Tirzepatide Telehealth by State

Licensing, exclusions and price, state by state.

Released: · Last reviewed:

Researched By Dr. Parmis · Medical Researcher · Western University of Health Sciences

Medically Reviewed By Dr. Jonathan Snipes, MD · Kim Callender, NP (FNP-BC)

Last medically reviewed: · This page is informational and does not constitute medical advice.

Direct answer

National tirzepatide telehealth programs charge the same price in every state they serve; the state decides whether a licensed clinician and pharmacy can reach you. As of November 10, 2026, month-to-month all-in prices at 10 mg in our index run $129 to $399.

Pick your state

States with a note

  • Alabama: Some national programs exclude Alabama from compounded GLP-1 shipping — confirm at checkout.
  • Arkansas: Appears on several programs' exclusion lists — confirm at checkout.
  • California: California enforces additional compounding-pharmacy rules; some out-of-state 503As do not ship here.
  • Louisiana: Several programs list Louisiana as excluded for compounded GLP-1 — confirm at checkout.
  • Mississippi: Frequently excluded by national compounding programs — confirm at checkout.
  • Nevada: Appears on several programs' exclusion lists — confirm at checkout.
  • Rhode Island: Rhode Island Medicaid stopped covering GLP-1 drugs prescribed only for weight loss on October 1, 2026, so cash-pay compounded programs and brand self-pay are the routes left for most Medicaid members using them for weight.
  • Washington, D.C.: Some programs treat D.C. separately from the 50 states — confirm at checkout.

Exclusion notes were recorded from program lists in August 2026 and are flagged for re-checking.