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Synthetic progestin (emergency contraception)

Levonorgestrel in Canada: prescription, brands, pricing

This page summarises the situation of Levonorgestrel in Canada under Health Canada: prescription status, available brands and generics, pharmacy dispensing, and online options in CAD. Levonorgestrel belongs to the Synthetic progestin (emergency contraception) class.

Regulator
Health Canada
Currency
CAD

About Levonorgestrel

Levonorgestrel is approved for emergency contraception (single 1.5mg dose), regular oral contraception (combined with ethinylestradiol or as progestin-only), and as the active component of hormonal intrauterine devices for long-term contrac… 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

In emergency contraception, levonorgestrel works primarily by delaying or inhibiting ovulation when taken before the LH surge.

Brands and generics in Canada

In Canada, Levonorgestrel 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 Levonorgestrel specifically, the legal online options in Canada depend on its Rx-or-OTC classification under Health Canada.

Frequently asked questions

Is Levonorgestrel available in Canada?

Yes — Levonorgestrel 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 Levonorgestrel 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 Levonorgestrel (Rx or OTC) is determined by Health Canada; most active ingredients in the Synthetic progestin (emergency contraception) class require prescription, although there are exceptions by country and formulation.

How much does Levonorgestrel 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 Levonorgestrel in Canada

Levonorgestrel 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.