Weight Loss Telehealth in Ohio 2026 15 Providers Compared, Ranked, and Priced

Every single provider on this list serves Ohio residents in 2026. That puts Ohio in a strong position compared to states like Montana or Wyoming, where several platforms simply do not operate. You have 15 active options, ranging from pure weight loss specialists like Medvi and Sprout Health to broader primary care platforms like PlushCare and Sesame Care that can also handle your annual physical or a mental health prescription in the same account.

Three providers you might have seen mentioned elsewhere do not serve Ohio at all: Clinic Secret, Nurx, and UrWay Health. If you landed on one of those sites and entered an Ohio zip code, you would have hit a wall. Set those aside entirely and focus on the 15 that are actually available to you.

Ohio's obesity rate sits at 36.9%, which is one reason why the weight loss telehealth market here is competitive and well-supplied. That competition works in your favor. Providers are actively pricing against each other for Ohio subscribers, which is why you can find compounded semaglutide at $149 per month through Medvi when the same category of medication runs $250 or more on some national platforms.

Ohio providers can prescribe the full range of weight loss medications available in the US right now. That includes compounded semaglutide, brand-name Wegovy and Ozempic, compounded tirzepatide, brand Zepbound, liraglutide, phentermine, metformin, and bupropion-naltrexone. Not every platform offers all of these, so your medication preference should influence which provider you choose.

Compounded semaglutide and tirzepatide deserve a direct explanation because there is a lot of confusion about them. When brand-name supply of Wegovy or Zepbound is constrained, the FDA allows licensed 503B compounding pharmacies to produce versions of those medications. Ohio-based telehealth providers work with these pharmacies, which is how Medvi, MyStart Health, Sprout Health, Shed, and Skinny.Rx can offer semaglutide at significantly lower price points than the brand-name list price of over $1,000 per month. The compounded versions are not FDA-approved finished drugs themselves, but they come from federally registered facilities and go through quality testing. If you want the actual Novo Nordisk Wegovy pen and are willing to navigate insurance, Ro and Henry Meds are set up specifically to help with that.

Phentermine is a controlled substance, and this is one area where Ohio's telehealth rules matter. Ohio does allow telehealth prescribing of controlled substances under the DEA's current rules, but not every platform handles it. If phentermine is specifically what you want, confirm with the platform before signing up. PlushCare and Sesame Care, both of which operate as general primary care telehealth services, are more likely to have this pathway than a GLP-1-only specialist like Medvi or Shed.

Price varies enormously across these 15 providers, and the range is wide enough that it pays to understand what you are comparing. Medvi is the lowest-cost option for compounded semaglutide in Ohio at $149 to $199 per month, all-inclusive. That price covers the medication, the physician consult, and ongoing management. There are no separate visit fees layered on top. For a state where 36.9% of adults are affected by obesity and many are paying out of pocket, that pricing is meaningful.

Skinny.Rx is also in the budget tier and targets the same audience, though it has far fewer reviews than Medvi. MyStart Health is a step up in price but includes lifestyle coaching, which some people find worth the additional monthly cost. Sprout Health adds nutritionist support, which again shifts the value calculation depending on what you actually want from the program.

On the higher end, Ro is built for people who want brand-name Wegovy or Ozempic and need help making insurance work. The monthly cost through Ro depends heavily on your insurance situation. If your plan covers Wegovy, Ro can help you access it for your standard specialty copay. If you are paying out of pocket for brand-name Wegovy without any manufacturer coupon or insurance, you are looking at well over $1,000 per month, which is why most Ohio residents without insurance coverage end up on the compounded semaglutide pathway instead. Henry Meds takes a similar insurance-navigation approach and works directly with insurers on GLP-1 access.

For a completely different pricing model, Sesame Care charges per visit with no subscription. If you want a one-time consultation to get a phentermine prescription renewed or discuss metformin for weight management alongside your diabetes care, Sesame can be cheaper than committing to a monthly plan. PlushCare takes insurance, so your out-of-pocket cost there depends entirely on your plan's telehealth copay structure.

