Weight Loss Telehealth in Nevada All 14 Providers Compared for 2026

Nevada residents have 14 weight loss telehealth providers to choose from right now. That is a strong number compared to many states, and it means you have real competition working in your favor on price and service quality. Three providers that come up in general telehealth searches, Clinic Secret, Nurx, and UrWay Health, are not among the 14 platforms compared on this page. If you want to look into any of those, check their own sites directly.

The 14 available providers are: TrimRx, Medvi, Ro, Strut, Shed, Fridays, Eden, HealthRx, Sprout Health, Peter MD, Skinny.Rx, Hers, Hims, and Sesame Care. These range from large multi-condition platforms like Hims and Ro to tight-focus weight loss specialists like Medvi and Shed. Some work with insurance, some are cash-only, and some sit in between with a pay-per-visit model. Understanding which category each falls into will save you significant money depending on your situation.

Nevada's regulatory environment is friendlier to telehealth weight loss prescribing than many states. Compounded GLP-1 medications are available through licensed 503B pharmacies when brand-name supply is constrained, which has been an ongoing reality with Wegovy and Ozempic. You can also get phentermine prescribed via telehealth in Nevada, which is not universally true across the country since several states still restrict controlled substance prescribing through telehealth platforms. If phentermine is on your shortlist, Nevada does not block that path.

If cost is your first filter, HealthRx and Strut lead at $99 per month for compounded semaglutide, with Eden ($129) and Fridays ($150 on a prepaid plan) the next rungs up and both far cheaper than Medvi. Medvi runs $179 for your first month and $299 per month for refills after that, the highest ongoing price among the 14 Nevada providers, all-inclusive for the medication, the prescribing consultation, and ongoing support, plus free dietician visits and care coaching that the cheaper options do not include. The platform is straightforward without a lot of extras beyond that. Medvi holds a 9.2/10 rating.

Skinny.Rx is actually cheaper than Medvi, at $149.25 per month for compounded semaglutide. For uninsured Nevada residents who just want medication and a prescription without a complicated program, Skinny.Rx and the other budget options above get the job done at the low end of the market.

Sesame Care operates differently from both of those. It is a pay-per-visit marketplace rather than a subscription, so you pay for consultations individually and are not locked into a monthly plan. If you want a one-time evaluation to get a prescription and then manage things yourself, Sesame can be cheaper than any monthly subscription over a short time horizon. The tradeoff is that ongoing support is not built into the model the way it is at Medvi or Sprout Health.

Nevada has full telehealth parity, which means your insurer must reimburse an online weight loss consultation at the same rate as an in-person appointment. This is not the case in every state, and it matters practically because it removes one of the main financial arguments insurers use to deny telehealth claims. If your plan covers weight loss visits at all, it covers them whether you do the appointment online or in a clinic.

None of the 14 platforms compared here operates as a full primary care practice that bills insurance broadly. Sesame Care comes closest: it accepts insurance for weight loss visits and lets you pay per visit rather than committing to a subscription. If you have insurance and want Wegovy or Ozempic specifically, Ro is worth starting with, since it has infrastructure for navigating brand-name GLP-1 coverage, which requires prior authorization at most commercial plans.

Ro is specifically built around getting you through the insurance process for brand-name medications. If your goal is Wegovy or Ozempic rather than a compounded alternative, Ro's clinical team is experienced at building the documentation needed for prior authorization approvals in Nevada. That process takes longer than just ordering compounded semaglutide, but if your insurance covers it, the medication cost drops dramatically. Nevada Medicaid also covers some GLP-1 medications, though coverage varies by plan and requires a documented diagnosis rather than a general weight loss request. If you are on Medicaid, none of the 14 platforms compared here is confirmed to accept Nevada Medicaid directly, so it is worth a direct call to any platform you are considering to ask about your specific plan before you commit.

Nevada residents can currently access compounded semaglutide, brand Wegovy and Ozempic, compounded tirzepatide, brand Zepbound, liraglutide, phentermine, metformin, and bupropion-naltrexone through telehealth. That is the full range of what is clinically used for weight management right now, and having all of it accessible in-state means you are not missing options that residents in more restricted states have to work around.

The standard clinical threshold for GLP-1 prescribing is a BMI of 30 or higher with no additional conditions, or a BMI of 27 or higher if you have a comorbidity like high blood pressure, type 2 diabetes, or sleep apnea. Most telehealth providers in Nevada follow this threshold.

Compounded semaglutide is available through licensed 503B pharmacies when Wegovy or Ozempic supply is short. This has been the practical reality for much of 2024 and into 2026. The compounded version contains semaglutide, the active ingredient in the brand-name drugs, but is not FDA-approved as a finished product and is not reviewed by the FDA for safety, effectiveness, or quality. Providers like Medvi, Sprout Health, and Shed use this route to keep prices lower and access more predictable. If you want the brand-name product specifically and are paying out of pocket, expect to pay significantly more since Wegovy's list price runs over $1,300 per month before any discounts or insurance.

Tirzepatide, the active ingredient in Zepbound and Mounjaro, is also available in compounded form through several Nevada providers. Clinical trial data suggests tirzepatide produces stronger average weight loss than semaglutide, which is why demand has grown quickly. Providers offering compounded tirzepatide in Nevada include those using 503B pharmacy networks. Ask specifically which pharmacy your provider uses before committing, since the quality and stability of compounded medications vary by compounding facility.

