How to transfer my Lexapro prescription to New York

If you’ve been putting off seeking treatment for anxiety because the idea of scheduling in-person appointments feels overwhelming, you’re not alone. The good news? In 2026, getting effective anxiety treatment online is not only possible—it’s completely legal and increasingly common across all 50 states.

Whether you’re dealing with racing thoughts, constant worry, or physical symptoms like a pounding heart, telehealth platforms can connect you with licensed providers who can diagnose anxiety disorders and prescribe medication when appropriate. But you probably have questions: Is it really legal? What medications can they prescribe? Will my insurance cover it?

This guide breaks down everything you need to know about getting anxiety medication online in 2026, from the legal landscape to what medications you can expect, who can prescribe them, and how to find safe, reputable care.

The Short Answer: Yes, You Can Get Anxiety Medication Online

As of 2026, it is completely legal in all 50 U.S. states to receive a prescription for common anxiety medications through telehealth. This includes first-line treatments like SSRIs (Lexapro, Zoloft), buspirone (Buspar), and even certain fast-acting options like hydroxyzine.

Here’s what makes this possible: Most medications used to treat anxiety are not controlled substances. That means they’re not subject to the strict federal rules that apply to drugs like Adderall or Xanax. Since these anxiety medications were never restricted by the Ryan Haight Act (the federal law governing online prescribing of controlled substances), providers have always been able to prescribe them via telehealth—as long as they meet the standard of care.

What changed during the pandemic was the expansion of telehealth access and improved state laws recognizing virtual visits as legitimate medical care. Today, a qualified provider can conduct a thorough evaluation via video call, diagnose an anxiety disorder, and send a prescription directly to your pharmacy—all without you leaving home.

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What Anxiety Medications Can Be Prescribed Online?

Telehealth providers can prescribe several evidence-based medications for anxiety. Here’s what you can typically expect:

SSRIs (Selective Serotonin Reuptake Inhibitors)

Common medications: Lexapro (escitalopram), Zoloft (sertraline), Prozac (fluoxetine), Paxil (paroxetine)

Why they’re prescribed: SSRIs are considered first-line treatment for most anxiety disorders, including generalized anxiety disorder (GAD), panic disorder, and social anxiety. They work by gradually increasing serotonin levels in the brain, which helps regulate mood and anxiety over time.

What to expect: SSRIs typically take 2-4 weeks to show noticeable effects and may require 6-8 weeks for full benefit. Your provider will likely start you on a lower dose and adjust as needed. These medications are non-controlled, meaning there’s no special federal restriction on prescribing them via telehealth.

Typical supply: Providers often start with a 30-day supply to monitor how you respond, then may prescribe 90-day refills for maintenance once your dose is stable.

Buspirone (Buspar)

Classification: Non-controlled anxiolytic (anti-anxiety medication)

Why it’s prescribed: Buspirone is specifically approved for generalized anxiety disorder and is often chosen for patients who want to avoid the side effects sometimes seen with SSRIs, or for those who have concerns about sexual side effects.

What to expect: Like SSRIs, buspirone works gradually—you’ll typically need 2-4 weeks of consistent use before noticing improvement. It’s taken 2-3 times daily and has a low risk of dependency or withdrawal.

Typical supply: 90-day supplies are common for maintenance treatment.

Hydroxyzine (Vistaril, Atarax)

Classification: Non-controlled antihistamine with anti-anxiety properties

Why it’s prescribed: Hydroxyzine works quickly (within 30-60 minutes) and is often prescribed for acute anxiety or as-needed use. It’s particularly helpful for anxiety that causes physical symptoms or affects sleep.

What to expect: Hydroxyzine can cause drowsiness, so providers typically advise taking it at bedtime or when you don’t need to drive or operate machinery. It’s not meant for long-term daily use like SSRIs.

Typical supply: Usually prescribed in 30-day supplies, often as-needed (PRN) rather than scheduled daily dosing.

What About Benzodiazepines (Xanax, Klonopin, Ativan)?

Here’s where things get more complicated. Most legitimate telehealth platforms do not prescribe benzodiazepines for anxiety. This isn’t because they don’t work—benzos are effective for acute anxiety—but because of strict federal regulations.

