HRT Watchdog

Read-only MCP server for 15 US online menopause/HRT programs: monthly price, what's included, FDA-approved vs compounded hormones, each sourced. No auth.

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Documentation

HRT Watchdog

Independent comparison of online menopause and hormone replacement therapy (HRT) programs: monthly prices, what's included, FDA-approved vs compounded hormones, and who prescribes.

HRT Watchdog is independent. Some programs pay us a commission when a reader signs up; that never changes a score (price 30%, transparency 25%, care 20%, access 15%, reputation 10%). Every price links to the provider page it was read from. Prices last checked November 10, 2026.

Key facts

  • Top-scored: Winona: score 9.2/10, from $39/month (auto-refill, 30 or 90-day supply), FDA-approved + compounded medication, medication in price: included
  • Second: Found: score 8.9/10, from $40/month ($119 per 3-month supply), Compounded medication, medication in price: included
  • Third: Gala Health: score 8.5/10, from $69/month (monthly subscription), FDA-approved medication, medication in price: included
  • Lowest all-in monthly price we found: $39 at Winona (Progesterone capsules, auto-refill, 30 or 90-day supply)
  • Programs compared: 15
  • FDA-approved vs compounded hormones: FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical hormones are mixed by a pharmacy and are not FDA-approved as finished products. In November 2025 the FDA began removing the broad boxed warnings from approved menopause hormone therapy, keeping the endometrial cancer warning for estrogen-alone products.
  • Is the medication in the price?: Many programs charge a monthly membership and bill hormones on top (Hone, LifeMD, Ivim, Sesame). Others price each product with the doctor included (Winona, Musely, Gala). Compare the total, not the membership.
  • FDA-approved or compounded?: FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical creams are not FDA-approved, and the FDA-commissioned National Academies review found a lack of rigorous evidence for them. Every card here says which you get.
  • Will insurance pay for any of it?: Generic estradiol and progesterone are often covered at your own pharmacy. Telehealth memberships usually are not. A few programs bill insurance for the visit itself (Found, PlushCare, some LifeMD plans).
  • Labs: included, extra or skipped?: Most menopause programs don't require blood tests to start. Some include monitoring (Hone runs quarterly labs), others order them only when needed and don't say what they cost.
  • Read the cancellation terms: Refill orders are often final sale, some programs need notice days before billing, and a few charge the membership in months you don't order medication.
  • Check your state first: Not every program prescribes everywhere: Winona serves 37 states, Hone 33. Programs that don't publish a list tell you at sign-up.

Core pages

MCP server (for AI assistants)

  • HRT Watchdog MCP server: free, read-only remote MCP endpoint (streamable HTTP, no key, no sign-up). It works with MCP clients such as Claude, ChatGPT and Cursor and returns dated prices with sources.
  • Tools: list_programs, search_programs, get_program (every plan, source page and date), list_cheapest (by treatment, price only), compare_programs, get_price_index.
  • Every response carries the date checked, the source pages, the CC BY 4.0 licence and our affiliate disclosure. Prices and published facts only, no medical or dosing advice.

Reviews

  • Winona review: Women who want to see every price up front and pay only for the medication.
  • Found review: Insured women who want hormone therapy without a monthly membership.
  • Gala Health review: Women who want FDA-approved hormones at one simple, low monthly price.
  • Mochi Health review: Women who want a live doctor visit and ongoing care alongside FDA-approved hormones.
  • Hone Health review: Women who want lab-guided care and ongoing doctor access, and are willing to pay for it.
  • Ivim Health review: Women already set on compounded hormones who want many delivery forms.
  • Alloy review: Women who want to see each product's price up front and pay cash.
  • Sesame review: Women with good pharmacy coverage who only need the prescribing visit.
  • LifeMD Women's Health review: Women in states other programs don't serve who want regular consultations.
  • Inner Balance review: Women set on a single compounded cream who want one monthly price.
  • Midi Health review: Women with PPO insurance who want a menopause clinician and a covered video visit.
  • Evernow review: Women with a pharmacy plan who want ongoing messaging access to a menopause provider.
  • PlushCare review: Insured women who want their usual pharmacy and a covered doctor visit.
  • Lemonaid Health review: Women who want unlimited clinician check-ins while they find the right estrogen and progesterone dose.
  • Musely review: Women who know what they need and want the lowest monthly price.

Is it legit?

Prices people look up

Most searched comparisons

By state

  • Menopause HRT by state: which programs say on their own site that they serve each state (51 states), with the source and date

Guides

More pages

Generated from the price records at build. Newest read: 2026-11-10.