Best Telehealth Clinics in Virginia (2026)

Virginia allows a practitioner-patient relationship to be established via audio-video or store-and-forward telehealth under Va. Code Ann. § 54.1-3303. The requirements are that the patient provides a medical history, the prescriber updates the history at the time of prescribing, a diagnosis is made, and the prescriber conforms to the standard of care. No blanket in-person visit is required before telehealth prescribing.

One structural requirement sets Virginia apart: prescribers of controlled substances must either maintain a physical practice location in Virginia or be able to refer patients to a licensed Virginia practitioner for in-person examination when the standard of care requires it. This creates a barrier for pure telehealth companies with no physical Virginia presence and is not commonly found in other states.

Insurance parity is codified at Va. Code Ann. § 38.2-3418.16. HB 1332, signed April 6, 2020, directed the Board of Health to create a Statewide Telehealth Plan. HB 81 and SB 436, signed April 11, 2022, established the plan in statute. Virginia's COVID-era expansions were incorporated through ongoing Board of Health and Medicaid rule updates rather than a single named permanence bill.

Virginia is an active member of the IMLC. The state has a unique Schedule VI classification for non-federally controlled drugs, which can be prescribed via store-and-forward telehealth, broader than most states allow. Audio-only Medicaid services were permanently expanded in 2021.

Virginia's prescribing rules for controlled substances (18 VAC 110-20-290 for Schedule II dispensing) follow standard federal framework. The federal DEA waiver through December 2026 allows Schedule II through V telehealth prescribing without in-person visits.

Virginia has 8.6 million residents and is the twelfth-largest state. Provider availability is good with IMLC membership and proximity to the D.C. metro area. Of the 64 providers tracked, roughly 55 serve Virginia.

Most major TRT providers serve Virginia. Maximus ($100/mo, all 50 states), Hone Health ($25/mo entry, all 50 states), TRT Nation ($99/mo, 45 states including VA), BraverX ($129/mo), PeterMD ($99/mo annual), DudeMeds ($77/mo), and Titan Medical ($99/mo) are available. Providers serving "Most US states" generally include Virginia. The physical presence or referral network requirement may cause some smaller providers to exclude VA.

GLP-1 availability is unrestricted. Embody, SkinnyRx, DirectMeds, Zealthy, Remedy Meds, GobyMeds, Sesame Care, MEDVi, Shed, Sunlight, and Mochi Health all serve Virginia. CareBare and Novi serve "Most US states."

All HRT providers are available. Midi Health accepts insurance. PlushCare accepts major insurers. All hair loss and ED providers serve the state.

Virginia is notable for being one of the few states where Medicaid covers GLP-1s for weight loss, though with strict BMI requirements.

TRT pricing matches national rates. DudeMeds: $77/mo ($1,124/year). TRT Nation: $99/mo ($1,446/year). PeterMD: $99/mo annual ($1,188/year). Maximus: $100/mo annual ($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. GobyMeds at $119/mo and Fridays at $117/mo are budget options. Median is $179/mo.

Virginia Medicaid covers Wegovy (age 12+) and Zepbound (age 18+) for obesity with strict prior authorization. Requirements: BMI of 40 or higher, or BMI of 35 or higher with two or more chronic conditions. An individualized weight-loss program (reduced-calorie diet, physical activity, behavioral intervention) must be in place. Utilization is extremely low. As of September 2024 fee-for-service data, only 66 members were on Wegovy and 7 on Zepbound. Proposals to lower the BMI threshold from 40 to 27 were discussed in the 2025 legislative session but the outcome is unverified.

Virginia does not tax prescription medications. The state sales tax is 4.3% (plus local) but Rx drugs are exempt.

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

TRT (testosterone replacement therapy)

Testosterone (Schedule III) can be prescribed via telehealth in Virginia under the federal DEA waiver. Virginia does not impose a state-level in-person requirement but does require prescribers to maintain a Virginia physical location or referral network. This structural requirement is unusual and may limit some telehealth-only providers. Both compounded and FDA-approved testosterone are available.

GLP-1 weight loss

No state-specific restrictions on semaglutide or tirzepatide. Federal FDA compounding rules apply. Virginia Medicaid covers Wegovy and Zepbound for obesity with strict BMI criteria and prior authorization, making it one of the more generous states on this front despite low actual utilization.

HRT (hormone replacement therapy)

HRT follows standard federal prescribing rules in Virginia. No additional state restrictions apply. Virginia's Schedule VI classification may allow broader telehealth flexibility for certain non-federally scheduled HRT medications.

Hair loss

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

ED (erectile dysfunction)

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

Peptides

Peptide therapy follows standard federal rules in Virginia. No state-specific peptide restrictions identified. The physical presence/referral requirement for prescribers may affect smaller peptide-only telehealth providers.