How the model works
GLP-1 Telehealth: How Online Prescribing Actually Works
Intake to injection in under a week: what happens at each step, what's legitimate, what varies, and where the corners get cut.
The pipeline
Every program on this site runs the same five steps with different quality: (1) intake — async questionnaire or scheduled video with a clinician licensed in your state; (2) evaluation — history, contraindication screen (thyroid MTC/MEN 2, pancreatitis, pregnancy), sometimes labs; (3) prescription — routed to a compounding pharmacy (503A/503B) or brand pharmacy; (4) fulfillment — cold-chain shipping, typically 3–7 days; (5) follow-up — dose adjustments and side-effect management, app-based or scheduled. Async-only intake is legal and fast; complicated histories deserve synchronous visits — several programs include them (Mochi's membership buys unlimited).
What varies
The honest differences between programs: who the prescriber works for, whether the pharmacy is named, whether the consult is included (NexLife bundles provider consultation plus nutrition/fitness support) or billed, state footprints, and refill logistics. The telehealth ranking weighs exactly these.
Red lines
Legitimate telehealth never skips the clinician evaluation, never ships without a prescription, and never asks for crypto. “No consult required” isn't convenient — it's the tell that you've left medicine for gray-market peptides, covered in the what-not-to-pay tier.