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.

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There is no additional requirement beyond that.

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A Word of Caution

If you purchased through a grey-market or compounded source not authorized by Health Canada without a prescription, your expense will not be eligible.

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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

That's it.

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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.