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Public tracker · Updated 2026-07-25

GLP-1 telehealth rules, state by state.

Whether starting GLP-1 treatment online requires a live video visit is state law — and it changes. This tracker records the current requirement for every U.S. jurisdiction, sourced from state medical boards and the operational routing of our clinical network, with every change dated below.

Fully asynchronous

43 of 50

States where care can begin without a live visit

Video visit required

7 + DC

AR · MS · NM · ND · RI · SD · DC · WV

Jurisdictions tracked

51

All 50 states and Washington, D.C.

Download CSVDownload JSON

Free under CC BY 4.0 — cite “Pallas Health — GLP-1 Telehealth Rules Tracker” with a link.

JurisdictionRequirementMedical boardMedicaid GLP-1Updated
AlabamaALAsyncAlabama Board of Medical ExaminersLimited2026-07-14
AlaskaAKAsyncAlaska State Medical BoardLimited2026-07-17
ArizonaAZAsyncArizona Medical BoardLimited2026-07-10
ArkansasARVideo visitArkansas State Medical BoardLimited2026-07-24
CaliforniaCAAsyncMedical Board of CaliforniaLimited2026-07-21
ColoradoCOAsyncColorado Medical BoardLimited2026-07-13
ConnecticutCTAsyncConnecticut Medical Examining BoardLimited2026-07-18
DelawareDEAsyncDelaware Board of Medical Licensure and DisciplineLimited2026-07-18
FloridaFLAsyncFlorida Board of MedicineLimited2026-07-22
GeorgiaGAAsyncGeorgia Composite Medical BoardLimited2026-07-23
HawaiiHIAsyncHawaii Medical BoardLimited2026-07-24
IdahoIDAsyncIdaho State Board of MedicineLimited2026-07-04
IllinoisILAsyncIllinois Department of Financial and Professional RegulationLimited2026-07-23
IndianaINAsyncMedical Licensing Board of IndianaLimited2026-07-11
IowaIAAsyncIowa Board of MedicineLimited2026-07-25
KansasKSAsyncKansas State Board of Healing ArtsLimited2026-07-24
KentuckyKYAsyncKentucky Board of Medical LicensureLimited2026-07-15
LouisianaLAAsyncLouisiana State Board of Medical ExaminersLimited2026-07-24
MaineMEAsyncMaine Board of Licensure in MedicineLimited2026-07-25
MarylandMDAsyncMaryland Board of PhysiciansNo2026-07-12
MassachusettsMAAsyncMassachusetts Board of Registration in MedicineCovers2026-07-11
MichiganMIAsyncMichigan Board of MedicineLimited2026-07-24
MinnesotaMNAsyncMinnesota Board of Medical PracticeLimited2026-07-13
MississippiMSVideo visitMississippi State Board of Medical LicensureLimited2026-07-04
MissouriMOAsyncMissouri State Board of Registration for the Healing ArtsLimited2026-07-12
MontanaMTAsyncMontana Board of Medical ExaminersLimited2026-07-25
NebraskaNEAsyncNebraska Board of Medicine and SurgeryLimited2026-07-25
NevadaNVAsyncNevada State Board of Medical ExaminersLimited2026-07-25
New HampshireNHAsyncNew Hampshire Board of MedicineLimited2026-07-04
New JerseyNJAsyncNew Jersey State Board of Medical ExaminersLimited2026-07-25
New MexicoNMVideo visitNew Mexico Medical BoardLimited2026-07-25
New YorkNYAsyncNew York State Board for MedicineCovers2026-07-22
North CarolinaNCAsyncNorth Carolina Medical BoardLimited2026-07-23
North DakotaNDVideo visitNorth Dakota Board of MedicineLimited2026-07-24
OhioOHAsyncState Medical Board of OhioLimited2026-07-21
OklahomaOKAsyncOklahoma State Board of Medical Licensure and SupervisionLimited2026-07-04
OregonORAsyncOregon Medical BoardLimited2026-07-04
PennsylvaniaPAAsyncPennsylvania State Board of MedicineLimited2026-07-22
Rhode IslandRIVideo visitRhode Island Board of Medical Licensure and DisciplineLimited2026-07-16
South CarolinaSCAsyncSouth Carolina Board of Medical ExaminersLimited2026-07-14
South DakotaSDVideo visitSouth Dakota Board of Medical and Osteopathic ExaminersLimited2026-07-24
TennesseeTNAsyncTennessee Board of Medical ExaminersLimited2026-07-10
TexasTXAsyncTexas Medical BoardNo2026-07-21
UtahUTAsyncUtah Physicians Licensing BoardLimited2026-07-04
VermontVTAsyncVermont Board of Medical PracticeLimited2026-07-16
VirginiaVAAsyncVirginia Board of MedicineLimited2026-07-25
WashingtonWAAsyncWashington Medical CommissionCovers2026-07-25
Washington, DCDCVideo visitDistrict of Columbia Board of MedicineLimited2026-07-24
West VirginiaWVVideo visitWest Virginia Board of MedicineLimited2026-07-04
WisconsinWIAsyncWisconsin Medical Examining BoardLimited2026-07-04
WyomingWYAsyncWyoming Board of MedicineLimited2026-07-04

