Can I get bioidentical testosterone and progesterone prescribed via telehealth?

Short answer: Yes — in many cases you can get bioidentical testosterone and progesterone prescribed via telehealth, but it depends on the medication, your clinical needs, state rules, and the telemedicine provider.

What to expect

• Initial evaluation: a video/phone visit with a clinician (PCP, OB/GYN, endocrinologist, or a clinician at a specialty telehealth clinic).
• Baseline labs: hormone levels (total/free testosterone, estradiol), CBC, liver tests, lipids, possibly PSA (men), pregnancy test (women of childbearing potential), and ongoing monitoring.
• Formulation options: clinicians may prescribe FDA-approved “bioidentical” products (for example micronized progesterone—Prometrium—or prescription testosterone gels/injectables) or refer you to a compounding pharmacy for customized formulations.
• Legal/regulated drugs: testosterone is an anabolic-androgenic controlled medication (Schedule III in the U.S.); many telehealth services do prescribe it but may require additional verification or local lab/testing and must follow state/federal rules.
• Follow-up and monitoring: periodic lab checks and follow-up visits are standard and often required before refills.

Risks/notes

• “Bioidentical” is a marketing term; some FDA-approved products are bioidentical (micronized progesterone, prescription testosterone formulations). Compounded bioidentical hormones are less regulated — ask about quality standards and testing.
• Telehealth may be fine for straightforward HRT; complex cases (undiagnosed endocrine disorders, fertility goals, significant comorbidities) are best managed with in-person specialist care.

Telehealth providers that commonly handle hormone therapy

• Vault Health — specializes in men’s testosterone therapy, coordinates labs and monitoring.
• Roman (Ro) — widely used for men’s testosterone care; offers remote consults and medication shipping.
• Hims & Hers — offers men’s and women’s hormone care (including menopause support/progesterone options via “Hers”), integrates tele-visits, labs, and medication fulfillment.
  -Maven Clinic — women’s health telemedicine (OB/GYNs, menopause care); often prescribes progesterone and coordinates testing.
• Parsley Health — integrative primary care including hormone optimization and bioidentical HRT (more comprehensive, subscription model).
• Plume and Folx Health — focused on gender-affirming care; experienced in prescribing testosterone and other hormones for trans patients.
• PlushCare, Teladoc, and other general telemedicine platforms — board-certified clinicians who can evaluate and, when appropriate, prescribe or refer for testing.

How to choose a provider

• Pick a service that works with local labs and provides regular monitoring.
• Ask whether they prescribe FDA-approved formulations first or use compounding, and which compounding pharmacies they work with.
• Confirm they’re licensed in your state and can legally prescribe controlled substances (if testosterone is needed).
• Check if they have specialists (endocrinology, OB/GYN) for more complex needs.

If you want, tell me:

• whether the prescription is for you (male/female/trans),
• your state (so I can note any local restrictions), and
• whether you prefer FDA-approved options or compounded preparations —

and I can suggest the most relevant telehealth services and specific next steps.