Education only. Not medical advice.
Choose and adjust programs with your clinician.

TL;DR

Pick telehealth that feels safe and practical: chosen name and pronouns everywhere, opt-outs for sensitive topics, clinicians comfortable with HRT, PrEP/ART coordination, discreet shipping, and transparent pricing. Use the Check eligibility CTA to confirm state coverage, pharmacy options, and first visit.

What “LGBTQ-friendly” should look like

• Affirming intake: chosen name, pronouns, gender identity, and relevant anatomy fields show up in the portal, visit notes, pharmacy label requests, and lab orders.

• Privacy controls: clear settings for who can see what, optional topics, low-friction name/legal name handling, and easy address changes for safety.

• HRT-aware care: clinicians who can pace GLP-1 titration around estrogen/testosterone regimens and monitor lean mass and hair/skin goals.

• HIV/PrEP coordination: review ART or PrEP timing since GLP-1s can delay gastric emptying; plan around nausea days and labs with your clinician.

• Fertility and family planning: explicit guidance on pregnancy avoidance windows, sperm/egg preservation timing, and anesthesia instructions.

• Discreet logistics: neutral billing descriptors, signature or pickup options, and packaging that doesn’t shout “medication inside.”

• Transparent pricing: visit fees, meds, labs, coaching, and cancellation spelled out up front.

Intake and privacy that reduce friction

• Chosen name on the telehealth chart, plus pharmacy and lab orders where allowed

• Pronouns visible to every clinician you meet

• Toggle to hide or defer sensitive questions until you trust the provider

• Clear instructions for insurance EOB visibility and self-pay options if needed

• Simple path to update address or delivery location without a phone call

HRT, PrEP/ART, and dosing pace

• On HRT? Favor slow titration with pause weeks to protect comfort, hair, and lean mass. Track strength and protein intake (25–35 g per meal works for many).

• On PrEP/ART? Discuss timing with your clinician. GLP-1s may slow stomach emptying, so plan doses and meals so your HIV meds keep their target exposure.

• Surgery or anesthesia coming up? Ask for hold instructions early and make sure the care team knows about your GLP-1.

Discreet shipping and billing

• Choose weekday overnight with signature or staffed pickup.

• Ask for a neutral sender name if offered.

• If insurance EOBs are a concern, ask about cash-pay options for specific items.

Friendly “Check eligibility” CTA block

• Check eligibility to confirm your state, first appointment time, and in-stock pharmacy options.

• Approve an in-state alternative pharmacy if the first choice is out of stock.

• If prior auth is required, ask about a short cash-pay starter while it processes.

ScriptScores™: Features that matter (0–10)

Higher = better for most LGBTQ users.

Scoring method: editorial heuristic weighting inclusion, privacy, and day-to-day ease.

Program archetypes to consider

Text-only CTAs. No links.

1. LGBTQ-specialty telehealth
   Affirming intake everywhere, HRT-aware clinicians, discreet shipping, and clear privacy settings.
   CTA: Check eligibility

2. MD + RD clinic with inclusion policy
   Physician + dietitian care, micro-titration rules, protein/strength plans, EOB guidance.
   CTA: Check eligibility

3. Speed-stack telehealth (inventory-matched)
   Same-day visits, in-state pharmacy options, weekday overnight shipping. Confirm privacy settings.
   CTA: Check eligibility

4. Budget membership with live visits
   Lower entry cost, messaging, simple follow-ups; confirm name/pronoun handling and shipping discretion.
   CTA: Check eligibility

5. Compounded-only membership (case-by-case)
   Cash bundles; verify pharmacy quality and privacy policies with your clinician.
   CTA: Check eligibility

Real urgency, without hype

• Clinic panels and state slots fill. Morning and end-of-month openings go first.

• Pharmacy stock moves mid-week. Approving an alternative in-state pharmacy prevents stalls.

• Shipping cutoffs matter. Weekday overnights beat Friday orders for cold-chain packages.

Disclaimers

• Not medical advice. Education only.

• Safety first. Choose, dose, and adjust with a licensed clinician.

• Availability and pricing change. Confirm coverage, pharmacy, and totals at checkout.

• Individual results vary.

• ScriptScores™. Editorial heuristics, not treatment directives.
  Last updated: September 3, 2025.