01 / 06The rule the whole category runs on, and its expiry date
ADHD telehealth exists in its current form because of a temporary federal accommodation, not a permanent one. Since 12 May 2023, a DEA-registered practitioner has been permitted to prescribe Schedule II through V controlled substances by telemedicine without ever having conducted an in-person evaluation, provided the conditions in the regulation are met. Adderall, Vyvanse and Concerta are Schedule II. That accommodation is the reason an online ADHD prescription is possible at all.
Two things follow from that, and they are the reason this page is organised the way it is. First, a service that leans entirely on remote Schedule II prescribing carries a regulatory dependency that a service built around insurance-billed psychiatry or non-stimulant options does not. Second, several providers already behave more conservatively than the current rule requires, which tells you something about how they expect it to end. You can read that caution directly in their own published wording, and we quote it below rather than paraphrasing it.
02 / 06What happened to Done, from the public record
Any honest comparison of this category has to deal with the largest enforcement action in it, because one of the best-known names in online ADHD care was prosecuted. We are relying entirely on the Department of Justice's own published announcements here, and linking them, because this is a matter of court record rather than something a pricing site should be characterising on its own authority.
A federal grand jury in San Francisco indicted Done Global and an associated medical practice over what DOJ described as a years-long scheme to illegally distribute Adderall over the internet, together with health care fraud and obstruction charges. The company's founder and chief executive and its clinical president were subsequently convicted, and in July 2026 they were sentenced, the founder to 72 months and the clinical president to 24 months. DOJ's account describes the distribution of over 37 million pills of Adderall and more than $12 million defrauded from insurers.
Done continues to operate and still publishes a price, so it stays in the table below. We are not going to quietly drop a company from a comparison and leave you to find out why elsewhere, and we are not going to invent a measurement to justify a verdict either. The record is linked; it is a great deal more informative than any score we could put next to it.
03 / 06The seven, side by side
Every figure and every quotation below was read from the provider's own live pages on 17 September 2026. Where a provider states a condition on its prescribing, we quote the condition rather than reducing it to a tick.
| Service | What it publishes about controlled substances | Self-pay price | With insurance | Model |
|---|---|---|---|---|
| Talkiatry | Psychiatrist-led care; lists Adderall (amphetamine) and Concerta (methylphenidate) among the medications it covers | not published | around $30 per visit | insurance psychiatry |
| Brightside Health | “In select states, Brightside providers may prescribe stimulants when appropriate for members based on their independent clinical judgment.” Also offers non-stimulant alternatives | not published | $25 or less | insurance psychiatry |
| Circle Medical | Primary care practice, in-network with many insurers; ADHD handled within general primary care | $120 first visit, $120 follow-up | about $35 average | primary care |
| ADHD Online | States treatment may involve medications that are “generally Class II controlled substances”, and only “if clinically appropriate based on a diagnosis” | $219 assessment, or 3 payments of $73; $185 to $220 per treatment appointment | varies | assessment first |
| Klarity Health | “Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations” | from $49 | varies by provider | marketplace |
| Talkspace | Therapy-led platform with psychiatry available; stimulant prescribing is not a headline of its published offer | therapy plans from $69 per week | $0 copay for most insured members | therapy first |
| Done | Membership model. See section 02: its founder and clinical president were convicted and sentenced in a federal Adderall distribution and health care fraud prosecution | $79 per month after the initial appointment; states medication costs of $40 to $80 per month without insurance | not published | membership |
Two services that appeared in an earlier version of this page are not in the table, and we would rather say so than quietly shorten the list. Cerebral and Hims both returned bot-protection challenges or JavaScript-only pages to us, so we could not read a current published policy or price from either. That is a limitation of our access on the day, not a finding about those companies, and we are not going to characterise a service we could not read.
04 / 06Three models, and they produce three different bills
The seven services are not variations on one product. They are three business models, and which one suits you depends far more on your insurance than on any ranking.
Insurance-billed psychiatry
Talkiatry and Brightside bill your insurer and you pay a copay. Published figures are around $30 and $25 or less respectively. If you are insured, this is usually the cheapest route and the one with the most clinical depth behind it.
