Best Telehealth Clinics in Texas (2026)

Texas passed HB 4 during the 87th Legislature, signed into law and effective September 1, 2021. The bill made pandemic-era telemedicine expansions permanent and is the state's primary telehealth statute. It codified coverage parity for Medicaid, CHIP, and government health plans. Texas Insurance Code § 1455.004 requires private insurers to cover telehealth at parity with in-person services. § 1455.006 requires insurers to publish telehealth policies on their websites.

Under Texas Occupations Code Chapter 111, physicians can establish a patient relationship via audio-video telemedicine without a mandatory in-person visit. Section 111.005 defines the valid physician-patient relationship criteria. This applies to controlled substances, including testosterone (Schedule III). The DEA extension through December 31, 2026 further permits Schedule II through V prescribing via telehealth at the federal level.

The Texas Medical Board governs telemedicine prescribing under 22 Texas Administrative Code (TAC) Chapter 174. Rule 174.5 addresses prescription issuance and requires that prescriptions serve a legitimate medical purpose, come from a valid physician-patient relationship, and comply with all applicable drug laws. One restriction worth noting: audio-only telemedicine for chronic pain with scheduled drugs is prohibited unless the patient was seen within the prior 90 days, the prescription is identical to the previous one, and the patient is established. This mainly affects pain management, not TRT or GLP-1 prescriptions.

Texas participates in the Interstate Medical Licensure Compact as one of the earlier member states. Physicians licensed in other IMLC states can obtain a Texas license through the expedited process administered by the TMB. This is one reason Texas has broad provider availability compared to states like California and New York that are not in the compact.

Physicians must query the Texas Prescription Monitoring Program (PMP) before prescribing opioids, benzodiazepines, carisoprodol, or barbiturates. The PMP check requirement does not apply to testosterone specifically, though many providers check it as standard practice. Texas Medicaid and CHIP telehealth reimbursement is governed by 1 TAC §§ 354.1430, 354.1432, and 354.1435.

Texas, with 29.1 million residents, is the second-largest telehealth market in the country. Provider availability is among the highest of any state. Of the 64 providers tracked on ClinicLayer, approximately 58 serve Texas. The combination of IMLC membership, a large patient base, and relatively permissive telehealth laws makes Texas a priority market for every major provider.

All major TRT providers are available in Texas. Maximus (all 50 states, $100/mo with labs), BraverX ($129/mo with labs, Editor's Choice), TRT Nation ($99/mo, serves 45 states including TX), PeterMD ($99/mo annual with labs), DudeMeds ($77/mo, FDA-approved testosterone), Titan Medical ($99/mo, $49 startup offer), and Hone Health ($25/mo entry tier, all 50 states) all serve the state. Feel30 lists "Most US states" and does not explicitly exclude Texas. Male Excel ($99/mo) and Blokes ($149/mo) also serve "Most US states."

The GLP-1 market in Texas is fully open with no state restrictions on semaglutide or tirzepatide. Embody ($99/mo), SkinnyRx ($99/mo, oral GLP-1 pills), DirectMeds ($199/mo), Zealthy ($99/mo), CareBare ($199/mo), Novi ($179/mo), Remedy Meds ($179/mo), GobyMeds ($119/mo), Sesame Care ($16/mo marketplace), Shed ($199/mo), MEDVi ($179/mo first month), Sunlight ($179/mo), and Mochi Health ($99/mo membership) are all available.

For HRT, Midi Health (insurance-covered), Alloy ($49/mo), Winona ($99/mo), Evernow ($35/mo), and Hone Health all serve Texas. PlushCare ($20/mo membership) accepts major insurance and covers all 50 states. Gennev is available for OB/GYN-led menopause care.

Notable exclusions: Enhance MD does not list Texas among its 38 served states for GLP-1/peptides. Limitless TRT & Aesthetics operates in "select states" and may not include Texas. Strut Health serves "Most US states (excl. AK)" but includes TX.