Peter MD holds the top rating in Nevada at 9.5/10. Hims and Strut are both rated 9.4/10. For weight loss specifically, Hims is the more directly relevant of the two since it runs a full weight loss program with compounded GLP-1 medications, while Strut's strongest category is hair loss and custom compounded formulations rather than GLP-1 weight management. If you are choosing between them purely for weight loss, Hims has a more developed program and a better mobile experience.

Medvi rates 9.2/10 and Ro rates 9.3/10, close enough that the small gap does not tell the whole story. Medvi is $299 per month for refills, the most expensive on the list, and its rating shows its doctor-guided model with free dietician visits and care coaching holds up despite the highest price in the state. Ro's 9.3 rating reflects its strength as an insurance-navigation platform rather than a bare-bones cash program. They serve different needs, which is why both rating roughly the same does not mean they are interchangeable.

Hers comes in at 9.1/10 and is the standout option for women in Nevada who want a platform designed around their specific health context. Hers covers weight loss alongside birth control, hair loss, and mental health, which means if you are managing multiple conditions you can consolidate them into one provider. That integration is genuinely useful rather than just a marketing point, since your prescribing physician can see your full picture when adjusting your weight loss plan.

Nevada permits telehealth prescribing of phentermine, which is a controlled substance. This is worth stating clearly because it comes up often in search and the answer varies by state. Some states require an in-person visit before a controlled substance can be prescribed via telehealth. Nevada does not have that restriction in the same way, which means you can complete an evaluation entirely online and receive a phentermine prescription if you qualify.

Phentermine is a short-term appetite suppressant, typically prescribed for 12 weeks or less. It is not a GLP-1 and works through a different mechanism, making it a lower-cost alternative for people who do not qualify for or cannot afford semaglutide. Providers like Peter MD and Sesame Care are set up to handle controlled substance prescriptions via telehealth in Nevada. Not every provider on the list of 14 prescribes phentermine, so if that is specifically what you want, confirm with the platform before starting the intake process.

One practical consideration in Nevada: phentermine is a Schedule IV controlled substance and your prescription will be tracked in the state's prescription monitoring program. This is standard across the country and is not a barrier to getting it, but it does mean you need to be honest about any other controlled medications you are taking during your intake evaluation. Providers will check.

If you want structured support beyond just medication, several Nevada providers build coaching and lifestyle programming into their model.

Sprout Health takes it further by including nutritionist support in its compounded GLP-1 program. If you have been on a GLP-1 before and plateaued, or if you know that medication alone is not enough for you, having a nutritionist embedded in your care plan is meaningful. Sprout holds a 9.0/10 rating. Shed also combines compounded GLP-1 medications with behavioral coaching, which addresses the habit side of weight management that medication alone does not handle.

Peter MD is worth considering if you are a man in Nevada dealing with weight alongside other health issues like low testosterone or ED. It is a physician-led platform that covers TRT, weight loss, hair loss, and ED in one place. The connection between low testosterone and difficulty losing weight is well-documented, and having a provider who can assess all of it together rather than treating each in isolation is a practical advantage. Peter MD's 9.5/10 rating reflects a strong but slightly smaller footprint than the biggest platforms.

Nevada's population is heavily concentrated in Clark County around Las Vegas and Washoe County around Reno, but a significant portion of the state's residents live in rural or semi-rural areas where in-person specialty care is genuinely difficult to access. This is where telehealth weight loss providers deliver the most obvious value. You do not need to drive to a medical weight loss clinic in Las Vegas to get a semaglutide prescription. Every provider on the list of 14 serves you wherever you are in Nevada, as long as you have internet access and a Nevada address.

For rural Nevada residents, the pharmacy fulfillment model matters too. Most of the telehealth providers on this list ship medications directly to your home through partner pharmacies. Medvi, Hims, and Sprout Health all use direct-to-door shipping, which removes the need to find a local pharmacy that stocks compounded GLP-1s. In smaller Nevada cities and towns, that kind of specialized compounded medication may not be sitting on a shelf at a local pharmacy, so the mail-order model is not just convenient but often the only practical option.

Nevada's telehealth infrastructure has also benefited from investments made after 2020. The state expanded its telehealth parity rules and its licensing reciprocity arrangements, which means the pool of physicians authorized to prescribe to Nevada residents is larger than it was even five years ago. That increased physician supply is one reason prices have stayed competitive in the state and why same-week consultations are routinely available across most of the 14 platforms.

Start with whether you have insurance that might cover any part of this. If yes, start your search with Sesame Care, which accepts insurance for weight loss visits, or Ro if your target medication is brand-name Wegovy or Ozempic. Getting even partial coverage can make a $1,300 monthly medication cost manageable, and Nevada's parity law means your insurer cannot penalize you for using telehealth to access it.

If you are paying entirely out of pocket and want the lowest price, HealthRx or Strut at $99 per month is your starting point for compounded semaglutide; Medvi is $299 per month for refills, the top of the Nevada range, if you want free dietician visits and care coaching included. If you are considering tirzepatide instead of semaglutide, compare pricing directly across Sprout Health, Shed, and Hims since tirzepatide tends to run higher. If you want a no-subscription option to test the process first, Sesame Care's pay-per-visit model lets you do a single evaluation without committing to a monthly plan.

If you are a woman and want a platform designed with your broader health in mind, Hers is the Nevada option built for that. If you are a man with multiple intersecting concerns like weight, testosterone, and ED, Peter MD or Hims cover that full picture. None of these platforms require you to visit a clinic in Las Vegas or Reno, and most have consultations available within a few days of signing up.