Benzodiazepines are Schedule IV controlled substances. Under current DEA policy (extended through December 31, 2026), providers can technically prescribe controlled substances via telehealth without an initial in-person visit. However, this policy is temporary and under review. Many telehealth companies have chosen not to prescribe controlled anxiety medications to avoid potential legal complications when permanent rules are finalized.

Bottom line: If you’re specifically seeking benzodiazepines, you’ll likely need to see a provider in person, at least initially. If a telehealth platform guarantees to prescribe Xanax before even evaluating you, that’s a major red flag.

Federal and State Laws: What Makes This Legal?

Understanding the legal framework helps explain why telehealth anxiety treatment is so accessible—and what the limitations are.

Federal Rules: The Ryan Haight Act Doesn’t Apply Here

The Ryan Haight Act is the federal law that typically requires an in-person medical evaluation before prescribing controlled substances online. But here’s the key point: this law only applies to controlled substances like stimulants and benzodiazepines.

Medications like Lexapro, Zoloft, buspirone, and hydroxyzine are not controlled substances. They were never subject to the Ryan Haight Act’s restrictions, which means providers have always been able to prescribe them via telehealth under standard medical practice guidelines.

The DEA’s pandemic-era flexibility (extended through December 31, 2026) mainly affects controlled substances. For non-controlled anxiety medications, there’s no special federal waiver needed—and no looming deadline that would end your ability to get these prescriptions online.

State Telehealth Laws: Nearly Universal Access

All 50 states now allow telehealth prescribing of non-controlled medications, but a few states have added specific requirements:

Most states: No in-person visit required at all for anxiety medication prescriptions. A thorough telehealth evaluation satisfies the legal requirement for establishing a patient-provider relationship.

Alabama: Mental health services are specifically exempt from the state’s periodic in-person visit requirements. You can receive ongoing anxiety treatment entirely via telehealth.

New Hampshire: Requires patients receiving ongoing prescriptions via telehealth to be evaluated at least once per year (this evaluation can be via telehealth—it doesn’t need to be in person).

Missouri: The Department of Mental Health requires patients treated solely via telehealth to have an in-person visit within 6 months of starting treatment, then at least annually. This applies to behavioral health services specifically.

California, New York, Texas, Florida, Georgia: No in-person requirement for non-controlled anxiety medications. Telehealth evaluations are recognized as valid medical exams.

What This Means for You

If you live anywhere in the U.S., you can legally receive anxiety medication prescriptions through telehealth in 2026. The provider must be licensed in your state (or have a special telehealth registration in states that require it), but the evaluation and prescribing can happen entirely online.

The specific platform you use will handle compliance with state requirements automatically—you won’t need to research your state’s laws yourself. Reputable platforms won’t operate in a state unless they’ve verified they can do so legally.

Who Can Prescribe Anxiety Medication via Telehealth?

Not all providers have the same prescribing authority. Here’s what you need to know:

Physicians (MD/DO)

Psychiatrists, primary care physicians, and other medical doctors can prescribe all anxiety medications (including controlled substances, within legal constraints) via telehealth in any state where they’re licensed. They have full, independent prescribing authority.

Psychiatric Nurse Practitioners (PMHNPs)

Nurse practitioners specializing in mental health are increasingly common in telehealth. Their prescribing authority varies by state:

Independent practice states (about 25 states including New York, California, Oregon, Washington, Arizona): NPs with sufficient experience can evaluate and prescribe anxiety medications without physician oversight. In New York, for example, NPs with 3,600+ practice hours can work independently.

Collaborative practice states (including Texas, Florida, Georgia, Alabama): NPs must have a collaborative agreement with a physician. They can still prescribe anxiety medications via telehealth, but there’s physician oversight in the background. From your perspective as a patient, the process looks the same—you’ll meet with the NP via video, and they’ll send your prescription.

Full practice authority coming: California is transitioning to full NP independence in 2026 for experienced practitioners who meet certain criteria.

Physician Assistants (PAs)

PAs can prescribe non-controlled anxiety medications in all states, but they always practice in collaboration with a supervising physician (this is changing in a few states that have adopted ‘optimal team practice’ models, but physician collaboration remains the norm).

For anxiety treatment specifically, PA prescribing is straightforward: they can prescribe SSRIs, buspirone, and hydroxyzine. Some states restrict PA prescribing of controlled substances—for example, Georgia prohibits PAs from prescribing Schedule II drugs entirely—but this doesn’t affect standard anxiety medications.