Ohio has full telehealth insurance parity. That means your insurance company is legally required to reimburse a telehealth visit at the same rate as an equivalent in-person visit. This is not the case in every state, and it gives Ohio residents a real advantage when working with providers like PlushCare, Ro, and Henry Meds that are set up to bill insurance.

What parity does not fix is the medication coverage gap. Most Ohio insurance plans, including many employer-sponsored plans, still do not cover Wegovy for obesity even though they might cover Ozempic for the same medication in a diabetic patient. This is a national problem, not an Ohio-specific one, but it shapes the decisions you will make. If you have a diagnosis of Type 2 diabetes, your path to covered semaglutide is considerably clearer than if you are treating obesity alone.

Ohio Medicaid does cover telehealth visits at parity, consistent with the state's overall parity rules. However, GLP-1 medications for weight loss are rarely covered by Medicaid regardless of state, and Ohio is not an exception to that pattern. If you are on Medicaid and pursuing weight loss medication, the compounded semaglutide route through Medvi or Sprout Health at a fixed monthly cash price is likely your most practical path. Metformin and bupropion-naltrexone are also much cheaper and more likely to have some coverage pathway depending on your specific plan.

For Ohio residents with commercial insurance who want to pursue brand-name GLP-1s, the most practical move is to start with Ro or Henry Meds, which have the infrastructure to run insurance checks and handle prior authorization. Prior auth for Wegovy is common and can take several weeks, so building that into your timeline expectations matters.

If you are uninsured or paying out of pocket and want the lowest monthly cost on compounded semaglutide, Medvi is the clearest answer. At $149 to $199 per month all-inclusive and with 33,200 verified reviews at an 8.9 rating, it is both affordable and well-established. The experience is no-frills, meaning you are not getting extensive coaching, but if you want the medication and a physician to manage your dose, Medvi delivers that without extras you may not need.

If you are new to weight loss medication and want more hand-holding, MyStart Health is tagged as best for beginners for a reason. It combines all-inclusive GLP-1 pricing with lifestyle coaching, and its 8.6 rating from 21,600 reviews suggests it is doing that well. Sprout Health is a similar option with nutritionist support specifically included, which is useful if you want dietary guidance alongside the medication.

If you have insurance and want brand-name Wegovy, start with Ro or Henry Meds. Ro is rated 8.9 and has the broadest infrastructure for insurance navigation across GLP-1 medications. Henry Meds has a slightly narrower focus on diabetes and weight loss but works directly with insurers and has a strong track record on Ozempic and GLP-1 access specifically.

If you want tirzepatide specifically, the compound version is available through several Ohio-active platforms. Sprout Health and Shed both offer compounded GLP-1 programs where tirzepatide is part of the menu. Medvi also covers tirzepatide within its weight loss offerings. Brand Zepbound requires the same insurance navigation as Wegovy, so Ro is again a reasonable starting point if that is your goal.

If you prefer not to subscribe monthly, Sesame Care's pay-per-visit structure is worth considering. You pay for the consultation, get the prescription sent to a pharmacy, and fill it there. This works particularly well for medications like metformin or phentermine where the medication itself is inexpensive and you just need a provider to prescribe it.

The standard clinical threshold that Ohio telehealth providers use mirrors the national guideline: a BMI of 30 or higher qualifies you without any additional conditions. If your BMI is between 27 and 29.9, you qualify if you have at least one weight-related comorbidity, meaning conditions like high blood pressure, Type 2 diabetes, high cholesterol, or sleep apnea. This threshold applies whether you are using a specialist like Medvi or a general care platform like PlushCare.

Every provider in Ohio requires you to complete a medical intake before prescribing. This is not optional and it is not bureaucratic filler. The intake exists because GLP-1 medications have contraindications, including a personal or family history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2. A good intake process screens for these, and any Ohio provider worth using will take that seriously.

Ohio's 36.9% obesity rate means a large share of the state's adult population does meet the clinical threshold for these medications. If you are uncertain whether you qualify, most platforms let you complete the intake without a fee and will tell you whether a prescription is appropriate before you pay for anything.

A significant portion of Ohio residents searching for weight loss medication online are doing so because they are uninsured or their insurance does not cover GLP-1 drugs. This is genuinely common and the cash-pay market in Ohio is well-developed. You are not limited to a bad selection just because you are paying out of pocket.

