{
  "title": "GLP-1 telehealth rules by U.S. state",
  "description": "Which U.S. jurisdictions require a live video visit to start GLP-1 treatment by telehealth, with each jurisdiction's medical board, Medicaid GLP-1 coverage status, and nurse practitioner prescriptive-authority classification (np_* fields; verified against state nurse practice acts, filled state-by-state as verification completes). Maintained by Pallas Health from state medical-board sources and our clinical network's operational routing; not legal advice. Includes the full dated change history in the changelog field.",
  "url": "https://www.pallashealth.co/glp-1/telehealth-rules",
  "license": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "Pallas Health — https://www.pallashealth.co/glp-1/telehealth-rules",
  "doi": "10.5281/zenodo.21892535",
  "asOf": "2026-08-11",
  "jurisdictionCount": 51,
  "videoVisitRequiredCount": 8,
  "videoVisitRequiredJurisdictions": [
    "AR",
    "DC",
    "MS",
    "ND",
    "NM",
    "RI",
    "SD",
    "WV"
  ],
  "npAuthorityVerifiedCount": 20,
  "changelog": [
    {
      "date": "2026-07-27",
      "jurisdictions": [
        "CA",
        "SC",
        "PA"
      ],
      "change": "California, South Carolina, and Pennsylvania Medicaid programs eliminated coverage of GLP-1s for weight-loss indications effective January 1, 2026 (Medi-Cal removed Wegovy®, Zepbound®, and Saxenda® for members 21 and older; type 2 diabetes coverage continues in all three, and Medi-Cal keeps narrow exceptions such as Wegovy® for cardiovascular risk reduction). With New Hampshire, logged July 25, all four eliminations reported by KFF are now reflected in the tracker.",
      "source": "Medi-Cal Rx provider bulletins (October and December 2025) and KFF Medicaid GLP-1 coverage research; surfaced by our automated source check (PR #45)."
    },
    {
      "date": "2026-07-27",
      "jurisdictions": [
        "RI"
      ],
      "change": "Rhode Island's FY2027 budget, signed June 12, 2026, ends Medicaid coverage of GLP-1s for weight-loss indications effective October 1, 2026; type 2 diabetes coverage is unaffected. Our note previously described the change as proposed.",
      "source": "Rhode Island Current reporting on the enacted FY27 budget (June 12, 2026); surfaced by our automated source check (PR #45)."
    },
    {
      "date": "2026-07-27",
      "jurisdictions": [
        "VT",
        "OH",
        "CO",
        "AL"
      ],
      "change": "Correction — statute and rule citations updated on four state pages: Vermont now cites 18 V.S.A. § 9361(b) (previously a nonexistent § 3053a), Ohio cites Ohio Rev. Code § 4743.09 and OAC 4731-37-01 (previously the controlled-substances chapter 4731-11), Colorado cites C.R.S. § 12-240-107 (previously § 12-240-138, the professional-entities section), and Alabama cites Ala. Code §§ 34-24-701 through 34-24-707 (previously the repealed Admin. Code ch. 540-X-15). Regulatory substance is unchanged in all four.",
      "source": "State statute and administrative-code databases; surfaced by our automated source check (PR #45)."
    },
    {
      "date": "2026-07-25",
      "jurisdictions": [
        "NH"
      ],
      "change": "New Hampshire Medicaid eliminated coverage of GLP-1 medications prescribed solely for weight loss, effective January 1, 2026; coverage continues for type 2 diabetes and certain other chronic conditions with prior authorization. New Hampshire's tracker entry has been updated accordingly.",
      "source": "NH Healthy Families member notice (October 2025) and KFF Medicaid GLP-1 coverage research; surfaced by our automated source check (PR #38)."
    },
    {
      "date": "2026-07-25",
      "jurisdictions": [
        "MS"
      ],
      "change": "Correction — Mississippi Medicaid lists Wegovy® and Saxenda® as preferred anti-obesity agents for weight management (manual prior authorization required); our note previously understated weight-management coverage.",
      "source": "Mississippi Division of Medicaid Universal PDL (January 2026) and anti-obesity agent PA criteria; surfaced by our automated source check (PR #38)."
