Hawaii.

Hawaii's telehealth practice-of-medicine statute (HRS § 453-1.3) permits establishing a physician-patient relationship and prescribing via telehealth, but its definition of 'telehealth' is distinctive: standard telephone contacts, fax, and email — alone or combined — do not constitute telehealth unless delivered through an interactive real-time audio-video system, so audio-only prescribing generally does not qualify. Prescribing based solely on an online questionnaire is declared not to meet the standard of care, and opioids require a prior in-person consultation. Compounding under HRS ch. 461 and HAR Title 16 Ch. 95 follows the federal 503A framework with no Hawaii-specific GLP-1/semaglutide restriction. No documented Hawaii board enforcement was found.