NewIntroducing telehealth.sh — agent commerce for medicine

The marketplace where agents buy medicine for humans.

telehealth.sh is the go-between for individuals and the companies that prescribe their medicine. One API connects your agent to 100+ telehealth providers — for intake, doctor review, and fulfillment.

Request access Read the docs

Telehealth providers: 100+
States covered: 50
Median approval: 32m

Order

ord_2k4f9_b8x3

Approved · 12m ago

Patient

MKMaya Kowalski

Austin, TX · DOB 06/14/1992

Agent

agt_acme_2k4f

Acme Health Concierge · claude-sonnet-4

purchasing

Prescription

Semaglutide0.25 mg / 0.5 mL

Qty 4 pens · subcutaneous · 28-day supply

Doctor

Dr. Sarah Chen, MD

NPI 1396847203 · Licensed in TX, CA, NY (+12)

Pharmacy

Truepill — Phoenix, AZ

Cold-chain shipping · ETA Mar 14

Status3 / 4 complete

Intake

Doctor

Pharmacy

Shipped

On the platform

100+ telehealth companies ready for agent orchestration.

amble
Locklab
Layla
MOJOON
Good Life
piper.
STRIDE®
effecty.
YUCCA

+ 91 more across primary care, dermatology, mental health, hormone therapy, and weight management.

Agents are the new go-between.

Individuals don't shop for prescriptions anymore — their agent does. telehealth.sh sits in the middle: it translates intent into a compliant, doctor-reviewed transaction with the right provider.

One contract, one BAA, one invoice across the whole network.
Patient consent and PHI are scoped per agent, never co-mingled.
Routing, refills, and refunds handled — your agent stays out of clinical decisions.

IndividualAustin, TX

Maya, 32

Wants a refill, not paperwork.

Agentagt_acme_2k4f

Acme Health

Asks once. Handles the rest.

telehealth.shroutes the order

Himsin-network · in-stock

Roin-network · in-stock

Nurxin-network · in-stock

+ 97 more telehealth providersbest match selected

From prompt to prescription in four calls.

Built on stable, idempotent primitives. Test in sandbox, ship to all 50 states with one config flag.

step 01
Agent collects intent
Your agent gathers what the patient needs and a verified profile — refill, new GLP-1, skincare, sleep, mental health.
intentGLP-1 weight management
step 02
Structured intake
telehealth.sh returns the medical Q&A required for the patient's state and category. The agent fills it out.
questions12 returned · 0.4s
step 03
Doctor review
A licensed physician in the patient's state reviews the chart asynchronously — typically in under an hour.
approval32m median
step 04
Fulfilled & shipped
The pharmacy ships from the provider you chose — Hims, Ro, Nurx, or whichever is in-network and in-stock.
delivery2-day cold-chain

Everything an agent needs to legally buy medicine.

Compliance, clinicians, pharmacies, billing, and observability — composed into a single API your agent can reason about.

Clinician network

50-state physician panel.

Asynchronous review by US-licensed physicians. Median approval in 32 minutes — never an LLM in the prescribing seat.

50 / 50 states · 1,200+ active clinicians

Multi-provider routing

Cheapest, fastest, in-stock — automatically.

Hims$89 · ships today
Ro$97 · ships today
Nurx$102 · 2-day
Lemonaid$110 · 3-day

Realtime webhooks

Every state change, signed.

order.created
order.intake_completed
order.approved
order.shipped
order.delivered

PHI vault

Patient data scoped per agent.

Encrypted at rest with customer-managed keys. Agents receive scoped tokens — never raw records.

key rotation · every 24h

Audit trail

Replay any order, end to end.

Consent, intake answers, physician notes, refunds. Exportable for legal review or HIPAA inquiries.

consent.signedtamper-evident

intake.submittedtamper-evident

physician.approvedtamper-evident

rx.writtentamper-evident

shipment.tenderedtamper-evident

Fully observable, from intent to doorstep.

Every order emits signed webhooks at each step. Your agent — and your auditors — can replay the entire transaction, end to end.

Median approval: 32m
Successful ship: 99.4%
States covered: 50

Order

ord_01H9X2K…f1a

Live

Order created
agt_acme_2k4f
+0s
Intake validated
12 questions answered
+1.4s
Physician review
Dr. Alvarez · Hims
+32m
Prescription written
semaglutide 0.25mg · 4 wk
+32m
Cold-chain shipped
tracking 1Z…UF9
+2h 11m

webhook.delivered → acme.app200 OK

One catalog, every provider.

Every medication is normalized to a stable SKU your agent can reason about. Pick a provider, or let us route to the best one for the patient.

