HRT Watchdog

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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. Scores use published weights (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

• Best menopause programs: every program ranked on our published score
• Prices: lowest all-in monthly price per program and per treatment, with sources
• Find my match: a short quiz that returns three programs
• Compare: every program side by side in pairs
• How we score: the exact scoring rules
• Price Index: cheapest and median monthly price over time (JSON)
• Estradiol shortage tracker: FDA status, dated history, stock notes by product and cash prices
• Full data · JSON · CSV
• Dated price feed: every published plan with its read date and source, the same figures as the review pages. Any page below also answers in markdown to a request with Accept: text/markdown

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?

• Is HRT Watchdog legit?: who runs HRT Watchdog, how it makes money and how prices are read and dated
• Legit checks by program: every program's review score, published price and cancellation terms
• Is Winona legit?: review score, cancellation terms and lowest dated price
• Is Found legit?: review score, cancellation terms and lowest dated price
• Is Gala Health legit?: review score, cancellation terms and lowest dated price
• Is Mochi Health legit?: review score, cancellation terms and lowest dated price
• Is Hone Health legit?: review score, cancellation terms and lowest dated price
• Is Ivim Health legit?: review score, cancellation terms and lowest dated price
• Is Alloy legit?: review score, cancellation terms and lowest dated price
• Is Sesame legit?: review score, cancellation terms and lowest dated price
• Is LifeMD Women's Health legit?: review score, cancellation terms and lowest dated price
• Is Inner Balance legit?: review score, cancellation terms and lowest dated price
• Is Midi Health legit?: review score, cancellation terms and lowest dated price
• Is Evernow legit?: review score, cancellation terms and lowest dated price
• Is PlushCare legit?: review score, cancellation terms and lowest dated price
• Is Lemonaid Health legit?: review score, cancellation terms and lowest dated price
• Is Musely legit?: review score, cancellation terms and lowest dated price

Prices people look up

• Estradiol without insurance: from $54/month at Winona, 5 programs
• Estradiol pills: from $54/month at Winona, 3 programs
• Estradiol patches: from $121/month at Mochi Health, 2 programs
• Menopause HRT without insurance: from $39/month at Winona, 7 programs

Most searched comparisons

• Inner Balance vs Winona
• Hone Health vs Winona
• Musely vs Winona
• Inner Balance vs Musely
• PlushCare vs Sesame

