Can I get bioidentical testosterone and progesterone prescribed via telehealth?

Short answer: Yes — in many places you can get bioidentical progesterone and bioidentical testosterone prescribed through telehealth, but there are important differences, rules, and practical limits.

Key points

• Progesterone (bioidentical micronized progesterone or compounded forms) is not a controlled substance, so it’s commonly prescribed by telemedicine clinicians after a history review and appropriate labs/confirmations.
• Testosterone is a Schedule III controlled substance in the U.S., so federal and state rules apply. Many established telehealth clinics that are licensed in your state do prescribe testosterone after an evaluation and lab testing, but some providers or states may require an initial in‑person visit or have other restrictions.
• Certain delivery methods (e.g., pellet insertions) require an in‑person procedure and cannot be fully done by telehealth.
• Responsible prescribers will require baseline labs (e.g., total/free testosterone, estradiol, CBC, CMP, PSA for men; pregnancy test and appropriate cancer screening for women) and regular follow‑up monitoring.

Telehealth services that commonly manage bioidentical HRT (examples)

• Defy Medical — specializes in hormone replacement therapy for men and women; offers telemedicine visits, lab coordination, and long‑term monitoring for testosterone and bioidentical options.
• Vault Health — well known for male hormone replacement and home lab testing; good for testosterone evaluation and ongoing monitoring.
• Roman (Ro) — consumer‑facing men’s health platform that provides testosterone therapy through telehealth pathways and coordinates labs.
• Hims & Hers — accessible, consumer telehealth that offers hormone services for men and women; useful if you want a straightforward, lower‑friction path to treatment.
• Parsley Health — integrative medicine focused on hormone imbalances; more comprehensive evaluations and personalized plans (often more expensive).
• Maven Clinic / PlushCare — women‑focused or general telemedicine providers that can evaluate menopausal/perimenopausal symptoms and prescribe progesterone or other HRT as appropriate.

Practical advice

1. Check licensing: the telehealth clinician must be licensed in the state where you’re located. Cross‑state prescribing is limited.
2. Ask about labs and monitoring before any prescription is written. Avoid providers that prescribe without testing.
3. If you want compounded bioidentical formulations, ask which compounding pharmacies they use and check pharmacy reputation.
4. If considering pellets, injectables, or in‑office procedures, plan for an in‑person visit.
5. Be screened for contraindications (breast/prostate cancer, clotting disorders, pregnancy risk) and get recommended follow‑up labs (hematocrit, PSA, lipids, liver function, etc.).

If you want, tell me your sex (or whether the prescription is for you or someone else) and what U.S. state you’re in, and I can suggest the best telehealth options available to you and which ones are licensed in your state.