Written by Klarity Editorial Team
Published: Feb 18, 2026

Are you considering GLP-1 weight loss medications like Wegovy, Ozempic, or Mounjaro but wondering if you can get them online? The telehealth landscape for weight management has evolved dramatically, making these treatments more accessible than ever before. This comprehensive guide breaks down the current telehealth regulations for GLP-1 prescriptions across the United States, helping you understand exactly what’s possible in your state.
Yes, you can legally obtain GLP-1 weight loss medications through telehealth in the United States. These medications are not classified as controlled substances, which means federal law does not require an in-person visit before prescribing. While some states have additional requirements, telehealth has become a widely accepted way to access these treatments.
GLP-1 agonists like semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro, Zepbound) work by mimicking natural hormones that regulate appetite and blood sugar. Their effectiveness for weight management has made them increasingly popular, and telehealth platforms like Klarity Health have made them more accessible to those who qualify medically.
From a federal perspective, GLP-1 medications are unrestricted for telehealth prescribing. Unlike controlled substances (such as Adderall or certain pain medications), which have been operating under temporary pandemic-era flexibility rules, GLP-1 medications have always been available via telehealth under federal law.
It’s worth noting that while the DEA’s COVID-era telehealth flexibilities for controlled substances have been extended through December 31, 2025, this doesn’t directly affect GLP-1 medications since they aren’t controlled substances.
While federal law permits telehealth prescribing of GLP-1s, state regulations vary significantly:
States with No In-Person Requirements: California, Connecticut, Florida, Illinois, New York, Pennsylvania, and Washington allow fully virtual care for weight loss medications.
States Requiring Initial In-Person Visits: Arkansas, Delaware, Georgia, Mississippi, North Dakota, South Carolina, Texas, Utah, and Virginia require an initial in-person examination before or during the early stages of GLP-1 treatment.
States with Special Documentation Requirements: New Jersey and Virginia require comprehensive evaluations including physical examinations, lab tests, and documentation of diet and exercise plans.
The type of healthcare provider who can prescribe these medications varies by state:
Medical Doctors (MDs) and Doctors of Osteopathy (DOs) can prescribe in all states, provided they’re licensed in the patient’s state.
Nurse Practitioners (NPs) have full independent prescriptive authority in states like California, Connecticut, New York, North Dakota, Utah, Virginia, and Washington. In other states, they require physician collaboration or supervision.
Physician Assistants (PAs) generally need physician supervision but can prescribe GLP-1s in all states under appropriate oversight.
At Klarity Health, we ensure all our providers are appropriately licensed and authorized to prescribe in your state, whether they’re physicians, nurse practitioners, or physician assistants.
California: Pioneering telehealth state with no in-person requirements. NPs can practice independently after 3+ years of experience.
New York: Allows telehealth prescribing with no in-person exam requirement. NPs can practice independently after 3,600 hours of experience.
Washington: No in-person requirements for GLP-1 medications. NPs have full practice authority. The state’s My Health My Data Act adds privacy protections for telehealth users.
Florida: No in-person requirement, but state law requires BMI ≥30 and follow-up visits at least every 3 months.
Texas: Generally expects an initial in-person exam prior to telehealth prescribing for weight management. NPs must have physician delegation agreements to prescribe.
Georgia: Requires an initial in-person examination before telehealth weight loss prescriptions can begin.
New Jersey: Requires a comprehensive in-person examination plus laboratory tests before GLP-1 prescribing.
Virginia: Mandates initial physical exam, lab work, and a personalized diet/exercise plan. Also requires a follow-up within 30 days of starting therapy.
Arkansas: Among the most restrictive telehealth states, requiring an initial in-person examination before prescribing weight management medications.
A legitimate telehealth provider like Klarity Health will follow these steps:
Complete Medical History: Expect to provide details about your health history, current medications, and weight management journey.
Video Consultation: A face-to-face video appointment with a licensed provider to discuss your weight management goals and medical needs.
BMI Assessment: Documentation of your current weight and BMI calculation (generally looking for BMI ≥30, or ≥27 with weight-related conditions).
Treatment Plan Development: If appropriate, your provider will create a plan that includes medication, lifestyle changes, and follow-up schedule.
Prescription Delivery: If approved, your prescription is sent electronically to your pharmacy of choice.
Regular Follow-up Care: Ongoing video appointments to monitor your progress, address side effects, and adjust medication as needed.
Not all telehealth providers offer the same quality of care. Be wary of services that:
Klarity Health prioritizes patient safety and regulatory compliance, ensuring you receive appropriate care from licensed providers who follow all state guidelines.
Reality: Legitimate telehealth providers conduct thorough medical screenings. You generally need a BMI ≥30 (or ≥27 with weight-related conditions) to qualify for these medications. If you’re seeking cosmetic weight loss with a lower BMI, reputable providers will suggest lifestyle modifications instead.
Reality: Prescriptions from licensed telehealth providers are just as valid as those from in-person visits, provided the provider follows state-specific requirements. At Klarity Health, our providers meet or exceed all state standards for telehealth prescribing.
Reality: Unlike older stimulant diet pills, GLP-1 medications require proper monitoring and ongoing care. They’re not quick fixes but tools for long-term weight management alongside lifestyle changes. Legitimate telehealth providers set realistic expectations and provide continuous support.
Insurance coverage for GLP-1 medications varies widely:
Always verify coverage with both your telehealth provider and insurance company before beginning treatment.
The landscape continues to evolve, but several trends are clear:
Klarity Health stays at the forefront of these developments, ensuring patients have access to cutting-edge care that complies with all regulations.
GLP-1 medications can be life-changing for those struggling with obesity, and telehealth has made them more accessible than ever before. Understanding your state’s specific requirements helps ensure you receive appropriate care.
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