plain packaging, most within 2 to 5 business days. Refills are automatic while the patient remains a good candidate for treatment, with regular check-ins with the physician.
What is BirchRx, and how does it work?
BirchRx is a Canadian telehealth platform for weight management, hair loss and erectile dysfunction, with women's health listed as coming soon. It describes itself as a technology platform that connects patients with licensed Canadian physicians and pharmacies, not as a healthcare provider, and it is operated by Vitalis Holdings Group Inc., a corporation registered in British Columbia, in Vancouver. This review covers weight management only.
The process BirchRx describes has four steps. You complete an online assessment, which BirchRx says takes about 10 minutes with no video call required. A licensed Canadian physician reviews it within 24 to 48 hours and decides whether treatment is appropriate, so treatment is subject to physician approval. If one is prescribed, a licensed Canadian pharmacy dispenses it and ships it in plain packaging, most within 2 to 5 business days. After that there are ongoing check-ins and automatic refills while you remain a good candidate for treatment.
How much does BirchRx cost?
The first month is CA$125, with the CA$50 monthly care fee waived for that month. After the first month the price is CA$175 a month (Canadian dollars, checked 28 October 2026). The first month price is not the monthly price, so the two figures belong together.
BirchRx says the monthly price includes the physician assessment, the prescription, the medication, dispensing, shipping and ongoing clinical follow-up. Pricing covers standard doses; higher doses may cost more and are confirmed before charging. The assessment is free and patients pay only if a physician approves treatment; the card hold is released if not approved. There is no required membership and no cancellation fee, and treatment can be paused or adjusted from the patient portal.
Other online programs in Canada: Our Felix Health review · All Canadian programs we review
Who is eligible for BirchRx weight management?
BirchRx states two eligibility groups: a BMI of 30 or above, or a BMI of 27 to 29.9 with a weight-related condition such as high blood pressure, type 2 diabetes, high cholesterol or sleep apnea. The final decision is the reviewing physician's, so meeting a BMI threshold does not mean treatment will be approved.
BirchRx says weight management is available in Ontario, British Columbia, Alberta, Nova Scotia and Saskatchewan, and that availability is confirmed during the assessment.
Insurance and paying for BirchRx
BirchRx is a direct-pay service. Receipts may be submitted to private insurance, and BirchRx's partner pharmacies can submit insurance claims, but coverage varies, so confirm with your insurer before starting.
Who runs BirchRx, and what this review could not verify
BirchRx is operated by Vitalis Holdings Group Inc., a corporation registered in British Columbia. BirchRx says it is PIPEDA compliant, with health data hosted in Canada, and that its LegitScript certification is in progress. PCF does not treat BirchRx as LegitScript certified.
This review does not list physician names, pharmacy names or registration numbers, because they are not in the facts it is built from. The credentials of the physician who reviews an assessment and of the dispensing pharmacy are not something PCF has checked.
BirchRx strengths, and what to know before you start
Strengths
- BirchRx says plainly what it is: a technology platform, not a healthcare provider, with prescriptions issued by licensed Canadian physicians and dispensed by licensed Canadian pharmacies.
- The monthly price is stated as one figure that includes the assessment, prescription, medication, dispensing, shipping and follow-up, and BirchRx says any higher-dose price change is confirmed before charging.
- You pay nothing if the physician does not approve treatment.
- Direct pay, with receipts that may be submitted to private insurance and partner pharmacies that can submit claims.
Worth knowing before you start
- The first month price is not the monthly price. The first month is CA$125 because the CA$50 monthly care fee is waived; after that the price is CA$175 a month.
- Pricing covers standard doses. Higher doses may cost more, and BirchRx confirms any change before charging.
- Treatment is subject to physician approval. BirchRx states eligibility as a BMI of 30 or above, or 27 to 29.9 with a weight-related condition such as high blood pressure, type 2 diabetes, high cholesterol or sleep apnea, and the physician makes the final decision.
- BirchRx is not a healthcare provider itself, and says its LegitScript certification is in progress.
- Insurance coverage varies.
Frequently asked questions
What is BirchRx?
A Canadian telehealth platform for weight management, hair loss and erectile dysfunction, with women's health listed as coming soon. BirchRx says it is a technology platform that connects patients with licensed Canadian physicians and pharmacies, not a healthcare provider, and it is operated by Vitalis Holdings Group Inc., a corporation registered in British Columbia. This review covers weight management only.
How does BirchRx work?
You complete an online assessment, about 10 minutes with no video call required. A licensed Canadian physician reviews it within 24 to 48 hours and decides whether treatment is appropriate, so treatment is subject to physician approval. If one is prescribed, a licensed Canadian pharmacy dispenses it and ships it in plain packaging, most within 2 to 5 business days, with ongoing check-ins and automatic refills while you remain a good candidate.
How much does BirchRx cost?
The first month is CA$125, with the CA$50 monthly care fee waived for that month. After the first month the price is CA$175 a month (Canadian dollars, checked 28 October 2026). The first month price is not the monthly price. Pricing covers standard doses; higher doses may cost more and are confirmed before charging. The assessment is free, and you pay only if a physician approves treatment.
Do I pay if BirchRx does not approve me?
No. BirchRx says the assessment is free and that patients pay only if a physician approves treatment. If treatment is not approved, the card hold is released.
Do I need a video call with BirchRx?
BirchRx says no video call is required. The assessment is online and takes about 10 minutes, and a physician reviews it within 24 to 48 hours.
Is BirchRx covered by insurance?
BirchRx is a direct-pay service. Receipts may be submitted to private insurance, and its partner pharmacies can submit insurance claims, but coverage varies. Confirm with your insurer before starting.
Who is eligible for BirchRx weight management?
BirchRx states a BMI of 30 or above, or a BMI of 27 to 29.9 with a weight-related condition such as high blood pressure, type 2 diabetes, high cholesterol or sleep apnea. The final decision is the physician's, and treatment is subject to physician approval.
Where is BirchRx available?
BirchRx says weight management is available in Ontario, British Columbia, Alberta, Nova Scotia and Saskatchewan. Availability is confirmed during the assessment.
Is BirchRx LegitScript certified?
BirchRx says its LegitScript certification is in progress. PCF does not treat it as certified, and this review does not rate whether a provider is legitimate.
Finished the review? Check current availability and pricing for BirchRx directly.
Editorial transparency
PCF reviews online programs for comparison purposes only. Provider details, pricing, availability, and medication paths can change. Confirm current terms directly and consult a licensed clinician before making medical decisions.