With the rising popularity of GLP-1 weight loss medications like Wegovy, Ozempic, and Mounjaro, many people wonder if they can access these treatments through telehealth services. The good news is that in most states, you can legally obtain these medications through virtual consultations, though specific requirements vary by location.
Understanding GLP-1 Medications and Telehealth Prescribing
GLP-1 agonists (like semaglutide and tirzepatide) are FDA-approved medications that help manage weight by regulating appetite and blood sugar levels. Unlike older weight loss drugs, these medications are not controlled substances, which means they’re generally easier to prescribe via telehealth platforms.
‘These medications represent a significant advancement in weight management,’ explains Dr. Sarah Chen, a board-certified obesity medicine specialist. ‘The ability to prescribe them through telehealth has made them accessible to patients who might otherwise struggle to obtain in-person care.’
Free consultations available with select providers only.
Free consultations available with select providers only.
Federal Rules: Telehealth for GLP-1s is Generally Permitted
Under federal law, medications like Wegovy and Ozempic can be prescribed through telehealth without requiring an in-person visit first. This is because they aren’t controlled substances, so they’re exempt from the Ryan Haight Act’s in-person examination requirements that apply to medications like Adderall or certain pain medications.
However, it’s important to understand that while federal law permits telehealth prescribing of these medications, individual states have their own regulations that may impose additional requirements.
State-by-State Requirements: What You Need to Know
State regulations for telehealth prescribing of GLP-1 weight loss medications vary significantly. Here’s what you should know about some key states:
States with Minimal Restrictions (Telehealth-Friendly)
California: No in-person exam required; telehealth consultations are explicitly permitted
New York: Fully embraces telehealth for weight loss medications without requiring in-person visits
Illinois: No in-person exam needed; telehealth consultation is sufficient
Washington: Pioneer in telehealth with no in-person requirements for GLP-1 prescriptions
States Requiring Initial In-Person Exams
Arkansas: Initial in-person examination required before telehealth prescribing
Georgia: Must have an in-person exam prior to telehealth prescription
Mississippi: First visit must be in-person before continuing via telehealth
South Carolina: In-person examination required initially
States with Special Documentation Requirements
Florida: Requires BMI ≥30 and follow-up visits at least every 3 months
New Jersey: Comprehensive in-person exam and laboratory tests required initially
Virginia: Physical exam, lab work, and personalized diet/exercise plan required
Who Can Prescribe GLP-1s via Telehealth?
The type of provider who can prescribe these medications varies by state:
Medical Doctors (MDs) and Doctors of Osteopathy (DOs) can prescribe in all states
Nurse Practitioners (NPs) have full independent prescribing authority in states like California, New York, and Washington
Physician Assistants (PAs) generally can prescribe with physician collaboration
‘States are increasingly recognizing the value of allowing qualified NPs and PAs to prescribe these medications,’ notes Dr. Chen. ‘This helps address provider shortages and improves access, particularly in underserved areas.’
What to Expect During a Telehealth Consultation for GLP-1s
When seeking GLP-1 medications through telehealth, patients can expect:
Comprehensive screening: Providers should conduct a thorough medical history, review current medications, and check for contraindications
BMI verification: Most legitimate telehealth services require proof of BMI ≥30 (or ≥27 with weight-related health conditions)
Lab work: Many providers request recent blood tests or order new ones to ensure safety
Treatment plan: Beyond medication, expect discussion of lifestyle changes, diet, and exercise
Follow-up schedule: Regular check-ins to monitor progress and adjust dosage
At Klarity Health, our telehealth providers follow these steps diligently while making the process as convenient as possible. Our network includes providers licensed in multiple states who understand the specific requirements where you live.
Red Flags: What to Watch For When Seeking GLP-1s Online
Not all telehealth services offering weight loss medications are created equal. Be wary of platforms that:
Promise a prescription without a thorough medical evaluation
Don’t require BMI verification or medical history
Offer ‘compounded’ versions of semaglutide (FDA banned most compounded versions in 2025)
Skip discussing potential side effects and contraindications
Don’t schedule follow-up appointments to monitor your progress
Cannot clearly identify the state license of the prescribing provider
Are GLP-1 Weight Loss Medications Right for You?
GLP-1 medications are typically recommended for individuals with:
BMI of 30 or higher (obesity), or
BMI of 27 or higher with weight-related conditions like high blood pressure, type 2 diabetes, or high cholesterol
These medications are not intended for cosmetic weight loss or for those with only mild overweight status. They also aren’t appropriate for everyone – certain medical conditions (like personal or family history of medullary thyroid cancer, pregnancy, or severe gastrointestinal disorders) may make these medications unsafe for you.
Insurance Coverage for Telehealth GLP-1 Prescriptions
Insurance coverage for GLP-1 medications varies widely. Some points to consider:
Many insurance plans cover the telehealth consultation but have restrictions on GLP-1 coverage
Some plans require prior authorization or documentation of previous weight loss attempts
Medicare Part D and some Medicaid plans provide coverage with certain restrictions
Many patients opt for self-pay options, particularly when insurance denies coverage
Klarity Health works with patients to understand their insurance coverage options, while also offering transparent cash pricing for those who prefer that route.
The Future of Telehealth for Weight Loss Medications
The landscape for telehealth prescribing of weight loss medications continues to evolve. Here’s what we’re seeing:
More states adopting telehealth-friendly regulations
Increased insurance coverage for both telehealth visits and GLP-1 medications
Growing acceptance of telehealth as a standard method for managing chronic conditions like obesity
Additional GLP-1 medications entering the market, potentially improving availability
‘Telehealth has proven to be a valuable tool for expanding access to effective obesity treatment,’ says Dr. Chen. ‘As these medications become more mainstream, we expect telehealth to remain a key component of delivery.’
Getting Started with Telehealth for Weight Management
If you’re interested in exploring GLP-1 medications through telehealth:
Research state requirements: Understand what’s required in your state
Choose a reputable telehealth provider: Look for providers with transparent practices and licensed clinicians
Gather medical information: Have your medical history, current medications, and recent height/weight measurements available
Prepare for your consultation: Be ready to discuss your weight history and previous attempts at weight management
Ask about follow-up care: Ensure the provider offers ongoing support and monitoring
At Klarity Health, we make this process seamless by matching you with providers licensed in your state who understand local regulations and can provide appropriate, individualized care.
Conclusion
For most Americans, accessing GLP-1 weight loss medications through telehealth is a legal and convenient option, though requirements vary by state. While some states impose additional steps like initial in-person visits or specific documentation, telehealth remains a viable path to treatment for qualified patients in all 50 states.
The key is working with a reputable telehealth provider who understands the regulations in your state and maintains high standards of care. With proper medical screening, ongoing monitoring, and lifestyle support, telehealth-prescribed GLP-1 medications can be an effective component of comprehensive weight management.
Ready to explore whether GLP-1 medications might be right for you? Schedule a consultation with a Klarity Health provider today to learn about your options and the specific requirements in your state.
📅 RESEARCH CURRENCY STATEMENT Verified as of: December 17, 2025 DEA Rules Status: *DEA’s COVID-era telehealth flexibilities remain in effect through December 31, 2025 (www.axios.com) ([www.dea.gov](