Weight Loss Telehealth in Vermont All 14 Providers Compared for 2026

Vermont residents have access to 14 weight loss telehealth providers as of 2026. That is a strong selection compared to many smaller states, and it means you have real choices across price points, medication types, and care models. Three providers that operate in other states do not serve Vermont at all: Clinic Secret, Nurx, and UrWay Health. If you have seen any of those names in your research, they are not options for you, and you should not spend more time on them.

The 14 providers that do serve Vermont are TrimRx, Medvi, Ro, Strut, Shed, Fridays, Eden, HealthRx, Sprout Health, Peter MD, Skinny.Rx, Hers, Hims, and Sesame Care. These range from budget compounding-focused platforms to full-service primary care practices that take insurance. The fact that you have all 15 available is genuinely useful because Vermont's rural geography means that in-person weight loss specialists are not always within a reasonable drive, especially if you live outside Burlington or Montpelier.

If your top priority is the lowest monthly cost, Medvi is not the answer - HealthRx and Strut are, both from $99 per month, followed by Eden at $129, Skinny.Rx at $149.25, and Fridays at $150 on a prepaid plan. Medvi is rated 9.2 out of 10 and is listed as the top choice on this comparison for what it includes, not for being the cheapest: its compounded semaglutide runs $299 per month all-inclusive on refills, after a $179 first month, meaning the consultation, medication, free dietician visits, care coaching, and follow-up care are all bundled. For Vermont residents without insurance coverage for GLP-1 medications, even Medvi's $299 is meaningfully lower than what you would pay out of pocket for brand-name Wegovy at a traditional clinic.

If you want help getting brand-name Wegovy or Ozempic covered through insurance, Ro is the provider to look at first. Ro has built specific workflows around insurance navigation, prior authorization support, and appeals, which matters in Vermont because Wegovy coverage through commercial plans here is inconsistent. Some Blue Cross and MVP plans in Vermont cover it with prior auth, others do not, and Ro's team is experienced with that process. Their rating is 9.3 out of 10.

If you are newer to GLP-1 medications and want more hand-holding, Shed and Sprout Health are worth comparing. Both include lifestyle coaching and nutrition guidance with their compounded GLP-1 programs, which can help with the dietary adjustments that make semaglutide work better. For someone in Vermont who has never used a weight loss telehealth platform before, the additional coaching layer makes the learning curve easier.

Vermont has a broad medication menu for weight loss compared to some states. Through telehealth providers serving Vermont, you can access compounded semaglutide, brand-name Wegovy, brand-name Ozempic, compounded tirzepatide, brand-name Zepbound, liraglutide, phentermine, metformin, and bupropion-naltrexone. That covers the full range from newer GLP-1 injectables down to older oral medications.

Compounded semaglutide is available in Vermont through licensed 503B outsourcing facilities, which are federally regulated compounding pharmacies. Compounding became an option because Wegovy and Ozempic fell into shortage, and 503B facilities may produce compounded versions while the FDA recognizes one. The FDA has recognized no semaglutide shortage since February 2025, so access through Vermont telehealth providers in 2026 rests on a clinical need documented for you, and it is still the lower-cost path if you are paying out of pocket.

Phentermine is a controlled substance and Vermont does follow federal telehealth prescribing rules that require a valid provider-patient relationship. Most of the 14 telehealth providers that serve Vermont can prescribe phentermine after a clinical evaluation, but you should confirm with your chosen provider before assuming. Metformin and bupropion-naltrexone are non-controlled and easier to obtain through telehealth. Tirzepatide, whether compounded or brand-name Zepbound, tends to cost more than semaglutide but produces stronger average weight loss outcomes in clinical data, so if budget is not the limiting factor, it is worth asking your provider about eligibility.

The price range across Vermont's 14 providers is wide. On the affordable end, HealthRx and Strut start at $99 per month for compounded semaglutide with everything included, the lowest price points available to Vermont residents right now, followed by Eden ($129) and Fridays ($150 on a prepaid plan), with Ro at $223 once its $74 membership is added to its $149 medication price. Skinny.Rx also offers budget compounded semaglutide at $149.25 per month with a rating of 9 out of 10. Medvi, at $299 per month on refills after a $179 first month, sits above all of these but bundles in free dietician visits and care coaching. At the other end, if you go through an insurance-accepting platform like Sesame Care, your monthly cost could be very low if your plan covers the consultation and medication, but brand-name Wegovy without coverage can run $1,300 to $1,500 per month retail.

Sprout Health and Shed sit in a mid-to-upper tier range, offering compounded GLP-1s with added nutrition and coaching services that justify a higher monthly price than the budget options above. Sesame Care works differently from most of these providers because it is a pay-per-visit marketplace rather than a subscription. If you want a single consultation with a Vermont-available physician to get a prescription written and then manage it yourself, Sesame Care can be the cheapest way to do just that initial step.

The clinical threshold for GLP-1 prescriptions is a BMI of 30 or higher without a comorbidity, or 27 or higher if you have a documented condition like type 2 diabetes, hypertension, or sleep apnea. Vermont telehealth providers follow these same federal prescribing standards. You will complete an intake form and usually a short video or asynchronous consultation, and the provider determines eligibility based on your reported health information. Most approvals for eligible candidates happen within 24 to 48 hours.

