Best Telehealth Clinics in Colorado (2026)

Colorado's telehealth framework is governed by CRS § 12-240-134 and the broader Telehealth Modernization Act. In-state providers are not required to conduct an in-person visit before prescribing controlled substances via telehealth. Colorado has been relatively permissive for in-state telehealth prescribing, and the state joined the Interstate Medical Licensure Compact early.

SB 24-141 (signed 2024) created a significant restriction for out-of-state telehealth providers. Under this law, out-of-state practitioners cannot prescribe controlled substances to Colorado patients at all, regardless of the DEA waiver or IMLC membership. This is unusual — most states allow controlled substance prescribing by any properly licensed provider. SB 24-141 means that telehealth platforms relying on out-of-state physicians to cover Colorado patients cannot prescribe testosterone, and must use Colorado-licensed providers specifically.

This creates a two-tier system. A Colorado-licensed physician practicing in Colorado can prescribe TRT via telehealth without an in-person visit. An out-of-state physician with an IMLC-expedited Colorado license who is physically located outside Colorado cannot prescribe controlled substances to Colorado patients. The distinction is based on where the provider is located, not where the patient is.

SB 25-048 (2025) requires Colorado Medicaid to cover GLP-1 medications for obesity, expanding access significantly. Colorado was already one of the more progressive states on weight management drug coverage, and this bill codified the requirement.

Colorado requires PDMP checks under the Colorado Prescription Drug Monitoring Program (CRS § 12-280-404) before prescribing Schedule II through IV controlled substances. Electronic prescribing is required for controlled substances. Audio-only telehealth is permitted for established patients but video is standard for initial controlled substance consultations.

The Colorado Medical Board has not issued specific guidance restricting telehealth TRT initiation, but the SB 24-141 out-of-state restriction is the primary compliance concern for national telehealth platforms.

Colorado has 5.8 million residents. Provider availability is good for platforms with Colorado-based physicians, but the SB 24-141 out-of-state controlled substance prohibition may reduce options from platforms that rely on multi-state physician networks without Colorado-based prescribers.

All-50-state providers like Maximus ($100/mo) and Hone Health ($25/mo) serve Colorado and presumably have Colorado-licensed providers on staff. TRT Nation ($99/mo, 45 states) includes CO. BraverX ($129/mo), PeterMD ($99/mo), DudeMeds ($77/mo), and Titan Medical ($99/mo) list Colorado. Whether each platform has in-state prescribers or relies on out-of-state coverage is not always disclosed.

GLP-1 availability is unrestricted since GLP-1s are not controlled substances and the SB 24-141 restriction does not apply. Embody, SkinnyRx, DirectMeds, Zealthy, Remedy Meds, GobyMeds, Sesame Care, MEDVi, Shed, Sunlight, and Mochi Health serve Colorado. Medicaid coverage for GLP-1s under SB 25-048 adds another access pathway.

All HRT, hair loss, and ED providers serve Colorado. Midi Health accepts insurance. No known HRT, hair loss, or ED provider exclusions for CO.

Enhance MD's 11-state exclusion list does not appear to include Colorado. The SB 24-141 restriction primarily affects TRT and other controlled substance prescribing by out-of-state providers.

TRT pricing from available providers: DudeMeds $77/mo ($1,124/year), TRT Nation $99/mo ($1,446/year), PeterMD $99/mo ($1,188/year), Maximus $100/mo ($1,300/year), BraverX $129/mo ($1,548/year), Defy Medical $200/mo ($2,800/year).

GLP-1 ranges from $99/mo to $399/mo. Median is $179/mo. Colorado Medicaid covers GLP-1 medications for obesity under SB 25-048, which took effect in 2025. Prior authorization requirements apply. Patients on Health First Colorado (Medicaid) should verify coverage before paying out of pocket.

Colorado does not tax prescription medications. The state sales tax is 2.9% (plus local taxes that can add 5% or more in some areas) but Rx drugs are exempt. Colorado has a flat income tax of 4.4%.

HRT: Midi Health (insurance), PlushCare ($20/mo), Evernow ($35/mo), Alloy ($49/mo). ED: Hims $17/mo to MEDVi $119/mo.

Denver and Boulder have higher costs of living than the state average, but telehealth pricing is national and does not vary by metro area.

TRT (testosterone replacement therapy)

In-state Colorado providers can prescribe TRT via telehealth without an in-person visit. Out-of-state providers cannot prescribe controlled substances to Colorado patients under SB 24-141, regardless of licensing status. The federal DEA waiver through December 2026 applies but is overridden by the state-level out-of-state prohibition. PDMP check required. Both compounded and FDA-approved testosterone are available.

GLP-1 weight loss

No state-specific GLP-1 restrictions in Colorado. The SB 24-141 out-of-state CS prohibition does not apply to GLP-1s (not controlled substances). Federal FDA compounding rules apply. Health First Colorado covers GLP-1s for obesity under SB 25-048 with prior authorization.

HRT (hormone replacement therapy)

HRT follows standard federal prescribing rules in Colorado. Non-controlled HRT medications are not affected by SB 24-141. No additional state restrictions apply.

Hair loss

Hair loss treatment follows standard federal prescribing rules in Colorado. No additional state restrictions apply.

ED (erectile dysfunction)

ED treatment follows standard federal prescribing rules in Colorado. No additional state restrictions apply.

Peptides

Peptide therapy follows standard federal rules in Colorado. Controlled peptides would be subject to the SB 24-141 out-of-state prescribing prohibition. Non-controlled peptides like BPC-157 and sermorelin are unaffected.