Platforms Like Klarity Health: Matching You with Licensed Providers

Reputable telehealth platforms ensure you’re matched with an appropriately licensed provider for your state and condition. Klarity Health, for instance, connects patients with psychiatrists and psychiatric nurse practitioners who are licensed in the patient’s state and have experience treating anxiety disorders.

The platform handles all the compliance details—verifying licenses, ensuring proper documentation, and making sure the provider has the legal authority to prescribe in your location. You don’t need to worry about whether the provider you’re seeing can legally treat you; that’s all verified before your appointment.

The Telehealth Evaluation Process: What to Expect

Getting anxiety medication online isn’t about clicking a few buttons and having pills show up at your door. Legitimate telehealth follows the same clinical standards as in-person care. Here’s what the process typically looks like:

1. Initial Questionnaire and Screening

Before you even meet with a provider, you’ll complete intake forms covering:

• Your anxiety symptoms and how long you’ve experienced them
• Standardized anxiety assessments (like the GAD-7 questionnaire)
• Medical history, including any chronic conditions
• Current medications and allergies
• Mental health history, including past treatments
• Substance use history
• Screening questions for safety concerns (suicidal thoughts, self-harm, psychosis symptoms)

This information helps the provider prepare for your consultation and ensures you’re a good candidate for telehealth treatment.

2. Live Video Consultation

Most platforms require a live video visit (not just phone or messaging) for the initial evaluation. During this 15-45 minute appointment, your provider will:

• Review your symptoms in detail
• Ask about how anxiety affects your daily life, work, and relationships
• Discuss any previous anxiety treatments and how they worked
• Assess for other conditions that might require different treatment
• Screen for contraindications to medication
• Explain treatment options, including both medication and therapy
• Answer your questions about medications, side effects, and what to expect

This is a real medical evaluation. The provider needs to gather enough information to make an appropriate diagnosis and treatment recommendation. If you’re expecting a 5-minute rubber-stamp appointment, you’ll be disappointed—and you should be wary of any service that operates that way.

3. Treatment Plan and Prescription

If medication is appropriate for your situation, your provider will:

• Recommend a specific medication and explain why
• Discuss the expected timeline for improvement
• Review potential side effects and how to manage them
• Send the prescription electronically to your pharmacy
• Schedule follow-up appointments to monitor your progress

The prescription goes to a regular pharmacy (CVS, Walgreens, your local independent pharmacy, etc.). You pick it up or have it delivered just like any other prescription. Some telehealth platforms also partner with mail-order pharmacies for added convenience.

4. Ongoing Care and Monitoring

Anxiety treatment doesn’t end with the first prescription. Expect:

• Initial follow-up in 2-4 weeks to assess how the medication is working and check for side effects
• Regular check-ins (monthly or as needed) to monitor symptoms and adjust treatment
• Safety monitoring, especially in the first weeks of starting an SSRI (the FDA recommends close monitoring for worsening symptoms or suicidal thoughts, particularly in younger adults)
• Medication adjustments as needed—your initial dose might not be your final dose

Platforms like Klarity Health make ongoing care convenient by offering secure messaging for questions between appointments and easy scheduling for follow-ups. This continuity of care is essential—starting medication without proper follow-up is neither safe nor effective.

Who Is (and Isn’t) a Good Candidate for Online Anxiety Treatment?

Telehealth anxiety treatment works well for many people, but it’s not appropriate for everyone. Here’s how to know if you’re a good candidate:

Ideal Candidates for Telehealth Anxiety Medication

✅ Adults experiencing mild to moderate anxiety (generalized anxiety, social anxiety, panic disorder, specific phobias)

✅ People who have tried therapy but need additional symptom relief or those looking to combine medication with therapy

✅ Individuals with busy schedules who have difficulty attending in-person appointments but are committed to treatment

✅ Those who are generally stable in other areas of mental health and don’t have urgent safety concerns

✅ Patients seeking non-controlled medications like SSRIs or buspirone

✅ People who have access to emergency care if needed and have a support system in place

When You Should Seek In-Person Care Instead

❌ Active suicidal ideation or self-harm thoughts – If you’re having thoughts of suicide or self-harm, contact the 988 Suicide & Crisis Lifeline immediately or go to your nearest emergency room

