Only 13 of 24 GLP‑1 telehealth programs ship to all 50 states

Of the 29 online GLP-1 programs listed here, 24 publish a state coverage list we can verify. 13 of those — 54.2% — cover all fifty.1 The remaining 11 do not, and the median program covers 50 states. Coverage was last re-verified 7 October 2026.

8 programs cover between 45 and 49 states, 2 cover 40 to 44, and 1 cover fewer than 40.1 Nearly every partial program is partial by a handful of states. A shopper reading "nationwide" on a homepage and living in one of those states will not discover the gap until checkout, which is the practical reason this figure is worth publishing at all: the difference between 50 and 48 is invisible in marketing copy and total for the person in state 49.

Add up what the 11 partial programs are missing and it comes to 47 program-and-state combinations a customer cannot buy — an average of 4.3 states each.1 2 programs are one state short of the full fifty and 8 are within five. The shortfall is thin and wide rather than deep: it is many programs missing a few states, not a few programs missing many.

A coverage list answers whether the program will send medication to an address. It does not say who wrote the prescription, whether that clinician is licensed in the destination state, or whether the program serves it through a partner network rather than its own clinicians.1 We record the shipping claim because it is the claim programs publish and the one we can verify; the clinical arrangement behind it is usually not published at all.

The complete list, so the count can be checked rather than taken on trust. Names link to the page for that record where one is published.

This is the one statistic on this section that is not computed from a federal file, and the sources list says so. The count comes from the glp1.health Check: we read each program's own published coverage — its state list, its checkout, its terms — record the number of states and the date we read it, and re-read every week.1

A program with no publishable coverage list is left out of the denominator rather than assumed to be national. That is why 24 of 29 listed programs appear here.

Coverage changes without announcement. A program adds a state when a licence clears and drops one when it does not; the figure carries its verification date for that reason, and a reader checking a specific state should check it against the program on the day.

Each of these changes what the figure means. They are numbered so a quotation can name the one it breaks.

1. Coverage counts are as published by each program and verified on the date shown; providers add and drop states without notice.
2. Shipping to a state is not the same as prescribing in it: some programs serve a state through partner clinicians only.
3. The denominator is the programs tracked on this site, not every GLP-1 seller in the United States.