Cost & insurance research

How much does it cost? Menopause, HRT, GLP-1, PCOS

Question-format guides answering the pricing questions branded telehealth providers cant answer objectively. Each page carries a medically-reviewed capsule answer, tiered price ranges, insurance context, and sourced citations. Updated quarterly.

Menopause & HRT

HRT pricing, estradiol patches, telehealth visits, and cash-pay strategies.

  • How much does HRT cost?

    $5-$300/mo. Generic estradiol patches run $5-$20/month with insurance or $25-$40 cash via Cost Plus Drugs. Brand-name patches (Climara, Vivelle-Dot) list at $40-$120/month insured, $150-$300 cash-pay. Compounded bioident…

  • How much does menopause treatment cost without insurance?

    $400-$1,200/year cash-pay. Without insurance, a full year of menopause care in 2026 — telehealth visits, generic HRT, and baseline labs — totals $400-$1,200. Subscription telehealth platforms (Alloy $49-$99/month, Everno…

  • How much does bioidentical hormone therapy cost?

    $80-$300/mo. Compounded bioidentical HRT runs $80-$300/month for creams and oral troches, plus $400-$800 per pellet insertion every 3-5 months. Insurance does not cover compounded products. FDA-approved bioidentical alte…

  • How much does an estradiol patch cost?

    $5-$300/mo. Generic estradiol transdermal patch costs $5-$20/month with insurance and $25-$40 cash-pay via Cost Plus Drugs or GoodRx. Brand-name patches (Climara, Vivelle-Dot) run $40-$120/month with insurance, $150-$300…

  • How much does HRT cost without insurance?

    $25-$300/mo cash. Without insurance, HRT costs $25-$300/month depending on formulation and sourcing strategy. Generic estradiol + progesterone via Cost Plus Drugs runs $33/month total ($11 estradiol + $22 progesterone). …

  • How much does menopause treatment cost?

    $5-$300/mo. Menopause treatment costs $5-$300/month depending on regimen, insurance, and delivery route. Generic HRT (estradiol + progesterone) covers most patients at $5-$40/month insured or $33/month cash-pay via Cost …

  • What is the average cost of hormone replacement therapy?

    ~$40-$80/mo average. The average cost of hormone replacement therapy in 2026 falls in the $40-$80/month range for insured patients using FDA-approved generic formulations (estradiol patch + micronized progesterone). Unin…

  • How much does testosterone therapy for women cost?

    $30-$300/mo. Testosterone therapy for women (off-label, typically for HSDD or midlife libido concerns) costs $30-$300/month. Compounded testosterone cream ($50-$150/mo) is the most common cash-pay formulation. Off-label …

  • How much does a menopause telehealth visit cost?

    $25-$400/visit. A cash-pay menopause telehealth visit costs $99-$400 in 2026 depending on platform and visit type (initial vs follow-up). Insurance-billing platforms (Midi Health, Form Health) accept commercial insurance…

Perimenopause

Low-dose HRT, OCPs, and non-hormonal symptom management pricing.

  • What does perimenopause treatment cost?

    $5-$300/mo. Perimenopause treatment costs $5-$300/month depending on regimen. Low-dose combination oral contraceptives ($0-$30/mo with insurance) manage cycle irregularity and early hot flashes. FDA-approved low-dose HRT…

GLP-1 drugs

Wegovy, Zepbound, Mounjaro, and compounded semaglutide pricing.

  • How much does Zepbound cost?

    $25-$1,086/mo. Zepbound lists at $1,086/month without insurance. Commercial insurance plus the Zepbound Savings Card reduces cost to as low as $25/month. LillyDirect Self Pay single-dose vials offer $349-$599/month cash-…

  • Does insurance cover GLP-1 drugs?

    Yes for most commercial plans, with prior authorization — expect $25-$1,349/month out of pocket depending on coverage. Most commercial insurers cover Wegovy and Zepbound for chronic weight management (BMI ≥30, or ≥27 + c…

  • How much does compounded semaglutide cost?

    $150-$400/mo. Compounded semaglutide pricing ranges $150-$400/month in 2026 where legally available. Availability narrowed substantially after the FDA declared the semaglutide and tirzepatide shortages resolved in late 2…

  • How much does Wegovy cost?

    $0-$1,349/mo. Wegovy lists at $1,349/month in 2026 — the highest of the FDA-approved weight-loss GLP-1 drugs. NovoCare Self Pay offers cash-paying patients $499/month (4-dose pack). Commercial insurance with prior author…

  • How much does Mounjaro cost?

    $25-$1,086/mo. Mounjaro lists at $1,086/month in 2026, identical to Zepbound (both tirzepatide). Most commercial insurance plans and Medicare Part D cover Mounjaro for type 2 diabetes with standard formulary tier ($25-$1…

  • How much does Zepbound cost without insurance?

    $349-$1,086/mo cash. Without insurance, Zepbound costs $349-$599/month via LillyDirect Self Pay single-dose vials (2.5 mg $349; 5-10 mg $499; 12.5 mg $549; 15 mg $599). Retail pharmacy list price without any coupon runs …

PCOS

Metformin, spironolactone, GLP-1 off-label, and telehealth PCOS platforms.

  • How much does PCOS treatment cost?

    $5-$1,349/mo. PCOS treatment costs vary widely. Generic metformin ($5-$15/month) and spironolactone ($5-$20/month) cover the basics for minimal cost. Combination oral contraceptives run $0-$30/month with insurance. GLP-1…

  • How much does PCOS treatment cost without insurance?

    $30-$1,200/mo cash. Without insurance, a pharmacologic PCOS regimen (generic metformin + spironolactone + generic OCP) via Cost Plus Drugs totals $30-$50/month. Specialty telehealth platforms bundle visits + medication a…

Brand-specific

Alloy, Midi Health, Winona, Hers menopause subscription pricing.

  • How much does Hers menopause treatment cost?

    $99/mo baseline. Hers (Hims & Hers Menopause) offers a subscription-based menopause consult plus prescription for approximately $99/month, based on the published Hers menopause landing page. HRT medications (estradiol, p…

  • How much does Alloy cost?

    $49-$99/mo. Alloy Womens Health charges $49/month for perimenopause symptom evaluation only, or $99/month inclusive of HRT prescription and unlimited async clinician messaging, per the published Alloy pricing page. Optio…

  • How much does Midi Health cost?

    $25-$300 per visit. Midi Health bills commercial insurance and Medicare for menopause and perimenopause care, per the published Midi Health pricing page. In-network copays typically run $25-$50 per visit. Cash-paying pat…

  • How much does Winona cost?

    From $70/mo. Winona charges a monthly subscription starting around $70/month per the published Winona menopause pricing page, inclusive of a clinician consult and an FDA-approved HRT medication (typically bi-est cream or…

22 question-format cost pages · Editorial medical review · Sources verified July 2026