Best affordable online HRT options: compare the complete cost

Use one time window for every quote

Write down the amount due at enrollment and the expected total over the first three months. Include estrogen, any needed progestogen, visits, membership, tests and delivery. Then calculate what an ordinary refill period costs after introductory charges end.

Insurance can change the result substantially, but a covered visit does not guarantee coverage for medication or a compounded preparation. We do not name a universal price winner because the actual prescription and benefits are not known. Published prices are snapshots, not personalized quotes.

1. CoreAge Rx — featured partner; confirm HRT availability

Its public catalog describes online prescription care but did not list menopause estrogen or progesterone at our check. Ask for an HRT-specific offering, price and follow-up plan before paying. The first position is promotional and does not establish clinical superiority or verified HRT access.

Read the full CoreAge Rx review.

2. Evernow — a choice of visits or membership

The public page listed uninsured video visits at $150 and membership from $35 per month, with medication separate. Its menu includes approved and compounded options. Clarify billing commitment, actual product and what follow-up access is included.

Read the full Evernow review.

3. Alloy — an FDA-approved patch and delivery model

The patch page listed $100 per month, billed and shipped every three months, plus a $49 one-time consultation fee. Confirm any additional progesterone cost and the terms for changes or cancellation. This is a product price, not the price of every possible treatment plan.

Read the full Alloy review.

4. Winona — published compounded options

Its menu includes compounded creams and oral options alongside an estrogen patch. The catalog listed estrogen body cream with progesterone from $89 per month. Ask why a compounded preparation is appropriate, how uterine protection is handled and what the complete shipment costs.

Read the full Winona review.

5. Midi Health — scheduled visits and insurance checks

The service lists FDA-approved menopause HRT and a separate compounded testosterone offering. Self-pay visits were listed at $250 initially and $150 for continued care. Verify your plan, state and medication; its Medicare and Medicaid policies need a specific check.

Read the full Midi Health review.

6. Gennev — physician visits with optional nutrition care

Gennev lists approved hormonal and nonhormonal care, with self-pay doctor visits at $250 initially and $199 for follow-up. Dietitian visits have separate fees. It is an approved-treatment comparison here; we did not verify a dedicated compounded menopause program.

Read the full Gennev review.

7. Defy Medical — a broad hormone and compounding menu

Defy describes multiple hormone formulations and compounded combinations. We did not establish one all-inclusive menopause price from the reviewed pages. Request an itemized quote and an evidence-based explanation for each hormone, route and monitoring requirement.

Read the full Defy Medical review.

More ways to compare the full bill

MyMenopauseRx and Stella provide visit-based comparisons with separate pharmacy costs. Pandia Health publishes several care-plan commitments, while PlushCare separates membership from visits. None is a universal price winner: calculate the same three-month period using your insurance, medicines and likely follow-up needs.

Compare the ordering fee with the cost of care

TelyRx separates new-prescription review from medicine costs, while Hello Alpha uses a recurring care plan. These are different services. Use the membership-versus-visits guide to include follow-up, pharmacy supply and testing in the same period before judging affordability.

Separate pharmacy savings from appointment costs

The HRT Club is a prescription-access platform with clinical care arranged separately. Elektra offers clinical visits with separate pharmacy costs. Compare the complete plan, including follow-up, before deciding which arrangement is affordable for you.

Before you commit

Get the exact prescription, pharmacy, total bill and follow-up arrangements in writing. Confirm whether the finished medicine is FDA-approved or compounded and why it fits your medical needs. Promotional placement, a convenient website and a positive testimonial do not establish a treatment’s suitability.

Use the appointment checklist and cost guide to finish your comparison. If the clinician advises against hormones, ask about nonhormonal options. A useful shortlist should help you ask better questions, not pressure you into a prescription.