Best Telehealth Clinics in Tennessee (2026)

Tennessee's telehealth framework is governed by TCA § 63-1-155 ("Telehealth and Telemedicine Services"), most recently updated in 2024. The state has an in-person examination requirement for controlled substance prescribing under Board of Medical Examiners Rule 0880-02-.14(6). Rule 0880-02-.14(7)(c) prohibits prescribing controlled substances "based solely on answers to a set of questions electronically over the Internet or telephone lines."

Chronic pain treatment via telemedicine is explicitly prohibited under the Tennessee Chronic Pain Guidelines incorporated into Rule 0880-02-.14. This absolute prohibition is not waived by COVID extensions. Standard TRT is not classified as chronic pain treatment and is unaffected by this ban.

HB 2857 (effective May 28, 2024) removed the prior requirement that a patient must have had an in-person visit within 16 months before a telemedicine visit. An in-person visit is still required at some point for controlled substances, but no longer within a specific lookback window. Insurance parity is at TCA § 56-7-1002. Tennessee is an active IMLC member.

The federal DEA waiver through December 2026 provides the federal basis for telehealth controlled substance prescribing. Tennessee's own rules create additional compliance requirements that make the state difficult for telehealth-only platforms. The Board's failure to clearly define whether the "appropriate history and physical examination" required under Rule 0880-02-.14(7) must be in-person creates legal ambiguity.

Tennessee has 6.9 million residents. Provider availability is moderate. Enhance MD explicitly excludes Tennessee from its 11 excluded states, likely due to the controlled substance in-person exam requirement and the chronic pain telehealth prohibition creating compliance risk for any platform prescribing controlled substances regularly.

Providers serving Tennessee for TRT include Maximus ($100/mo, all 50 states), Hone Health ($25/mo, all 50 states), TRT Nation ($99/mo, 45 states including TN), BraverX ($129/mo), PeterMD ($99/mo), and DudeMeds ($77/mo). Feel30 may or may not serve TN for TRT.

GLP-1 availability is good. Embody, SkinnyRx, DirectMeds, Zealthy, Remedy Meds, GobyMeds, Sesame Care, MEDVi, Shed, Sunlight, and Mochi Health all serve Tennessee. TennCare covers GLP-1s for weight management with prior authorization.

All HRT, hair loss, and ED providers serve the state. Midi Health accepts insurance.

TRT pricing matches national rates. DudeMeds: $77/mo ($1,124/year). TRT Nation: $99/mo ($1,446/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. TennCare (Tennessee Medicaid) covers GLP-1 weight management drugs with prior authorization as of 2024. Patients on TennCare should check coverage before paying out of pocket.

Tennessee does not have a state income tax (repealed in 2021) and does not tax prescription medications. No separate telehealth tax applies.

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

TRT (testosterone replacement therapy)

Tennessee requires an in-person physical exam before prescribing controlled substances per Rule 0880-02-.14(6). The federal DEA waiver overrides this through 2026. Testosterone (Schedule III) can currently be prescribed via telehealth. The chronic pain telehealth ban does not apply to TRT. Enhance MD excludes TN. Both compounded and FDA-approved testosterone are available from providers that do serve the state.

GLP-1 weight loss

No state-specific GLP-1 restrictions in Tennessee. Federal FDA compounding rules apply. TennCare covers weight management GLP-1s with prior authorization, making TN one of the more accessible states for Medicaid-covered weight loss medication.

HRT (hormone replacement therapy)

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

Hair loss

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

ED (erectile dysfunction)

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

Peptides

Peptide therapy follows standard federal rules. The in-person exam requirement may affect scheduled peptide prescriptions. Non-controlled peptides like sermorelin and BPC-157 have fewer restrictions.