Can I get bioidentical testosterone and progesterone prescribed via telehealth?

Short answer: Yes — many telehealth clinics will evaluate you and prescribe bioidentical progesterone and testosterone, but availability and what form they’ll prescribe depend on your state, the provider’s policies, and the specific hormone formulation.

Key things to know

• Licensing and state rules: The clinician must be licensed in the state where you live, so not every telehealth company can treat every state.
• Testosterone is a controlled substance (an anabolic steroid). Some clinicians or pharmacies require an initial in‑person exam or additional paperwork in certain states, though many telemedicine platforms do prescribe it after a video visit and appropriate labs.
• Formulation limits: Telehealth commonly supports gels, transdermal creams/patches, and injectable prescriptions that you can self‑administer. Pellets (inserted under the skin) require an in‑person procedure and usually aren’t done purely via telehealth.
• Compounded vs FDA‑approved: “Bioidentical” can mean FDA‑approved products (e.g., micronized progesterone — Prometrium) or compounded custom formulations. Compounded BHRT can be prescribed via telehealth but quality varies — consider a reputable compounding pharmacy if you go that route.
• Testing and monitoring: Expect baseline labs (hormone levels, metabolic panel, CBC, PSA for men, etc.) and follow‑up monitoring. Good remote providers will arrange labs and followups.

Telehealth providers that commonly handle BHRT (examples)

• Vault Health — specializes in men’s testosterone therapy and comprehensive lab testing; known for testosterone-focused care.
• Hims (for men) / Hers (for women) — consumer-friendly, widely available platforms that prescribe testosterone therapies and hormone support and coordinate labs.
• Ro / Roman — offers men’s hormone therapy (TRT) and coordinates testing/monitoring.
• Elektra Health — specializes in menopause and perimenopause care, including bioidentical HRT for women.
• Parsley Health — subscription model with deeper integrative medicine focus; prescribes BHRT when appropriate and provides ongoing follow-up.
• PlushCare — general teleprimary care that can arrange hormone evaluations and prescriptions in many states.

What to ask a telehealth provider before starting

• Are you licensed in my state?
• Do you prescribe the specific formulation I want (micronized progesterone, testosterone gel, injections, or compounded cream)?
• Do you require an in‑person visit for testosterone or certain formulations?
• Which labs will you order and who processes them?
• Will you use FDA‑approved products or compounded hormones? Which compounding pharmacies do you work with?
• What monitoring and follow‑up schedule do you use?

If you want, tell me your state and whether you’re looking for male or female hormone therapy, and I can suggest specific telehealth options that serve your area and what to expect next.