    },
    {
      "date": "2026-07-25",
      "jurisdictions": [
        "ID"
      ],
      "change": "Correction — Idaho renamed its telehealth statute; Idaho Code §54-5701 and following is now the Idaho Virtual Care Access Act (formerly the Telehealth Access Act). Section numbers and substance are unchanged.",
      "source": "Idaho Legislature, Title 54, Chapter 57; surfaced by our automated source check (PR #38)."
    },
    {
      "date": "2026-07-24",
      "jurisdictions": [
        "AR",
        "DC",
        "ND",
        "SD",
        "KS"
      ],
      "change": "Arkansas, Washington D.C., North Dakota, and South Dakota moved to video-visit-required; Kansas moved to async-eligible. The video-required list now stands at 8 jurisdictions (7 states plus Washington, D.C.).",
      "source": "Confirmed with our clinical network's licensing and routing team, 2026-07-24."
    },
    {
      "date": "2026-05-29",
      "jurisdictions": [
        "NM",
        "MS",
        "KS",
        "WV",
        "RI"
      ],
      "change": "Baseline video-visit-required list at tracker inception: New Mexico, Mississippi, Kansas, West Virginia, and Rhode Island (5 jurisdictions). All other states and D.C. permitted asynchronous establishment of care for non-controlled prescriptions.",
      "source": "Confirmed with our clinical network's licensing and routing team."
    }
  ],
  "jurisdictions": [
    {
      "state": "Alabama",
      "abbreviation": "AL",
      "slug": "alabama",
      "videoVisitRequired": false,
      "medicalBoard": "Alabama Board of Medical Examiners",
      "telehealthSummary": "Alabama permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-29",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/alabama"
    },
    {
      "state": "Alaska",
      "abbreviation": "AK",
      "slug": "alaska",
      "videoVisitRequired": false,
      "medicalBoard": "Alaska State Medical Board",
      "telehealthSummary": "Alaska permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-17",
      "lastVerified": null,
      "npClassification": "full",
      "npMechanism": "Independent practice in the certified role, with prescriptive authority granted by the Board of Nursing; no physician collaboration required",
      "npStatuteCite": "Alaska Stat. §08.68.850; 12 AAC 44.380, 44.440",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/alaska"
    },
    {
      "state": "Arizona",
      "abbreviation": "AZ",
      "slug": "arizona",
      "videoVisitRequired": false,
      "medicalBoard": "Arizona Medical Board",
      "telehealthSummary": "Arizona permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review. Under HB 2454, Arizona also recognizes qualifying out-of-state providers who register with the Arizona Medical Board to deliver telehealth to Arizona residents.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-26",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/arizona"
    },
    {
      "state": "Arkansas",
      "abbreviation": "AR",
      "slug": "arkansas",
      "videoVisitRequired": true,
      "medicalBoard": "Arkansas State Medical Board",
      "telehealthSummary": "Arkansas does not allow a provider-patient relationship to be established by an online questionnaire or a patient-generated medical history alone. Pallas clinicians conduct a live video visit with every Arkansas patient before any prescription is issued; ongoing care after that visit is handled by secure message.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-01",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/arkansas"
    },
    {
      "state": "California",
      "abbreviation": "CA",
      "slug": "california",
      "videoVisitRequired": false,
      "medicalBoard": "Medical Board of California",
      "telehealthSummary": "California permits licensed physicians to establish a patient relationship and prescribe non-controlled medications like GLP-1s through synchronous video or store-and-forward review, provided the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-09",
      "lastVerified": null,
      "npClassification": "restricted",
      "npMechanism": "Standardized procedures (furnishing); independent practice available via AB 890 certification",
      "npStatuteCite": "Cal. Bus. & Prof. Code §2836.1; §2837.103–.104",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/california"
    },
    {
      "state": "Colorado",
      "abbreviation": "CO",
      "slug": "colorado",
      "videoVisitRequired": false,
      "medicalBoard": "Colorado Medical Board",
      "telehealthSummary": "Colorado permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-28",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/colorado"
    },
    {
      "state": "Connecticut",
      "abbreviation": "CT",
      "slug": "connecticut",
      "videoVisitRequired": false,
      "medicalBoard": "Connecticut Medical Examining Board",
      "telehealthSummary": "Connecticut permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-30",
