7 Best Online HRT Providers (2026)
Hormone replacement therapy, or HRT, is now easy to get online. We compared seven providers on price, insurance, lab work and who each one serves best.
Medically reviewed by Jill Garnier, MDFor most women, Winona is the easiest way to get HRT online. There is no visit fee and no lab work, and single products start at about $40 a month. If you have PPO insurance, Midi Health usually costs you less. If Winona doesn't serve your state, Alloy covers all 50.
On this page
- What you'll actually pay
- Which online HRT provider is best for you?
- What to compare before choosing an online HRT provider
- Winona: the cheapest online HRT, no labs required
- Alloy: menopause specialists at a clear price
- Midi Health: best online HRT if you have insurance
- Wisp: best for using your own pharmacy
- Inner Balance: HRT cream without labs
- PlushCare: HRT alongside primary care
- Evernow: menopause-only membership care
- What online HRT costs over a year
- Frequently asked questions
What you'll actually pay
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- No visit fee, no labs. Priced per product: pills about $40–$55
- Cream about $90
- FDA-approved patch about $150. In 37 states plus Puerto Rico
- Compounded Oestra cream, no visit fee, no labs to start. About $200/mo for 6 months
- Then about $100/mo. Cash only
- FDA-approved patch, billed every 3 months. Doctors certified by The Menopause Society, all 50 states. Progesterone extra, from about $25/mo
- Pill from about $40/mo
- 25% off a first pill or spray order
- Self-pay visit prices
- In network with most PPO plans, so you often pay only a copay
- Medicare is self-pay only
- Labs and medication cost extra
- Covers the consult, follow-ups and Care Team access
- Medication is filled at your own pharmacy, where insurance can apply
Show 2 more options
- Primary care, not menopause-focused. In-network visits often $30 or less
- Follow-ups about $100. Medication filled at your pharmacy. HSA and FSA accepted
- Menopause-only membership. About $50 month to month
- About $35/mo on the 12-month plan. Medication billed separately. Labs only for some medications
Which online HRT provider is best for you?
Start with what matters most to you. For most women, that is price, insurance, or how specialized the care is.
- Cheapest way to start: Winona. There is no visit fee, and single products start at about $40 a month.
- Simplest if Winona isn't in your state: Alloy. You pay one consult fee, then a flat price per product, in all 50 states.
- If you have PPO insurance: Midi Health. A PPO is a plan that lets you see specialists without a referral. Visits are often covered, so you may pay only a copay.
- If your drug coverage is good: Wisp or PlushCare. Both send your prescription to your own pharmacy.
- If you prefer a cream: Inner Balance. Its cream is compounded, meaning a pharmacy mixes it for you rather than selling an FDA-approved product.
- For menopause-only care as a membership: Evernow, with ongoing messaging with a menopause clinician.
What to compare before choosing an online HRT provider
The price is only part of the picture. Four other things shape your care.
- Insurance: does the provider bill your plan, or is it cash only?
- Lab work: does it need blood tests before prescribing?
- Formulations: does it offer the form you want? That can be a patch, pill, cream, gel or spray.
- Clinician training: are the doctors trained in menopause, or are they general practitioners?
HRT is not one-size-fits-all. The right form depends on your symptoms, your health history and your own preference. A menopause-trained clinician is better placed to tailor it.
Winona: the cheapest online HRT, no labs required
Winona is the most affordable option here, and the easiest to start. There is no visit fee and no blood work. Its doctors prescribe from your symptoms and health history, not from lab values.
You pay per product. Progesterone capsules cost about $40 a month. Estrogen tablets cost about $55 a month. The cream and the patch cost more, as the table shows.
The patch, tablets and capsules are FDA-approved drugs. Only the creams are compounded, by Winona's own pharmacy.
The trade-off is clinical depth. Care follows a fairly standard path, which suits clear, classic symptoms. It suits complex cases less well. Winona's clinicians are licensed but not menopause-certified.
- Pros: no visit fee; lowest entry price; no lab work; cancel anytime
- Cons: only in 37 states plus Puerto Rico; a full protocol costs more than one product; no insurance
- Best for: women with classic perimenopause symptoms who want to start quickly and cheaply
Alloy: menopause specialists at a clear price
Alloy stands out for its doctors. All are board-certified and certified by The Menopause Society. Each has at least 10 years of menopause experience.
You pay a one-time consult of about $50. The estradiol patch then costs $100 a month. It ships every 3 months, and each shipment is billed at once.
Progesterone is a separate line, from about $25 a month. Patch plus progesterone comes to about $125 a month. The estradiol pill is the cheaper route, from about $40 a month.
New patients currently get 25% off a first pill or spray order. The codes are PILL25 for the pill and HRT25 for the Evamist spray. Alloy shows no end date.
Like Winona, Alloy needs no lab work. It prescribes from your symptoms and history. It also offers prescription skincare, a hair treatment, and GLP-1 weight-loss medicines like semaglutide.
- Pros: Menopause Society-certified doctors; all 50 states; clear per-product prices; HSA and FSA eligible
- Cons: no insurance; the patch posts as a larger charge every 3 months; progesterone costs extra
- Best for: women who want specialist care at a known price, with no insurance paperwork
Midi Health: best online HRT if you have insurance
Midi Health is the menopause platform built around insurance. It is in network with most PPO plans. With coverage, many women pay only their usual specialist copay, a fixed fee per visit.
