Cahoots

Short answer: Yes — in many cases you can get bioidentical testosterone or progesterone prescribed by a telehealth clinician, but it depends on your state, the drug (testosterone has extra rules), and the telehealth service’s policies. Expect required lab work and follow‑up monitoring. What typically happens Initial medical review via video (medical history, symptoms, risks). Baseline labs (examples: total and/or free testosterone; CBC; CMP/LFTs; lipids; PSA for men; pregnancy test for women; sometimes LH/FSH, estradiol). Many companies arrange local or at‑home lab testing. Prescription if clinically appropriate. For testosterone, clinicians will often start with a trial dose and recheck labs within weeks/months. Ongoing monitoring and periodic telehealth follow‑ups. Important legal/medical notes Testosterone is a Schedule III controlled substance in the U.S. Many telehealth providers will prescribe it, but some require an initial in‑person visit or must follow DEA/ state rules. Availability can vary by state and provider. Progesterone (including micronized “bioidentical” progesterone like Prometrium) is not a controlled substance and is easier to prescribe remotely; compounded preparations are also available but are regulated differently and should be used with caution. “Bioidentical” can mean FDA‑approved single‑ingredient products (e.g., micronized progesterone) or custom compounded mixes. Ask whether the product is FDA‑approved or compounded and verify the pharmacy (PCAB accreditation is a good sign). Risks: hormone therapy has potential side effects (cardiovascular risk, polycythemia, changes in lipids, mood, fertility effects). Appropriate screening and follow‑up are important. Telehealth services that commonly prescribe hormone therapy Vault Health — specializes in men’s testosterone care, offers at‑home lab kits and urology/endocrinology oversight. Good for thorough testing and ongoing monitoring. Hims / Hers — consumer‑friendly, widely available; offers testosterone (Hims/Roman for men) and women’s hormone services through HERS. Convenient if you want straightforward telemedicine. Roman — men’s health focused, offers testosterone evaluation and monitoring, convenient labs and telehealth follow‑up. Defy Medical — specialty clinic focusing on hormone optimization (men and women), with clinicians experienced in HRT and monitoring; tends to be more medically thorough. Maven Clinic — women’s health telemedicine that can evaluate and manage menopause and hormonal needs, including progesterone and BHRT in many states. Parsley Health — comprehensive/functional medicine that can provide individualized BHRT plans with in‑depth assessments. PlushCare / Teladoc / Cahoots — primary‑care telemedicine platforms that in many states will evaluate and prescribe hormones when appropriate. How to choose Check the provider’s licensing and whether they treat patients in your state. Ask whether they require in‑person labs and how they handle monitoring. If you want FDA‑approved products, ask for micronized progesterone (Prometrium) or pharmaceutical testosterone formulations rather than unregulated compounded mixes. Verify the pharmacy (look for PCAB accreditation for compounding pharmacies). If you’d like, tell me: whether you’re seeking testosterone (for male hypogonadism, gender‑affirming therapy, or other reason) or progesterone (menopause, Luteal support, transgender care, etc.), and which state you’re in — I can recommend the most appropriate telehealth services and outline the likely lab/workup and monitoring schedule.

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