BeyondMD HRT Reviews: The $289 Plan, What It Leaves Out and Who It Fits

BeyondMD HRT reviews: what do customers actually say?

BeyondMD's Trustpilot page had 20 reviews and a 3.8 TrustScore when we read every one on October 20, 2026. Not one mentions HRT, menopause, estrogen or progesterone. The reviews discuss weight-loss medicine, peptides or general service, so they offer clues about sign-up and support, not a verified account of how BeyondMD handles menopause care.

That's not a knock on BeyondMD. It's a clue about what kind of company it is. BeyondMD sells a lot of things: peptides, weight-loss medicine, testosterone, erectile dysfunction pills, libido treatments and a women's HRT program. Its homepage leads with "Provider-Guided Custom Peptide Programs," and the testimonials it shows are about weight loss and energy. In the material we checked, company-wide and weight-loss reviews did not establish what menopause care was like.

Here's what each number you'll see really measures.

What each BeyondMD rating actually counts (checked October 20, 2026)

We also sorted all 20 Trustpilot reviews by what treatment they talk about.

The 20 BeyondMD Trustpilot reviews, by topic (our count, October 20, 2026)

What the happy reviews praise

The five-star reviews keep coming back to speed and people. Reviewers name their care coordinators and say they answer fast and follow up. One February 2026 reviewer who had tried several bigger telehealth companies called BeyondMD "the fastest and easiest overall." Another said they had a consult on a Monday and their peptides by Wednesday.

BeyondMD's homepage features a short comment from a patient listed as Tamecia B.: "The process was very easy and customer service was excellent." BeyondMD chose and posted that comment, and it doesn't say which program she used. Read it as a note about sign-up, not about hormones.

What the unhappy reviews report

There are four one-star reviews. Here's each one in plain words, with its date.

• September 2026: The reviewer paid a consultation fee and got an approval message. Then the office called once while she was at work. She says she was told to start over and pay the consultation fee again.
• March 2026: The reviewer said BeyondMD charged far more for peptides and GLP-1 medicine than other suppliers. That's their view; we didn't price-check it.
• August 2025: The reviewer said the support email didn't work and they lost $29.
• July 2025: The reviewer said the labels on their compounded semaglutide bottles didn't match the vials inside.

Each of these is one person's account. We can't confirm them, and none explicitly identifies HRT or menopause care. Two are still worth asking about before you pay: the repeated consultation fee and the labeling mix-up. You'll find both in the question list below.

Why the stars can't answer your question

Three reasons.

None of these 20 reviews explicitly identifies HRT or menopause care. A good weight-loss experience tells you little about how a clinic manages estrogen, progesterone or follow-up for menopause.

The pool is small. Twenty reviews over about two and a half years is a thin sample, and Trustpilot itself warns it may not be representative.

Reviews can't check medicine. No review can tell you whether a product is FDA-approved, whether your clinician is licensed in your state, or whether a treatment is right for your body. Documents and a clinician answer those.

So we use reviews for one job: finding where the service may get bumpy. Then we read the documents.

Which BeyondMD is this? This page covers beyondMD at beyondmd.com, based at 811 E. Kent Rd. in Greenville, Michigan. Its BBB profile also lists the name DTG II, PLC. Search results also show "Beyond Med" (beyondmedplans.com) and "Life Beyond MD." Those are different names and websites, and nothing on this page is about them.

What does BeyondMD's $289 HRT plan include?

BeyondMD sells two women's HRT programs, and each is a 90-day bundle: HRT at $289 and HRT+ at $355.25. BeyondMD says each includes a 90-day hormone supply, a provider consultation and required lab work, with shipping billed separately. HRT+ adds "additional hormone options" in select states.

Here's what BeyondMD's women's HRT page says, side by side.

BeyondMD's two HRT programs (read October 20, 2026)

The 30-day numbers divide the advertised 90-day price by three. They're for comparing, not a monthly bill. BeyondMD advertises 90-day supplies; confirm the amount due and renewal schedule.

How BeyondMD says the process works

These are BeyondMD's descriptions from its HRT page, its "How it works" page and its sign-up form. We didn't go through them ourselves.

1. You fill out a short form. It asks for your date of birth, asks you to confirm you're 18 or older, and lets you pick phone, text or email and a time. Then, BeyondMD says, "Our Online Specialist will call you shortly."
2. A provider reviews your case. BeyondMD says a U.S.-licensed clinician reviews your history and labs, and that some states require a short video visit.
3. Approval. BeyondMD says most patients finish the consultation and get approval within 3 to 5 business days.
4. Shipping. One BeyondMD page says medicine usually arrives in 3 to 7 business days after approval. Another says 5 to 7.
5. Ongoing care. BeyondMD describes check-ins and dose changes through its patient portal.

BeyondMD also gives a general timeline: early changes in weeks 1 to 3, and hot flashes and fatigue improving in weeks 4 to 8. That's provider marketing, not an independently verified timeline for its unnamed prescription. Ask the clinician when to review your symptoms and treatment.

One plain-language note: "Free membership" doesn't mean free care. The 90-day treatment program has a price. The membership is BeyondMD's name for portal access and support.

Where do BeyondMD's own pages disagree?

BeyondMD's pages disagree about price and charging, while its general and HRT-specific pages leave different lab, state and delivery details to confirm. Some differences may reflect different programs. Each can affect what you pay or receive, so settle the details in writing before you pay.

We put BeyondMD's pages side by side so you don't have to open nine tabs.

What BeyondMD says, where, and what to ask (read October 20, 2026; includes conflicts and scope questions)

The takeaway: start with two questions. Which exact medicine? And what exact charges, and when? State access, follow-up and your health history can still change the answer.