Without insurance, the first visit costs $250. Each follow-up costs $150.
Medicare is out of network, so Medicare patients pay the self-pay price. Midi does not accept Medicaid.
Its clinicians are trained in menopause. They prescribe HRT and non-hormonal treatments. Labs and medication are billed separately, through your insurance or your pharmacy.
- Pros: accepts most PPO plans; menopause-trained clinicians; hormonal and non-hormonal options
- Cons: high visit prices without insurance; follow-ups add up; labs cost extra
- Best for: women with PPO coverage who want specialist menopause care
Wisp: best for using your own pharmacy
Wisp keeps its fee small. About $100 covers the consult, follow-ups and Care Team access for 3 months. Wisp now shows it as a monthly price on its site.
Wisp does not ship the medication. It sends the prescription to the pharmacy you choose. There, your insurance, a discount card or the cash price applies. That suits women whose drug plan already covers HRT.
- Pros: prescription goes to your pharmacy; low care fee; insurance can pay for the medication
- Cons: not menopause-only; medication cost comes on top and varies by pharmacy
- Best for: women whose drug coverage pays for HRT at a local pharmacy
Inner Balance: HRT cream without labs
Inner Balance prescribes Oestra, a compounded hormone cream. No lab work is needed to start.
The first six months cost about $200 a month. After that, the price drops to about $100 a month. There is no separate membership or visit fee.
It is a small company with few public reviews. Its own pages list its states in different ways, so check yours at signup.
- Pros: no labs to start; low ongoing price; no membership fee
- Cons: higher cost for the first 6 months; cream only, compounded rather than FDA-approved; cash only
- Best for: women who prefer a cream and want to start without blood work
PlushCare: HRT alongside primary care
PlushCare is a primary care service that also prescribes HRT. It takes most major insurance plans. In-network visits often cost $30 or less.
Without insurance, the first visit costs about $130. Prescriptions go to your local pharmacy. You can pay with HSA or FSA funds, the pre-tax health accounts many employers offer.
It is not a menopause clinic. It suits women who want HRT handled with the rest of their primary care. Its doctors prescribe pills, patches, gels, creams and rings, but not injections or pellets.
- Pros: most major insurance accepted; uses your local pharmacy; HSA and FSA accepted
- Cons: not menopause-focused; complex cases may be referred to a specialist
- Best for: women who want HRT handled as part of general primary care
Evernow: menopause-only membership care
Evernow focuses only on perimenopause and menopause. Your membership covers ongoing messaging with a menopause clinician and your prescriptions.
It costs about $50 month to month. The 12-month plan brings it down to about $35 a month, paid upfront.
Medication is billed on top. Labs are needed only for some medications. Video visits can be billed to some major insurers.
- Pros: menopause-only care; ongoing messaging; insurance for video visits with some carriers
- Cons: membership comes on top of medication; the 12-month plan is paid upfront
- Best for: women who want steady, menopause-only care
What online HRT costs over a year
Monthly prices hide one-time fees and add-ons. Here is a rough first year, before insurance.
- Winona: about $470 for one pill product. About $2,255 for the patch plus progesterone.
- Alloy: about $1,525 for the patch plus progesterone, consult included.
- Midi Health without insurance: about $850 for a first visit and four follow-ups. Medication is extra.
- Inner Balance: about $1,790 in year one. About $1,195 a year after that.
- Evernow: about $420–$590 for the membership alone, before medication.
Wisp and PlushCare depend most on your drug coverage and your pharmacy. So a yearly total says little for them.
Frequently asked questions
Do I need lab work to get HRT online?+–
It depends on the provider. Winona, Alloy and Inner Balance prescribe without blood work. Evernow asks for labs only for some medications. Midi Health may order labs, billed separately. Without labs, your dose follows your symptoms rather than measured hormone levels. That is a real trade-off for some women.
Is online HRT as effective as seeing a doctor in person?+–
Yes, the medicine is the same. Estrogen and progesterone work the same way whether they are prescribed online or in person. Quality depends on the clinician's training, not the channel. Menopause-trained clinicians, like those at Alloy and Midi Health, give specialist care online.
Does Medicare cover online HRT?+–
Medicare Part D, the drug benefit, usually covers common HRT medicines at your plan's copay. Visits are a different story. Midi Health treats Medicare as out of network, so you pay its self-pay price. Most other platforms here charge cash for the visit.
What formulations are available through telehealth?+–
Most platforms offer estradiol, the main form of estrogen, as a patch, pill, gel, spray or cream. Women with a uterus also take progesterone, usually as a capsule. Patches and pills are the most common. Some providers also prescribe testosterone for low libido. It is not FDA-approved for women, so it needs a careful talk with your clinician.
Can I switch between online HRT providers?+–
Yes. You can ask for your records and take them to a new provider. The new provider will usually want its own consult first. Most platforms bill month to month or every 3 months. Evernow's 12-month plan is the exception, since it is paid upfront. Starting with Winona and moving to Alloy or Midi Health later is simple.