Telehealth · NC
North Carolina.
Licensed by the North Carolina Medical Board
North Carolina residents can now access GLP-1 medications like semaglutide and tirzepatide through telehealth — whether you're in the Charlotte metro, the Triangle, the Triad, or a rural Tar Heel county without a nearby obesity medicine specialist. Pallas Health connects you with a board-certified provider licensed in North Carolina who can evaluate your eligibility in under 5 minutes and, if appropriate, prescribe medication that ships to any North Carolina address in a few business days.
Telehealth
Async + video
Asynchronous review permitted
Compounded sema
Available
Compounded tirz
Available
Shipping
2–3 business days
To any North Carolina address
Regulatory
How telehealth prescribing works in North Carolina
North Carolina permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review.
North Carolina requires any provider writing a prescription to a North Carolina resident to hold an active North Carolina medical license — out-of-state licensure is not enough. Under North Carolina Medical Board telemedicine policy, licensed providers may use telehealth to establish the provider-patient relationship and prescribe non-controlled medications, including via synchronous video and, in appropriate cases, asynchronous review when the standard of care is met. Every Pallas clinician who treats North Carolina patients is individually licensed by the North Carolina Medical Board. GLP-1s are not controlled substances, so North Carolina's separate Controlled Substances Reporting System and controlled-substance telemedicine rules don't add friction here, but our providers still take a complete history, screen for contraindications, and schedule follow-up visits to monitor response and titrate the dose.
Insurance
Medicaid & insurance in North Carolina
Limited coverage
North Carolina Medicaid (expanded under HB 76 in 2023) covers GLP-1s for type 2 diabetes with prior authorization. Coverage for weight-management indications is limited and step therapy applies. Compounded GLP-1s are not covered.
Pallas is a cash-pay telehealth service. Medicaid and private insurance do not apply to our prescriptions; pricing is flat and disclosed up front.
Coverage
Cities served in North Carolina
We ship to every ZIP code in North Carolina, including:
- Charlotte
- Raleigh
- Greensboro
- Durham
- Winston-Salem
- Fayetteville
- Cary
- Wilmington
FAQ
North Carolina GLP-1 questions
Can I get semaglutide in North Carolina without an in-person visit?+
Yes. North Carolina law allows a licensed North Carolina provider to establish a patient relationship and prescribe non-controlled medications like semaglutide through telehealth — including asynchronous review of your intake — as long as the standard of care is met.
Does NC Medicaid cover GLP-1 weight loss medication?+
North Carolina Medicaid covers GLP-1s for type 2 diabetes with prior authorization. Coverage for weight-management indications is limited and step therapy applies. Compounded GLP-1s are not covered. Pallas is a cash-pay service, so Medicaid coverage does not apply to our prescriptions.
Is compounded tirzepatide available to North Carolina residents?+
Yes. Compounded tirzepatide prescribed by a North Carolina-licensed provider and dispensed by a U.S. state-licensed compounding pharmacy is available when there is a documented clinical need. Pallas works only with pharmacies that meet state and federal compounding standards.
How fast does Pallas ship to Charlotte, the Triangle, or eastern NC?+
Most North Carolina patients receive their medication within 2–3 business days of the pharmacy filling the prescription. Charlotte, Raleigh-Durham, and Greensboro typically ship fastest; mountain and far-eastern ZIP codes may take an extra day.
Start your North Carolina intake