The best telehealth platforms for med spas in 2026

Any prescription treatment does. A good-faith exam, or GFE, is the evaluation a licensed prescriber performs before a prescription drug is ordered or a medical procedure is delegated to staff. California writes it into law: under Business and Professions Code section 2242, prescribing a dangerous drug without an appropriate prior examination and a medical indication is unprofessional conduct, and the statute says that exam need not be synchronous and may use telehealth, including self-screening tools or questionnaires, when the standard of care is met. In California an RN may inject a neurotoxin or filler only under a supervising physician's or nurse practitioner's standardized procedures, never on the RN's own initiative.

Texas and Florida add their own layers. Texas treats non-surgical medical cosmetic procedures as the practice of medicine, and Texas Medical Board Rule 169.28 requires a spa to post the delegating physician's name and license number and to put name tags on everyone performing delegated acts. Jenifer's Law, now in effect for elective IV therapy outside physician offices and licensed facilities, requires an order from a Texas-licensed physician, which a PA or APRN may issue under delegation, and limits administration to RNs, PAs, and APRNs under adequate supervision. Florida's telehealth statute, section 456.47, lets a provider rely on a remote evaluation that is sufficient to diagnose and treat without a physical examination, while Florida med spas still need an MD or DO as medical director.

Two of the platforms here sell exactly this exam. Qualiphy charges $27.99 per exam and clears more than 70 med spa procedures; Spakinect charges a membership from $99 a month plus per-patient evaluations and clears up to 11 treatments in one visit. Tessic Health does not publish Good Faith Exams, so clearance for the syringe stays with the spa's exam service or supervising clinician. Tessic Health runs the program the exam leads to: when a patient on the treatment table asks about weight loss or hormones, a licensed provider in that patient's state sees them in a telehealth consult at $25, and the prescription ships under the spa's name.

Fewer than most owners assume. Neurotoxins, fillers, GLP-1s, peptides, and tretinoin are prescription products, but none is on a DEA schedule, so for them the real limits are the exam and the pharmacy path. Two items a spa menu may carry are scheduled: testosterone, in pellets or injections, and ketamine are both Schedule III controlled substances under 21 CFR 1308.13.

Inside the spa, a scheduled drug ties the prescriber to an address. Federal rules require a separate DEA registration, the federal license to handle controlled substances, for each principal place of business where they are dispensed, and inserting a pellet is dispensing, so a pellet placed at a spa needs a prescriber registered at that location. Compounded pellets kept as office stock have to come from a 503B outsourcing facility, since a 503A pharmacy compounds only for an identified patient.

Online, the rules are temporary. The DEA and HHS fourth extension of the telemedicine flexibilities lets DEA-registered practitioners prescribe Schedule II through V drugs by audio-video telemedicine without a prior in-person exam through December 31, 2026, while the special registration rule that would replace it is still not final. States add their own limits: Florida's telehealth statute bars Schedule II prescribing by telehealth outside four settings. A spa adding hormone therapy should know how its platform will operate under either outcome after December 31.

Tessic Health handles controlled prescriptions inside the prescribing workflow: eRx and EPCS, electronic prescribing for controlled substances, with identity-proofed prescribers, two-factor signing on every controlled script, and prescription records retained to federal requirements. State requirements such as PDMP checks, against the state prescription drug monitoring database, are enforced inside the prescribing workflow, and controlled-substance coverage applies where clinically appropriate. Among the other platforms, Altro Health lists testosterone in its hormone catalog, and none of the six publishes how controlled prescriptions are signed or checked.

On Meta, the treatment room and the prescription are two different policies. Meta's health and wellness policy, updated July 22, 2026, lists injectable treatments, dermal fillers, chemical peels, micro-needling, and laser treatments among the cosmetic procedures that may be advertised to people 18 and older, and allows before-and-after transformations for cosmetic procedures. It still prohibits statements of inferiority about a person's appearance and close-ups of pinched fat. A prescription weight loss drug falls under Meta's drugs and pharmaceuticals policy instead, which requires LegitScript certification for telehealth providers and online pharmacies, written permission from Meta, 18-plus targeting in eligible countries, and a disclaimer to consult a licensed health professional.

