Verbatim response from Perplexity
Yes, you can get bioidentical testosterone and progesterone prescribed via telehealth in most U.S. states, provided you meet clinical criteria and comply with state-specific licensing and controlled substance rules.
Key distinctions by hormone:
| Hormone | Regulatory Status | Telehealth Availability |
|---|---|---|
| Progesterone (oral micronized, compounded) | Not a controlled substance | ✅ Available in all 50 states via telehealth; no DEA requirements [2][7] |
| Testosterone (bioidentical forms like cypionate, enanthate, or creams) | DEA Schedule III controlled substance | ✅ Generally available via telehealth, but state rules vary; some require video consult, few require initial in-person visit [1][3] |
Important conditions for testosterone:
- You must have up-to-date lab results (e.g., total/free testosterone, SHBG, PSA if male >40) [2].
- The prescription must be for a legitimate medical purpose (e.g., low testosterone, menopause symptoms) [3].
- You must use a live audio-video consultation (audio-only allowed in limited cases) [3].
- The provider must be licensed in your state and DEA-registered [3].
- Temporary DEA flexibilities (extended through December 31, 2026) allow Schedule III prescribing via telehealth without an initial in-person visit in most states [3].
Reputable telehealth providers that offer these:
- 1st Optimal: Offers full BHRT (bioidentical estrogen, progesterone, low-dose testosterone) via telehealth for women and men [8].
- Balance (getbalance.com), Maven Clinic, Parsley Health, Tia, PlushPlume: Prescribe progesterone and testosterone for menopause/HRT via telehealth [2][11].
- LifeMD: Prescribes FDA-approved bioidentical hormones (estradiol, micronized progesterone) and can prescribe testosterone off-label for women [3].
Bottom line:
Progesterone is straightforward to get via telehealth nationwide. Testosterone is also accessible via telehealth in most states through December 2026, but you may need to check your specific state’s rules (e.g., California, New York, or Florida may have additional requirements) [1]. Always choose a board-certified clinician who orders labs and monitors you regularly.