Menopause Treatment Cost: The Cheapest Ways to Get HRT in 2026
Menopause hormone therapy is often inexpensive: generic estradiol and progesterone are long-established drugs, and the brand-name pill Duavee now costs $30.30 for 30 tablets with a TrumpRx coupon. Online clinics add the prescription and follow-up care; Gala’s HRT program starts at $69 a month, all included. Here is what we found, cheapest first.
By CalcMyPeptide Editorial · Published · Prices checked · How we rank
Prices checked · Written by the CalcMyPeptide editorial team · Medical review pending
Quick answer
- Cheapest brand-name pill: Duavee, $30.30 for 30 tablets with a TrumpRx coupon at a retail pharmacy (list $202), prescription required.
- Cheapest all-in online program we found: Gala HRT, “from $69/month, all included” (medication, provider review and ongoing care; cash-pay, FSA/HSA accepted).
- CoreAge Rx lists progesterone and a non-hormonal option “starting at $64.99/month”, but both were marked “coming soon” on Oct 7, 2026.
- Using insurance? A covered visit plus generic estradiol and progesterone at your copay is often cheapest; see our full HRT clinic comparison.
Menopause treatment prices, cheapest first
| Seller | Product | Price | Status | Includes |
|---|---|---|---|---|
| TrumpRx (Pfizer) | Duavee 0.45/20 mg, 30 tablets | $30.30 with coupon (list $202)seller's list price | FDA-approved brand | Medication only, at a retail pharmacy; you need a prescription |
| CoreAge Rx | Progesterone (oral) or non-hormonal paroxetine 10 mg | Starting at $64.99/mo (coming soon)source | Formulation set by prescriber | Not purchasable on Oct 7, 2026; estrogen also “coming soon” |
| Gala | HRT program: estradiol pill or patch, progesterone, vaginal estradiol, non-hormonal options | From $69/mo, all includedsource | Formulation set by prescriber | Medication, licensed-provider review, messaging and dose adjustments, free shipping; no insurance; cancel anytime |
Sorted by the lowest published monthly cost. "Starting at" prices can change after a clinician sets your dose. Linked brands are affiliate or applied-for programs (rel="sponsored"); other sellers are listed as plain text for price context only.
Which route is cheapest for you
- You have insurance and a clinician who prescribes HRT: a covered visit plus generic estradiol and progesterone at your copay is usually cheapest.
- You have a prescription for Duavee: the TrumpRx coupon brings it to $30.30 a month at a retail pharmacy.
- You want everything online with one monthly price: Gala from $69 a month, or compare the clinics in our menopause HRT guide (some take insurance).
- You are tracking perimenopause symptoms or cycles: Natural Cycles has a perimenopause mode in the same subscription as its birth-control app.
FAQ
How much does HRT cost per month without insurance?
It depends on the route. Duavee is $30.30 for 30 tablets with a TrumpRx coupon (prescription required), and Gala’s online HRT program starts at $69 a month including medication and provider care (checked Oct 7, 2026). Other online clinics charge separately for visits and medication; see our HRT clinic comparison.
What is Duavee and is it on TrumpRx?
Duavee (conjugated estrogens/bazedoxifene, Pfizer) is an FDA-approved pill for moderate to severe hot flashes and to prevent postmenopausal osteoporosis in women with a uterus. TrumpRx.gov lists it at $30.30 for 30 tablets of 0.45/20 mg, down from $202, via a coupon used at retail pharmacies.
Is Gala HRT compounded?
Gala says it prescribes FDA-approved bioidentical forms (estradiol pill or patch, oral or vaginal progesterone, vaginal estradiol) chosen by a licensed clinician. Confirm the specific product with your clinician.
Related
Sources
Prices and product facts come from each seller's own pages, read Oct 7, 2026. We link only to sellers we have an affiliate relationship with and to government and research sources; other sellers' prices are quoted as plain text.