Pay per visit
Circle Medical and ADHD Online charge for the appointment. Circle Medical publishes $120 self-pay; ADHD Online charges $219 for the assessment before treatment appointments at $185 to $220. You are buying clinician time, not a subscription.
Monthly membership
Done charges $79 a month after the initial appointment, with medication on top. Klarity is a marketplace starting at $49 where the individual provider sets the price. The monthly number looks small and is not the whole bill.
The arithmetic that catches people out is the same one as everywhere else in this category: a $79 monthly membership is $948 a year before a single tablet, while a $25 copay on an insurance-billed psychiatrist seen monthly is $300. If you have coverage, start there. We take the general version of that comparison apart in our guide to getting a prescription without insurance.
05 / 06Who should not use ADHD telehealth
- Anyone who has not been evaluated for ADHD before, who wants that done quickly. A diagnosis that takes fifteen minutes is worth what it costs. ADHD Online charging $219 for an assessment separate from treatment is, read correctly, a service being honest about how long the diagnostic part actually takes.
- Anyone whose insurance covers psychiatry. The copay will usually beat every self-pay price on this page.
- Anyone who needs certainty about supply through 2027. The federal flexibility this category depends on currently expires on 31 December 2026 and the permanent rule is not finished. If an interruption would be serious for you, ask any provider directly what their plan is for that date before you subscribe.
- Anyone with a history of stimulant misuse, or a cardiac or psychiatric history that needs a full workup. That is an in-person conversation, and the better services on this page will tell you the same thing.
06 / 06Method, and what we did not do
We read each provider's own published pages on 17 September 2026 and recorded their stated prices and their stated policy on controlled substances, quoting the policy wording rather than summarising it. Where a provider does not publish a figure, the cell says not published rather than carrying an estimate. Where we could not read a provider at all, it is named as excluded and the reason is given.
We did not enrol in any of these services, pay any fee, complete any evaluation, or obtain any prescription, and we did not attempt to fill a prescription at any pharmacy. An earlier version of this article described exactly those things. It should not have, and the claims have been removed rather than softened. Nothing on this page is medical advice, and no part of it should be read as a prediction that any particular pharmacy will fill any particular prescription.
The regulatory material is all primary and all linked: the current extension is in the Federal Register, the enforcement record is in the Department of Justice's own announcements, and the DEA's Diversion Control Division publishes the standing telemedicine position. If any figure here is wrong, those are the places it will show.
For the cash price of the prescription itself once you hold one, state prescription assistance programmes are worth checking, and Health Britannica covers the condition rather than the vendors.
- Drug Enforcement Administration and HHS. Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications, published 31 December 2025, effective through 31 December 2026.
- DEA Diversion Control Division. Telemedicine. Standing guidance on prescribing controlled substances by telemedicine encounter.
- U.S. Department of Justice. Digital Health Company and Medical Practice Indicted in $100M Adderall Distribution Scheme.
- U.S. Department of Justice. Founder/CEO and Clinical President of Digital Health Company Convicted.
- U.S. Department of Justice. Founder/CEO and Clinical President Sentenced, July 2026.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision (DSM-5-TR), the diagnostic standard these services assess against.
- Provider pricing and policy pages. Linked inline in the comparison table above, each read on 17 September 2026.
Can a telehealth doctor prescribe Adderall in 2026?
Under the current federal extension, a DEA-registered practitioner may prescribe Schedule II controlled substances by telemedicine without a prior in-person evaluation, provided the conditions in the regulation are met. That arrangement runs through 31 December 2026. State law can be stricter, and several providers on this page state their own additional conditions.
Will my pharmacy fill a prescription from an online provider?
That is decided by the pharmacist, under state law, for your specific prescription. We do not publish a fill rate, because we have not measured one and a number we cannot stand behind would be worse than none. If a pharmacy declines, ask your prescriber rather than abandoning the prescription.
Which is cheapest?
On published self-pay price, Klarity from $49. On published insured price, Brightside at $25 or less. If you have psychiatric coverage, an insurance-billed route will usually beat every self-pay option here.
Why is Done still listed after the convictions?
Because it still operates and still publishes a price, and because dropping it silently would tell you less than listing it with the court record attached. The DOJ announcements are linked in full above so you can read them rather than take our characterisation of them.