Get It Prescribed is available in all 50 U.S. states and the District of Columbia. In every state we serve, the type of provider visit you'll have depends on that state's telehealth rules: some require a live, real-time video or phone visit (a synchronous consult) before a prescription can be issued, while others allow a provider to review your written intake on their own schedule (an asynchronous consult) — though a provider can still request a live visit if needed.

Why state matters for telehealth

Providers must be licensed in the state where you are located when you receive care, and each state legislature and medical board sets its own telehealth rules. That's why availability and consult requirements aren't uniform across the country — they follow state law, not a single national standard. You can see the full state-by-state breakdown on the availability and state availability pages. For how cross-state licensing works legally — whether a provider in another state can prescribe for you at all — see can a doctor prescribe out of state.

Synchronous vs. asynchronous consults

| Consult type | What it involves | Example states | | --- | --- | --- | | Synchronous (live) | Real-time video or phone visit with the provider before prescribing | Alabama, Arkansas, Delaware, Georgia, Idaho, Indiana, Kentucky, Louisiana, Maine, Mississippi, South Carolina | | Asynchronous (written) | Provider reviews your written health history and intake on their own schedule; a live visit may still be requested | California, New York, Texas, Florida, and most other available states |

Neither path skips the clinical review — the difference is whether that review happens live or through written intake. Either way, a licensed provider evaluates your information before any prescribing decision, consistent with the screening standards described on Our Standards.

Nationwide coverage

The service is now available in all 50 states and the District of Columbia, including Kansas. Coverage being nationwide does not mean the rules are the same everywhere: your state still determines whether the provider must conduct a live visit or may review your written intake, and it never means a prescription is guaranteed.

What determines your consult type

Your state of residence at the time you request care — not where you're temporarily traveling — determines which consult type applies and whether a prescription can be shipped to you. If you move, your address on file should be updated so future requests reflect your new state's rules.

What this means for your visit

If your state requires a synchronous consult, plan to be available for a scheduled video or phone call with your provider before a prescribing decision is made. If your state allows an asynchronous review, you'll complete a written how it works assessment, and a provider reviews it without a scheduled call — though they may reach out if they need more information. In both cases, the provider decides independently whether a prescription is appropriate; availability in your state does not guarantee an approval.

Checking current availability

Because telehealth regulations change over time, the most accurate source is the live list on the availability page, which is kept current with each state's consult requirement. If you're deciding between medications while you check your state's rules, the ivermectin and mebendazole pages describe labeled uses independent of location.

Related questions

Does my state's consult type affect the medication I can get?

No. The synchronous-versus-asynchronous distinction is about how the provider conducts the clinical review, not which medications are available. What you're prescribed, if anything, depends on the provider's clinical assessment, not your state's consult format.

Can I be treated if I'm traveling outside my home state?

Generally, care is based on the state where you are located when you complete the assessment and where the medication will be delivered, since that determines which provider license and state rules apply. If you're unsure, contact support before starting an assessment while traveling.

Will I know in advance if my state requires a live visit?

Yes. The availability page lists every state and marks whether it requires a synchronous or asynchronous consult, so you'll know what to expect before you begin.

Is Kansas available?

Yes. Kansas is now served along with every other state and the District of Columbia. The availability page lists each state with its applicable consult type.

Sources

• PMC — Expiration of State Licensure Waivers and Out-of-State Telemedicine Relationships — explains how state-based physician licensing shapes telehealth availability.
• PubMed — Reforming Physician Licensure in the United States to Improve Access to Telehealth — abstract on how state licensure requirements affect interstate telehealth access.
• PMC — Regulation and Compliance in Telemedicine: Viewpoint — overview of telemedicine regulatory variation across jurisdictions.