Online menopause HRT compared: nine providers on real monthly cost
Find your match · 2 questions
Which provider fits you best?
We rank on published prices and terms only. A licensed clinician decides whether any treatment is right for you.
Women's HRT
Our pick: Gala (78/100)
11 options · prices verified Oct 8, 2026
Women's HRT and menopause care
11 of 11 shown- Gold · Our pick
Gala
HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)
$69/mo effective (from)$69 to start (flat monthly price, from)
Cheapest over a year: flat monthly price, from, $69 monthly
Why it wins: 4.6★ from 3,961 Trustpilot reviews; named prescriber group and a LegitScript seal.
- Lowest upfront
- Best for women
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $69 = $828 a year ÷ 12
- Includes
- Medication, provider review and telehealth visit, dose adjustments, free 1–2 day shipping; no membership fee
- Trust
- OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Prescriptions ship free; Gala says it prescribes FDA-approved bioidentical forms. LegitScript seal in site footer.
- Reviews
- 4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- No threads found in r/Menopause, r/Perimenopause or r/perimenopause_under45 in the past 12 months. (Reddit, low weight, not scored)
- ⚠ “From” price: Gala’s offer page says $69 a month flat; its hormone hub no longer prints the number. Gala does not publish what a combined estradiol + progesterone plan costs.
Last verified Oct 8, 2026 on the provider’s own page
- Silver
Winona
Estrogen tablets + progesterone capsules
$93/mo effective (from)$93 to start (estrogen tablets ($54) + progesterone capsules ($39), from, per month)
Cheapest over a year: estrogen tablets ($54) + progesterone capsules ($39), from, per month, $93 monthly
Why it wins: 503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews.
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $93 = $1,116 a year ÷ 12
- Includes
- Physician visit and unlimited messaging, FDA-approved estradiol and progesterone (per Winona), free shipping
- Trust
- 30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
- Reviews
- 4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Many threads; access and follow-up complaints recur, alongside debate about its compounded-cream approach. (Reddit, low weight, not scored)
- ⚠ “From” prices ($54 tablets + $39 capsules); dose can change it.
Last verified Oct 8, 2026 on the provider’s own page
- Bronze
Alloy
Estrogen tablets + progesterone capsules
$67/mo effective (from)$111.99 to start (estradiol pill ($39.99) + progesterone ($23), from, per month)
Cheapest over a year: estradiol pill ($39.99) + progesterone ($23), from, per month, $111.99 first, then $62.99 monthly
Why it wins: Lowest effective cost for estrogen tablets + progesterone capsules ($67.07/mo); 4.3★ from 4,007 Trustpilot reviews.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $111.99 + 11 × $62.99 = $804.88 a year ÷ 12
- Includes
- Medication shipped free, plus a $49 one-time consult that includes doctor messaging while your prescription is active
- Trust
- Named physicians, including prescribing physician Kudzai Dombo, MD, and chief medical advisor Sharon Malone, MD. Ships medication directly; pharmacy not named on its pages. “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 4.3★ · 4,007 on Trustpilot (as of Oct 8, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Cost is the main theme; some users move prescriptions to retail pharmacies to pay less, and some say its standard doses did not fit them. (Reddit, low weight, not scored)
- ⚠ Price breakdown: estradiol pill from $39.99/mo + progesterone from $23/mo, plus a $49 one-time consult fee in month one.
- ⚠ Starting prices: estradiol patch, gel and spray cost $69.99–$100/mo instead of the pill.
Last verified Oct 8, 2026 on the provider’s own page
Hone Health
HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)
$218/mo effective$278 to start (premium + estradiol patch or gel)
Cheapest over a year: premium + estradiol patch or gel, $278 first, then $213 monthly
- Labs included
- Labs included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $278 + 11 × $213 = $2,621 a year ÷ 12
- Includes
- Labs every 3 months, physician consults, medication and free shipping; progesterone $49, Estrace vaginal cream $40, testosterone for women from $28 (each + membership)
- Trust
- Affiliated physician practice Broad Health; physicians named on its site (Janel Meric MD, Alexander Watson MD, Raheleh Sarbaziha MD, Timothy Vachris MD). Medication ships to your home; the pharmacy is not named on its pages. “Hone Health is LegitScript Certified” seal in the site footer.
