Health guides · Women’s HRT & menopause
Who prescribes menopause hormone therapy online
Menopause care is where telehealth has most clearly improved access, because the in-person system was failing women badly. These providers prescribe hormone therapy and non-hormonal alternatives online.
Ranked first on the five-criterion rubric, at 10.0/10.
From $49 one-time consult Easiest to cancelCancel online yourself, no phone call.
From $35/moQuick comparison
| # | Provider | Score | From | Labs | Prescriber | States | Cancel |
|---|---|---|---|---|---|---|---|
| 1 | Alloy | 10.0 | $49 one-time consult | n/a | MD/DO | 50 + DC | Self-serve online |
| 2 | Evernow | 9.1 | $35/mo | n/a | MD/DO + NP/PA | 50 + DC | Self-serve online |
| 3 |  Joi | 6.2 | $149 hormone lab panel | Extra | — | 50 | Minimum term or retention process |
| 4 |  Midi Health | 8.5* | $250 first visit self-pay | — | MD/DO + NP/PA | 50 | No subscription to cancel |
* Provisional: one or two criteria could not be verified from the provider’s published pages and are left out of the average. Provisional scores rank below fully verified ones.
The ranking
Alloy
Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.
- Starting price
- $49 one-time consult
- Consult model
- Asynchronous (questionnaire + messaging)
- Prescriber
- MD/DO
- Labs
- Not needed
- Insurance
- Cash pay
- Availability
- 50 states + DC
- Cancellation
- Self-serve online
- Founded
- New York, NY
Pricing
Seen 2026-10-17: one-time $49 doctor consultation fee, then per-product pricing: estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo, progesterone from $23/mo; ongoing messaging and delivery included. Weight Care is $99/mo plus medication.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Full per-product prices and the $49 consult fee are published before sign-up
- Physician-only prescribing (menopause-trained, board-certified doctors)
- Available in all 50 states and DC
- Cancel via account dashboard or email
Watch out for
- No insurance accepted (cash-pay; FSA/HSA accepted)
- Consultation and subscription fees are non-refundable
- Cancellation must be made 7 days before the end of the billing period
- No live video visits; care is via intake form and messaging
Cancelling
Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned.
Where it is available
All 50 US states and DC for menopause care. Compounded GLP-1 weight care not available in AL, AR, CA, NV, LA, MS or DC.
Evernow
Women seeking ongoing menopause care by messaging, with insurance-covered video visits and local-pharmacy prescriptions.
- Starting price
- $35/mo
- Consult model
- Video and asynchronous messaging
- Prescriber
- MD/DO + NP/PA
- Labs
- Not needed
- Insurance
- Accepted
- Availability
- 50 states + DC
- Cancellation
- Self-serve online
- Founded
- San Francisco, CA
Pricing
Seen 2026-10-17: membership $49/mo month-to-month, $129 per 3 months ($43/mo), or $420 per 12 months ($35/mo); covers messaging, optional insurance-covered video visits and prescriptions. Medication is billed separately (insurance usable at local pharmacies for most drugs); pay-per-visit option is $150 per visit self-pay.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Insurance accepted for video visits regardless of plan type (not Medicare/Medicaid)
- Available in all 50 states plus DC
- Low membership price on longer plans ($35/mo on 12-month prepaid)
- Pay-per-visit option ($150) with no membership required
Watch out for
- Lowest monthly price requires prepaying 12 months ($420)
- Medication billed separately from membership
- No refund policy for membership published; BBB complaints cite unrefunded annual fees
- Low Trustpilot score (2.0 from 15 reviews)
Cancelling
Help center: cancel online at care.evernow.com; account stays active until a cancellation confirmation email is received. Terms: prescription medications cannot be returned. No membership refund or prepaid-plan refund terms found; BBB complaints mention annual fees not refunded on cancellation.
Where it is available
FAQ: 'available in all 50 states, plus D.C.'
Cash-pay women who want lab-guided hormone therapy and a wide menu of longevity add-ons, and can accept a three-month minimum.
