Is HRT telehealth legal in New York?

Yes. New York permits both live-video and async telehealth prescriptions for HRT, provided a licensed clinician evaluates the patient.

Does New York Medicaid cover GLP-1 medications?

New York Medicaid does cover certain GLP-1 medications for type 2 diabetes (Ozempic, Mounjaro). Weight-loss-only indications (Wegovy, Zepbound) are typically not covered by Medicaid.

Do I need an in-state doctor to prescribe HRT or GLP-1 in New York?

Yes — New York typically requires the prescribing clinician to hold an active license in New York. Out-of-state telehealth providers must employ and New York-licensed clinician to serve New York residents.

Home · State law

Telehealth law in New York (2026)

Practical rules for HRT and GLP-1 telehealth in New York: 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

Covered

What New York telehealth law says

New York permits asynchronous telehealth visits with an existing or established patient-provider relationship. New York Medicaid covers FDA-approved HRT and has GLP-1 coverage for diabetes and (more selectively) for weight loss in patients meeting clinical criteria.

How this affects your access

Async messaging-only programs: work normally in New York.
Live-video telehealth: works in New York 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. New York 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. New York-licensed pharmacies must comply with both federal and state regulations.

Telehealth law in New York (2026)

What New York telehealth law says

How this affects your access

Providers operating in New York