      "lastVerified": "2026-07-27",
      "npClassification": "full",
      "npMechanism": "Independent practice after a transition period of not less than 3 years and 2,000 hours in collaboration with a physician",
      "npStatuteCite": "Conn. Gen. Stat. §20-87a",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/connecticut"
    },
    {
      "state": "Delaware",
      "abbreviation": "DE",
      "slug": "delaware",
      "videoVisitRequired": false,
      "medicalBoard": "Delaware Board of Medical Licensure and Discipline",
      "telehealthSummary": "Delaware permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-04",
      "lastVerified": "2026-07-27",
      "npClassification": "full",
      "npMechanism": "Full practice authority under exclusive Board of Nursing licensure; no collaborative agreement required",
      "npStatuteCite": "24 Del. C. §1902(g); §1927",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/delaware"
    },
    {
      "state": "Florida",
      "abbreviation": "FL",
      "slug": "florida",
      "videoVisitRequired": false,
      "medicalBoard": "Florida Board of Medicine",
      "telehealthSummary": "Florida permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications, and registered out-of-state telehealth providers can also treat Florida residents under Florida's registration statute.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-22",
      "lastVerified": "2026-08-03",
      "npClassification": "restricted",
      "npMechanism": "Written supervisory protocol; autonomous registration available for primary care",
      "npStatuteCite": "Fla. Stat. §464.012; §464.0123",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/florida"
    },
    {
      "state": "Georgia",
      "abbreviation": "GA",
      "slug": "georgia",
      "videoVisitRequired": false,
      "medicalBoard": "Georgia Composite Medical Board",
      "telehealthSummary": "Georgia permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-23",
      "lastVerified": null,
      "npClassification": "restricted",
      "npMechanism": "Nurse protocol agreement with a delegating physician, filed with the Composite Medical Board",
      "npStatuteCite": "O.C.G.A. §43-34-25",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/georgia"
    },
    {
      "state": "Hawaii",
      "abbreviation": "HI",
      "slug": "hawaii",
      "videoVisitRequired": false,
      "medicalBoard": "Hawaii Medical Board",
      "telehealthSummary": "Hawaii permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-08",
      "lastVerified": "2026-08-03",
      "npClassification": "full",
      "npMechanism": "Independent prescriptive authority granted by the Board of Nursing",
      "npStatuteCite": "HRS §457-8.6",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/hawaii"
    },
    {
      "state": "Idaho",
      "abbreviation": "ID",
      "slug": "idaho",
      "videoVisitRequired": false,
      "medicalBoard": "Idaho State Board of Medicine",
      "telehealthSummary": "Idaho permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review, when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-02",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/idaho"
    },
    {
      "state": "Illinois",
      "abbreviation": "IL",
      "slug": "illinois",
      "videoVisitRequired": false,
      "medicalBoard": "Illinois Department of Financial and Professional Regulation",
      "telehealthSummary": "Illinois permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-23",
      "lastVerified": "2026-08-03",
      "npClassification": "reduced",
      "npMechanism": "Written collaborative agreement; independent via Full Practice Authority license (4,000 hours)",
      "npStatuteCite": "225 ILCS 65/65-43",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/illinois"
    },
    {
      "state": "Indiana",
      "abbreviation": "IN",
      "slug": "indiana",
      "videoVisitRequired": false,
      "medicalBoard": "Medical Licensing Board of Indiana",
      "telehealthSummary": "Indiana permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-27",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/indiana"
    },
    {
      "state": "Iowa",
      "abbreviation": "IA",
      "slug": "iowa",
      "videoVisitRequired": false,
      "medicalBoard": "Iowa Board of Medicine",
      "telehealthSummary": "Iowa permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-31",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/iowa"
    },
    {
      "state": "Kansas",
      "abbreviation": "KS",
      "slug": "kansas",
      "videoVisitRequired": false,
      "medicalBoard": "Kansas State Board of Healing Arts",
      "telehealthSummary": "Kansas permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-01",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/kansas"
    },
    {
      "state": "Kentucky",
      "abbreviation": "KY",
      "slug": "kentucky",
      "videoVisitRequired": false,