- Reviews
- 4.8★ · 12,394 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- A small cluster of threads; its monthly program price and recurring lab cadence are the main talking points. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $155/mo Premium membership + estradiol patch or gel $58/mo; the first month adds the $65 biomarker test.
- ⚠ Adding progesterone tablets ($49) makes it $262 a month.
- ⚠ Treatment requires the $155 Premium tier.
Last verified Oct 8, 2026 on the provider’s own page
AgelessRx
Estrogen tablets + progesterone capsules
$117/mo effective$117 to start (membership + estradiol + progesterone)
Cheapest over a year: membership + estradiol + progesterone, $117 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $117 = $1,404 a year ÷ 12
- Includes
- Unlimited messaging with hormone-trained providers, member-priced medication, free shipping; estradiol cream ($53) or patch ($75) also available
- Trust
- In-house US-licensed clinicians; Medical Director Jenell Decker, MD. Six named partner 503A compounding pharmacies (pharmacy-partners page). Its partner pharmacies are LegitScript-certified; AgelessRx shows no seal of its own.
- Reviews
- 4.4★ · 2,557 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- No threads found in menopause subreddits in the past 12 months. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $50/mo membership + estradiol pill $24 + progesterone capsule $43 (member prices).
- ⚠ AgelessRx’s hormones are compounded and not FDA-approved.
- ⚠ Lab work is not part of the price.
Last verified Oct 8, 2026 on the provider’s own page
Midi Health
Menopause visits (medication billed separately)
$58/mo effective$250 to start (self-pay visits)
Cheapest over a year: self-pay visits, $250 first, then $150 every 3 months, upfront
- Labs not included
- Medication not included
- Visits included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- $250 + 3 × $150 = $700 a year ÷ 12
- Includes
- Menopause-specialist video visits; medication and labs are billed separately by your pharmacy, lab or insurance
- Trust
- 550+ board-certified clinicians trained in menopause care, named on its clinicians page. Prescriptions go to the pharmacy you choose; medication is billed by that pharmacy or your insurance. “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 4.1★ · 1,707 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Many threads; often chosen when a gynecologist won’t prescribe, with debate over its lab-based approach and occasional billing and service complaints. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $250 first visit (30 min), $150 returning visit (15 min); we count one returning visit every 3 months.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Midi does not publish how often returning visits are needed; the every-3-months cadence is our assumption.
- ⚠ In network with many PPO plans; with coverage you pay your copay instead.
Last verified Oct 8, 2026 on the provider’s own page
PlushCare
Menopause visits (medication billed separately)
$29/mo effective$129 to start (membership + self-pay visit)
Cheapest over a year: membership + self-pay visit, $129 first, then $19.99 monthly
- Labs not included
- Medication not included
- Visits included
- Shipping not included
First month of membership free (as of Oct 8, 2026)
Visit PlushCare sitePrice math, trust and fine print
- Effective monthly
- $129 + 11 × $19.99 = $348.89 a year ÷ 12
- Includes
- Same-day doctor visits, unlimited care-team messages, a prescription discount card; medication and labs paid at your pharmacy or lab
- Trust
- Board-certified primary-care physicians, named on its medical-team page. Prescriptions go to any local retail pharmacy; medication is paid there (insurance or PlushCare’s discount card). No LegitScript seal on its site.
- Reviews
- 3.5★ · 2,787 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Few menopause threads; the ones found describe a cautious, high-friction approach to hormone therapy. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $19.99/mo membership (first month free) + $129 self-pay first visit.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Follow-up visit prices are not published; with in-network insurance most patients pay a $30-or-less copay per visit.
- ⚠ Primary-care doctors, not menopause specialists; complex cases may be referred.
