This matrix summarizes how each state generally treats asynchronous, clinician-reviewed lipid management for non-controlled preventive care. Educational summary only — not legal advice — and always confirm current rules before onboarding a patient.
Alabama Board of Medical Examiners generally requires a real-time audiovisual encounter to establish the physician-patient relationship before prescribing.
Async permitted for non-controlled therapies when a licensed Alaska physician reviews the case and meets the standard of care.
Arizona expressly recognizes asynchronous telehealth; a physician may establish care via store-and-forward review for non-controlled preventive care.
Arkansas Medical Board historically requires a real-time visit (audio-only permitted in narrow cases) to establish the physician-patient relationship.
California permits asynchronous store-and-forward telehealth; the treating physician must be California-licensed and must meet the same standard of care as in-person.
Colorado allows store-and-forward telehealth for non-controlled prescribing when standard of care is met.
Connecticut permits telehealth including asynchronous modalities where appropriate; controlled substances are restricted.
Delaware Board of Medical Licensure & Discipline generally requires a live interactive encounter to establish the relationship.
DC permits store-and-forward telemedicine when standard of care is met by a DC-licensed clinician.
Florida telehealth statute permits asynchronous encounters for non-controlled prescribing when standard of care is met.
Georgia Composite Medical Board permits telemedicine including asynchronous review where a documented physician-patient relationship exists and standard of care is met.
Hawaii recognizes store-and-forward telehealth by statute.
Idaho Board of Medicine generally requires a synchronous encounter to establish the physician-patient relationship for prescribing.
Illinois telehealth statute recognizes asynchronous modalities; standard of care must be met.
Indiana permits telemedicine including store-and-forward review with an established or clearly documented physician-patient relationship.
Iowa Board of Medicine permits telemedicine including asynchronous modalities when standard of care is met.
Kansas Telemedicine Act permits telemedicine and store-and-forward when standard of care is met.
Kentucky Board of Medical Licensure generally requires a live encounter to establish the relationship for prescribing.
Louisiana State Board of Medical Examiners generally requires a synchronous visit to establish the relationship for prescribing.
Maine recognizes store-and-forward telehealth and asynchronous review.
Maryland Board of Physicians permits telehealth including asynchronous review with standard of care.
Massachusetts telehealth statute recognizes asynchronous store-and-forward modalities.
Michigan permits telehealth including asynchronous encounters when standard of care is met.
Minnesota Telehealth Act includes store-and-forward transfers as a covered modality.
Mississippi State Board of Medical Licensure generally requires a live encounter to establish care before prescribing.
Missouri permits telemedicine and asynchronous review with an appropriately documented physician-patient relationship.
Montana Board of Medical Examiners recognizes store-and-forward telemedicine.
Nebraska permits telehealth including asynchronous encounters for non-controlled prescribing.
Nevada recognizes asynchronous telehealth for non-controlled preventive care.
New Hampshire permits telemedicine including asynchronous review; the treating clinician must meet standard of care.
New Jersey generally requires an initial synchronous encounter (audio-only permitted in limited cases) before prescribing.
New Mexico Medical Board recognizes store-and-forward telemedicine.
New York permits asynchronous telehealth encounters when standard of care is met.
North Carolina Medical Board generally expects a real-time encounter to establish the physician-patient relationship.
North Dakota permits telemedicine including asynchronous review when standard of care is met.
Ohio State Medical Board permits telehealth including asynchronous review for non-controlled prescribing.
Oklahoma permits telemedicine; async review is generally acceptable for non-controlled preventive care when standard of care is met.
Oregon Medical Board recognizes store-and-forward telemedicine.
Pennsylvania permits telemedicine including asynchronous review; the treating clinician must document the physician-patient relationship.
Rhode Island permits telemedicine including asynchronous encounters with standard of care.
South Carolina Telemedicine Act generally requires a real-time encounter to establish care, with narrow exceptions for asynchronous review by an established provider.
South Dakota permits telehealth including asynchronous review for non-controlled prescribing.
Tennessee permits telemedicine including store-and-forward review with a properly documented physician-patient relationship.
Texas permits asynchronous telemedicine when the physician has access to relevant clinical information and meets standard of care.
Utah Telehealth Act recognizes asynchronous store-and-forward encounters.
Vermont recognizes store-and-forward telemedicine.
Virginia Board of Medicine permits telemedicine including asynchronous review for non-controlled prescribing.
Washington recognizes asynchronous telehealth by statute.
West Virginia Board of Medicine generally requires a live audiovisual encounter to establish the relationship for prescribing.
Wisconsin recognizes telehealth including asynchronous review for non-controlled prescribing.
Wyoming permits telemedicine including store-and-forward review with standard of care.
Informational summary of public policy statements compiled by My Heart Spark, PC. Rules change frequently. Not legal advice.