      "medicalBoard": "Kentucky Board of Medical Licensure",
      "telehealthSummary": "Kentucky permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-29",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/kentucky"
    },
    {
      "state": "Louisiana",
      "abbreviation": "LA",
      "slug": "louisiana",
      "videoVisitRequired": false,
      "medicalBoard": "Louisiana State Board of Medical Examiners",
      "telehealthSummary": "Louisiana permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-24",
      "lastVerified": null,
      "npClassification": "reduced",
      "npMechanism": "Collaborative practice agreement plus LSBN prescriptive-authority approval",
      "npStatuteCite": "La. R.S. 37:913; LAC 46:XLVII.4513",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/louisiana"
    },
    {
      "state": "Maine",
      "abbreviation": "ME",
      "slug": "maine",
      "videoVisitRequired": false,
      "medicalBoard": "Maine Board of Licensure in Medicine",
      "telehealthSummary": "Maine permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-03",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/maine"
    },
    {
      "state": "Maryland",
      "abbreviation": "MD",
      "slug": "maryland",
      "videoVisitRequired": false,
      "medicalBoard": "Maryland Board of Physicians",
      "telehealthSummary": "Maryland permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "no",
      "lastUpdated": "2026-07-27",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/maryland"
    },
    {
      "state": "Massachusetts",
      "abbreviation": "MA",
      "slug": "massachusetts",
      "videoVisitRequired": false,
      "medicalBoard": "Massachusetts Board of Registration in Medicine",
      "telehealthSummary": "Massachusetts permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "yes",
      "lastUpdated": "2026-07-26",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/massachusetts"
    },
    {
      "state": "Michigan",
      "abbreviation": "MI",
      "slug": "michigan",
      "videoVisitRequired": false,
      "medicalBoard": "Michigan Board of Medicine",
      "telehealthSummary": "Michigan permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-24",
      "lastVerified": "2026-08-03",
      "npClassification": "restricted",
      "npMechanism": "Independent for non-controlled drugs; physician delegation needed only for controlled substances",
      "npStatuteCite": "MCL 333.17211a",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/michigan"
    },
    {
      "state": "Minnesota",
      "abbreviation": "MN",
      "slug": "minnesota",
      "videoVisitRequired": false,
      "medicalBoard": "Minnesota Board of Medical Practice",
      "telehealthSummary": "Minnesota permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review under the Minnesota Telehealth Act.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-28",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/minnesota"
    },
    {
      "state": "Mississippi",
      "abbreviation": "MS",
      "slug": "mississippi",
      "videoVisitRequired": true,
      "medicalBoard": "Mississippi State Board of Medical Licensure",
      "telehealthSummary": "Mississippi's telemedicine rules require an appropriate examination before diagnosis or prescribing — a questionnaire alone is not sufficient. Our clinical network meets that standard with a brief live video visit with a Mississippi-licensed provider to establish care. After that first visit, ongoing care — check-ins, messaging, and refills — continues asynchronously.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-10",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/mississippi"
    },
    {
      "state": "Missouri",
      "abbreviation": "MO",
      "slug": "missouri",
      "videoVisitRequired": false,
      "medicalBoard": "Missouri State Board of Registration for the Healing Arts",
      "telehealthSummary": "Missouri permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-27",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/missouri"
    },
    {
      "state": "Montana",
      "abbreviation": "MT",
      "slug": "montana",
      "videoVisitRequired": false,
      "medicalBoard": "Montana Board of Medical Examiners",
      "telehealthSummary": "Montana permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-04",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/montana"
    },
    {
      "state": "Nebraska",
      "abbreviation": "NE",
      "slug": "nebraska",
      "videoVisitRequired": false,
      "medicalBoard": "Nebraska Board of Medicine and Surgery",
      "telehealthSummary": "Nebraska permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-02",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/nebraska"
    },
    {
      "state": "Nevada",
      "abbreviation": "NV",
      "slug": "nevada",
      "videoVisitRequired": false,
      "medicalBoard": "Nevada State Board of Medical Examiners",