Last verified Oct 8, 2026 on the provider’s own page
MyMenopauseRx
Menopause visits (medication billed separately)
$50/mo effective$150 to start (self-pay visits)
Cheapest over a year: self-pay visits, $150 every 3 months, upfront
- Labs not included
- Medication not included
- Visits included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- 4 × $150 = $600 a year ÷ 12
- Includes
- Menopause-specialist visits; medication and labs are paid at your own pharmacy or lab
- Trust
- Named physicians and nurse practitioners, led by founder Barbra Hanna, DO, FACOG, MSCP. Prescriptions go to the pharmacy you choose; MyMenopauseRx does not sell medication. LegitScript Certified seal in the site footer.
- Reviews
- 3.3★ · 4 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Little discussion; the one recent thread centers on a positive first-hand account. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $150 per self-pay visit; we count one visit every 3 months, because MyMenopauseRx does not publish how often visits are needed.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Accepts most major insurance; with coverage you pay your copay instead.
- ⚠ A private lawsuit against MyMenopauseRx Medical Group PLLC was filed in DuPage County, Illinois in April 2026 and is unresolved.
Last verified Oct 8, 2026 on the provider’s own page
Evernow
Menopause visits (medication billed separately)
$49/mo effective$49 to start (month-to-month membership)
Cheapest over a year: month-to-month membership, $49 monthly
- Labs not included
- Medication not included
- Visits not included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- 12 × $49 = $588 a year ÷ 12
- Includes
- Care-team messaging, prescriptions and refills; video visits are billed to insurance or $150 each self-pay, and medication is paid at the pharmacy
- Trust
- Named menopause clinicians, led by medical director Ellamarie Russo-DeMara, DO. Prescriptions go to your own pharmacy or its partner pharmacies (GoGo Meds, Art of Medicine). “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 2★ · 15 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Few threads; recent ones describe unanswered support and prescriptions not sent on, while others report a quick, smooth start. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $49/mo membership; self-pay video visits are $150 each (or billed to insurance).
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Also published: 3 months for $129 and 12 months for $420, paid upfront.
Last verified Oct 8, 2026 on the provider’s own page
Winona
Estrogen tablets only
$54/mo effective (from)$54 to start (estrogen tablets, from, per month)
Cheapest over a year: estrogen tablets, from, per month, $54 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $54 = $648 a year ÷ 12
- Includes
- Physician visit and unlimited messaging, FDA-approved estradiol tablets (per Winona), free shipping
- Trust
- 30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
- Reviews
- 4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Many threads; access and follow-up complaints recur, alongside debate about its compounded-cream approach. (Reddit, low weight, not scored)
- ⚠ Estrogen alone; people with a uterus are usually also prescribed progesterone.
- ⓘ Estrogen alone suits only people without a uterus, so it is priced against the field but does not set the price benchmark or compete for a medal.
Last verified Oct 8, 2026 on the provider’s own page
AgelessRx
Estrogen tablets only
$74/mo effective$74 to start (membership + estradiol pill)
Cheapest over a year: membership + estradiol pill, $74 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $74 = $888 a year ÷ 12
- Includes
- Unlimited messaging with hormone-trained providers, member-priced medication, free shipping; pause or cancel anytime
- Trust
- In-house US-licensed clinicians; Medical Director Jenell Decker, MD. Six named partner 503A compounding pharmacies (pharmacy-partners page). Its partner pharmacies are LegitScript-certified; AgelessRx shows no seal of its own.
- Reviews
- 4.4★ · 2,557 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- No threads found in menopause subreddits in the past 12 months. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $50/mo membership + estradiol pill $24/mo (member price).
- ⚠ Estrogen alone; people with a uterus are usually also prescribed progesterone.
- ⚠ AgelessRx’s hormones are compounded and not FDA-approved.
- ⓘ Estrogen alone suits only people without a uterus, so it is priced against the field but does not set the price benchmark or compete for a medal.
