5-alpha-reductase inhibitor (type II)
Finasteride in Canada: prescription, brands, pricing
This page summarises the situation of Finasteride in Canada under Health Canada: prescription status, available brands and generics, pharmacy dispensing, and online options in CAD. Finasteride belongs to the 5-alpha-reductase inhibitor (type II) class.
- Regulator
- Health Canada
- Currency
- CAD
About Finasteride
Finasteride is approved at 5mg per day for the treatment of benign prostatic hyperplasia in adult men, where it reduces prostate volume, improves urinary flow and reduces the risk of acute urinary retention and need for surgery. Canada classifies medications as Schedule I (prescription), II (pharmacist-only OTC), III (open OTC) or unscheduled, with provincial variation. Provincial drug plans cover prescription costs at varying rates.
Mechanism and action
Finasteride binds with high affinity to 5-alpha-reductase type II, blocking the conversion of testosterone into DHT.
Brands and generics in Canada
In Canada, Finasteride is typically dispensed as one internationally recognised brand along with their corresponding authorised generics. Canadian pharmacies (Shoppers Drug Mart, Rexall, London Drugs and many independents) are licensed provincially, and pharmacists in several provinces can prescribe for minor ailments. Brand-to-generic substitution is decided by the pharmacist under local Health Canada equivalence rules, and the price difference in CAD is usually substantial.
Online and tele-prescribing access
Online pharmacy is regulated provincially in Canada; cross-border imports are restricted. Tele-prescribing platforms have expanded prescription access since 2020. For Finasteride specifically, the legal online options in Canada depend on its Rx-or-OTC classification under Health Canada.
Frequently asked questions
Is Finasteride available in Canada? ▾
Yes — Finasteride and its brands are available in Canada through pharmacies authorised by Health Canada, in various strengths depending on the commercial product. Authorised generics offer a lower-cost alternative with the same active substance.
Do I need a prescription for Finasteride in Canada? ▾
Canada classifies medications as Schedule I (prescription), II (pharmacist-only OTC), III (open OTC) or unscheduled, with provincial variation. Provincial drug plans cover prescription costs at varying rates. The exact status of Finasteride (Rx or OTC) is determined by Health Canada; most active ingredients in the 5-alpha-reductase inhibitor (type II) class require prescription, although there are exceptions by country and formulation.
How much does Finasteride cost in Canada? ▾
The price in CAD depends on the manufacturer (brand vs authorised generic), the strength and the pack size. Generics are typically substantially cheaper than brands and serve as the economic reference for ongoing use.
Products with Finasteride in Canada
Finasteride in other countries
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.