Vermont expanded Medicaid under the ACA, and the state's Green Mountain Care Board has historically pushed for broader coverage mandates. Vermont Medicaid does cover mental health services for the expanded population, and there has been ongoing pressure to expand GLP-1 coverage for low-income Vermonters, but as of 2026 Medicaid coverage for Wegovy specifically for weight loss in Vermont remains limited. If you have Vermont Medicaid and a type 2 diabetes diagnosis, you have a stronger case for Ozempic coverage through the diabetes indication, and Ro's insurance-navigation team is well set up to work through that process.

For commercial insurance in Vermont, coverage for Wegovy varies by plan. Vermont's larger carriers, including Blue Cross Blue Shield of Vermont and MVP Health Care, have different formulary structures, and some employer-sponsored plans that operate in Vermont through national carriers like Aetna or UnitedHealthcare may have broader GLP-1 coverage than the state's local plans. Sesame Care and Ro are the two telehealth providers in Vermont most prepared to work with commercial insurance, either through direct billing or through the prior authorization process. If you have coverage and want to use it, start with one of those two.

If you have no insurance or your plan does not cover weight loss medications, you are likely looking at the cash-pay compounding market. HealthRx and Strut, at $99 per month all-inclusive, are the lowest-cost options in Vermont for that situation, with Skinny.Rx close behind at $149.25 and Medvi, at $299 on refills after a $179 first month, adding free dietician visits and care coaching. GoodRx and similar discount programs generally do not bring brand-name GLP-1 costs down to competitive levels, so for uninsured Vermont residents, compounded semaglutide through one of the lower-cost telehealth platforms is the practical path.

Vermont is the second-least densely populated state in the country. If you are in Caledonia County, Essex County, or the Northeast Kingdom more broadly, driving to a weight loss specialist in Burlington or St. Johnsbury is not a small ask. The same applies to much of Windham and Bennington counties in southern Vermont. Telehealth removes the geographic barrier entirely, and for GLP-1 medications that require monthly check-ins and dose adjustments, being able to do those visits from your home matters more than it does for a one-time prescription.

Vermont's winters also make routine medical appointments genuinely harder to keep from October through March. A telehealth weight loss program means your care does not get interrupted because Route 2 is closed or you have two feet of snow in the driveway. The providers available in Vermont all operate asynchronously or via video, and most can complete follow-up dose adjustments based on a brief questionnaire. For a state where 60 percent of the population lives in rural or semi-rural areas, that continuity is not a minor convenience. It is the difference between staying on a medication protocol and abandoning it after the first winter disruption.

Most Vermont telehealth providers lead with compounded semaglutide because it is the lower-cost option and has the longest clinical track record. Medvi, Skinny.Rx, Sprout Health, Shed, and others all offer compounded semaglutide as their primary weight loss medication. The average weight loss in clinical trials for semaglutide runs around 15 percent of body weight over 68 weeks when combined with lifestyle changes.

Tirzepatide, the active ingredient in Zepbound and Ozempic's successor in some ways, works on both GLP-1 and GIP receptors and has shown average weight loss of around 20 to 22 percent in trials. Compounded tirzepatide is available through some Vermont telehealth providers, but not all. If tirzepatide is your goal, ask Ro or Sprout Health directly whether they currently offer it for Vermont patients. The price for compounded tirzepatide is higher than compounded semaglutide, typically starting around $250 to $350 per month depending on dose, but it may produce meaningfully better results for some people. If you have been on semaglutide without adequate response, tirzepatide is worth discussing with your telehealth provider as a step up.

Start with one question: are you trying to use insurance or pay out of pocket? If you want to use insurance, your shortlist should be Ro and Sesame Care. Ro's insurance-navigation team is the better fit if you want help building a coverage case under a diabetes indication for Ozempic, while Sesame Care accepts insurance directly for the weight loss visit itself, which makes it the more straightforward option if your plan is accepted.

If you are paying out of pocket, sort by price and support level. HealthRx and Strut are the cheapest, at $99 per month, followed by Eden, Skinny.Rx, Fridays, and then Ro at $223 all-in; Medvi, at $299 on refills after a $179 first month, is the most expensive of the 14 but bundles in free dietician visits and care coaching. Sprout Health and Shed add nutrition and behavioral coaching for a moderate price increase. Ro sits at a higher price point in the cash-pay market but offers broader treatment coverage if you also want to address other conditions. Hims and Hers are both worth considering if you want a platform with strong mobile experience and a broad range of treatments, since weight loss is one of several categories they cover.

Do not overlook Sesame Care if you want maximum flexibility. Because Sesame is a pay-per-visit marketplace rather than a subscription, you can see a provider once and get a prescription without committing to a monthly plan. That can be the cheapest path if you are comfortable managing the process yourself. It requires more initiative than a managed subscription service, but for Vermonters who are comfortable self-directing their care, the per-visit model can undercut even Medvi's monthly pricing for the first few months.

The intake process for all 14 Vermont-available providers is similar. You complete an online health history form covering your weight, height, medical history, current medications, and any comorbidities. Most platforms then route you to an asynchronous review by a licensed provider, which in Vermont means a physician, nurse practitioner, or physician assistant licensed in the state. Some platforms offer video consultations, others work entirely through secure messaging. Either meets Vermont's telehealth prescribing standards.

Once approved, your medication ships from a licensed pharmacy to your Vermont address. Compounded semaglutide and tirzepatide come as injectable pens, and all the platforms that offer them provide injection instructions, either through written guides or short video tutorials. The starting dose for semaglutide is typically 0.25mg weekly, escalating over several months to a maintenance dose of 1mg or 2.4mg depending on the protocol and your response. You do not need to visit a clinic or have blood drawn before starting in most cases, though some providers recommend baseline labs, which you can order through your existing Vermont primary care provider or through a lab service.