The compounded semaglutide pathway is where most uninsured Ohio residents land, and it is not a compromise. Compounded semaglutide from a licensed 503B pharmacy contains semaglutide, the active ingredient in Wegovy, though it is not FDA-approved and is not reviewed by the FDA for safety, effectiveness, or quality. The price difference is substantial: $149 to $199 per month through Medvi versus $1,000 or more for brand Wegovy without coverage. For a long-term treatment that you may be on for a year or more, that math adds up quickly.

Medvi and Skinny.Rx are both positioned explicitly for the cash-pay market with straightforward monthly pricing. Shed and Sprout Health are slightly higher in cost but include more support services, which can be worth it if accountability and coaching are part of what you need to stay on track. MyStart Health's all-inclusive pricing also works well for cash-pay since you know exactly what you are spending each month with no surprise add-ons.

Metformin and bupropion-naltrexone are worth mentioning as a different tier of cash-pay option. These medications are not GLP-1s, but they have legitimate weight loss evidence behind them and cost a fraction of semaglutide. Metformin in particular is extremely inexpensive at most Ohio pharmacies. If your BMI is in the 27 to 30 range and you are not sure you want to start with injectable medication, a consultation through Sesame Care or PlushCare to discuss these oral options can be a low-cost starting point.

Looking across the 15 providers available to Ohio residents, Hims and Strut are tied at the top with a 9.0 rating, though Hims has a much larger review base at 34,200 compared to Strut's 38,500. Hims covers weight loss alongside ED, hair loss, and mental health, so it makes more sense if you want one platform for multiple concerns. Strut is more of a compounding pharmacy-backed platform and is better known for its custom formulations in hair loss and men's health than for weight loss specifically.

Medvi and Ro both hold an 8.9 rating. For weight loss specifically, Medvi's rating is earned entirely within the weight loss category since that is all it does, whereas Ro's rating spans a broader platform. Hers, the women's health counterpart to Hims, sits at 8.8 and is relevant for Ohio women who want a weight loss program within a platform that also handles birth control, hair loss, and mental health.

Eden and Shed are both at 8.7. Eden is more focused on men's health and ED, so its relevance to weight loss is secondary. Shed, by contrast, is a dedicated weight loss platform with behavioral coaching built in, making it one of the more focused choices for Ohio residents who want that combination specifically. Peter MD at 8.4 and Ivim Health at 8.0 round out the lower end of the rating range, with Ivim being particularly focused on TRT and metabolic health rather than GLP-1-based weight loss.

Most Ohio residents starting a GLP-1 program through any of these platforms go through the same basic sequence. You complete a medical intake online, sometimes with uploaded lab results or a photo ID verification. A licensed provider reviews your intake, usually within 24 to 48 hours, and either approves a prescription or follows up with questions. The prescription goes to a pharmacy, either a compounding pharmacy mailed directly to you or a retail pharmacy near you.

Compounded semaglutide programs like Medvi, Sprout Health, and Shed typically mail the medication to your Ohio address. This is convenient but means your first shipment arrives 5 to 10 days after approval. Most programs start you at a low dose to minimize side effects like nausea, and the dose increases over the first several months. Expecting to lose significant weight in month one is unrealistic. The first month is about tolerating the medication and establishing the routine.

If you are pursuing brand-name Wegovy through Ro or Henry Meds and going through insurance, the first month involves the prior authorization process in addition to everything above. Prior auth can take two to four weeks depending on your Ohio insurer and your diagnosis. If it is denied, your provider can appeal. Ro and Henry Meds both have staff to handle this, which is part of why people pay for those platforms versus simply calling their own doctor.

Trial results are reported at 68 to 72 weeks, not at three months, so there is no sourced three-month figure to quote. In the STEP 1 trial average weight loss on semaglutide was 14.9 percent of body weight over 68 weeks, and in SURMOUNT-1 it reached 20.9 percent on tirzepatide over 72 weeks (individual results vary). How quickly any of that shows up for you is a question for your prescriber. Ohio providers offering behavioral coaching, like MyStart Health and Shed, are banking on the evidence that combining medication with structured lifestyle support produces better long-term outcomes.