Weight Loss Telehealth in Ohio 2026 14 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 14 active options, ranging from pure weight loss specialists like Medvi and Sprout Health to broader platforms like Hims and Hers that can also handle your hair loss, ED, or mental health needs 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 $99 per month through HealthRx or Strut when the same category of medication runs $250 or more on some national platforms. Medvi, at $299 per month after a $179 first month, sits at the top of the ladder but bundles free dietician visits and care coaching into that price.

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, 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 is 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. Peter MD and Sesame Care, both of which operate more like traditional scheduled telehealth visits than an async-only specialist, are more likely to have this pathway than a GLP-1-only specialist like Medvi or Shed.

Price varies enormously across these 14 providers, and the range is wide enough that it pays to understand what you are comparing. HealthRx and Strut are the lowest-cost options for compounded semaglutide in Ohio, both at $99 per month. Medvi runs $299 per month after a $179 first month, all-inclusive for the medication, the physician consult, and ongoing management, plus free dietician visits and care coaching that the cheaper options do not include. For a state where 36.9% of adults are affected by obesity and many are paying out of pocket, having options across that price range is meaningful.

Skinny.Rx is cheaper than Medvi too, at $149.25 per month, though it has far fewer reviews. 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.

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. Sesame Care also accepts insurance directly for weight loss medications, so your out-of-pocket cost there can depend on your plan's coverage instead of a flat per-visit rate.

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 Sesame Care and Ro 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, which has 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, HealthRx or Strut at $99 per month is the clearest answer. If you want doctor-guided care with free dietician visits and coaching bundled in, Medvi is $299 per month, after a $179 first month, at a 9.2 rating. The experience is no-frills beyond that coaching, but if you want the medication and a physician to manage your dose, Medvi delivers that.

If you are new to weight loss medication and want more hand-holding, Sprout Health includes nutritionist support specifically, which is useful if you want dietary guidance alongside the medication.

If you have insurance and want brand-name Wegovy, start with Ro. Ro is rated 9.3 and has the broadest infrastructure for insurance navigation across GLP-1 medications.

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.

This threshold applies whether you are using a specialist like Medvi or a broader platform like Hims.

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: $99 to $299 per month depending on the provider you choose, 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.

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 to discuss these oral options can be a low-cost starting point.

Looking across the 14 providers available to Ohio residents, Peter MD leads the ratings at 9.5, with Hims and Strut close behind, tied at 9.4. 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.

Ro comes in at 9.3, and Medvi follows close behind at 9.2. 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 9.1 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 sits at 9.1 and Shed at 9.0, close but not tied. 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. Skinny.Rx rounds out the lower end of the rating range at 9.0, focused on straightforward, budget-priced compounded semaglutide rather than the added coaching or multi-condition care other platforms offer.

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 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 has staff to handle this, which is part of why people pay for that platform 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 Shed, are banking on the evidence that combining medication with structured lifestyle support produces better long-term outcomes.