- Starting price
- $149 hormone lab panel
- Consult model
- Video and asynchronous messaging
- Prescriber
- Unconfirmed
- Labs
- Billed separately
- Insurance
- Cash pay
- Availability
- 50 states
- Cancellation
- Minimum term or retention process
- Founded
- Denver, CO
Pricing
Seen 2026-10-17: a lab panel plus clinician visit is required to start (Complete Hormone Panel $149, Advanced $399, Comprehensive $699; 50%-off new-customer promos shown). Ongoing care is $50/mo billed quarterly (covers follow-up labs, visits, coaching), with hormones billed separately: estrogen $49-$129/mo, progesterone $54-$69/mo, testosterone $59-$69/mo; women's BHRT listed from $59/mo.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Hormone medication prices are listed per formulation on the site
- Baseline lab panel and clinician visit required before prescribing hormones
- Some prescriptions (estrogen, progesterone, thyroid) can be sent to a local pharmacy to use insurance
Watch out for
- Three-month minimum commitment and 30-day email notice to cancel (per Terms)
- Initial lab panel ($149+) sold separately and non-refundable
- FDA warning letter (June 2026) over misleading compounded GLP-1 claims
- Does not bill insurance directly
Cancelling
Terms of Service: subscriptions carry a minimum of three consecutive months; cancellation only after the initial commitment, requested by email at least 30 days before the next monthly processing date. All products non-refundable; refunds page says subscription payments and lab purchases are not refundable. Marketing pages separately say 'cancel anytime'.
Where it is available
About page: telemedicine practiced 'across all 50 states'. Testosterone cannot ship to AL, AR, CT, DE, GA, HI, LA, MN, MO, NC, ND, OK, PA, RI or SC; at-home blood draws only in certain locations; NY/NJ have separate lab pricing.
- 2026-06 FDA CDER warning letter to Joi and Blokes dba Joi + Blokes: compounded semaglutide/tirzepatide misbranded (labels implied it was the compounder; claims of being 'bioidentical' to Ozempic/Wegovy). Source ↗
Women with commercial PPO insurance seeking menopause or perimenopause care, including hormone therapy, through video visits.
- Starting price
- $250 first visit self-pay
- Consult model
- Live video consult
- Prescriber
- MD/DO + NP/PA
- Labs
- Unconfirmed
- Insurance
- Accepted
- Availability
- 50 states
- Cancellation
- No subscription to cancel
- Founded
- 2021 · Palo Alto, CA
Pricing
Seen 2026-10-17: self-pay first visit (30 min) $250, returning visit (15 min) $150, no membership fee; in-network with most PPO plans where deductibles, coinsurance and copays apply. Medications are billed separately; compounded GLP-1s start at $164 per 4-week supply.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- In-network with most major PPO insurance plans
- No membership fee; transparent self-pay visit prices ($250 / $150)
- Available in all 50 states
- Clinicians include NPs, nurse midwives and MD/DO physicians trained in midlife care
Watch out for
- Medicare not covered and Medicaid/Medi-Cal patients cannot be treated
- Medications and labs are not priced in the visit fee
- BBB rating B, with 101 complaints in the last 12 months (mostly insurance and billing)
- Short 15-minute follow-up visits
Cancelling
No membership or subscription for visits (pay per visit). Midi's own patient-reviews page says to cancel or reschedule with at least 24 hours notice to avoid a cancellation fee (amount not stated); card-on-file policy lists cancellation fees as chargeable.
Where it is available
Available in all 50 states (DC not mentioned). Not in-network with HMO plans; Medicare and Medicaid/Medi-Cal not accepted (Medicare patients may self-pay; Medicaid patients cannot be treated).
Head-to-head comparisons
Tools for this decision
How we ranked these
Same rubric, with insurance acceptance weighted because it is unusually relevant in this category. Facts come from each provider’s own pricing, FAQ and terms pages, with regulator and court records where they exist. Scores are produced by a fixed table, so the same facts always give the same score. See the rubric.
Best menopause and HRT telehealth: FAQ
What is the best menopause and hrt telehealth provider?
Alloy ranks first, scoring 10.0/10 on our five-criterion rubric. Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.
How were these providers ranked?
Every provider is scored on the same five weighted criteria: licensed states (24%), labs included (24%), cost transparency (18%), cancellation friction (17%) and formulary breadth (17%). Who prescribes is shown on each review but not scored. Facts come from each provider’s published pages, checked November 6, 2026. Scores marked * are provisional because one or two criteria could not be verified.
Do any of these providers have regulatory or legal issues?
Joi has a public regulatory or legal record, such as an FDA warning letter or lawsuit. Details and sources are on each review page.
Do providers pay to be on this list?
No. Placement is set by the rubric score. Where a provider pays us a referral fee, its link is labelled “Paid link”, and that does not change its score.