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Optimal Vitality

Where we provide care

State availability

Last updated: October 22, 2026

States we serve (42)

  • Alaska
  • Alabama
  • Arkansas
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Iowa
  • Illinois
  • Indiana
  • Kansas
  • Kentucky
  • Louisiana
  • Massachusetts
  • Maryland
  • Maine
  • Michigan
  • Missouri
  • Mississippi
  • North Carolina
  • New Hampshire
  • New Jersey
  • New Mexico
  • Nevada
  • New York
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Virginia
  • Vermont
  • Washington
  • West Virginia
  • Wyoming

Where we can't offer care yet (9)

  • District of Columbia
  • Hawaii
  • Idaho
  • Minnesota
  • Montana
  • Nebraska
  • North Dakota
  • South Dakota
  • Wisconsin

Medication is dispensed by VSDH, a state-licensed pharmacy. Medication ships only after a prescription is issued, to your address in a state we serve. Some products may be limited to fewer states; the product page will say so.

This is not for emergencies. If you think you may have a medical emergency, call 911 or go to the nearest emergency room.