With the rising popularity of GLP-1 medications like Wegovy, Ozempic, and Mounjaro for weight loss, many people wonder if they can access these treatments through telehealth services. The good news? Yes, you can legally get GLP-1 weight loss medications through telehealth in the United States. Because these medications are not controlled substances, federal law does not require an in-person visit before prescribing them.
However, navigating the telehealth landscape for weight loss medications can be complex, as regulations vary by state. This comprehensive guide will help you understand the telehealth accessibility of GLP-1 medications where you live.
Understanding GLP-1 Medications and Telehealth Access
GLP-1 agonists (glucagon-like peptide-1) are a class of medications that work by mimicking a hormone that targets areas in the brain that regulate appetite. Originally developed to treat type 2 diabetes, certain GLP-1s are now FDA-approved for chronic weight management.
The three most commonly prescribed GLP-1 medications are:
Wegovy (semaglutide 2.4mg): FDA-approved specifically for weight management
Ozempic (semaglutide 0.5-1mg): FDA-approved for diabetes, often prescribed off-label for weight loss
Mounjaro/Zepbound (tirzepatide): Available in diabetes formulation (Mounjaro) and weight management formulation (Zepbound)
Why Telehealth Access Is Possible
Unlike controlled substances (such as stimulant appetite suppressants), GLP-1 medications are not regulated under the Ryan Haight Act, which typically requires in-person examinations before prescribing controlled medications. This means that at the federal level, these medications can legally be prescribed via telehealth after a proper virtual evaluation.
Free consultations available with select providers only.
Free consultations available with select providers only.
State-by-State Telehealth Regulations for GLP-1 Medications
While federal law permits telehealth prescribing of GLP-1s, state regulations create a patchwork of rules that providers must navigate. Here’s how different states approach GLP-1 prescribing via telehealth:
States With No In-Person Requirement
These states allow complete telehealth access to GLP-1 medications without requiring any in-person visits:
California: Explicitly permits telehealth prescribing with no in-person requirement
Connecticut: Permanent telehealth laws support virtual prescribing
Florida: Allows telehealth prescribing but requires BMI ≥30 and follow-up visits at least every 3 months
Illinois: Permanent telehealth law with no in-person mandate
New York: Telehealth exam is sufficient; no in-person requirement
Pennsylvania: No in-person mandate for GLP-1 prescribing
Washington: Pioneer telehealth state with no in-person requirements
States Requiring Initial In-Person Examination
These states require an initial in-person visit before continuing treatment via telehealth:
Arkansas: Must perform first examination in-person
Delaware: First exam in-person required
Georgia: In-person exam required prior to telehealth prescribing
Mississippi: Must see patient once in-person
New Jersey: Comprehensive in-person exam and labs required initially
North Dakota: In-person initial exam expected
South Carolina: Must examine patient in person first
Texas: In-person exam generally expected prior to telehealth prescribing
Utah: Initial in-person exam encouraged
Virginia: Must perform physical exam and labs initially, with follow-up within 30 days
What to Expect During a Telehealth Consultation for GLP-1s
When seeking GLP-1 medications through telehealth, here’s what a legitimate provider like Klarity Health will typically require:
1. Comprehensive Medical Evaluation
Complete health history including current medications and allergies
BMI verification (typically requiring BMI ≥30, or ≥27 with weight-related conditions)
Discussion of previous weight loss attempts
Review of potential contraindications (pregnancy, history of medullary thyroid carcinoma, etc.)
2. Informed Consent
Most states require documentation of informed consent specific to weight-loss drug therapy, covering:
Potential side effects (GI issues, gallstone formation, etc.)
Medication dosing schedule (typically starting with lower doses)
Follow-up schedule (often monthly initially)
4. Regular Monitoring
Weight and side effect tracking
Potential lab work to ensure safety
Dose adjustments based on response
Provider Qualifications: Who Can Prescribe GLP-1s via Telehealth?
All states allow MDs and DOs to prescribe GLP-1 medications via telehealth, provided they’re licensed in the patient’s state. Nurse Practitioners (NPs) and Physician Assistants (PAs) can also prescribe these medications, but their level of independence varies by state:
States With Full NP Independence
In states like Washington, California (after 3+ years of experience), and New York (after 3,600 hours), NPs can prescribe independently without physician oversight.
States Requiring Supervision or Collaboration
In states like Texas, Florida, and Pennsylvania, NPs and PAs must have formal agreements with physicians to prescribe medications.
Common Misconceptions About Telehealth GLP-1 Access
Misconception 1: ‘Anyone can get weight loss medication online.’
Reality: Reputable telehealth providers like Klarity Health conduct thorough screenings. You generally must meet clinical criteria (typically BMI ≥30 or ≥27 with related conditions) to qualify for treatment.
Misconception 2: ‘GLP-1s are just diet pills.’
Reality: Unlike older stimulant weight loss medications, GLP-1s require careful monitoring for side effects and work gradually. They’re part of a comprehensive treatment approach that includes lifestyle changes.
Misconception 3: ‘Compounded versions are the same as FDA-approved options.’
Reality: The FDA banned most compounded semaglutide for weight loss in 2025 due to safety concerns. Legitimate providers prescribe FDA-approved versions through licensed pharmacies.
Red Flags When Seeking GLP-1 Medications Online
Be cautious of telehealth services that:
Guarantee prescriptions without thorough evaluations
Sell compounded or overseas versions
Don’t schedule follow-ups
Lack transparency about provider credentials
Skip discussions about risks and alternatives
How Klarity Health Supports Safe GLP-1 Access
At Klarity Health, we prioritize patient safety and regulatory compliance when prescribing GLP-1 medications. Our approach includes:
Comprehensive evaluations that meet or exceed state requirements
Licensed providers in every state where we operate
Regular follow-ups to monitor progress and adjust treatment
Transparent pricing with both insurance and cash-pay options
Provider availability when you have questions or concerns
Looking Ahead: The Future of Telehealth for Weight Management
The telehealth landscape for GLP-1 medications continues to evolve. While current DEA COVID-era telehealth flexibilities are extended through December 31, 2025 (primarily affecting controlled substances, not GLP-1s), we anticipate further normalization of telehealth access for weight management.
More states are moving toward telehealth-friendly policies, recognizing that regular in-person visits can create barriers to consistent care. For patients with obesity, telehealth offers an accessible, effective treatment option without the logistical challenges of frequent office visits.
Conclusion: Navigating Your GLP-1 Telehealth Journey
If you’re considering GLP-1 medications for weight management, telehealth offers a viable, legitimate pathway to treatment in all 50 states, though specific requirements vary. By understanding your state’s regulations and choosing a reputable provider like Klarity Health, you can access these medications safely and conveniently.
Remember that effective weight management combines medication with lifestyle changes, and the most successful outcomes come from comprehensive, monitored treatment plans. Whether you live in a state with flexible telehealth laws or more stringent requirements, working with qualified healthcare providers ensures you receive appropriate care aligned with your health goals.
Ready to explore whether GLP-1 medications might be right for you? Connect with Klarity Health to learn more about our telehealth weight management programs and speak with providers experienced in obesity medicine.
📅 RESEARCH CURRENCY STATEMENT Verified as of: December