❌ Severe depression with psychotic features or symptoms suggesting psychosis (hallucinations, delusions, paranoia)

❌ Uncontrolled bipolar disorder – Starting an SSRI without mood stabilizers can trigger manic episodes in people with bipolar disorder

❌ Active, uncontrolled substance use disorder – While having a history of substance use doesn’t automatically disqualify you, active addiction typically requires specialized integrated treatment

❌ Complex psychiatric history – If you’ve tried multiple medications without success or have several co-occurring conditions, you may need specialized psychiatric care that’s beyond the scope of general telehealth platforms

❌ Medical conditions that require physical examination – If your anxiety might be caused by or complicated by medical conditions (thyroid disease, cardiac issues, etc.), your provider may want lab work or in-person evaluation first

❌ Minors – Most adult-focused telehealth platforms only treat patients 18 and older (though some services offer adolescent mental health care with parental consent)

Red Flags: Platforms to Avoid

Legitimate telehealth platforms follow strict clinical and legal guidelines. Be extremely cautious of any service that:

🚩 Guarantees specific medications before evaluation (‘Get your Xanax prescription online today!’)

🚩 Doesn’t require a live video or phone consultation – Questionnaire-only prescribing doesn’t meet the standard of care

🚩 Isn’t transparent about provider credentials or licensing – You should be able to verify your provider is licensed in your state

🚩 Doesn’t ask about your medical history, other medications, or mental health background – Proper screening is essential for safety

🚩 Offers controlled substances (benzodiazepines, stimulants) without careful evaluation – This is a major compliance red flag

🚩 Has no clear process for follow-up or emergency situations – Ongoing monitoring is a requirement for safe medication management

🚩 Operates as a ‘pharmacy’ rather than connecting you with licensed providers – Legitimate services send prescriptions to regular pharmacies; they don’t dispense medication directly

The recent DOJ crackdown on Done Global (a company charged with illegally distributing Adderall through inadequate telehealth evaluations) highlights the importance of choosing reputable platforms. Regulatory oversight is increasing, which ultimately protects patients—but it also means you need to be selective about which services you use.

Insurance, Pricing, and Access

Insurance Coverage for Telehealth Mental Health

Good news: Most insurance plans now cover telehealth mental health visits at the same rate as in-person visits, thanks to parity laws expanded during the pandemic. This includes both the consultation and the medication prescription.

Medicare: Covers tele-mental health services, though new rules implemented in late 2025 may require periodic in-person visits for some Medicare beneficiaries receiving ongoing care.

Medicaid: Coverage varies by state, but most state Medicaid programs have expanded telehealth mental health coverage and made pandemic-era flexibilities permanent.

Private insurance: Most plans cover telehealth mental health, often with the same copay as office visits. However, your provider must be in-network or your plan must have out-of-network benefits.

Cash-Pay Options

Not everyone has insurance or wants to use it for mental health care. Many telehealth platforms offer transparent, affordable cash-pay options:

Initial consultations: Typically $99-$199 for the first appointment

Follow-up visits: Usually $49-$99 for medication management check-ins

Klarity Health, for example, offers both insurance-accepted appointments and clear cash-pay pricing, so you know exactly what you’ll pay before booking. This transparency is important—some platforms have hidden fees or require monthly subscriptions even if you don’t have appointments scheduled.

Medication Costs

The prescription itself is separate from the consultation cost. Anxiety medications vary widely in price:

Generic SSRIs (sertraline, escitalopram): Often $4-$20/month at major pharmacies, even without insurance

Buspirone generic: Typically $10-$30/month

Hydroxyzine generic: Usually $5-$15/month

Brand names (if prescribed): Can be $100-$300/month without insurance, though generics are medically equivalent and usually recommended

GoodRx and similar programs: Can significantly reduce costs if you’re paying cash for medications. Your telehealth provider can send the prescription to any pharmacy, so you can shop around for the best price.

Medication Comparison: Choosing the Right Treatment

Different anxiety medications work better for different people and situations. Here’s a side-by-side comparison to help you understand what your provider might recommend:

Why most providers start with SSRIs: SSRIs have the strongest evidence base for treating anxiety disorders, can be taken once daily, and work for multiple types of anxiety. While they take a few weeks to work, they provide steady, long-term symptom control without risk of dependency.

