Tirzepatide Telehealth by State

Availability is set programme by programme and governed by two licences. Here is what applies where you live.

Direct answer

12 of the 17 programmes we price publish availability in all fifty states. The rest publish narrower maps, and 7 states appear on exclusion lists in our sources.

Two licences have to line up for any shipment: the prescribing clinician must hold one in your state, and the dispensing pharmacy must be registered to ship into it. Gaps are regulatory rather than judgements about patients, and they change without notice.

First-year all-in cost

NexLife$2,580Join Fridays$2,988Yucca Health$3,096IVIM Health$3,219ShedRx$3,318Mochi Health$3,336SkinnyRx$3,588Amble Health$3,600Lavender Sky Health$3,971TrimRx$4,188
Two months of titration plus ten at a 10 mg maintenance dose, membership included. Captured 2026-08-05.
All 51 jurisdictions with their exclusion status in our sources. Captured 2026-08-05.
StateAbbrRegionExclusion status
AlabamaALSouthflagged
AlaskaAKWestno exclusion recorded
ArizonaAZWestno exclusion recorded
ArkansasARSouthflagged
CaliforniaCAWestflagged
ColoradoCOWestno exclusion recorded
ConnecticutCTNortheastno exclusion recorded
DelawareDESouthno exclusion recorded
FloridaFLSouthno exclusion recorded
GeorgiaGASouthno exclusion recorded
HawaiiHIWestno exclusion recorded
IdahoIDWestno exclusion recorded
IllinoisILMidwestno exclusion recorded
IndianaINMidwestno exclusion recorded
IowaIAMidwestno exclusion recorded
KansasKSMidwestno exclusion recorded
KentuckyKYSouthno exclusion recorded
LouisianaLASouthflagged
MaineMENortheastno exclusion recorded
MarylandMDSouthno exclusion recorded
MassachusettsMANortheastno exclusion recorded
MichiganMIMidwestno exclusion recorded
MinnesotaMNMidwestno exclusion recorded
MississippiMSSouthflagged
MissouriMOMidwestno exclusion recorded
MontanaMTWestno exclusion recorded
NebraskaNEMidwestno exclusion recorded
NevadaNVWestflagged
New HampshireNHNortheastno exclusion recorded
New JerseyNJNortheastno exclusion recorded
New MexicoNMWestno exclusion recorded
New YorkNYNortheastno exclusion recorded
North CarolinaNCSouthno exclusion recorded
North DakotaNDMidwestno exclusion recorded
OhioOHMidwestno exclusion recorded
OklahomaOKSouthno exclusion recorded
OregonORWestno exclusion recorded
PennsylvaniaPANortheastno exclusion recorded
Rhode IslandRINortheastno exclusion recorded
South CarolinaSCSouthno exclusion recorded
South DakotaSDMidwestno exclusion recorded
TennesseeTNSouthno exclusion recorded
TexasTXSouthno exclusion recorded
UtahUTWestno exclusion recorded
VermontVTNortheastno exclusion recorded
VirginiaVASouthno exclusion recorded
WashingtonWAWestno exclusion recorded
West VirginiaWVSouthno exclusion recorded
WisconsinWIMidwestno exclusion recorded
WyomingWYWestno exclusion recorded
Washington, D.C.DCSouthflagged

Primary sources

Open these rather than taking our word for it. Every one is a regulator, a trial registry, a label, an accreditor or the manufacturer.

  1. NABP — State Boards of Pharmacy directory
  2. FDA — Human Drug Compounding
  3. FDA — Compounding and the FDA: Questions and Answers
  4. Medicare.gov

Next step

Compare every programme on one screen

The matrix carries all-in price at every dose, fee structure, commitment terms, pharmacy disclosure and verification status for every programme we track.

Open the comparison matrix How all-in cost is calculated