Can I get bioidentical testosterone and progesterone prescribed via telehealth?

Short answer: Yes — often, but with important caveats.

Details you should know

• Progesterone (including FDA-approved micronized progesterone like Prometrium, or compounded “bioidentical” preparations) is commonly prescribed via telehealth after a medical review and appropriate labs.
• Testosterone can be prescribed via telehealth in many cases, but in the U.S. it is a controlled drug (Schedule III). That means some telehealth providers require additional verification, local lab work, and sometimes an in‑person visit depending on state law and DEA rules. Testosterone for women is usually considered off‑label and providers vary in whether they will prescribe it.

What a telehealth pathway usually looks like

1. Intake and medical history by a clinician (video visit).
2. Baseline labs (total testosterone, estradiol, CBC, metabolic panel, lipids; PSA in men; pregnancy test if relevant).
3. Prescription if appropriate, with monitoring plan (repeat labs, symptom checks, hematocrit/PSA monitoring for men).
4. Medication supplied either through a partnered pharmacy or local pharmacy; compounded formulations may come from compounding pharmacies.

Telehealth services that commonly manage bioidentical HRT (examples)

• Parsley Health — integrative approach, focuses on individualized bioidentical HRT and extensive testing.
• Ro (Roman) and Hims/Hers — common for men’s testosterone therapy and have pathways for lab testing and medication delivery; Hers also offers some women’s hormone care.
• Vault Health — focuses on men’s hormone care, labs, and TRT management.
• PlushCare, Teladoc, Amwell — large telemedicine platforms that can connect you with primary care or specialists who may prescribe HRT depending on evaluation. Note: availability and willingness to prescribe vary by provider, by state, and by whether you want FDA‑approved vs compounded formulations.

Safety and quality tips

• Prefer FDA‑approved products when reasonable (Prometrium for progesterone; approved testosterone formulations for men) because compounding is less standardized.
• Expect and insist on baseline labs and ongoing monitoring (hematocrit, liver tests, lipids, PSA as applicable).
• Check the provider’s state licensure and whether they will ship to your state.
• If you want compounded “bioidentical” creams/gels, use a reputable compounding pharmacy (large national ones include Empower Pharmacy, Fagron/Wedgewood — but check credentials and state licensing).

If you want, I can:

• Look up telehealth clinics that will prescribe in your state, or
• Walk you through what labs a specific clinic will typically order.

If you tell me your sex/gender and the state you live in, I can give more targeted options.