Research · pricing statistics, 2026
Original statistics from this guide's own dated records: 18 offers across 12 telehealth programs, read on 23 and 26 October 2026. Half of the offers support an all-in monthly figure. The other half do not, for four different reasons, and none of them is averaged into the rest.
Denominator · offers
18 offers
12 researched programs, one row per offer, none dropped
Verification dates
Oct 23, 2026 · Oct 26, 2026
12 offers · 6 offers
Currency & basis
USD, as billed
Charge stored on its own cycle · no conversion, no cross-group average
These denominators are the whole report. Every offer in the record set is counted, including the ones that publish nothing: 4 carry a required cost with no amount and 6 state no billing interval, and both are counted rather than excluded. One ranked commercial placement in the guide holds no researched offer row, so it sits outside these denominators; there are no other exclusions.
Figures are computed from the record set at build time, so they cannot drift from the provider pages. Every card names the denominator and the read dates behind it.
9 of 18
offers publish a charge complete enough to derive an all-in monthly figure
4 of those 9 are charged on a cycle that is not a calendar month, so the monthly figure is arithmetic on the charge, not a restatement of it.
9 offers of 18, read Oct 23, 2026 and Oct 26, 2026
9 of 18
offers cannot be reduced to one monthly number, for four different reasons
3 quote a monthly rate with no cycle, 1 give a supply estimate only, 2 publish known charges with a required cost unpriced, and 3 publish no recurring amount at all.
9 offers of 18, by pricing posture
6 of 18
offers state no billing interval at all
Without a published cycle there is no monthly figure to derive. Any number printed for these offers would be an assumption about how often they bill, so none is printed.
6 offers of 18
5 of 18
offers bill on a cycle that is not a calendar month
Two bill every 28 days, two per 90-day supply and one per three calendar months. A 28-day cycle recurs 13.04 times a year, so a charge multiplied by twelve understates the year.
5 offers of 18
5 of 18
offers price two medicines on a single charge
Estradiol and progesterone are billed as one amount. No source splits it, so a per-medicine price is not established for those programs and none is invented.
5 offers of 18, across 5 programs
1 of 12
programs bill a separate monthly membership on top of the medication
1 more state a membership inside the recurring charge, and the rest record an explicit $0. A membership-only charge is never pooled with a medication-inclusive plan.
12 researched programs
3 of 12
programs describe a route where a pharmacy or a plan may be billed
1 states that insurance is not billed and the remainder say nothing either way. No program publishes a copay, so no insurance figure appears in this study.
12 researched programs
4 of 18
offers carry a required cost with no published amount
That blank withholds the all-in figure for those offers rather than reporting the smaller published charge as a total. A blank is counted as a blank, never as zero.
4 offers of 18
1 of 18
offer is a local/vaginal preparation, and it is held apart
A vaginal cream is not a systemic treatment and is never averaged with one. Its figure is reported on its own, with the supply basis that produced it.
1 offer of 18
A median is printed only where a group is alike on route, on what the charge buys and on pricing posture, and holds at least three offers. Where it is not, the individual figures are listed and no central number is drawn. A median of three or four recorded plans describes those plans; it is not a market average and it is not a quote.
8 of the 9 derived figures sit in one of the four groups below. The remaining 1 is a plan that names several routes including a vaginal cream, so it is listed in the full table and deliberately not pooled. The 1 local/vaginal offer is reported on its own, in the supply-estimate group, and never enters a systemic group.
What is never done here
n = 3
The charge, converted to a month, with every published required cost inside it.
Hers · Oral estradiol
$79.00 per month on a 12-month plan · each calendar month · read Oct 23, 2026
$79.00/mo
Winona · Estradiol patch
$149.00 every 28 days · every 28 days · read Oct 23, 2026
$161.97/mo
Alloy · Estradiol patch
$300.00 per three calendar months ($100 a month) · every three calendar months · read Oct 26, 2026
$100.00/mo
n = 3
One published charge covers estradiol and progesterone. No per-medicine split is published, so none is invented.
Hers · Estradiol patch with progesterone
$134.00 per month on a 12-month plan · each calendar month · read Oct 23, 2026
$134.00/mo
Winona · Estrogen with progesterone body cream
$89.00 every 28 days · every 28 days · read Oct 23, 2026
$96.75/mo
Inner Balance · Oestra estradiol and progesterone cream
$597.00 per 90-day supply · every 90 days · read Oct 23, 2026
$201.90/mo
n = 1
The all-in figure includes the membership because the buyer pays it. The membership is not the price of the medicine.