      "telehealthSummary": "Nevada permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-31",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/nevada"
    },
    {
      "state": "New Hampshire",
      "abbreviation": "NH",
      "slug": "new-hampshire",
      "videoVisitRequired": false,
      "medicalBoard": "New Hampshire Board of Medicine",
      "telehealthSummary": "New Hampshire permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-03",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/new-hampshire"
    },
    {
      "state": "New Jersey",
      "abbreviation": "NJ",
      "slug": "new-jersey",
      "videoVisitRequired": false,
      "medicalBoard": "New Jersey State Board of Medical Examiners",
      "telehealthSummary": "New Jersey permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met, under the New Jersey Telemedicine and Telehealth Act.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-25",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/new-jersey"
    },
    {
      "state": "New Mexico",
      "abbreviation": "NM",
      "slug": "new-mexico",
      "videoVisitRequired": true,
      "medicalBoard": "New Mexico Medical Board",
      "telehealthSummary": "New Mexico requires a brief live video visit with a New Mexico-licensed provider to establish the provider-patient relationship before prescribing. After that first visit, ongoing care — check-ins, messaging, and refills — continues asynchronously.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-02",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/new-mexico"
    },
    {
      "state": "New York",
      "abbreviation": "NY",
      "slug": "new-york",
      "videoVisitRequired": false,
      "medicalBoard": "New York State Board for Medicine",
      "telehealthSummary": "New York allows licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s when the standard of care is met.",
      "medicaidCoversGLP1": "yes",
      "lastUpdated": "2026-07-22",
      "lastVerified": null,
      "npClassification": "full",
      "npMechanism": "Independent after 3,600 practice hours; written collaborative agreement before that",
      "npStatuteCite": "N.Y. Educ. Law §6902",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/new-york"
    },
    {
      "state": "North Carolina",
      "abbreviation": "NC",
      "slug": "north-carolina",
      "videoVisitRequired": false,
      "medicalBoard": "North Carolina Medical Board",
      "telehealthSummary": "North Carolina permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-10",
      "lastVerified": "2026-08-03",
      "npClassification": "restricted",
      "npMechanism": "Collaborative practice agreement; approval granted jointly by the Board of Nursing and Medical Board",
      "npStatuteCite": "21 NCAC 36 .0801",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/north-carolina"
    },
    {
      "state": "North Dakota",
      "abbreviation": "ND",
      "slug": "north-dakota",
      "videoVisitRequired": true,
      "medicalBoard": "North Dakota Board of Medicine",
      "telehealthSummary": "North Dakota patients complete a live video visit to establish the patient–provider relationship. State law requires an examination equivalent to an in-person exam before a patient is diagnosed or treated, and provides that a static online questionnaire or an audio-only conversation does not meet the standard of care. Pallas clinicians conduct a real-time video visit with every North Dakota patient before any prescription is issued.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-24",
      "lastVerified": "2026-08-03",
      "npClassification": "full",
      "npMechanism": "Prescriptive authority added to the APRN license by the Board of Nursing; no collaborative agreement or physician supervision required",
      "npStatuteCite": "N.D. Cent. Code §43-12.1-08; N.D. Admin. Code 54-05-03.1-10",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/north-dakota"
    },
    {
      "state": "Ohio",
      "abbreviation": "OH",
      "slug": "ohio",
      "videoVisitRequired": false,
      "medicalBoard": "State Medical Board of Ohio",
      "telehealthSummary": "Ohio permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-27",
      "lastVerified": null,
      "npClassification": "reduced",
      "npMechanism": "Standard Care Arrangement with a collaborating physician",
      "npStatuteCite": "Ohio Rev. Code §4723.431",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/ohio"
    },
    {
      "state": "Oklahoma",
      "abbreviation": "OK",
      "slug": "oklahoma",
      "videoVisitRequired": false,
      "medicalBoard": "Oklahoma State Board of Medical Licensure and Supervision",
      "telehealthSummary": "Oklahoma permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review, when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-30",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/oklahoma"
    },
    {
      "state": "Oregon",