Google is stricter about words. Its healthcare and medicines policy lets prescription drug terms appear in ads and landing pages only for certified advertisers, and a neurotoxin brand name is a prescription drug term. Telemedicine providers must be accredited through LegitScript's Healthcare Merchant Certification and also certified with Google. Google separately prohibits ads for hCG in relation to weight loss and for speculative and experimental medical treatments, with an exception in the US for FDA-licensed or approved cell and gene therapies.

LegitScript is the certification both platforms check. It certifies pharmacies, telemedicine providers, and medical spas, charges a $975 application fee per website with a $2,500 expedited option, and says in its own weight loss guidance that for a physician-owned med spa advertising GLP-1 offers, certification may not be a federal legal requirement, but the ad platforms' policies often make it mandatory. Certification unlocks eligibility; it does not make a claim that a compounded drug equals a brand-name one acceptable to the FDA.

Tessic Health launches a spa's program on providers, pharmacy, and software that already operate under LegitScript certification, and prepares, files, and manages the spa's own application through approval. LegitScript sets its own review schedule and certification is never guaranteed. Google, Meta, and the major payment processors check LegitScript before a telehealth brand can run ads or bill a card, which is why the application starts at setup.

Qualiphy is built for the moment before a needle. A spa embeds its service, a patient completes an instant video consult with no scheduling, and a licensed provider performs a Good Faith Exam that can clear more than 70 med spa procedures, including IV therapy and filler, at $27.99 per exam with no sign-up or monthly fee. It also writes patient-specific orders, prescribes GLP-1s in 48 states and DC, and either ships medication direct to the patient or e-prescribes to a pharmacy through SureScripts. Its telehealth service runs 7 days a week, with published hours of 5am to 7pm Pacific Monday through Saturday and 6am to 7pm on Sunday, and it displays LegitScript certification.

That makes Qualiphy an exam service first. The spa still builds the storefront, the subscriptions, and the retention around it, and Qualiphy's GLP-1 coverage stops two states short of national. Tessic Health covers the other side at a lower per-visit price: a $25 completed consult inside a clinic operated under the spa's name, with licensed providers in all 50 states, a published 0% medication markup that Qualiphy does not state, and subscriptions and failed-payment recovery already running.

Moxie solves the in-person supervision problem for spa founders, especially nurse injectors. Its medical director matching introduces up to three candidates and typically completes in 10 days or less, with oversight that may include protocol review, chart review, standing orders, and clinical supervision depending on the state. The service is not offered in Florida. Moxie pairs that with all-in-one spa software that includes GFE charting, e-prescribing, compliance alerts, and VIP pricing of up to 55 percent off injectables, devices, and supplies, and it reports more than 700 practices on its homepage. It publishes no pricing.

Moxie equips the treatment room. It does not publish a telehealth program, a shipped pharmacy path, or providers outside the spa's own supervising physician, and for ownership it offers templates and legal introductions rather than a finished structure. Tessic Health covers what happens beyond the room: a telehealth clinic with physician-led clinical operations and licensed providers in all 50 states, Florida included, on an MSO and friendly-PC structure Tessic drafts for the client's ownership as part of setup.

Altro Health is the platform formerly marketed as Lyv Health, and its site still carries the legal name Lyv Health Inc. It sells wellness businesses, health coaches, and medspas a branded storefront for peptides such as sermorelin, glutathione, and GHK-Cu, hormone therapy including estradiol, progesterone, testosterone, and enclomiphene, compounded tirzepatide and semaglutide, 30 or more pre-built lab panels, and one-on-one clinician calls, with 503A and 503B pharmacy sourcing, 50-state coverage, and HIPAA compliance. Starter is $299 a month, or $249 billed quarterly, for up to 100 clients; Pro is $599, or $499 quarterly, for up to 1,000.

The client caps and the catalog fit a practitioner adding products more than a spa building a program. Altro does not publish its medication markup, how testosterone prescriptions are handled, or which pharmacy path fills its compounded GLP-1s. Tessic Health publishes each of those answers: 0% markup on wholesale fills, EPCS with two-factor signing and PDMP checks for controlled prescriptions where clinically appropriate, labs included, and a clinic run under the spa's brand.