Fem Excel · Estradiol
$50.00 per medication, per month · each calendar month · read Oct 23, 2026
$149.00/mo
n = 1
Same as above, with two medicines inside the charge and the membership on top.
Fem Excel · Estradiol with progesterone
$100.00 per two medications, per month · each calendar month · read Oct 23, 2026
$199.00/mo
n = 4
The published amount buys care, a consult or a membership. The medicine is priced at a pharmacy and is not in this figure. No median is reported, because neither charge is a medicine cost.
Gala GLP-1 · Hormone replacement therapy
No recurring charge published · cadence not established · read Oct 23, 2026
No amount
Evernow · Menopause HRT
$49.00 per month, membership only · each calendar month · read Oct 23, 2026
$49.00/mo, care only
Wisp · Menopause HRT
$33.00 per month, including the consultation · each calendar month · read Oct 23, 2026
$33.00/mo, care only
Midi Health · Menopause care
No recurring charge published · cadence not established · read Oct 23, 2026
No amount
n = 3
The provider states a monthly rate itself against a supply. Nothing is derived and no all-in claim is made.
Musely · The Estrogen Cream
$46.00 per month, as quoted on a two-month auto-refill supply · cadence not established · read Oct 26, 2026
$46.00/mo as quoted
Musely · Estrogen pill
$35.00 per month, as quoted on a two-month auto-refill supply · cadence not established · read Oct 26, 2026
$35.00/mo as quoted
Musely · Progesterone pill (add-on)
$20.00 per month, as quoted for the progesterone add-on · cadence not established · read Oct 26, 2026
$20.00/mo as quoted
n = 1
Arithmetic on a supply period, not on a billing cycle. Never described as a monthly charge.
Surfbound Health · Velora vaginal estradiol and progesterone cream
$249.00 per 45 g pump, described as about a 90-day supply · every 90 days · read Oct 26, 2026
≈ $84.21/mo supply estimate
n = 3
The program names a product and publishes no recurring amount, so there is no value to place in a group.
Gala GLP-1 · Hormone replacement therapy
No recurring charge published · cadence not established · read Oct 23, 2026
No amount
Musely · Estrogen patch
No recurring charge published · cadence not established · read Oct 26, 2026
No amount
Midi Health · Menopause care
No recurring charge published · cadence not established · read Oct 23, 2026
No amount
The table the counts come from. Each row is one recorded offer with the charge as billed, the interval behind it, the membership, what the charge buys, and the date that record was read. Nothing in it is aggregated.
Swipe the table sideways
| Program · offer | Charge as billed | Interval | Membership | What the charge buys | Pricing posture | Read |
|---|---|---|---|---|---|---|
| HersOral estradiolSystemic route named | $79.00 per month on a 12-month plan | One calendar month | $0/mo | medication price | All-in monthly, derived | Oct 23, 2026 |
| HersEstradiol patch with progesteroneSystemic route named | $134.00 per month on a 12-month plan | One calendar month | $0/mo | combined plan | All-in monthly, derived | Oct 23, 2026 |
| Gala GLP-1Hormone replacement therapyRoute not stated | No recurring charge published | No interval stated | $0/mo | care charge only | No recurring charge | Oct 23, 2026 |
| WinonaEstrogen with progesterone body creamSystemic route named | $89.00 every 28 days | Every 28 days | $0/mo | combined plan | All-in monthly, derived | Oct 23, 2026 |
| WinonaEstradiol patchSystemic route named | $149.00 every 28 days | Every 28 days | $0/mo | medication price | All-in monthly, derived | Oct 23, 2026 |
| AlloyEstradiol patchSystemic route named | $300.00 per three calendar months ($100 a month) | Every three calendar months | $0/mo | medication price | All-in monthly, derived | Oct 26, 2026 |
| EvernowMenopause HRTRoute not stated | $49.00 per month, membership only | One calendar month | Included ($49/mo) | membership only | Known charges only | Oct 23, 2026 |
| Inner BalanceOestra estradiol and progesterone creamSystemic route named | $597.00 per 90-day supply | Every 90 days | $0/mo | combined plan | All-in monthly, derived | Oct 23, 2026 |
| MuselyThe Estrogen CreamSystemic route named | $46.00 per month, as quoted on a two-month auto-refill supply | No interval stated | $0/mo | medication price | Provider's own quoted rate | Oct 26, 2026 |
| MuselyEstrogen pillSystemic route named | $35.00 per month, as quoted on a two-month auto-refill supply | No interval stated | $0/mo | medication price | Provider's own quoted rate | Oct 26, 2026 |
| MuselyProgesterone pill (add-on)Systemic route named | $20.00 per month, as quoted for the progesterone add-on | No interval stated | $0/mo | add-on rate | Provider's own quoted rate | Oct 26, 2026 |