      "abbreviation": "OR",
      "slug": "oregon",
      "videoVisitRequired": false,
      "medicalBoard": "Oregon Medical Board",
      "telehealthSummary": "Oregon permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-30",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/oregon"
    },
    {
      "state": "Pennsylvania",
      "abbreviation": "PA",
      "slug": "pennsylvania",
      "videoVisitRequired": false,
      "medicalBoard": "Pennsylvania State Board of Medicine",
      "telehealthSummary": "Pennsylvania permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review under the Pennsylvania Telemedicine Act.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-11",
      "lastVerified": null,
      "npClassification": "reduced",
      "npMechanism": "Prescriptive Authority Collaborative Agreement filed with the State Board of Nursing",
      "npStatuteCite": "49 Pa. Code §21.285",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/pennsylvania"
    },
    {
      "state": "Rhode Island",
      "abbreviation": "RI",
      "slug": "rhode-island",
      "videoVisitRequired": true,
      "medicalBoard": "Rhode Island Board of Medical Licensure and Discipline",
      "telehealthSummary": "Rhode Island requires a synchronous (audio-visual) encounter to establish the patient–provider relationship. The Board of Medical Licensure and Discipline mandates that initial telemedicine visits be real-time so the provider and patient can interact and the provider can see the patient. Asynchronous-only encounters are not permitted for initial visits.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-04",
      "lastVerified": null,
      "npClassification": "full",
      "npMechanism": "Independent prescriptive authority under sole Board of Nursing authority; no collaborative agreement or physician supervision",
      "npStatuteCite": "R.I. Gen. Laws §5-34-3; §5-34-49",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/rhode-island"
    },
    {
      "state": "South Carolina",
      "abbreviation": "SC",
      "slug": "south-carolina",
      "videoVisitRequired": false,
      "medicalBoard": "South Carolina Board of Medical Examiners",
      "telehealthSummary": "South Carolina permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-29",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/south-carolina"
    },
    {
      "state": "South Dakota",
      "abbreviation": "SD",
      "slug": "south-dakota",
      "videoVisitRequired": true,
      "medicalBoard": "South Dakota Board of Medical and Osteopathic Examiners",
      "telehealthSummary": "South Dakota requires a synchronous (real-time audio-visual) encounter before diagnosis and treatment. Under SDCL 34-52-5, a provider using telehealth must conduct a face-to-face examination using real-time audio and visual technology prior to diagnosis and treatment whenever a face-to-face encounter would otherwise be required for the same service delivered in person. Pallas clinicians conduct a live video visit with every South Dakota patient before any prescription is issued.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-24",
      "lastVerified": "2026-08-03",
      "npClassification": "full",
      "npMechanism": "Independent after 1,040 licensed CNP practice hours; written collaborative agreement with a physician, CNP, or CNM required until then",
      "npStatuteCite": "SDCL 36-9A-12; SDCL 36-9A-13.1; ARSD 20:62:03:08",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/south-dakota"
    },
    {
      "state": "Tennessee",
      "abbreviation": "TN",
      "slug": "tennessee",
      "videoVisitRequired": false,
      "medicalBoard": "Tennessee Board of Medical Examiners",
      "telehealthSummary": "Tennessee permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-26",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/tennessee"
    },
    {
      "state": "Texas",
      "abbreviation": "TX",
      "slug": "texas",
      "videoVisitRequired": false,
      "medicalBoard": "Texas Medical Board",
      "telehealthSummary": "Texas permits licensed providers to establish the provider-patient relationship and prescribe non-controlled medications like GLP-1s through telehealth — including asynchronous, store-and-forward review of your intake — when the standard of care is met.",
      "medicaidCoversGLP1": "no",
      "lastUpdated": "2026-08-11",
      "lastVerified": "2026-07-27",
      "npClassification": "restricted",
      "npMechanism": "Prescriptive Authority Agreement with a delegating Texas physician",
      "npStatuteCite": "Tex. Occ. Code §157.0512",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/texas"
    },
    {
      "state": "Utah",
      "abbreviation": "UT",
      "slug": "utah",
      "videoVisitRequired": false,
      "medicalBoard": "Utah Physicians Licensing Board",
      "telehealthSummary": "Utah permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-31",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/utah"