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick Gala4.6★ from 3,961 Trustpilot reviews; named prescriber group and a LegitScript seal.
| HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal) Flat monthly price, from · monthly FDA-approved forms (per provider) | $69 from 12 × $69 = $828 a year ÷ 12 | $69 Flat monthly price, from |
| LegitScript seal · Named prescribers | 4.6★ · 3,961 | None published | Prices on Gala’s siteVerified Oct 8, 2026 · source | |
Silver Winona503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews. | Estrogen tablets + progesterone capsules Estrogen tablets ($54) + progesterone capsules ($39), from, per month · monthly FDA-approved forms (per provider) | $93 from 12 × $93 = $1,116 a year ÷ 12 | $93 Estrogen tablets ($54) + progesterone capsules ($39), from, per month |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.6★ · 8,478 | None published | Prices on Winona’s siteVerified Oct 8, 2026 · source | |
Bronze AlloyLowest effective cost for estrogen tablets + progesterone capsules ($67.07/mo); 4.3★ from 4,007 Trustpilot reviews.
| Estrogen tablets + progesterone capsules Estradiol pill ($39.99) + progesterone ($23), from, per month · monthly FDA-approved forms (per provider) | $67 from $111.99 + 11 × $62.99 = $804.88 a year ÷ 12 | $111.99 Estradiol pill ($39.99) + progesterone ($23), from, per month |
| LegitScript seal · Named prescribers | 4.3★ · 4,007 | None published | Visit Alloy siteVerified Oct 8, 2026 · source | |
Hone Health
| HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal) Premium + estradiol patch or gel · monthly Formulation set by prescriber | $218 $278 + 11 × $213 = $2,621 a year ÷ 12 | $278 Premium + estradiol patch or gel |
| LegitScript seal · Named prescribers | 4.8★ · 12,394 | None published | Visit Hone Health siteVerified Oct 8, 2026 · source | |
AgelessRx | Estrogen tablets + progesterone capsules Membership + estradiol + progesterone · monthly Compounded (not FDA-approved) | $117 12 × $117 = $1,404 a year ÷ 12 | $117 Membership + estradiol + progesterone |
| 503A pharmacy · Named prescribers | 4.4★ · 2,557 | None published | Visit AgelessRx siteVerified Oct 8, 2026 · source | |
Midi Health | Menopause visits (medication billed separately) Self-pay visits · every 3 months, upfront Formulation set by prescriber | $58 $250 + 3 × $150 = $700 a year ÷ 12 | $250 Self-pay visits |
| LegitScript seal · Named prescribers | 4.1★ · 1,707 | None published | Visit Midi Health siteVerified Oct 8, 2026 · source | |
PlushCare | Menopause visits (medication billed separately) Membership + self-pay visit · monthly Formulation set by prescriber | $29 $129 + 11 × $19.99 = $348.89 a year ÷ 12 | $129 Membership + self-pay visit |
| Named prescribers | 3.5★ · 2,787 | First month of membership free | Visit PlushCare siteVerified Oct 8, 2026 · source | |
MyMenopauseRx | Menopause visits (medication billed separately) Self-pay visits · every 3 months, upfront Formulation set by prescriber | $50 4 × $150 = $600 a year ÷ 12 | $150 Self-pay visits |
| LegitScript seal · Named prescribers | 3.3★ · 4 | None published | Visit MyMenopauseRx siteVerified Oct 8, 2026 · source | |
Evernow | Menopause visits (medication billed separately) Month-to-month membership · monthly Formulation set by prescriber | $49 12 × $49 = $588 a year ÷ 12 | $49 Month-to-month membership |
| LegitScript seal · Named prescribers | 2★ · 15 | None published | Visit Evernow siteVerified Oct 8, 2026 · source | |
Winona | Estrogen tablets only Estrogen tablets, from, per month · monthly FDA-approved forms (per provider) | $54 from 12 × $54 = $648 a year ÷ 12 | $54 Estrogen tablets, from, per month |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.6★ · 8,478 | None published | Prices on Winona’s siteVerified Oct 8, 2026 · source | |
AgelessRx | Estrogen tablets only Membership + estradiol pill · monthly Compounded (not FDA-approved) | $74 12 × $74 = $888 a year ÷ 12 | $74 Membership + estradiol pill |
| 503A pharmacy · Named prescribers | 4.4★ · 2,557 | None published | Visit AgelessRx siteVerified Oct 8, 2026 · source |
How we score
Re-weight the rubric
Every provider gets the same five pillar scores. Move the sliders to weigh what matters to you; “Your pick” updates, our medals do not.