| MuselyEstrogen patchSystemic route named | No recurring charge published | No interval stated | $0/mo | medication price | No recurring charge | Oct 26, 2026 |
| Fem ExcelEstradiolRoute not stated | $50.00 per medication, per month | One calendar month | $99/mo | medication price | All-in monthly, derived | Oct 23, 2026 |
| Fem ExcelEstradiol with progesteroneRoute not stated | $100.00 per two medications, per month | One calendar month | $99/mo | combined plan | All-in monthly, derived | Oct 23, 2026 |
| WispMenopause HRTRoute not stated | $33.00 per month, including the consultation | One calendar month | $0/mo | care charge only | Known charges only | Oct 23, 2026 |
| Henry MedsMenopause HRTSeveral routes, one of them vaginal | $149.00 per month | One calendar month | $0/mo | medication price | All-in monthly, derived | Oct 23, 2026 |
| Midi HealthMenopause careRoute not stated | No recurring charge published | No interval stated | $0/mo | care charge only | No recurring charge | Oct 23, 2026 |
| Surfbound HealthVelora vaginal estradiol and progesterone creamLocal / vaginal only | $249.00 per 45 g pump, described as about a 90-day supply | Every 90 days | $0/mo | combined plan | Supply estimate only | Oct 26, 2026 |
A charge shown as billed on a 28-day, 90-day or quarterly cycle is the amount the provider actually charges, not a pre-divided monthly figure. Where a program publishes a range rather than a single rate, the offer is held at no single amount rather than at the low end of the range.
Three facts that change what a headline figure means. 1 of 12 programs bill a separate monthly membership and 1 state a membership inside the recurring charge. 5 of 18 offers bill on a cycle that is not a calendar month. 3 of 12 programs describe an insurance route, and none publishes a copay.
A membership is a charge for access, not for a medicine. It is recorded separately so a membership-only figure cannot be read as the cost of treatment.
Swipe the table sideways
| Program | Membership | Amount |
|---|---|---|
| Hers | No membership, recorded as an explicit $0 | $0 |
| Gala GLP-1 | No membership, recorded as an explicit $0 | $0 |
| Winona | No membership, recorded as an explicit $0 | $0 |
| Alloy | No membership, recorded as an explicit $0 | $0 |
| Evernow | A membership stated as part of the recurring charge | $49.00/mo, inside the charge |
| Inner Balance | No membership, recorded as an explicit $0 | $0 |
| Musely | No membership, recorded as an explicit $0 | $0 |
| Fem Excel | A monthly membership billed on top of the medication charge | $99.00/mo, on top |
| Wisp | No membership, recorded as an explicit $0 | $0 |
| Henry Meds | No membership, recorded as an explicit $0 | $0 |
| Midi Health | No membership, recorded as an explicit $0 | $0 |
| Surfbound Health | No membership, recorded as an explicit $0 | $0 |
The interval, not the amount, is what makes two charges comparable. A year does not hold twelve of every cycle.
Swipe the table sideways
| Interval | Offers | Charges a year | What it means |
|---|---|---|---|
| One calendar month | 7 | 12 | Twelve charges a year. The charge and the monthly figure are the same number. |
| Every 28 days | 2 | 13.04 | A 28-day cycle covers 336 days, so a year holds a thirteenth charge. $89 every 28 days is $96.75 a month, not $89. |
| Every 90 days | 2 | 4.06 | Four charges plus a few days. Stored as the 90-day charge, never pre-divided at 12 weeks. |
| Every three calendar months | 1 | 4 | A calendar quarter, not 12 weeks. The charge divides by three months, never by 84 days. |
| No interval stated | 6 | — | No billing cycle is published, so no monthly figure can be derived without inventing one. |
Silence is recorded as silence. A page that never mentions insurance has not stated that insurance is unavailable, and this study does not treat the two as the same finding.
Swipe the table sideways
| Program | Insurance posture | Offers recorded |
|---|---|---|
| Hers | Says nothing either way | 2 |
| Gala GLP-1 | Says nothing either way | 1 |
| Winona | Says nothing either way | 2 |
| Alloy | Says nothing either way | 1 |
| Evernow | Describes a route where a pharmacy or a plan may be billed | 1 |
| Inner Balance | Says nothing either way | 1 |
| Musely | Says nothing either way | 4 |
| Fem Excel | Says nothing either way | 2 |
| Wisp | Describes a route where a pharmacy or a plan may be billed | 1 |
| Henry Meds | States that insurance is not billed | 1 |
| Midi Health | Describes a route where a pharmacy or a plan may be billed | 1 |
| Surfbound Health | Says nothing either way | 1 |
The study is arithmetic on a published record set, not a survey. Anyone holding the CSV below can rebuild every count on this page.
