Are GLP-1s like Ozempic® HSA Eligible?

Ozempic®, Wegovy®, Mounjaro®, Saxenda® and others are among the most commonly discussed prescriptions in Canada, and at $200 to $400 per month, they're also one of the bigger out-of-pocket expenses Canadians are looking to address.

The good news is straightforward: if your doctor prescribed it and you filled it at a licensed Canadian pharmacy, it is an eligible expense under your Health Spending Account.

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Are GLP-1 Medications HSA Eligible in Canada?

‍Yes. Prescription drugs are eligible for reimbursement through a Health Spending Account when prescribed by a licensed Canadian practitioner.

GLP-1 medications are prescription-only in Canada, which means if you have a valid prescription and a pharmacy receipt, you can submit the claim the same way you would any other prescription drug.

There is no additional requirement beyond that.

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What You Need to Submit a Claim

Submitting a GLP-1 claim through your Hiveworks HSA is no different that any other prescription:

• A valid prescription from a licensed Canadian practitioner
• A pharmacy receipt showing the drug name, dispense date, and amount paid

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Upload your receipt and submit through your Hiveworks account like you would with any other claim.

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Coordinating with Other Coverage

If coverage from another drug plan covers part of the cost, only the portion you actually paid out of pocket is claimable through your HSA.

This applies to group benefits you may have, provincial coverage or benefits through a spousal plan.

Submit the expense to your primary plan first, then claim the remainder through your Hiveworks HSA.

For individuals with no other coverage, the full cost of the prescription is claimable.

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With generic GLP-1 options expected to enter the Canadian market in 2026, costs will likely come down. An HSA however will remain the most tax-efficient way to pay for them.