How to Get HRT Online for Menopause
How online menopause care works, who it suits, what the first visit and the first 90 days cost with or without insurance, and the five highest-scoring providers. Prices checked Oct 7, 2026. For the full ranking of every provider, see the best online HRT for menopause.
By CalcMyPeptide Editorial · Published · Prices checked · How we rank
How it works, step by step
- Intake: an online questionnaire about symptoms, periods, medical and family history, and medications.
- Clinician review: a licensed clinician reviews it, by message or video depending on the service and your state.
- Labs if needed: many services start without labs; some (Hone, Joi + Blokes) require a panel first.
- Prescription: sent to your own pharmacy (Midi, Stella, Wisp, PlushCare, MyMenopauseRx) or shipped by the service (Winona, Alloy, Kindr, Henry Meds).
- Follow-up: dose checks and renewals; Stella says most people have a visit about every 3 months.
Who it suits, and who should start in person
Online HRT suits people with typical perimenopause or menopause symptoms and a straightforward history. Hormone therapy labels and The Menopause Society describe situations that usually rule out or complicate systemic HRT, such as a history of breast or endometrial cancer, blood clots or stroke, active liver disease, or unexplained vaginal bleeding; people in these groups are better served by an in-person specialist. Some services set age limits (Winona 35–59; Henry Meds 35 to under 60).
What it costs, with or without insurance
| Provider | Plan | Monthly | First charge | First 90 days | 12-month | Minimum term | Not included / assumptions | Checked |
|---|---|---|---|---|---|---|---|---|
| PlushCare | Membership + first visit (no insurance)Care fee only; medication paid separately | $19.99 | $129 | $168.98 | $348.89 | not published | Follow-up visits (frequency not published) Medication and labs | Prices checked Oct 7, 2026 · source |
| Wisp | Menopause ConsultCare fee only; medication paid separately | $33 | $33 | $99 | $396 | not published | Medication (paid at your pharmacy) | Prices checked Oct 7, 2026 · source |
| Evernow | Membership, 12-month ($420)Care fee only; medication paid separately | $35 | not published | not published | $420 | 12 months | Medication (not published; insurance can apply at a pharmacy) Whether the $420 is charged upfront is not stated. | Prices checked Oct 7, 2026 · source |
| Stella | Self-pay visitsCare fee only; medication paid separately | not published | $200 | $200 | $470 | not published | Medication (paid at your pharmacy) Stella says most people have a visit every 3 months; we use that. | Prices checked Oct 7, 2026 · source |
| Alloy | Estradiol pill (shipped and billed every 3 months)Includes: Unlimited doctor messaging | $39.99 | $168.97 | $168.97 | $528.88 | 3 months | Progesterone, if needed (priced separately; not captured) | Prices checked Oct 7, 2026 · source |
| Evernow | Membership, month to monthCare fee only; medication paid separately | $49 | $49 | $147 | $588 | 1 month | Medication (not published; insurance can apply at a pharmacy) | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets (billed every 28 days) | $58.66 | $54 | $216 | $703.93 | 4 weeks | Price is 'from'; dose can change it | Prices checked Oct 7, 2026 · source |
| Joi + Blokes | Women's BHRT (billed quarterly) | $59 | $326 | $326 | $857 | 3 months | - | Prices checked Oct 7, 2026 · source |
| Kindr Health | Core plan ($79 first month)Includes: Medication, provider care, shipping | $89 | $79 | $257 | $1,058 | not published | - | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets + progesterone capsules (every 28 days) | $101.03 | $93 | $372 | $1,212.32 | 4 weeks | Prices are 'from'; dose can change them | Prices checked Oct 7, 2026 · source |
| Alloy | Estradiol patch (billed every 3 months)Includes: Unlimited doctor messaging | $100 | $349 | $349 | $1,249 | 3 months | Progesterone, if needed (priced separately; not captured) Alloy's page source also shows $74.99/mo for the patch; we use the $100/mo shown on the page. | Prices checked Oct 7, 2026 · source |
| Henry Meds | Women's HRT, any optionIncludes: Visits, medication, supplies, shipping | $149 | $149 | $447 | $1,788 | 1 month | - | Prices checked Oct 7, 2026 · source |
| Hone Health | Premium membership + estradiol patch or gelIncludes: Consults and labs every 3 months (Premium) | $213 | $278 | $704 | $2,621 | 1 month | - | Prices checked Oct 7, 2026 · source |
| Hone Health | Premium + estradiol patch/gel + progesteroneIncludes: Consults and labs every 3 months (Premium) | $262 | $327 | $851 | $3,209 | 1 month | - | Prices checked Oct 7, 2026 · source |
| Midi Health | Self-pay visitsCare fee only; medication paid separately | not published | $250 | not published | not published | not published | Returning visits $150 each (how often is not published) Prescriptions and labs (billed separately) | Prices checked Oct 7, 2026 · source |
| MyMenopauseRx | Self-pay virtual visitCare fee only; medication paid separately | not published | $150 | not published | not published | not published | Follow-up visits (every 8 to 12 weeks at first, then about every 6 months) Medication (paid at your pharmacy) Labs ($55 menopause bundle, if ordered) | Prices checked Oct 7, 2026 · source |
| Eden | My Custom Hormone Kit (first month) | not published | $79 | not published | not published | not published | Monthly price after the first month (not published) | Prices checked Oct 7, 2026 · source |
First charge = one-time fees plus the first billing block. First 90 days = cash paid on the provider's billing calendar. 12-month = one-time fees + 12 months of the plan price + scheduled extras (like follow-up labs). "not published" means the provider's own pages don't say; we never fill the gap with a guess. Full math: methodology.