Known names we don’t rank (yet)
Readers ask about these providers, so here is where they stand. Each row shows the price the provider publishes and the fact that keeps it out of our ranking. We will re-check them; a provider that fixes the issue can be ranked.
| Provider | Published price | Why it isn’t ranked | Community signal |
|---|---|---|---|
| Gennev | Self-pay doctor visit $250 first, $199 follow-up | No LegitScript seal and no BBB profile; its Trustpilot page has 9 reviews, all 1-star. | Mostly discussed as the insurance-covered alternative to cash-pay clinics; care-quality reports are mixed. |
| Elektra Health | Not published | Bills through insurance and publishes no self-pay price. | Few threads; praised for Medicaid and insurance acceptance, with one dissenting account. |
| Hers | Not published | FDA warning letter 716825 (Sep 9 2025); no menopause prices published. | Few threads; described as a low-friction online route that some later swap for in-person monitoring. |
| Defy Medical | Average under $200/mo in year one, under $150/mo after (its own estimate) | Offers anabolic steroids beyond testosterone (oxandrolone, nandrolone, stanozolol); no LegitScript seal. | Few threads, mostly about lab and wellness-exam requirements at intake. |
| Joi Women’s Wellness | $50/mo care plan billed quarterly, plus medication from $69/mo | FDA warning letter MARCS-CMS 728283 to its operator, Joi and Blokes, Jun 8 2026. | A small, mostly negative cluster about billing after cancellation and customer service. |
Prices and facts checked Oct 8, 2026 on each provider’s own site and public records (FDA warning letters, BBB, Trustpilot, LegitScript). Community signal is Reddit, low weight, not scored.
Legend: medals, badges and icons
- Gold: highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Silver: second-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Bronze: third-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Your pick: the top score after you re-weight the rubric. It can differ from ours, and that is the point.
- Best value: Lowest effective monthly cost for the same medication or service.
- Lowest upfront: Smallest first charge to start, in this service, among full plans that include the medication.
- Labs included: Lab work is part of the published price.
- Brand-name option: The provider also offers a brand-name route (priced separately).
- Best for women: Highest-scoring provider built for women in this service.
- Icons: flask = labs, pill = medication, stethoscope = clinician visits, truck = shipping; struck-through means not in the price.
- Score ring: 0–100 weighted score. Green 80+, orange 65–79, amber below 65.
How we score
Five pillars, each scored 0–100 from facts on the provider’s own pages, then weighted: Price and value 30%, What's included 20%, Trust and compliance 20%, Customer reviews 15%, Offer strength and flexibility 15%.
- Price and value (30%): Effective monthly cost over 12 months on the cheapest published cash plan, including intro prices, renewal credits and 28-day billing. The cheapest option for the same medication scores 100; others score cheapest ÷ theirs × 100. A visits-only or membership-only plan, where the medication is bought separately, scores 40: its total monthly cost is not published, so it neither wins on price nor sets the benchmark.
- What's included (20%): Labs 30, medication in the price 30, clinician visits and follow-ups 20, shipping 20, as the provider’s own page states.
- Trust and compliance (20%): LegitScript seal on the site 40; a named prescriber group or named physicians 30 (licensed but unnamed 15); a 503A/503B pharmacy stated on its pages 30 (US-licensed, type not stated 15; not stated 5).
- Customer reviews (15%): Trustpilot star rating, shrunk toward 3.5 stars until a provider has enough reviews (rating × count + 3.5 × 50, ÷ count + 50), mapped 1–5 stars to 0–100. No verifiable rating scores 40, not zero and not average.
- Offer strength and flexibility (15%): A published first-order discount or intro price 40, a cancel-anytime or month-to-month plan 30, HSA/FSA 15, full refund if a clinician declines you 15.