Each row is a single offer from a single program. Where a program prices several formulations separately, each is its own row. The denominator is the number of rows, and it is printed beside every count.
A charge billed every 28 days, every 90 days or every three calendar months is stored at that amount. The monthly figure is derived from the charge and the published cycle; a calendar quarter is never converted at 84 days.
Each offer is classed as an all-in derived figure, a provider-quoted rate, a supply estimate, known charges only, or no recurring charge. Only the first class is eligible for the medians, and the class is printed on every row.
Offers are grouped by route, by what the charge buys and by whether a separate membership applies. A median is drawn only from a group of at least three offers that agree on all three, and the group members are listed so the figure can be checked.
Where a required cost has no published amount, the all-in figure is not derived. Where a supply period is published without a billing interval, the monthly figure is labelled a supply estimate. Where nothing is published, the row prints nothing.
Each offer carries the date its own page was read: 12 offers on Oct 23, 2026, 6 offers on Oct 26, 2026. No record is presented as reverified on a date it was not read.
Excluded by design: no promotional or free-first-month price is used; a one-time fee is never spread across the monthly figure; no figure from a comparison listing is used where the provider's own page is silent; and no clinical claim, score, ranking or sponsorship is read into any number here. 4 of the 9 derived figures come from a non-monthly cycle.
Of the 18 HRT offers recorded on Oct 23, 2026 and Oct 26, 2026, 9 publish a charge complete enough to derive an all-in monthly figure. Single-medicine plans with no separate membership: 3 recorded plans, $79.00 to $161.97 a month, median $100.00. Plans that cover estradiol and progesterone on one charge with no separate membership: 3 recorded plans, $96.75 to $201.90 a month, median $134.00. These are medians of recorded plans, not a market average, and a local vaginal preparation is never included in either group.
Half of them, exactly: 9 of 18 offers. The other 9 cannot be reduced to one monthly number, and not for one reason: some quote a monthly rate with no billing cycle, one gives a supply estimate, some publish a known charge while a required cost is unpriced, and some publish no recurring amount at all. A blank is counted as a blank, never as zero.
Because four distinctions would have to be erased to produce one. A local vaginal cream is not a systemic treatment. A care-only charge for a consult is not a medicine price, because the medicine is billed at a pharmacy. A plan where one charge covers two medicines has no per-medicine price to compare. And a rate the provider quotes itself is not a figure derived from a billing cycle. Each of those is reported in its own group, with its own denominator, and none is pooled into a headline average.
Of the 12 researched programs, 3 describe a route where a pharmacy or a plan may be billed, 1 states that insurance is not billed, and 8 say nothing either way. No program publishes a copay, so no insurance figure appears anywhere in this study — silence is reported as silence rather than as unavailable.
No. A 28-day cycle covers 336 days, so a year holds 13.04 charges rather than 12. 5 of the 18 offers bill on a cycle that is not a calendar month, and 6 state no cycle at all. A charge multiplied by twelve understates any 28-day program, which is why the record stores the charge as billed and derives the monthly figure from the cycle the provider publishes.
Every offer was read from the provider's own page and carries its own read date: 12 offers on Oct 23, 2026, 6 offers on Oct 26, 2026. Each row on this page shows the charge as billed, the interval, the membership and the posture, and the underlying rows can be downloaded as CSV. Nothing here is inferred from a comparison listing.
Cite this study
HRT Buyer Guide, What 18 recorded HRT offers actually publish, 2026 online HRT pricing release. 18 offers across 12 researched programs, records read Oct 23, 2026 and Oct 26, 2026. 9 offers support an all-in monthly figure; the remainder are reported by posture and never averaged into it. Figures computed from the published record set at https://hrtbuyerguide.com/research/2026-online-hrt-pricing. A local vaginal preparation is reported separately and is not pooled with systemic therapy.
Ranking, kept separate: the ranked guide prints a publisher score and a position the publisher chooses for commercial reasons. No figure on this page is weighted, banded or averaged into that ranking, and changing a rank never changes a charge recorded here. The study is also independent of any sponsored placement, which carries no researched offer row.
Last modified Oct 26, 2026