Best Telehealth Clinics in Montana (2026)

Montana's telehealth framework is governed by MCA § 37-3-102 (definitions), Admin Rule 24.156.813 (practice requirements for physicians and PAs using telemedicine), and SB 357 (2021, which generally revised telehealth laws). Montana has an in-person visit requirement for Schedule II controlled substance prescribing as part of its standard of care.

The Schedule II in-person requirement is a state-level standard that goes beyond the federal DEA flexibility extension. However, testosterone is Schedule III, not Schedule II, and is not subject to this restriction. Schedule III through V controlled substances can be prescribed via telehealth without an in-person visit in Montana.

HB 60 (2025) codified telehealth payment parity and prohibited insurers from applying higher cost-sharing to telehealth services compared to in-person encounters. This is a consumer-friendly provision that ensures telehealth is not penalized financially.

Montana is an active IMLC member. Out-of-state physicians can obtain expedited Montana licensure through the compact.

Montana is a full practice authority state for nurse practitioners. NPs can prescribe independently, including controlled substances.

Montana Medicaid does not cover GLP-1 receptor agonists for obesity. Montana has no state sales tax — one of five states without one. The state has a progressive income tax with a top rate of 5.9% (dropping to 5.65% in 2026).

Montana has 1.1 million residents. Provider availability is good for Schedule III substances like testosterone, since the in-person requirement only applies to Schedule II. IMLC membership and full NP practice authority support access.

All major TRT providers serve Montana. Maximus ($100/mo), Hone Health ($25/mo), TRT Nation ($99/mo including MT), BraverX ($129/mo), PeterMD ($99/mo), DudeMeds ($77/mo), and Titan Medical ($99/mo) are available.

GLP-1 availability is unrestricted. All national GLP-1 providers serve Montana. No Medicaid GLP-1 obesity coverage.

All HRT, hair loss, and ED providers with national coverage serve Montana. No known provider exclusions.

TRT pricing: 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).

GLP-1 ranges from $99/mo to $399/mo. Median is $179/mo. Montana Medicaid does not cover GLP-1s for obesity.

Montana has no state sales tax. Prescription drugs are inherently untaxed at the state level. Montana has a progressive income tax with a top rate of 5.9% (dropping to 5.65% in 2026).

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

TRT (testosterone replacement therapy)

Montana's Schedule II in-person requirement does not apply to testosterone (Schedule III). TRT can be prescribed via telehealth without an in-person visit. Full NP practice authority. IMLC member. Both compounded and FDA-approved testosterone available.

GLP-1 weight loss

No state-specific GLP-1 restrictions. Federal FDA compounding rules apply. No Medicaid obesity coverage.

HRT (hormone replacement therapy)

HRT follows standard federal prescribing rules in Montana. No additional state restrictions.

Hair loss

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

ED (erectile dysfunction)

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

Peptides

Peptide therapy follows standard federal rules. Schedule II peptides would require in-person evaluation. Non-controlled and Schedule III-V peptides can be prescribed via telehealth.