Weight Loss Telehealth in Tennessee All 14 Providers Compared for 2026

Tennessee residents have access to 14 online weight loss providers in 2026. That is a strong selection compared to many states, and it includes everything from budget compounded semaglutide platforms starting at $99 a month to insurance-navigating services that can get you brand-name Wegovy or Ozempic with your health plan covering most of the cost. Clinic Secret, Nurx, and UrWay Health are not among the 14 platforms compared on this page, so check clinicsecret.com, nurx.com, or urwayhealth.com directly if you want to look into any of them.

The 14 providers available to you in Tennessee are TrimRx, Medvi, Ro, Strut, Shed, Fridays, Eden, HealthRx, Sprout Health, Peter MD, Skinny.Rx, Hers, Hims, and Sesame Care. That range means you have real choices depending on what you need: cheap compounded GLP-1s, insurance billing, lifestyle coaching, or a platform that pairs weight loss with other health concerns like mental health or hormones. This guide breaks down which one fits your situation.

Before getting into specific providers, here is what shapes your options in Tennessee specifically. The state has full insurance parity for obesity treatment, which matters more than people realize. Compounded GLP-1s are legally available through licensed 503B pharmacies, though not for the reason you may have read elsewhere: the Wegovy and Zepbound shortage listings ended in February 2025 and December 2024, and what supports a compounded prescription in Tennessee now is a documented clinical need. Phentermine is available in Tennessee but it is a controlled substance, and not every telehealth platform will prescribe it remotely, so if that is what you are looking for, provider choice matters.

If your main concern is price and you are paying out of pocket, HealthRx and Strut are your cheapest options in Tennessee, both at $99 per month. Medvi runs $299 per month, all-inclusive for the medication, provider visit, and ongoing support, plus free dietician visits and care coaching that the cheaper options do not include. Medvi is rated 9.2 out of 10 and is tagged as the top choice on this list for that combination of care and quality, even though it is the most expensive of the 14 platforms in Tennessee's market.

If you want insurance to cover as much as possible, Ro is the provider most focused on working with insurance for brand-name GLP-1s like Wegovy and Ozempic. Ro is rated 9.3 out of 10 and has built out real infrastructure for insurance navigation, not just a page that says 'we accept insurance.' Given Tennessee's full insurance parity requirement, pushing your insurer to cover these medications is worth attempting before defaulting to cash pay.

If you are new to GLP-1 medications and want something that holds your hand through the process, Shed builds behavioral coaching directly into its program, which makes it a better fit than a bare-bones compounding platform if you want guidance on diet, dosing side effects, and habit changes alongside the medication itself.

If you are a woman and want a platform that connects weight loss to your broader health picture, including mental health, hormones, or hair, Hers is rated 9.1 out of 10 and covers all of those areas. For men who want the same kind of integration across ED, TRT, hair, and weight loss, Hims is rated 9.4 out of 10 and has one of the strongest mobile experiences of any platform available in Tennessee.

In Tennessee in 2026, you can get compounded semaglutide, brand-name Wegovy and Ozempic, compounded tirzepatide, brand Zepbound, liraglutide, phentermine, metformin, and bupropion-naltrexone through telehealth providers. That is a broader medication list than some other states, and it means you have options at every price tier.

Compounded semaglutide is the most common starting point for people paying out of pocket because it costs significantly less than brand-name Wegovy. Platforms like Medvi, Skinny.Rx, Sprout Health, and Shed all offer it in the $149.25 to $299 range per month. Whether a given formulation comes from a 503B outsourcing facility, which is federally registered and inspected, or from a 503A pharmacy working one prescription at a time is worth asking about before you start. Compounded versions became widespread in Tennessee during the FDA-documented shortage of brand-name semaglutide; the FDA declared that shortage resolved in February 2025, so compounding now depends on patient-specific clinical need.

Compounded tirzepatide, the active ingredient in Zepbound and Mounjaro, is also available in Tennessee through several of these platforms. It tends to be slightly more expensive than compounded semaglutide but some people respond better to tirzepatide, so it is worth asking about when you have your intake consultation.

Brand-name Wegovy in Tennessee without insurance runs roughly $1,300 to $1,400 per month at retail. With insurance and a qualifying diagnosis, Tennessee's full parity law means your plan may cover a significant portion. Ro is the platform most equipped to work through that insurance process with you. If your employer plan excludes obesity medications specifically, that is a separate fight, but Tennessee state law requires parity for the treatment category.

Phentermine is a controlled substance, and Tennessee is one of the states where this creates friction in telehealth prescribing. Not every platform on this list will prescribe phentermine remotely. The Ryan Haight Act historically required an in-person visit before a controlled substance could be prescribed via telehealth, though DEA rules on this have been evolving since the COVID-era telehealth expansions.

If phentermine is your target, Sesame Care is one of the more straightforward options because you can book directly with a physician on a pay-per-visit basis, it accepts insurance for weight loss visits, and the marketplace model lets you be explicit about what you are looking for and see which providers handle weight loss specifically.

The clinical threshold in Tennessee for weight loss medication of any kind is a BMI of 30 or higher without a comorbidity, or 27 or higher with a related condition like type 2 diabetes, hypertension, or sleep apnea. Phentermine is typically prescribed short-term, three to twelve weeks, as an appetite suppressant. If you are looking for a longer-term medication program, the GLP-1 options will likely be what your provider recommends anyway.

Tennessee has full insurance parity for weight loss treatment, which puts it ahead of many other states in terms of what your health plan is legally required to cover. In practice, this means that if your plan covers treatment for related conditions like type 2 diabetes or cardiovascular disease, it cannot arbitrarily refuse to cover obesity treatment. This is meaningful if you have been denied coverage for Wegovy or Ozempic and want to appeal.