    },
    {
      "state": "Vermont",
      "abbreviation": "VT",
      "slug": "vermont",
      "videoVisitRequired": false,
      "medicalBoard": "Vermont Board of Medical Practice",
      "telehealthSummary": "Vermont permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and store-and-forward (asynchronous) review. Under 18 V.S.A. § 9361(b) and the Board of Medical Practice telemedicine policy, prescribing via telemedicine is at the provider's professional discretion provided the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-27",
      "lastVerified": null,
      "npClassification": "full",
      "npMechanism": "Independent practice after transition to practice; collaborating provider agreement required until 24 months and 2,400 hours of active practice",
      "npStatuteCite": "26 V.S.A. §1571; §1613",
      "npVerified": "2026-07-27",
      "url": "https://www.pallashealth.co/glp-1/vermont"
    },
    {
      "state": "Virginia",
      "abbreviation": "VA",
      "slug": "virginia",
      "videoVisitRequired": false,
      "medicalBoard": "Virginia Board of Medicine",
      "telehealthSummary": "Virginia permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-25",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/virginia"
    },
    {
      "state": "Washington",
      "abbreviation": "WA",
      "slug": "washington",
      "videoVisitRequired": false,
      "medicalBoard": "Washington Medical Commission",
      "telehealthSummary": "Washington permits licensed providers to use telehealth to establish a patient relationship and prescribe non-controlled medications like GLP-1s, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "yes",
      "lastUpdated": "2026-07-25",
      "lastVerified": null,
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/washington"
    },
    {
      "state": "Washington, DC",
      "abbreviation": "DC",
      "slug": "district-of-columbia",
      "videoVisitRequired": true,
      "medicalBoard": "District of Columbia Board of Medicine",
      "telehealthSummary": "Washington, D.C. requires a real-time (synchronous) telemedicine encounter to establish the provider-patient relationship when there has been no prior in-person visit. Under District of Columbia Board of Medicine telemedicine rules, the clinician must use real-time communication for that first evaluation, so asynchronous-only review cannot establish care in the District. Every Pallas patient in D.C. meets a clinician over live video before any prescription is issued.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-24",
      "lastVerified": "2026-08-03",
      "npClassification": "full",
      "npMechanism": "Independent practice and prescribing under exclusive Board of Nursing licensure; no collaborative agreement or physician supervision required",
      "npStatuteCite": "D.C. Code §3-1206.07a (as amended by D.C. Law 25-191)",
      "npVerified": "2026-08-03",
      "url": "https://www.pallashealth.co/glp-1/district-of-columbia"
    },
    {
      "state": "West Virginia",
      "abbreviation": "WV",
      "slug": "west-virginia",
      "videoVisitRequired": true,
      "medicalBoard": "West Virginia Board of Medicine",
      "telehealthSummary": "West Virginia law requires a real-time encounter to establish the provider-patient relationship — a questionnaire or text-based intake alone is not sufficient, and the statute notes audio-visual communication is preferable. Our clinical network meets this with a brief live video visit with a West Virginia-licensed provider. After that first visit, ongoing care — check-ins, messaging, and refills — continues asynchronously.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-08-03",
      "lastVerified": "2026-07-25",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/west-virginia"
    },
    {
      "state": "Wisconsin",
      "abbreviation": "WI",
      "slug": "wisconsin",
      "videoVisitRequired": false,
      "medicalBoard": "Wisconsin Medical Examining Board",
      "telehealthSummary": "Wisconsin permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review, when the standard of care is met.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-28",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/wisconsin"
    },
    {
      "state": "Wyoming",
      "abbreviation": "WY",
      "slug": "wyoming",
      "videoVisitRequired": false,
      "medicalBoard": "Wyoming Board of Medicine",
      "telehealthSummary": "Wyoming permits licensed providers to establish a patient relationship and prescribe non-controlled medications like GLP-1s through telehealth, including synchronous video and, in appropriate cases, asynchronous review.",
      "medicaidCoversGLP1": "limited",
      "lastUpdated": "2026-07-04",
      "lastVerified": "2026-07-27",
      "npClassification": null,
      "npMechanism": null,
      "npStatuteCite": null,
      "npVerified": null,
      "url": "https://www.pallashealth.co/glp-1/wyoming"
    }
  ]
}