Independent guidance for choosing your online HRT path, for women rewriting menopause. We compare providers on price, medication options, insurance, and state availability — verified and dated, with no fake 'starting at' math — and we tell you when online care isn't the right starting point. Find your HRT path before your first consult.
The HRT Index covers online hormone therapy for menopause and perimenopause in the United States. We focus on the decisions a reader has to make before a consult: who serves your state, what they prescribe, what they charge, what insurance may cover, and when online care is not the right starting point.
We don’t take a provider’s word for more than the provider can prove. Every number, formulary note, and availability claim traces back to a dated source: a public pricing page, provider FAQ, terms page, prescribing page, or documented intake. Where something must be verified during intake or checkout, we label it that way.
Insured vs cash-pay, by medication and route.
From perimenopause checklists to first-consult questions you can bring to a licensed clinician.
We’ll tell you. Some situations belong in an in-person clinic, urgent care, or a specialist’s office — and we say so on the page.
We re-verify pricing for top providers monthly and the full roster quarterly. We do not accept payment in exchange for ranking position.
We pull each provider’s public pricing pages and record the lowest price we can verify, with the conditions attached to it — plan length, consult fees, medication costs, insurance language, and checkout limits where available.
We label FDA-approved and compounded options separately. When the specific product can be identified, we cross-check the label against FDA-approved prescribing information or other primary drug sources. When it cannot be verified before intake, we mark the uncertainty instead of pretending.
State availability, insurance language, cancellation terms, refill rules, and continuation policies come from public provider materials or documented intake — not just a press release.
Top providers monthly, full roster quarterly. Every comparison page carries the date we last checked the data, so you know how fresh the number is.
We do not weight a provider’s affiliate program when we rank, and we do not accept payment for ranking position. Editorial and commercial decisions are kept separate.
The HRT Index is built to be funded by affiliate commissions when readers sign up with a provider through a labeled affiliate link. That model only works if readers trust the ranking more than the commission.
As of May 26, 2026, we do not have active affiliate partnerships with any of the providers we compare. Provider links currently point directly to provider websites and are non-affiliate editorial links. If affiliate relationships are added, affected links will be labeled before publication, the page disclosure will be updated above the fold, and the disclosure on the affected page will say exactly what changed.
The HRT Index is produced under a collective editorial byline led by an accountable editor. Our work focuses on women’s midlife health, telehealth pricing, provider policies, and U.S. healthcare access. Most pages are editorial research — not medically reviewed by a clinician — and are labeled that way on the page.
We are not a healthcare provider, pharmacy, or telehealth service. Nothing on this site is medical advice, a diagnosis, or a treatment plan. For decisions about starting, stopping, or changing hormone therapy, consult a licensed clinician who has reviewed your medical history.
If you’re trying to figure out which online HRT provider fits your situation, these are the pages we’d point you to first.
The full comparison with verified pricing, formulary, insurance language, and state availability for the 8 providers in our current research set.
Open 02What each provider actually charges, with first-90-day math for insured and cash-pay paths.
Open 03Head-to-head on the four most-compared online HRT providers — by symptom, formulary, and price.
Open 04What to track and what to bring to your first consult, with questions to ask before you start or change treatment.
Open 05The methodology behind our rankings, pricing checks, source logs, affiliate rules, and correction policy.
OpenIf something on this site is out of date or wrong, email corrections@thehrtindex.com. Material corrections are logged on our corrections page with the date and the change.
We don’t dispense, ship, or sell hormone therapy. We don’t diagnose, treat, or prescribe. If you’re in a medical emergency, call 911. To find a Menopause Society Certified Practitioner near you, the Menopause Society maintains a public directory at menopause.org.
