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Telehealth law in District of Columbia (2026)

Practical rules for HRT and GLP-1 telehealth in District of Columbia: async vs live-video, in-state clinician rules, Medicaid coverage, and which providers operate here.

Async prescribing

Allowed

In-state clinician required

Yes

Medicaid HRT

Covered

Medicaid GLP-1

Limited

How this affects your access

  • Async messaging-only programs: work normally in District of Columbia.
  • Live-video telehealth: works in District of Columbia regardless of async status, as long as the clinician is licensed appropriately.
  • Controlled substances (e.g. low-dose testosterone): require a one-time in-person visit OR follow the Ryan Haight Act exception. District of Columbia may have additional restrictions on top of federal rules.
  • Compounded GLP-1: following the FDA shortage resolution, compounded semaglutide and tirzepatide require a valid medical-necessity exception. District of Columbia-licensed pharmacies must comply with both federal and state regulations.

Providers operating in District of Columbia

  1. 1Form Health89/100Visit →
  2. 2Pollie (PCOS Specialist)85/100Visit →
  3. 3Plushcare GLP-184/100Visit →
  4. 4Hone Health (Women)82/100Visit →
  5. 5Noom Med80/100Visit →
  6. 6Curio Wellness PCOS80/100Visit →
  7. 7Calibrate (Insurance)80/100Visit →
  8. 8Hers (Weight Loss)78/100Visit →