“Async” means a state-licensed clinician may establish care and prescribe non-controlled medications from an asynchronous review. “Updated” is the later of the entry’s last content revision or last source re-verification. Click any jurisdiction for its statute citations, board links, and FAQs.

What changed, and when

Every confirmed change to the rules above, newest first. Entries are never edited or backdated — corrections get their own entry.

  1. 2026-07-24

    Arkansas, Washington D.C., North Dakota, and South Dakota moved to video-visit-required; Kansas moved to async-eligible. The video-required list now stands at 8 jurisdictions (7 states plus Washington, D.C.).

    Confirmed with our clinical network's licensing and routing team, 2026-07-24.

  2. 2026-05-29

    Baseline video-visit-required list at tracker inception: New Mexico, Mississippi, Kansas, West Virginia, and Rhode Island (5 jurisdictions). All other states and D.C. permitted asynchronous establishment of care for non-controlled prescriptions.

    Confirmed with our clinical network's licensing and routing team.

How this tracker is maintained

  • Each jurisdiction’s page cites its state medical board and the telehealth statute or regulation the entry rests on.
  • Requirements are confirmed against the operational routing rules of our clinical network — the system that actually assigns patients to state-licensed clinicians — which is how changes often surface here before they are widely reported.
  • Entries are cross-referenced against public policy databases, including the Center for Connected Health Policy’s state telehealth policy finder and KFF’s Medicaid GLP-1 coverage research.
  • This page renders directly from the same data that routes real patients — there is no separately maintained marketing copy to drift out of date.

Informational only — not legal or medical advice. Rules change; confirm current requirements with the relevant state medical board before relying on them.

Common questions

Which states require a video visit to get GLP-1 medication through telehealth?

As of 2026-07-25: Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Washington, D.C., and West Virginia — 7 states plus the District of Columbia. In the other 43 states, a licensed clinician can establish care and prescribe non-controlled medications like GLP-1s from an asynchronous (message-based) visit.

What does an asynchronous visit mean?

You complete a structured medical intake online, and a clinician licensed in your state reviews your full health history before any prescription is considered — no appointment or live call. Video-visit states add one scheduled live video appointment to that same process.

Where does this data come from?

Each jurisdiction's entry cites its state medical board and telehealth statute (on the linked state page), cross-referenced against public policy databases, and confirmed against the operational routing rules of our clinical network — which is how changes often surface here before they are widely reported. Every change is dated in the changelog below.

Can I reuse this data?

Yes — the dataset is free to download (CSV and JSON) under CC BY 4.0. Cite 'Pallas Health — GLP-1 Telehealth Rules Tracker' with a link to this page.

Checking your own state?

Every jurisdiction above links to an in-depth guide — licensing, Medicaid, and what starting care actually looks like there.

Browse state guides