When buspirone might be chosen: If you’ve had bad experiences with SSRI side effects, particularly sexual side effects, buspirone is a good alternative. It’s specifically approved for GAD and has a different mechanism of action.

When hydroxyzine is helpful: For acute anxiety episodes or anxiety that’s worse at night, hydroxyzine provides quick relief. Many providers prescribe it alongside an SSRI during the initial weeks while you’re waiting for the SSRI to take effect.

Frequently Asked Questions About Online Anxiety Prescriptions

How long does the whole process take?

Most platforms can schedule your initial appointment within 1-3 days. The appointment itself takes 15-45 minutes. If medication is prescribed, you can usually pick it up the same day (your prescription is sent electronically to the pharmacy immediately). So from initial scheduling to having medication in hand, you’re typically looking at 1-4 days.

Will my prescription be sent to a real pharmacy?

Yes. Legitimate telehealth platforms don’t dispense medication directly—they send prescriptions to licensed pharmacies. You can choose your preferred pharmacy, and the prescription is sent electronically (e-prescribed) to that location. You pick it up just like any other prescription.

Can I use my regular insurance?

Many telehealth platforms accept insurance. Klarity Health, for instance, accepts both insurance and cash pay. You’ll need to check if your specific insurance plan is accepted and whether your provider is in-network. Even if you’re going out-of-network, many plans cover at least part of the cost.

What if the first medication doesn’t work?

This is why follow-up is so important. If you don’t see improvement after 4-6 weeks at a therapeutic dose, or if side effects are intolerable, your provider can adjust the dose or switch you to a different medication. Finding the right anxiety medication sometimes takes trial and adjustment—that’s completely normal.

Can I get refills without another appointment?

For the first few months, most providers want to see you regularly to monitor your progress. Once your treatment is stable, you may be able to get refills with less frequent check-ins (for example, every 3 months instead of monthly). However, you can’t just get endless refills without any provider contact—ongoing medication management requires periodic evaluation.

What if I need to switch to in-person care?

If at any point your provider determines you need in-person evaluation (or you prefer it), they can refer you to local resources. Your telehealth records can be shared with your new provider to ensure continuity of care. Conversely, many people use telehealth for ongoing medication management while seeing a therapist in person—there’s no requirement to do everything through one modality.

Is online treatment as effective as in-person?

Multiple studies show that telehealth for anxiety and depression is as effective as in-person care for most patients. The medications are identical, the evaluation process follows the same clinical guidelines, and the providers have the same training and licensing. The main difference is convenience and accessibility—which can actually improve outcomes by making it easier for people to start and stick with treatment.

Why Klarity Health for Online Anxiety Treatment

When choosing a telehealth platform for anxiety treatment, you want a service that combines clinical excellence with accessibility and transparency. Here’s what sets Klarity Health apart:

Experienced, Licensed Providers: Klarity connects you with psychiatrists and psychiatric nurse practitioners who specialize in anxiety and depression. All providers are licensed in your state and have experience with evidence-based anxiety treatments.

Flexible Payment Options: Klarity accepts both insurance and cash pay, with transparent pricing so you know exactly what to expect. No hidden fees or mandatory monthly subscriptions.

Fast Access to Care: Most patients can schedule an appointment within 24-48 hours—crucial when you’re struggling with anxiety and ready to get help.

Comprehensive Approach: While Klarity can prescribe medication when appropriate, providers also discuss therapy, lifestyle changes, and other evidence-based strategies. Medication is part of a holistic treatment plan, not the only option.

Ongoing Support: Secure messaging between appointments, easy scheduling for follow-ups, and providers who actually respond when you have questions or concerns.

Compliance and Safety: Klarity operates fully within state and federal regulations. They won’t prescribe medications that aren’t appropriate for telehealth, and they have protocols in place for urgent situations.

Many patients find the combination of professional expertise and convenience makes telehealth the difference between continuing to struggle with untreated anxiety and actually getting better.

Taking the First Step

Living with anxiety is exhausting. The constant worry, the physical symptoms, the impact on your work and relationships—it all takes a toll. If anxiety is interfering with your life, you deserve effective treatment.

The good news is that effective, evidence-based treatment is more accessible than ever in 2026. You don’t need to wait weeks for an in-person appointment or rearrange your entire schedule to prioritize your mental health. Telehealth has opened new pathways to care that work around your life, not the other way around.

