Blog · Urgent Care April 2026 · 3 min read

Can you get a prescription online? What telehealth can and cannot do

The short answer is yes — in many cases a licensed physician can evaluate you and prescribe medication remotely. But “many cases” is not “all cases,” and knowing where the lines fall helps you get the right care in the right setting.

Can you get a prescription online? What telehealth can and cannot do

How online prescribing works

Your physician conducts a real clinical evaluation — reviewing your symptoms, medical history, current medications and allergies — and makes a prescribing decision the same way they would in a room. If a prescription is appropriate it is sent electronically to the pharmacy of your choice. You get a text when it is ready and collect it the same day.

There are two routes. A $39 quick care visit is written: you answer a questionnaire specific to your condition, and your physician reviews it, usually within 3 hours. A $129 video visit is a live conversation, for when the picture needs discussing. Either way, a board-certified physician reviews every case — there is no automated prescribing.

Your physician must be licensed in the state where you are physically located at the time of the visit. Li Health is licensed in Maryland, Virginia, Washington DC, Georgia, California and Pennsylvania.

What can be prescribed

A broad range of medications, including:

·Antibiotics for UTIs, sinus infections, skin infections and pink eye
·Antivirals for cold sores and shingles caught early
·Prescription allergy medications and nasal steroids
·Refills of established medications such as blood pressure, thyroid and birth control
·GLP-1 medications for weight loss
·Topical treatments for skin conditions like eczema or rashes
·Orders for lab work

What cannot

Some categories carry specific restrictions:

·Controlled substances. Li Health does not prescribe them at all — no opioids, stimulants, benzodiazepines or sleep medications, and no DEA Schedule II to V medication of any kind.
·Anything needing a physical exam. Some conditions genuinely require listening to your chest, feeling your abdomen, or another hands-on assessment before prescribing is safe.
·Conditions outside our scope. Li Health is a focused practice, not a primary care clinic, and does not manage chronic disease long-term.

What about insurance?

Li Health is cash-pay, so visit fees are not billed to insurance. The prescription itself goes through your pharmacy benefit exactly as an in-person prescription would — coverage for the medication depends on your plan and the specific drug.

Is it safe?

When it is done by a licensed physician, yes. The risk comes from platforms that use questionnaires with no actual physician review, or that prescribe without appropriate clinical evaluation. Every Li Health prescription follows a real review by a board-certified physician. No shortcuts.

Can a telehealth doctor prescribe antibiotics?

Yes — for conditions such as UTIs, sinus infections, skin infections and pink eye, your physician can evaluate your symptoms and send antibiotics electronically to your pharmacy.

Can I get a refill on an existing prescription?

Often yes. For non-controlled medications such as blood pressure drugs, thyroid medication or birth control, a quick care visit can handle the refill. Your physician will review your history and may ask about recent labs.

How long does it take to get the prescription?

Prescriptions are sent electronically as soon as your case is reviewed. Your pharmacy will contact you when it is ready, typically within one to two hours.

Lilit Margaryan, MD
Lilit Margaryan, MD, DABOM
Board-certified in Internal Medicine and Obesity Medicine. Founder of Li Health.

This article is general health information, not medical advice for your situation, and does not create a physician-patient relationship. If you are unwell, speak with a physician.

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