Telehealth state-by-state regulations
Per-state rules for telehealth hormonal Rx — HRT, GLP-1 compounded, controlled substances, insurance mandates. 50 states + DC. Updated quarterly. Always verify directly with your prospective provider — rules change frequently.
46
HRT freely allowed
5
HRT with restrictions
42
Compounded GLP-1 allowed
19
With insurance mandates
| State | Telehealth HRT | Compounded GLP-1 | Insurance mandate |
|---|---|---|---|
| Alabama (AL) | Allowed | Restricted | No mandate |
| Alaska (AK) Remote rural waivers expand telehealth scope. | Allowed | Allowed | No mandate |
| Arizona (AZ) | Allowed | Allowed | No mandate |
| Arkansas (AR) In-person required for initial visit (controlled substances). | License required | Restricted | No mandate |
| California (CA) SB 729 expanded fertility/menopause coverage 2024. | Allowed | Allowed | Menopause covered |
| Colorado (CO) | Allowed | Allowed | PCOS covered |
| Connecticut (CT) | Allowed | Allowed | Menopause covered |
| Delaware (DE) | Allowed | Allowed | No mandate |
| Florida (FL) Strict telehealth controlled-substance rules. FL license required for most providers. | License required | Restricted | No mandate |
| Georgia (GA) | Allowed | Allowed | No mandate |
| Hawaii (HI) | Allowed | Allowed | Menopause covered |
| Idaho (ID) | Allowed | Allowed | No mandate |
| Illinois (IL) | Allowed | Allowed | Menopause covered |
| Indiana (IN) | Allowed | Allowed | No mandate |
| Iowa (IA) | Allowed | Allowed | No mandate |
| Kansas (KS) | Allowed | Restricted | No mandate |
| Kentucky (KY) | Allowed | Allowed | No mandate |
| Louisiana (LA) | License required | Restricted | No mandate |
| Maine (ME) | Allowed | Allowed | Menopause covered |
| Maryland (MD) | Allowed | Allowed | Menopause covered |
| Massachusetts (MA) | Allowed | Allowed | Menopause covered |
| Michigan (MI) | Allowed | Allowed | No mandate |
| Minnesota (MN) | Allowed | Allowed | Menopause covered |
| Mississippi (MS) | License required | Restricted | No mandate |
| Missouri (MO) | Allowed | Allowed | No mandate |
| Montana (MT) | Allowed | Allowed | No mandate |
| Nebraska (NE) | Allowed | Allowed | No mandate |
| Nevada (NV) | Allowed | Allowed | No mandate |
| New Hampshire (NH) | Allowed | Allowed | No mandate |
| New Jersey (NJ) In-person initial encounter requirement (loosened 2024 but still preferred). | In-person first | Restricted | Menopause covered |
| New Mexico (NM) | Allowed | Allowed | PCOS covered |
| New York (NY) | Allowed | Allowed | Menopause covered |
| North Carolina (NC) | Allowed | Allowed | No mandate |
| North Dakota (ND) | Allowed | Allowed | No mandate |
| Ohio (OH) | Allowed | Allowed | No mandate |
| Oklahoma (OK) | Allowed | Restricted | No mandate |
| Oregon (OR) | Allowed | Allowed | Menopause covered |
| Pennsylvania (PA) | Allowed | Allowed | Menopause covered |
| Rhode Island (RI) | Allowed | Allowed | Menopause covered |
| South Carolina (SC) | Allowed | Allowed | No mandate |
| South Dakota (SD) | Allowed | Allowed | No mandate |
| Tennessee (TN) | Allowed | Restricted | No mandate |
| Texas (TX) Large telehealth market but strict controlled-substance rules. | Allowed | Allowed | No mandate |
| Utah (UT) | Allowed | Allowed | No mandate |
| Vermont (VT) | Allowed | Allowed | Menopause covered |
| Virginia (VA) | Allowed | Allowed | Menopause covered |
| Washington (WA) | Allowed | Allowed | Menopause covered |
| Washington D.C. (DC) | Allowed | Allowed | Menopause covered |
| West Virginia (WV) | Allowed | Allowed | No mandate |
| Wisconsin (WI) | Allowed | Allowed | No mandate |
| Wyoming (WY) | Allowed | Allowed | No mandate |
Disclaimer + how to use
State regulations change frequently. Telehealth rules tightened after COVID PHE expiration (May 2023). Always verify with your prospective provider before signup — they should know their licensed states + per-state restrictions.
Last updated: 2026-05. Major source: Center for Connected Health Policy (CCHP) state tracker, ASTHO, and state medical board sites.