Here’s what happens next:

1. Choose a reputable platform that accepts your insurance or offers transparent cash pricing
2. Complete the intake questionnaire honestly – the more information you provide, the better your provider can help
3. Attend your video consultation prepared to discuss your symptoms, concerns, and questions
4. Start your treatment plan, whether that’s medication, therapy referrals, or both
5. Stay engaged with follow-up – anxiety treatment works best when you maintain regular contact with your provider

Remember: Seeking help for anxiety isn’t a sign of weakness—it’s a sign you’re taking control of your health. Millions of Americans manage anxiety successfully with medication, therapy, or both. You can too.

Ready to get started? Klarity Health offers appointments with experienced mental health providers who can evaluate your anxiety and recommend appropriate treatment—often within 24-48 hours. Whether you have insurance or prefer to pay out-of-pocket, Klarity provides transparent, accessible care designed to fit your life. Visit Klarity Health today to schedule your consultation and take the first step toward managing your anxiety.

References and Further Reading

1. U.S. Department of Health & Human Services. (2026, January 2). DEA Announces Extension of Telemedicine Flexibilities for Prescribing Controlled Substances Through December 31, 2026. https://www.hhs.gov/press-room/dea-telemedicine-extension-2026.html

2. Center for Connected Health Policy. (2025, December 15). Online Prescribing: 50-State Tracking Report. https://www.cchpca.org/topic/online-prescribing/

3. Sheppard Mullin Richter & Hampton LLP. (2025, August 15). Telehealth and In-Person Visits: Tracking Federal and State Updates Beyond the Pandemic Era. The National Law Review. https://natlawreview.com/article/telehealth-and-person-visits-tracking-federal-and-state-updates-pandemic-era

4. Ropes & Gray LLP. (2024, July). Controlling Opinions: Latest Developments Regarding Controlled Substance Issues in Telemedicine. https://www.ropesgray.com/en/insights/podcasts/2024/07/controlling-opinions-latest-developments-regarding-controlled-substance-issues-in-telemedicine

5. U.S. Department of Justice. (2025, December 17). Digital Health Company and Medical Practice Indicted in $100M Adderall Distribution Scheme. https://www.justice.gov/opa/pr/digital-health-company-and-medical-practice-indicted-100m-adderall-distribution-scheme

Source:

• https://www.hhs.gov/press-room/dea-telemedicine-extension-2026.html#:~:text=announced%20a%20fourth%20temporary%20extension,while%20permanent%20rules%20are%20finalized
• https://www.ropesgray.com/en/insights/podcasts/2024/07/controlling-opinions-latest-developments-regarding-controlled-substance-issues-in-telemedicine#:~:text=practice%20of%20telemedicine,via%20telehealth%20for%20the%20controlled
• https://www.axios.com/2024/11/18/covid-telehealth-prescribing-extended-adderall#:~:text=The%20Drug%20Enforcement%20Administration%20,this%20flexibility%20has%20been%20prolonged
• https://natlawreview.com/article/telehealth-and-person-visits-tracking-federal-and-state-updates-pandemic-era?amp=#:~:text=In%20late%202024%2C%20the%20U,prescribing
• https://www.cchpca.org/topic/online-prescribing/#:~:text=patient%20at%20an%20originating%20site,person%20visit%20for%20this%20purpose
• https://www.cchpca.org/topic/online-prescribing/#:~:text=If%20a%20physician%20or%20practice,resolution%2C%20the%20physician%20shall%20either
• https://natlawreview.com/article/telehealth-and-person-visits-tracking-federal-and-state-updates-pandemic-era?amp=#:~:text=1,long%20as%20the%20issuing%20provider
• https://natlawreview.com/article/telehealth-and-person-visits-tracking-federal-and-state-updates-pandemic-era?amp=#:~:text=3,opioid%20and%20Schedule%20II
• https://law.justia.com/codes/georgia/title-43/chapter-34/article-2/section-43-34-25/#:~:text=Community%20Health%20as%20a%20birthing,has%20entered%20into%20a%20nurse
• https://natlawreview.com/article/telehealth-and-person-visits-tracking-federal-and-state-updates-pandemic-era?amp=#:~:text=4,hybrid%20approach%2C%20permitting%20telehealth%20prescribing