The Expanding World of Telehealth Prescribing
Telehealth, or telemedicine, allows patients to obtain new prescriptions or refills remotely. A licensed healthcare provider reviews medical history and symptoms virtually, and if appropriate, sends an electronic prescription to a pharmacy. This method offers convenience, saves time and money, and improves access to care, particularly in underserved areas. However, federal and state laws govern what medications can be prescribed via telehealth, with specific restrictions on controlled substances.
What Medications Can Telehealth Prescribe?
Telehealth providers routinely prescribe a broad spectrum of non-controlled medications for conditions that don't require a physical exam. A proper medical evaluation and review of clinical history by a licensed provider are still necessary.
Common non-controlled medications prescribed include:
- Antibiotics: For minor infections like UTIs or sinus infections.
- Chronic Condition Medications: Refills for managing conditions such as high blood pressure or diabetes.
- Birth Control: Both new and refill prescriptions.
- Dermatology: Treatments for skin conditions like acne.
- Mental Health Medications: Antidepressants and non-controlled anti-anxiety drugs.
- Lifestyle Medications: For issues like hair loss or acid reflux.
Telehealth and Controlled Substances: A Closer Look at Restrictions
Prescribing controlled substances via telehealth is heavily regulated due to the risk of abuse. The Ryan Haight Act historically required an in-person visit, but pandemic-related flexibilities, extended through December 31, 2025, temporarily allow prescribing Schedule II-V controlled substances via telehealth without a prior in-person visit under certain conditions. The DEA plans to issue new permanent rules. State laws and individual platform policies also impose varying restrictions, with many platforms not prescribing stimulants or benzodiazepines.
How to Get a Prescription Via Telehealth
Obtaining a telehealth prescription involves a few steps:
- Select a Platform: Choose a reputable provider licensed in your state and book an appointment.
- Virtual Consultation: Discuss your medical history and symptoms with a licensed provider.
- Receive E-Prescription: If deemed appropriate, the provider sends the prescription electronically to your pharmacy.
- Follow-Up: Schedule follow-up appointments as needed, especially for chronic conditions.
Telehealth vs. In-Person Prescriptions: A Comparison
Aspect | Telehealth Prescriptions | In-Person Prescriptions |
---|---|---|
Convenience | High. | Lower. |
Speed | Often same-day. | Can have delays. |
Cost | Typically lower. | Potentially higher. |
Conditions Treated | Minor illnesses, refills, some mental health. | Emergencies, complex issues, physical exams, some controlled substances. |
Suitability for Controlled Substances | Limited and regulated. | Standard method. |
Conclusion
Licensed telehealth providers can prescribe a variety of medications, offering a convenient option for many conditions and refills. However, controlled substances face strict federal and state regulations. While temporary federal flexibilities for controlled substance prescribing without an initial in-person visit are in effect through 2025, rules vary by state and platform. Patients should confirm current regulations and provider policies. For the latest details on controlled substance prescribing, consult the HHS Telehealth website.