Can I get bioidentical testosterone and progesterone prescribed via telehealth?

Short answer: Often yes for progesterone, sometimes for testosterone — but it depends on the state, the formulation, and the clinic. Here’s what to expect and how to proceed.

Key points

• Progesterone: not a controlled substance and frequently prescribed by telehealth clinicians for menopause or other indications after a virtual visit and labs/review.
• Testosterone: in the U.S. testosterone products are typically regulated as controlled/anabolic agents. Many clinicians will still evaluate and prescribe testosterone via telehealth, but some require an initial in-person visit or local lab/physical before prescribing, depending on state law and DEA/clinic policy.
• Lab testing and monitoring: reputable providers will order baseline labs (total/free testosterone, CBC, CMP/LFTs, lipids; PSA for cis men, pregnancy tests if applicable) and schedule follow-up monitoring (hematocrit, symptoms, adverse effects).
• Bioidentical vs. FDA-approved: “Bioidentical” often refers to compounded hormones. Compounded products are not FDA-approved and carry more variability; ask your provider why they recommend a compounded product instead of an FDA-approved preparation and about the compounding pharmacy’s credentials.
• Safety and specialist care: hormone therapy has risks (erythrocytosis, CV risk, fertility effects, VTE risk with estrogen/progestogen combinations, mood changes). Complex or high-risk cases are best managed with an endocrinologist, OB/GYN, or menopause specialist.

Telehealth services that commonly prescribe HRT (examples)

• Hims / Hers — well-known direct-to-consumer telehealth brands; offer testosterone replacement (Hims) and hormone care for women (Hers) in many states; they handle lab ordering and follow-up.
• Roman / Ro — offers men’s health including testosterone evaluation and treatment via telemedicine in many states.
• PlushCare — primary-care telemedicine that can evaluate and manage hormones and can order labs/referrals; tends to connect you with MDs.
• Plume — focuses on gender-affirming care and transgender hormone therapy (including testosterone) via telehealth where licensed to practice.
• Amwell / Teladoc — established telemedicine platforms where primary care or specialists may evaluate hormone needs and prescribe if appropriate.

Compounding pharmacy (if going bioidentical/compounded)

• Wedgewood Pharmacy (and other nationally known compounding pharmacies) — reputable compounding pharmacies used by many telehealth HRT providers. If getting compounded hormones, ask which pharmacy they use and for verification of USP compliance and quality testing.

How to proceed

1. Check state rules and whether the telehealth provider is licensed in your state. Many sites will ask your ZIP code before scheduling.
2. Book a consult specifying you want testosterone and/or progesterone evaluation. Bring prior labs or be prepared to get baseline labs ordered.
3. Ask the provider: why they recommend a particular formulation, monitoring schedule, fertility implications, and whether they use an FDA-approved product or a compound.
4. Follow-up labs and visits are essential — don’t start without a plan for monitoring.

If you want, tell me your U.S. state (or country) and whether you’re seeking testosterone for a man, women’s HRT/menopause, or gender-affirming care, and I can point to telehealth options that operate in your area and what to expect next.