Top 5 providers by our score
| Provider | Best for | Score | Plan priced | Monthly | First charge | 12-month | Labs | The catch | Checked | Next step |
|---|---|---|---|---|---|---|---|---|---|---|
| Hone Health | Lab-heavy care with testosterone for women on the menu | 8.5/10 | Premium membership + estradiol patch or gel | $213 | $278 | $2,621 | $65 initial test, 50+ biomarkers, at 2,000+ Quest locations, or a free at-home draw where available. Premium retests every 3 months. | Treatment needs the $155/mo Premium membership on top of medication. | Prices checked Oct 7, 2026 · source | Check Hone Health's plans and pricing on its site → |
| Winona | Compounded bioidentical creams and pills without a lab visit | 8.2/10 | Estrogen tablets (billed every 28 days) | $58.66 | $54 | $703.93 | Not required. Prescribed on symptoms. | Compounded hormones (not FDA-approved), ages 35 to 59 only. | Prices checked Oct 7, 2026 · source | Check Winona's plans and pricing on its site → |
| MyMenopauseRx | A menopause specialist billed like a normal visit | 7.9/10 | Self-pay virtual visit | not published | $150 | not published | Quest. Use insurance, or discounted self-pay bundles. | $99 late-cancel fee; 39 states plus DC. | Prices checked Oct 7, 2026 · source | Check MyMenopauseRx's plans and pricing on its site → |
| Stella | Guideline-based HRT through your own pharmacy | 7.9/10 | Self-pay visits | not published | $200 | $470 | Usually not needed (NAMS guidance). | No testosterone yet; medication is paid at your pharmacy. | Prices checked Oct 7, 2026 · source | Check Stella's plans and pricing on its site → |
| Kindr Health | One monthly price with medication included | 6.8/10 | Core plan ($79 first month) | $89 | $79 | $1,058 | No labs required to start. Lab testing offered. | New brand: no Trustpilot reviews yet and LegitScript certification listed as pending. | Prices checked Oct 7, 2026 · source | Check Kindr Health's plans and pricing on its site → |
FDA-approved vs compounded HRT
FDA-approved estradiol and progesterone come as pills, patches, gels, sprays and vaginal forms. Compounded "bioidentical" hormones are not FDA-approved. In November 2025 FDA began removing most boxed-warning language from menopausal hormone therapy labels; the endometrial-cancer warning stays on systemic estrogen-alone products.
Alloy and Stella say they prescribe FDA-approved products; Winona and Joi + Blokes sell compounded hormones; Kindr and Henry Meds offer both. If you want insurance to help with medication cost, FDA-approved generics at your own pharmacy are usually the route.
FAQ
Can I get HRT prescribed online?
Yes. Telehealth clinicians licensed in your state can prescribe estrogen and progesterone after an online intake and visit. Availability varies by state: Midi, Alloy, Kindr, Evernow and Wisp say they cover all 50 states; Winona and MyMenopauseRx list fewer.
How much does online HRT cost without insurance?
Cash prices checked Oct 7, 2026 range from a $33/mo care fee (Wisp, medication extra) to all-in plans like Kindr at $89/mo or Henry Meds at $149/mo. A first self-pay visit at per-visit services runs $129–$250 (PlushCare, MyMenopauseRx, Stella, Midi).
Will insurance cover online HRT?
Visits often are at Midi, Stella, MyMenopauseRx and PlushCare, and at Evernow with several large insurers. Medication sent to your own pharmacy can go through your pharmacy benefit. Compounded hormones are usually not covered.
Do I need blood work?
Often not for menopause HRT. Several providers start on symptoms and history; a clinician may order labs in specific situations.
FDA-approved or compounded?
FDA-approved estradiol and progesterone come as pills, patches, gels, sprays and vaginal forms. Compounded "bioidentical" hormones are not FDA-approved. In November 2025 FDA began removing most boxed-warning language from menopausal hormone therapy labels; the endometrial-cancer warning stays on systemic estrogen-alone products.
Related
Sources
Provider facts come from each provider's own pages, read Oct 7, 2026. Regulatory lines link to the primary source.
- Midi Health: joinmidi.com, joinmidi.com/pricing-insurance, joinmidi.com/menopause
- Stella: us.onstella.com, us.onstella.com/faqs, us.onstella.com/insurance
- Wisp: hellowisp.com/products/menopause-consult, hellowisp.com/shop/menopause
- Alloy: myalloy.com, myalloy.com/faq, myalloy.com/solutions/estradiol-pill, myalloy.com/solutions/estradiol-patch
- Winona: bywinona.com/product, bywinona.com/faq, bywinona.com
- Kindr Health: kindr.health, kindr.health/hrt/cost, kindr.health/pricing-transparency, kindr.health/faq
- Henry Meds: henrymeds.com/treatments/trt, henrymeds.com/treatments/hrt, henrymeds.com/faq
- MyMenopauseRx: mymenopauserx.com, mymenopauserx.com/faq, mymenopauserx.com/labs
- Evernow: evernow.com, evernow.com/faq, evernow.com/how-it-works
- PlushCare: plushcare.com/get-menopause-treatment-online, plushcare.com/membership
- Hone Health: honehealth.com, honehealth.com/how-it-works, honehealth.com/mens/testosterone-replacement-therapy, honehealth.com/womens/menopause-treatment, honehealth.com/terms
- Joi + Blokes: joiandblokes.com/shop/women/hormone-health/hrt, joiandblokes.com/shop/men/hormone-health/testosterone-replacement-therapy, joiandblokes.com/shop/men/hormone-health/enclomiphene
- FDA (Nov 10, 2025): initiating removal of boxed warnings from menopausal HRT labels
- FDA (Feb 12, 2026): first approved HRT labeling changes
- The Menopause Society: 2022 hormone therapy position statement
- ACOG: The menopause years