That said, parity is not a guarantee that every plan covers every medication. Employer-sponsored self-funded plans operate under ERISA and can opt out of certain state mandates, which is a federal carve-out that Tennessee's parity law cannot override. If you are on a fully-insured individual or small group plan through the Tennessee marketplace, parity applies more directly. If you are on a large employer's self-funded plan, check your Summary Plan Description specifically for language about weight management drugs.

Ro has built its intake process around helping you document the clinical case your insurer needs for Wegovy prior authorizations. If you go the insurance route, having a provider that already knows how to submit prior authorizations and handle denials is worth paying for, even if you could theoretically find a cheaper compounded option paying cash.

Here is the honest pricing picture for Tennessee. At the low end, HealthRx and Strut are $99 per month, with Eden ($129), Skinny.Rx ($149.25), Fridays ($150), and Shed ($159) filling the tier just above them. Medvi is the most expensive of the 14 at $299 per month all-inclusive for compounded semaglutide, and that price bundles in free dietician visits and care coaching. The $99 programs are the cheapest meaningful options on the list, and all of these are available to Tennessee residents.

In the mid-range, platforms like Sprout Health and Shed run roughly $200 to $350 per month depending on dosage and program tier. These tend to include more touchpoints: nutritionist access, behavioral coaching, or more frequent check-ins. If you are the kind of person who does better with structure and accountability, the premium over Skinny.Rx or the $99 programs may be worth it.

At the higher end, Ro is oriented toward brand-name GLP-1 prescriptions where the real cost variable is your insurance coverage. If insurance pays, your out-of-pocket could be $0 to $200 per month depending on your plan and any manufacturer copay programs. Without insurance, you are looking at over $1,000 a month for brand Wegovy, which is why most cash-pay patients in Tennessee end up on compounded semaglutide.

Sesame Care offers a pay-per-visit, insurance-accepted model where you can get a weight loss consultation without committing to a subscription. This is useful if you already have a medication in mind and just need a prescription, or if you want to discuss options with a physician before deciding on a long-term program. Sesame Care's transparent pricing model shows you the cost before you book, which is genuinely different from most telehealth platforms.

If you are uninsured or your plan does not cover weight loss treatment, Tennessee's provider selection still gives you solid options at multiple price points. The search term 'cash-based weight loss program Tennessee uninsured' shows up in real search data because this is a genuine concern, and the answer is that compounded GLP-1 programs are specifically designed for this situation.

HealthRx and Strut, at $99 per month, are the most affordable full-service compounded semaglutide options available to Tennessee residents, with Eden, Skinny.Rx, Fridays, and Shed all priced well below Medvi, which runs $299 per month and is the most expensive of the 14. All include the provider consultation and medication in the monthly price. Compare that to the $1,300-plus retail cost of brand Wegovy and the appeal is obvious.

If you want to see an actual physician for a single visit rather than committing to a subscription, Sesame Care lets you pay per visit with transparent pricing shown upfront. This is a good starting point if you want professional guidance on which medication makes sense for you before choosing a platform. Sesame Care also takes insurance if you have any coverage at all, and for uninsured visits its transparent per-visit pricing gives you access to physicians who prescribe weight loss medications.

Documenting that comorbidity, whether it is hypertension, pre-diabetes, sleep apnea, or high cholesterol, in your intake form strengthens your case for the medication regardless of which platform you use.

Tennessee has significant rural population spread across East Tennessee, the Cumberland Plateau, and West Tennessee outside of Memphis. If you live outside Nashville, Knoxville, Memphis, or Chattanooga, in-person access to an obesity medicine specialist is genuinely limited. This is one of the practical cases where telehealth weight loss programs close a real gap, not just a convenience gap.

All 14 providers on this list serve Tennessee statewide, meaning a resident in Cookeville, Clarksville, Jackson, or Johnson City has the same access as someone in Nashville. Medications are shipped to your home through licensed pharmacies, and consultations happen via video or asynchronous questionnaire. For compounded GLP-1 programs especially, there is no reason geography should limit your access.

The one friction point for rural Tennessee residents to know about is that phentermine prescribing, as a controlled substance, may require follow-up in some clinical workflows. If a platform requires an in-person visit at any point in the phentermine prescribing process, that is a harder ask for someone two hours from a major city. GLP-1 medications do not carry that complication, which is another practical reason they dominate telehealth weight loss programs in Tennessee.

The simplest filter is this: do you have insurance that might cover it, or are you paying cash? If insurance is in play, start with Ro and let it assess your coverage. If you are paying cash and want the lowest monthly cost, start with HealthRx or Strut at $99 per month. If you want doctor-guided care with free dietician visits and coaching bundled in and are willing to pay more, Medvi is $299 per month, the top of the Tennessee field. Everything else on the list sits somewhere between those poles.

Second filter: do you want a weight-loss-only platform or does it help to have one place that also handles related issues? Hims covers weight loss, ED, hair, and mental health for men and has a 9.4 out of 10 rating, among the highest on this list. Hers covers weight loss alongside women's health topics with a 9.1 out of 10 rating. If you have more than one health concern you have been meaning to address, a platform that covers multiple areas is more efficient.

Third filter: how much support do you want? Sprout Health includes nutritionist support. Shed includes behavioral coaching. These additions matter for some people and do not for others. If you have tried GLP-1 medications before and know how they work for you, a no-frills platform like HealthRx, Strut, or Skinny.Rx makes sense. If this is your first time and you want someone checking in on your progress, the mid-tier platforms with coaching earn their slightly higher price.

Ratings are close enough across most of these providers that they are not the deciding factor. Strut and Hims are both at 9.4 out of 10, and providers like Medvi, Ro, and Hers are all at 8.8 or 8.9. Focus on the filters above rather than trying to choose based on fractional rating differences.