Browse full catalog

amble
47 states
Weight & Metabolic
Semaglutide
0.25 mg0.5 mg1 mg2 mg
glp1.semaglutide.compound
from $249monthly
Good Life
42 states
Weight & Metabolic
Tirzepatide+
2.5 mg5 mg7.5 mg10 mg
glp1.tirzepatide.compound
from $299monthly
piper.
50 states
Weight & Metabolic
Compounded Semaglutide
0.25 mg0.5 mg1 mg
glp1.semaglutide.piper
from $229monthly
Locklab
50 states
Hair Loss
Finasteride
1 mg
hair.finasteride.oral
from $15monthly
MOJOON
50 states
Sexual Health
Sildenafil
25 mg50 mg100 mg
sx.sildenafil.oral
from $2per dose
Layla
42 states
Mental Health
Sertraline
25 mg50 mg100 mg
mh.sertraline.oral
from $30monthly
STRIDE®
50 states
Sleep
Trazodone
50 mg100 mg
sleep.trazodone.oral
from $18monthly
effecty.
50 states
Migraine
Sumatriptan
25 mg50 mg100 mg
neuro.migraine.sumatriptan
from $12per pack
YUCCA
50 states
Holistic Wellness
Botanical Blend
30 mL60 mL
wellness.botanical.tincture
from $38monthly

2,400+ SKUs across 100+ telehealth partners. Updated nightly.

View API reference

Healthcare-grade by design.

Patient data lives in a HIPAA-eligible enclave, scoped per agent with cryptographic consent. Every prescription is reviewed by a state-licensed physician — never an LLM.

Per-agent PHI isolation with rotating keys
Patient consent tokens, signed and auditable
All clinicians US-licensed in patient's state
Full audit log of every agent decision

HIPAA

BAA on file

SOC 2

Type II

DEA

Registered

LegitScript

Certified

Reports and policies available under NDA. Trust portal at trust.telehealth.sh.

For developers

Drop in. Ship today.

Typed SDKs for TypeScript and Python. Idempotent endpoints. Sandbox preloaded with synthetic patients and clinicians. Sign up, install, and your agent is placing test orders in minutes.

GET / POST/orders, /intakes, /shipments
Webhooks12 typed events, signed with HMAC
SDKs@telehealth/sdk · pip install telehealth
MCP servertelehealth.sh/mcp — first-party

Read the docs Try the sandbox

~/agents/checkout

1import { Telehealth } from "telehealth"
2 
3const order = await telehealth.orders.create({
4  agent: "agt_acme_2k4f",
5  patient: {
6    name: "Jane Doe", dob: "1991-04-12", state: "CA",
7  },
8  sku: "glp1.semaglutide.0_25mg",
9  provider: "hims", // or "auto" to route across 100+ providers
10  intake: answers,
11})
12 
13// → order.status === "pending_review"
14// → order.physician.eta === 32 // minutes

200 OK·resp_8c2…f1a·318 ms

{ "id": "ord_01H9X…", "physician": "dr_alvarez", "eta_min": 32 }

One platform fee. Nothing on top of meds.

Agents pay telehealth providers directly for medication and clinician fees. We charge a flat platform fee per successful checkout — never a markup, never a revenue share on Rx.

Builder
For solo agents and weekend hacks.
Free
100 checkouts / month included
- Non-controlled Rx categories
- Sandbox + 3 live states
- Standard webhooks
- Community support
Start building
Operator
Most popular
For agent products with real users.
$0.40
per successful checkout
- Unlimited checkouts
- All 50 states + Schedule III–V
- Refills, declines, refund events
- BAA + SOC 2 report
- Slack-connect support
Request access
Enterprise
For platforms moving real volume.
Custom
volume pricing
- Dedicated provider allocation
- Private routing rules
- Custom SLAs (24×7, sub-15m)
- On-prem PHI enclave
- Named SE + ops engineer
Talk to sales

Medication and clinician fees are paid by the agent (or the patient, depending on your flow) directly to the telehealth provider that fulfills the order. telehealth.sh never touches Rx revenue.

Questions builders ask.

Can't find what you're looking for? Email builders@telehealth.sh. We read every message.

Ship agent-driven prescriptions this week.

One npm install, one API key, and your agent can responsibly buy medication for the humans it serves.

Request access Talk to sales

$npm install telehealth·

The marketplace where agents buy medicine for humans.

Agents are the new go-between.

From prompt to prescription in four calls.

Agent collects intent

Structured intake

Doctor review

Fulfilled & shipped

Everything an agent needs to legally buy medicine.

50-state physician panel.

Cheapest, fastest, in-stock — automatically.

Every state change, signed.

Patient data scoped per agent.

Replay any order, end to end.

Fully observable, from intent to doorstep.

One catalog, every provider.

Semaglutide

Tirzepatide+

Compounded Semaglutide

Finasteride

Sildenafil

Sertraline

Trazodone

Sumatriptan

Botanical Blend

Healthcare-grade by design.

Drop in. Ship today.

One platform fee. Nothing on top of meds.

Builder

Operator

Enterprise

Questions builders ask.

Are AI agents legally allowed to buy medication?

How is this different from integrating with Hims, Ro, or other DTC clinics directly?

Which medications are available?

What about controlled substances and DEA rules?

How do you handle PHI?

What happens if a physician declines an order?

Ship agent-driven prescriptions this week.