Effective monthly cost is the cash you would pay for 12 months on the cheapest published plan, divided by 12: the first charge (including any published intro price or first-order discount), then the regular or renewal price for the rest of the year, with 28-day plans counted as 13 charges. Prepaid plans count their full upfront price. “To start” is the smallest first charge on any plan.
Reviews and community signal. Trustpilot ratings feed the reviews pillar, but a Trustpilot rating is not proof of quality: profiles can be unclaimed, cover a parent brand, or be removed, and we note when they are. The “Community signal” line on each provider is a paraphrased summary of Reddit threads from the past 12 months. Reddit is a low-weight, qualitative input: it never changes a score or a medal, it is not a representative sample, and it is not medical advice.
Who is listed: providers that pass our vetting (licensed prescribers, a licensed pharmacy, honest compounded-drug labelling, a clean regulatory record, no research-use-only products, no anabolic steroids beyond testosterone) and publish a price we can compare. Most run an affiliate program we have joined or applied to; vetted providers without one are ranked the same way and get a plain, untracked link. On the TRT and women’s HRT pages, well-known names we do not rank are listed with the reason, without links. Dataset version 2026-10-08.3, prices verified Oct 8, 2026. Full methodology · Disclosure
Where offerings overlap
- 2 providers sell hrt program (estradiol, progesterone, vaginal estradiol, non-hormonal): effective cost runs from $69/mo (Gala, flat monthly price, from) to $218/mo (Hone Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 3 providers sell estrogen tablets + progesterone capsules: effective cost runs from $67/mo (Alloy, estradiol pill ($39.99) + progesterone ($23), from, per month) to $117/mo (AgelessRx). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 2 providers sell estrogen tablets only: effective cost runs from $54/mo (Winona, estrogen tablets, from, per month) to $74/mo (AgelessRx). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 4 providers sell menopause visits (medication billed separately): effective cost runs from $29/mo (PlushCare, membership + self-pay visit) to $58/mo (Midi Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Labs are in the price only at Hone Health.
- Gala, Winona, Alloy publish “starting at” prices; the final price is set at checkout or after intake, so treat those rows as a floor.
FAQ
Is compounded bioidentical HRT FDA-approved?
No. Compounded bioidentical hormones are not FDA-approved. Some providers prescribe FDA-approved estradiol and progesterone instead; each row says which the provider uses.
Why do Winona and AgelessRx have two rows?
They price estrogen and progesterone separately. People with a uterus are usually also prescribed progesterone, so we show the combined price next to estrogen alone. Medals compare the combined price, because estrogen alone suits only people without a uterus.
Do I need labs for online HRT?
It depends on the provider. Winona, Gala and AgelessRx usually prescribe from symptoms and history; Hone Health builds lab tests every 3 months into its Premium price. A clinician may order labs when they would change the plan.
Why do Midi Health, PlushCare, Evernow and MyMenopauseRx look cheap but score lower?
They sell visits or membership, not medication: the prescription goes to your own pharmacy and is paid there or through insurance. Their real monthly total depends on your coverage, so we give them a neutral price score instead of letting a visit fee beat an all-in price.
Why aren’t Gennev, Elektra, Hers, Defy or Joi ranked?
Each is listed under “Known names we don’t rank (yet)” with its published price and the specific reason: an FDA warning letter, anabolic steroids beyond testosterone on the menu, no published self-pay price, or no LegitScript seal and only negative reviews.
Is this medical advice?
No. A licensed clinician decides whether hormone therapy is appropriate for you.
Sources
Every price and inclusion was read on the provider’s own page on Oct 8, 2026. Ratings are Trustpilot, same date.
- galaglp1.com/lp/treatable
- bywinona.com/product/progesterone-capsule
- bywinona.com/product/estrogen-tablet
- agelessrx.com/womens-hormone-care/
- honehealth.com/womens/menopause-treatment/
- joinmidi.com/pricing-insurance
- plushcare.com/membership
- myalloy.com/solutions
- evernow.com/faq
- mymenopauserx.com/
- trustpilot.com/review/galahealth.co
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- FDA: Concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026)
- FTC: Endorsement Guides, what people are asking