We started Element MD because real care shouldn't be this hard to get.
Three founders. Two clinicians. One stubborn idea — that the medications people actually want should be one good visit away, not a six-week referral.
Eli Brennan · Co-founder & CEO
Care is a relationship.
Every patient is matched with a clinician licensed in their state. Same care team for follow-ups — not whoever is on shift.
Real prescriptions.
Every medication is dispensed by a US pharmacy accredited in your state. You'll see the prescribing clinician's name and the pharmacy's address on every order.
Available everywhere.
All 50 states. Async visits on your schedule. HSA / FSA accepted. Transparent pricing, no surprise bills.
Plain language.
If a clinician can't explain it without jargon, it isn't ready for a patient. We translate every diagnosis, every plan, every line on your label.
There's a quiet problem in healthcare — the medications people actually want are gatekept by everything except their effectiveness.
Want to try a GLP-1? Six-week wait, in-person visit, insurance denial, prior authorization, pharmacy backorder. Want to talk about recovery, sleep, libido, or longevity? Good luck finding a primary-care doctor who's done the reading.
So patients improvise. They piece together advice from forums, buy from grey-market sites, dose themselves without a clinician they can reach. We've spent years watching smart people make uninformed decisions because the legitimate path was too slow, too expensive, or just unavailable where they live.
That's the gap Element MD exists to close. Real US-licensed clinicians, accredited US pharmacies, async visits that respect your time, follow-ups that actually follow up. Care for the conditions people are quietly Googling at midnight — weight, recovery, sex, sleep, skin, longevity.
None of this is heroic. It's the boring baseline modern healthcare should clear. The fact that meeting it is differentiating tells you more about the system than about us.
So: this page is the long answer to "why telehealth, and why now?" The short answer is in every visit, every prescription, signed.
Three years, twelve thousand patients, fifty states.
The visit that started it all.
Eli's mother waited eleven weeks for a follow-up that should have taken fifteen minutes. He and Maya — then a clinical pharmacist — sketched the company on a napkin that night.
First patient visit.
Async consultation, clinician review, prescription dispensed within 48 hours. We still have the thank-you note framed in the office.
Coverage in all 50 states.
Cleared the last state licensing hurdle. Element MD clinicians can now treat patients from Anchorage to Key West — same care, same pricing.
Clinical advisory board seated.
Six clinicians across endocrinology, sports med, gynecology, dermatology, and integrative medicine. They set the standards of care our team practices to.
Care team grows.
Fifteen US-licensed clinicians on staff. Average follow-up response: under three hours. We stopped outsourcing telehealth visits entirely.
Pharmacy network live.
Three accredited US compounding pharmacies, regional shipping, cold-chain on every order. Most prescriptions arrive in 1–2 business days.
12,400+ patients.
Six care areas, 50 states, zero gaps in clinician continuity. Net Promoter Score of 84 — the highest in direct-pay telehealth.
What Element MD does and what it doesn't.
We are aggressively unambiguous about how telehealth works here — so you know exactly what you're getting before you start a visit.
A licensed telehealth practice.
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US-licensed clinicians. MDs, DOs, NPs, and PAs licensed in your state. The clinician who prescribes is the clinician who follows up.
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Real prescriptions, real pharmacies. Every medication is dispensed by an accredited US pharmacy. You get the prescribing clinician's name and the pharmacy's address.
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Available in all 50 states. Async visits, in-app messaging with your care team, follow-ups on your schedule.
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HIPAA-compliant and HSA / FSA eligible. Encrypted records, transparent pricing, no surprise bills.
Not an emergency service or a research vendor.
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Not for emergencies. If you're having a medical emergency, call 911 or go to an ER. Telehealth is not the right channel for acute crises.
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Not a research-chemical reseller. Everything we prescribe is for patient use, by a licensed clinician, through a US pharmacy. No grey market, no "research only" labels.
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Not a replacement for your primary care. We treat what we treat, well. We coordinate with your PCP when relevant and refer out when telehealth isn't the right fit.
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Not promising outcomes. Medicine is individual. We use the best evidence and clinician judgment to design your plan — we don't sell guarantees.
Three founders, fifteen clinicians, advisory board of six.
Eli Brennan
Former digital-health operator (Ro, Hims). Builds the company so the clinicians can practice the way they want to.
Dr. Maya Castellanos, MD
Internal medicine, board-certified. Ex-One Medical. Owns clinical standards and the care-team training program.
Anya Park, PharmD
Clinical pharmacist, ten years in compounding. Built our pharmacy network and chain-of-custody system end to end.
Dr. Jamil Okafor, MD
Endocrinology, Northwestern. Leads the clinical team and reviews every protocol before it goes live.
Five steps. One care team. Real prescriptions at the end.
Every Element MD visit follows the same path — transparent, traceable, and built so your clinician knows your history before they pick up the chart.
Intake
Async health questionnaire, ID verification, photos if relevant. Twenty minutes, on your phone, on your schedule.
Clinician review
A clinician licensed in your state reviews your intake within 24 hours and messages you with a plan or follow-up questions.
Prescription
If treatment is appropriate, your clinician writes the prescription and sends it to one of our partner US pharmacies.
Delivery
Pharmacy dispenses and ships discreetly to your door, usually within 1–2 business days. Cold-chain when required, tracked end to end.
Follow-up
Same clinician, in-app messaging, scheduled check-ins. Side effects, dose adjustments, refills — all in one thread.
Founded May 2023. Same three founders. Same mission.
Every Element MD clinician is licensed in the state of the patient they treat.
Since launch. NPS of 84 — the highest in direct-pay telehealth.
From your care team, in app. Most patients hear back the same morning.
Ready when you are.
Start a visit in under twenty minutes. If it's not the right fit, your clinician will tell you — and you won't be charged.