Compliance
State Availability & Consult Mode
A state-by-state reference for where ZYNDIO is available and how the initial consult is delivered.
Compliance
State availability
ZYNDIO is offered to adults in the United States. The consult mode required for an initial visit varies by state. The list below is the source of truth used by the intake quiz, pricing engine, and checkout.
Async OK
45
states + jurisdictions where store-and-forward is permitted.
Sync required
6
jurisdictions require live audio + video for the initial visit.
Restricted
0
jurisdictions where the service is not currently available.
How to read the table
- Async OK — the initial intake can be reviewed by a clinician using store-and-forward (questionnaire + photos / records). No live call is required.
- Synchronous audio + video required — state law requires a real-time audio and video visit between you and a licensed clinician for the initial consult. A modest consult fee may apply in these jurisdictions.
- Not available — the program is not currently offered in this jurisdiction.
Per-state consult mode
Use this table when in doubt about which consult mode applies for your state. Specific products may further restrict availability based on clinical scope, controlled-substance schedules, or partner-pharmacy licensing.
| State | Code | Consult mode | Notes |
|---|---|---|---|
| Alabama | AL | Async (store-and-forward) OK | — |
| Alaska | AK | Async (store-and-forward) OK | — |
| Arizona | AZ | Async (store-and-forward) OK | — |
| Arkansas | AR | Async (store-and-forward) OK | — |
| California | CA | Async (store-and-forward) OK | — |
| Colorado | CO | Async (store-and-forward) OK | — |
| Connecticut | CT | Async (store-and-forward) OK | — |
| Delaware | DE | Async (store-and-forward) OK | — |
| District of Columbia | DC | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| Florida | FL | Async (store-and-forward) OK | — |
| Georgia | GA | Async (store-and-forward) OK | — |
| Hawaii | HI | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| Idaho | ID | Async (store-and-forward) OK | — |
| Illinois | IL | Async (store-and-forward) OK | — |
| Indiana | IN | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| Iowa | IA | Async (store-and-forward) OK | — |
| Kansas | KS | Async (store-and-forward) OK | — |
| Kentucky | KY | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| Louisiana | LA | Async (store-and-forward) OK | — |
| Maine | ME | Async (store-and-forward) OK | — |
| Maryland | MD | Async (store-and-forward) OK | — |
| Massachusetts | MA | Async (store-and-forward) OK | — |
| Michigan | MI | Async (store-and-forward) OK | — |
| Minnesota | MN | Async (store-and-forward) OK | — |
| Mississippi | MS | Async (store-and-forward) OK | — |
| Missouri | MO | Async (store-and-forward) OK | — |
| Montana | MT | Async (store-and-forward) OK | — |
| Nebraska | NE | Async (store-and-forward) OK | — |
| Nevada | NV | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| New Hampshire | NH | Async (store-and-forward) OK | — |
| New Jersey | NJ | Synchronous audio + video required | Live audio + video consult required for the initial visit. |
| New Mexico | NM | Async (store-and-forward) OK | — |
| New York | NY | Async (store-and-forward) OK | — |
| North Carolina | NC | Async (store-and-forward) OK | — |
| North Dakota | ND | Async (store-and-forward) OK | — |
| Ohio | OH | Async (store-and-forward) OK | — |
| Oklahoma | OK | Async (store-and-forward) OK | — |
| Oregon | OR | Async (store-and-forward) OK | — |
| Pennsylvania | PA | Async (store-and-forward) OK | — |
| Rhode Island | RI | Async (store-and-forward) OK | — |
| South Carolina | SC | Async (store-and-forward) OK | — |
| South Dakota | SD | Async (store-and-forward) OK | — |
| Tennessee | TN | Async (store-and-forward) OK | — |
| Texas | TX | Async (store-and-forward) OK | — |
| Utah | UT | Async (store-and-forward) OK | — |
| Vermont | VT | Async (store-and-forward) OK | — |
| Virginia | VA | Async (store-and-forward) OK | — |
| Washington | WA | Async (store-and-forward) OK | — |
| West Virginia | WV | Async (store-and-forward) OK | — |
| Wisconsin | WI | Async (store-and-forward) OK | — |
| Wyoming | WY | Async (store-and-forward) OK | — |
State and federal telehealth rules change. The above list is the source of truth used by the platform as of the "Last reviewed" date. If your state is not listed or the consult mode does not match what you see at checkout, contact hello@zyndio.com before completing your order.
International access
ZYNDIO is offered only to adult residents of the United States. Orders, consultations, and prescription workflows cannot be completed for shipping addresses, billing addresses, or consult locations outside the United States.