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

• Estradiol Gel: Cost, Brands and Where to Apply It: Estradiol gel cost, brands (Divigel, EstroGel, Evamist), generics, where on the body the label says to apply it, and where to see live online prices.
• Estradiol Patch Brands Compared: Dotti, Lyllana, Vivelle-Dot: Dotti, Lyllana, Vivelle-Dot and Minivelle compared: who makes each, which are generic, which can swap for which at the pharmacy, and where to see live prices.
• Lynkuet Cost, Savings Program and Lynkuet vs Veozah: What Lynkuet (elinzanetant) costs, how Bayer's savings program works with commercial insurance, and how it differs from Veozah, per the FDA label and Bayer.
• Hormone Replacement Therapy for Perimenopause: What to Know: HRT for perimenopause explained in plain words: who it can help, why periods and birth control matter, estrogen patch use, safety facts and online program prices.
• Imvexxy Cost, Generic and Getting It Without Insurance: Imvexxy cost, is there a generic, Imvexxy vs Vagifem and how to get it without insurance: FDA label facts, the maker's savings program and online options.
• Vagifem and Yuvafem Cost, Generic and Getting Them Online: Vagifem, Yuvafem and generic estradiol vaginal inserts: what the FDA says each treats, which are generics, and where online vaginal estrogen prices stand.
• Oestra Cream by Inner Balance: Cost and What the Plan Includes: What Oestra costs at Inner Balance, what the plan includes, whether Oestra is FDA approved, and how to compare it with approved vaginal estrogen. Read 7 Nov 2026.
• Vaginal Atrophy Treatment Options and What They Cost: Vaginal dryness and painful sex after menopause: moisturizers, lubricants, vaginal estrogen, prasterone and ospemifene compared, with online program prices.
• Best Online HRT Programs for Menopause (November 2026): Online menopause programs ranked by our published score: price, transparency, care, access and reputation. See who each one suits and what to check before you pay.
• Cheapest Hormone Replacement Therapy Online (November 2026): The cheapest HRT online, ranked by what you really pay each month: estradiol pills, patches and progesterone compared across programs, and what each price omits.
• Does Cigna Cover HRT for Menopause? Estradiol Policy Guide: Does Cigna cover hormone therapy for menopause? What Cigna's own step therapy and quantity policies say about patches, gel and pellets, plus the cash fallback.
• Compounded bioidentical hormones vs FDA-approved HRT: What compounded bioidentical hormones are, how they differ from FDA-approved HRT, what the FDA and NASEM found, the 2025-2026 label changes and what to ask.
• Estradiol patch: cost, brands and how to get it online: Estradiol patch for menopause: Climara, Vivelle-Dot, Minivelle, Dotti and generics compared, what online programs charge, label safety facts and where to wear it.
• Estradiol vaginal cream: cost, brands and how to get it online: Estradiol vaginal cream for menopause dryness and painful sex: Estrace vs generic vs compounded, online program prices, label warnings and who should avoid it.
• Estrogen patch shortage: what to do if you can't find yours: Estradiol patch shortage, November 2026 update: what the FDA says now, how pharmacists can substitute, other forms, and where to get estradiol online.
• Estrogen patch side effects: what to expect and when to call: Estradiol patch side effects from the FDA labels: skin irritation, breast tenderness, headache, spotting, weight gain and the warning signs that need a call.
• How much does menopause HRT cost online? What you will really pay: Online menopause HRT pricing explained: all-in vs membership plans, who bills the medication, what insurance covers, compounded vs FDA prices and refill traps.
• Hormone Replacement Therapy Online: How It Works and Who Ranks Best: How online HRT works from intake to refill, what a clinician checks, what the FDA says, and which programs score best on price and care, with live prices.
• Which Online Menopause Programs Ship to Your State (2026): Which online HRT programs serve your state? What each program's own site says, with the page quoted, the 27 states two programs share, and who is unconfirmed.
• Midi Health Cost: Visit Prices, Insurance and What Is Extra: What Midi Health costs without insurance and with it, read from Midi's own pages on 7 November 2026: visit fees, what is billed separately, and who it excludes.
• Midi vs Winona: Cost, Insurance and How Each One Bills: Midi Health and Winona compared on cost, read from each program's own pages on 9 November 2026: per-visit fees versus product prices, insurance and refills.
• Premarin Cost, Generic, Savings Card and Coupons: What Premarin (conjugated estrogens) costs, whether a generic exists, how the Pfizer savings card works, and what to do without insurance, from the FDA and Pfizer.
• Veozah Cost, Savings Card and Options Without Insurance: What Veozah (fezolinetant) costs, how the maker's savings card works with commercial insurance, and what to do without coverage, per Astellas and the FDA label.
• Alloy Cost: Product Prices, the $49 Consult Fee and Yearly Totals: What Alloy's menopause hormone therapy costs, product by product, read from Alloy's own pages on 8 November 2026: the required consult fee and yearly totals.
• Evernow Cost: Membership Prices, Visits and Insurance: What Evernow costs, read from its own FAQ and home page on 8 November 2026: membership by term, the self-pay video visit, insurance, labs and medication.
• Estradiol Cost Without Insurance: Pills, Patches, Gel, Coupons: What estradiol costs without insurance: pharmacy cash prices, discount cards and coupons, and the online programs that include medication, with live prices.
• Winona Cost (Nov 2026): Product Prices, Refills and Yearly Totals: What Winona costs, product by product, read from its own pages on 7 November 2026: what the price includes, 28-day refills, yearly totals and insurance.
• Does Medicare Cover Hormone Replacement Therapy? Part D Guide: Does Medicare cover hormone replacement therapy? How Part D treats estradiol, telehealth visit costs, which online programs refuse Medicare, and the cash fallback.
• Does Insurance Cover HRT? Visits, Prescriptions, Memberships: Does insurance cover HRT for menopause? How plans treat the visit, the estradiol prescription and online program fees, plus the cash price when they do not.

More pages

• HRT Watchdog
• Cheapest
• Cheapest: No Membership
• Companies
• Cost: Estrogen
• Cheapest: Estrogen
• Cost: Progesterone
• Cheapest: Progesterone
• Cost: Compounded Bioidentical Hormones
• Cheapest: Compounded Bioidentical Hormones
• Cost: Vaginal Estrogen
• Cheapest: Vaginal Estrogen
• Cost: Inner Balance
• Cost: Gala Health
• Cost: Found
• Cost: Hone Health
• Best: Estrogen
• Best: Progesterone
• Best: Vaginal Estrogen
• Best: Compounded Bioidentical Hormones
• Best: No Membership
• Best: Fda Approved Only
• Best: No Labs Required
• Best: Takes Insurance
• Best: Consult Included
• Coverage
• Chatgpt
• Reviews
• Guides
• Directory
• Price Index: 2026 11
• Data
• Price: Estradiol Patch
• Price: Estradiol Gel
• Price: Vaginal Estradiol
• Price: Progesterone
• About
• Editorial Policy
• Affiliate Disclosure
• Privacy
• Terms
• Contact

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

Affiliate disclosure: https://hrtwatchdog.com/affiliate-disclosure