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Provider scope and licensure rules across 50 states. 31 permissive, 19 parity, 0 restrictive. Confirm your state before choosing a provider.
Built around medical depth. Best for patients with commercial insurance who want a team that fights insurance battles and treats GLP-1 as part of a comprehensive obesity care plan. Best for insurance handling and long-term outcomes.
White-glove telehealth focused on speed and ease. Strongest pick for patients paying cash who want a fast time-to-prescription path with minimal friction. Best for fastest brand-name onboarding.
The Costco × Sesame cash program is the cheapest verified route to brand Wegovy or Ozempic: $349/mo, 50% off retail, no insurance — with a $199/mo introductory rate on the two lowest doses through March 2026. Best for cheapest cash brand wegovy / ozempic.
Premium hybrid: medication + 1:1 metabolic coach + community. Built for patients who want behavior change scaffolding around the drug, not just a prescription pad. Best for year-long behavioral coaching.
Broad cross-state telehealth use. Out-of-state providers can treat residents with minimal restrictions, including chronic-care prescribing.
Telehealth parity with in-person care. Out-of-state providers may need in-state license collaboration for ongoing prescribing.
In-state license generally required for non-emergency prescribing. Out-of-state telehealth use is limited.
Affiliate disclosure: we earn commission on outbound clicks to provider partners. Rankings reflect editorial methodology, not commission rates. State licensure rules change; confirm before relying on any single source.