Best online HRT providers to compare in 2026

Decide what kind of access you need

If you want to discuss several symptoms, a scheduled visit may suit you better than choosing a product first. If you already have a stable plan, ask how the service handles records, follow-up and continuity. A low-friction sign-up is only one part of ongoing care.

We considered public treatment menus, consultation format, pricing clarity, pharmacy arrangements and the distinction between approved and compounded medicines. We did not enroll as patients or establish comparative clinical outcomes. Provider descriptions are claims from their own sites, checked against the medical and regulatory distinctions in our source list.

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. 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.

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. 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.

5. 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.

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.

8. Joi — labs and quarterly care

A hormone program with separate testing, recurring care and medication charges. Ask which prescriptions are compounded and what the first quarter includes.

Read the Joi review.

9. Inner Balance — Oestra combination cream

A named compounded estradiol/progesterone product intended for systemic treatment. Examine the exact formulation, uterine-protection evidence and first-six-month pricing.

Read the Inner Balance review.

10. Thrivelab — compounded care with separate membership

Insurance for a visit does not automatically cover the recurring membership or compounded prescription. Request an itemized quote and the rationale for the formulation.

Read the Thrivelab review.

11. MyMenopauseRx — visits and pharmacy choice

Its published model pairs menopause visits with FDA-approved estradiol and progesterone prescribed to your chosen pharmacy. Confirm benefits and the separate medicine bill.

Read the MyMenopauseRx review.

12. Stella — the US clinic and app

The US service describes approved hormone options, self-pay or insurance-based visits and app support. Use US-specific information when checking treatment access.

Read the Stella review.

13. Pandia Health — membership and delivery

Compare the care-plan commitment separately from prescription insurance. Its menopause pages emphasize approved medication options rather than a dedicated compounded program.

Read the Pandia Health review.

14. PlushCare — a primary care starting point

The service describes HRT evaluation with possible referral for specialist or in-person care. It explicitly excludes hormone injections and pellets.

Read the PlushCare review.

15. Hone Health — a women’s Premium program

Check the women’s membership tier and each medication charge. Its medicine index includes both manufactured and compounded products, so verify the precise prescription.

Read the Hone Health review.

16. Hello Alpha — a written intake and messaging model

Its menopause page directs readers to Plus+ membership. Clarify the tier, prescription charges and how a clinical concern moves from a message to further assessment.

Read the Hello Alpha review.

17. Fem Excel — compounded care with separate medicine billing

Read the membership and two-month medication terms together. Ask why a compounded formulation is proposed and what each component of a broader hormone plan is intended to treat.

Read the Fem Excel review.

18. TelyRx — prescription requests and pharmacy transfers

Its menopause catalog offers a different starting point from scheduled continuing care. Verify the exact supply, review fee and which clinician will manage the whole regimen.

Read the TelyRx review.

19. Lifeforce — menopause within a broader membership

Testing, clinician care and coaching form a wider program. Confirm the enrollment offer and medicine bill; different public pages display different entry prices.

Read the Lifeforce review.

20. Alpha Hormones — in-person and telehealth options

This Pasadena practice is separate from Hello Alpha. Confirm state access, appointment length and the current women’s program quote rather than borrowing another program’s price.

Read the Alpha Hormones review.

21. Amazing Meds — an individualized care-plan quote

The current site describes menopause assessment, insurance support and pharmacy coordination. Request the actual care-plan price, prescription details and applicable guarantee terms.

Read the Amazing Meds review.

22. Elektra Health — clinical care with pharmacy choice

Compare state eligibility, insurance and follow-up arrangements in the Elektra review.

23. The HRT Club — prescription access with a separate prescriber

The HRT Club review explains membership, dispensing and why medical visits are a separate consideration.

24. Elevate MD — consultation and laboratory packages

Read the Elevate MD review before comparing a package quote with a visit-and-pharmacy plan.

25. Interlude — focused vaginal-health treatment

The Interlude review distinguishes local treatment, approved and compounded products, and refill policies.

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.

For the practical next step, compare memberships with individual visits and review the provider-switching checklist if you already have a prescription.