TRT pricing in Texas is competitive with national averages. Here is the breakdown of major providers available in the state, from cheapest to most expensive monthly price:

DudeMeds: $77/mo (labs $200 extra, true annual $1,124). TRT Nation: $99/mo (labs $258 extra, true annual $1,446). PeterMD: $99/mo on annual plan (labs included, true annual $1,188, requires upfront payment). Maximus: $100/mo on annual plan (labs included, true annual $1,300). Feel30: $99/mo (labs included, true annual $1,188, if available in TX). Titan Medical: $99/mo (labs $229 extra, $49 startup with promo, true annual $1,417). BraverX: $129/mo (labs included, true annual $1,548). Henry Meds: $129/mo (labs included, true annual $1,548). Blokes: $149/mo (labs included, true annual $1,788). Defy Medical: $200/mo (labs included, true annual $2,800).

The average true annual TRT cost across Texas providers is roughly $1,500, slightly below the national average. The cheapest all-in option with labs included is PeterMD at $1,188/year, but it requires annual prepayment. The cheapest monthly option is DudeMeds at $77/mo with labs billed separately.

GLP-1 costs match national rates. Entry-level pricing starts at $99/mo (Embody, SkinnyRx, Zealthy, Mochi membership) and tops out at $399/mo (TrimRx). The median is $179/mo. GobyMeds at $119/mo is a competitive option for compounded semaglutide. Fridays at $117/mo includes coaching and a fitness app. Brand-name Wegovy is covered by some private insurers but not by Texas Medicaid for weight loss.

Texas Medicaid does not cover GLP-1 medications for weight loss. HB 2412 was introduced during the 89th Legislature in 2025 to mandate coverage, but passage has not been confirmed. GLP-1s for type 2 diabetes are covered under Medicaid's federal drug rebate requirements. The federal BALANCE Model for Medicaid GLP-1 coverage was set to launch as early as May 2026, but Texas participation is unconfirmed.

Texas does not impose a separate tax on telehealth consultations. Prescription medications are exempt from state sales tax under Texas Tax Code § 151.313. There is no state income tax, which marginally benefits residents paying for telehealth out of pocket.

TRT (testosterone replacement therapy)

Testosterone prescribing via telehealth in Texas follows standard federal Schedule III rules under the current DEA extension. TMB Rule 174.5 requires a valid physician-patient relationship per Occupations Code § 111.005. Both compounded and FDA-approved testosterone are available. No additional state scheduling restrictions apply beyond the federal classification. Delivery methods available through Texas providers include subcutaneous injection, intramuscular injection, topical cream, oral testosterone, and enclomiphene. HCG is available from providers like TRT Nation, Maximus, and Defy Medical. The audio-only chronic pain restriction does not apply to TRT.

GLP-1 weight loss

No state-specific restrictions on semaglutide or tirzepatide in Texas. Both are non-controlled substances. Federal FDA rules govern compounded semaglutide availability after the shortage resolution in February 2025. Texas has no additional compounding restrictions beyond the federal framework. The Texas State Board of Pharmacy (TSBP) governs sterile compounding under Chapter 291.133 but has not imposed GLP-1-specific rules. Compounded testosterone is not subject to the same shortage-based restrictions as semaglutide.

HRT (hormone replacement therapy)

HRT follows standard federal prescribing rules in Texas. No additional state restrictions apply. Estrogen, progesterone, and bioidentical compounded hormones are all available via telehealth. Midi Health accepts insurance in Texas. Hone Health serves all 50 states for women's HRT.

Hair loss

Hair loss treatment follows standard federal prescribing rules in Texas. No additional state restrictions apply. Finasteride, dutasteride, minoxidil, and ketoconazole shampoo (from Keeps) are all available. Hims ($20/mo), Keeps ($25/mo), Ro ($23/mo), and Happy Head ($79/mo) all serve Texas.

ED (erectile dysfunction)

ED treatment follows standard federal prescribing rules in Texas. No additional state restrictions apply. All seven ED telehealth providers on our list serve Texas. Sildenafil starts at $17/mo from Hims. Tadalafil and compounded combo formulas are available.

Peptides

Peptide therapy follows standard federal rules in Texas. Sermorelin, BPC-157, and NAD+ are available through providers like MYRNK, Defy Medical, Maximus, and Marek Health. The TSBP governs sterile compounding under Chapter 291.133 and proposed an amendment in December 2024, but no peptide-specific restrictions have been enacted. TRT Nation also offers BPC-157 alongside their TRT program.