10 programs · prices and safety record checked October 26, 2026
We check who prescribes, whether your hormones are FDA-approved or compounded, any FDA warning letters, and the full monthly cost with membership and medication added. Every fact links to its source.
Ranked by our published score
Per-product pricing with the doctor included: estrogen pills, patches, progesterone and compounded creams.
No FDA warning letter foundLowest published plan: Progesterone capsules, auto-refill, 30 or 90-day supply. Checked 2026-10-26.
Estrogen and progesterone with no membership fee, and visits billed to insurance if you have it.
No FDA warning letter foundLowest published plan: Vaginal estrogen cream alone, without insurance, $119 per 3-month supply. Checked 2026-10-26.
Low per-treatment prices, sold as auto-refills, with a one-time doctor visit fee.
No FDA warning letter foundLowest published plan: The Progesterone Pill, auto-refill, 2-month supply. Checked 2026-10-26.
One flat monthly price with FDA-approved estrogen, progesterone and the medication included.
No FDA warning letter foundLowest published plan: Menopause program, monthly subscription. Checked 2026-10-26.
By treatment
FDA-approved estradiol, the core of menopause hormone therapy.
Taken with estrogen if you have a uterus; also used for sleep.
Custom-mixed hormone creams or troches. Not FDA-approved as finished products.
Low-dose local estrogen for dryness and urinary symptoms.
Prescription options for hot flashes when hormones aren't right for you.
Cheapest first
Before you pay
Many programs charge a monthly membership and bill hormones on top (Hone, LifeMD, Ivim, Sesame). Others price each product with the doctor included (Winona, Musely, Gala). Compare the total, not the membership.
FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical creams are not FDA-approved, and the FDA-commissioned National Academies review found a lack of rigorous evidence for them. Every card here says which you get.
Generic estradiol and progesterone are often covered at your own pharmacy. Telehealth memberships usually are not. A few programs bill insurance for the visit itself (Found, PlushCare, some LifeMD plans).
Most menopause programs don't require blood tests to start. Some include monitoring (Hone runs quarterly labs), others order them only when needed and don't say what they cost.
Refill orders are often final sale, some programs need notice days before billing, and a few charge the membership in months you don't order medication.
Not every program prescribes everywhere: Winona serves 37 states, Hone 33. Programs that don't publish a list tell you at sign-up.
FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical hormones are mixed by a pharmacy and are not FDA-approved as finished products. In November 2025 the FDA began removing the broad boxed warnings from approved menopause hormone therapy, keeping the endometrial cancer warning for estrogen-alone products.
Four questions. No email needed. We match you on treatment, budget and what is included, then show the top three.
Before a program is listed we search FDA warning letters, note whether it dispenses FDA-approved or compounded drugs, and say who prescribes. What we find goes on its review.
Every price comes from the program's own pricing page, with the link and the date we checked it.
Labs, membership and consult fees are folded in, so the monthly number is what leaves your account.
Each score is computed from five published criteria. What a program pays us changes nothing; Winona scores 9.2 on the same scale as everyone else.
What compounded bioidentical hormones are, how they differ from FDA-approved HRT, what the FDA and NASEM found, the 2025-2026 label changes and what to ask.
Online menopause HRT pricing explained: all-in vs membership plans, who bills the medication, what insurance covers, compounded vs FDA prices and refill traps.
It depends on whether you pay a membership, whether medication is included, and whether insurance covers the visit. Our price table shows each program's lowest published plan and links to its source.
There is no good evidence that it is. FDA-approved estradiol and progesterone are tested for dose and purity; compounded mixes are not approved as finished products. See our guide for the details and sources.
Yes. Licensed clinicians prescribe menopause hormone therapy by telehealth in most states after a consultation and health history.
Many plans cover FDA-approved estradiol and progesterone as generics. Membership fees for telehealth programs are usually not covered; some programs bill insurance for the visit.