Not sure BeyondMD is even the right kind of care for you? The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

It's free, takes about 60 seconds and doesn't ask for your email. It asks five questions and points you to a featured online option or to guidance. It doesn't diagnose anything or decide whether you should take hormones. A clinician does that. We may earn a commission from the providers it features, and that affects which ones appear.

How much does BeyondMD HRT cost in the first 90 days and the first year?

At the advertised $289 for a 90-day supply, BeyondMD HRT works out to $96.33 per 30 days for comparison. Four supplies total $1,156 and cover 360 days if the price stays the same. Shipping, the actual renewal schedule and other required charges still need confirmation, so this is not a complete first-year quote.

Three different numbers matter, and they're easy to mix up.

• Amount due now: what your card is charged on day one. BeyondMD's pages don't settle this. Ask for the itemized amount and the timing of any card hold or charge.
• First period: everything you pay for the first 90 days, including shipping and any fees.
• Ongoing: what each later 90-day program costs, and how often you're charged.

BeyondMD on its own, at advertised prices (read October 20, 2026)

This is math on BeyondMD's advertised prices, not a quote. An unknown cost is not zero. If any required cost is unknown, the total is incomplete.

BeyondMD next to three real alternatives

These are advertised prices with the check date beside each one. Supply periods and cash-charge examples are labeled separately; they are not quotes for identical treatment or identical dates.

BeyondMD, Gala, Alloy and Midi: illustrative costs

What the numbers mean

Against Gala. Gala advertises $69 a month; three monthly charges total $207. BeyondMD advertises $289 for a 90-day supply, plus shipping. Those aren't confirmed quotes for the same treatment or dates: BeyondMD includes required labs, while Gala's exact prescription, any required lab costs and billing dates need checking. Compare the written plan and charges, not just the monthly comparison number.

The lab math. BeyondMD sells its women's lab panels on their own for $106.25 and $136.75 on its lab page. If the lab included in the $289 is one of those panels, the rest of the $289 works out to about $51 to $61 per 30 days for the medicine, consultation and support. That's a hypothetical allocation using separate retail panel prices, not BeyondMD's itemized medicine price; the included panel is unknown. Ask which tests are included and whether any need repeating.

Insurance can change everything. With a PPO plan, a covered visit and a covered generic at your own pharmacy may cost less than every cash price on this page.

A worksheet you can copy

MY HRT COST CHECK (keep this private)

Provider and plan page:   _________________________
Charged today:            $______
Recurring charge:         $______ every ______ (confirmed interval)
Is that renewal price confirmed in writing?  yes / no
Next renewal date:        _________________________
Minimum payment commitment: __________________ / unknown
Covers the consultation?  yes / no / unknown
Covers ALL my medicine?   yes / no / unknown   Which products: __________
Labs included?            yes / no / unknown   Repeat each renewal? ____
Shipping per order:       $______ / unknown
Last safe day to cancel:  _________________________

FIRST 90 DAYS = every charge in 90 days + every required extra
FIRST YEAR    = every charge in 365 days + every required extra

Example: BeyondMD advertised package = $289 + shipping (unknown) → total INCOMPLETE
Example: Gala advertised at $69/month → 3 monthly charges = $207, before any required extras
Three monthly charges are not automatically the charges within exactly 90 days.

If anything above says "unknown," the total is INCOMPLETE. Don't write $0.

If a lower monthly price matters more to you than bundled labs, compare Gala's plan before you decide. Its advertised price is on its page before you start, and it lists the treatment types a clinician can consider.

Compare Gala's $69 monthly plan For costs across more providers, see what HRT costs in 2026.

Which HRT medicine would BeyondMD prescribe, and is it FDA-approved?

BeyondMD's HRT page doesn't name any hormone, form or brand. A notice on the same page says BeyondMD's medicines are compounded by licensed 503A pharmacies and that providers "will review FDA-approved alternatives when applicable," so ask for the exact product and whether it's FDA-approved before you pay.

Three words, in plain English

• FDA-approved means the finished medicine, the actual pill, patch or cream, was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and consistent quality.
• Compounded means a medicine is mixed or changed for a specific medical need. The FDA says compounded drugs are not FDA-approved, and it doesn't check their safety, effectiveness or quality before they're sold. (FDA, Compounding and the FDA)
• Systemic treatment travels through your whole body. Estrogen pills and patches are systemic and treat hot flashes and night sweats. Local treatment, like low-dose vaginal estradiol, stays mostly where you put it and treats vaginal and urinary symptoms.

Does "bioidentical" mean FDA-approved?

No. "Bioidentical" describes the molecule: the hormone has the same structure as the one your body makes. FDA approval applies to a specific finished product. Many FDA-approved estradiol and progesterone products are bioidentical. So are many compounded ones.

Here's the catch on BeyondMD's page. Its notice says medicines are compounded "using FDA-approved/USP-grade ingredients." Using an ingredient found in an FDA-approved drug doesn't make the finished compounded medicine FDA-approved. Only the finished product gets that label.

Two expert groups are clear on this:

• The Menopause Society says custom-compounded hormones are not safer or more effective than approved bioidentical hormones. (The Menopause Society, Hormone Therapy)
• The American College of Obstetricians and Gynecologists says compounded bioidentical hormone therapy "should not be prescribed routinely when FDA-approved formulations exist." (ACOG Clinical Consensus No. 6, November 2023)

If a clinician proposes a compounded hormone, a fair question is: "Why wouldn't an FDA-approved product work for me?"

What BeyondMD's HRT page does say

We read the page closely for clues. Here's what's there, reported rather than guessed.

• Its side-effect list includes "skin sensitivity (with topical use)." That does not identify the product or confirm which topical form is offered. Ask.
• It says hormones may not suit people with hormone-sensitive cancers, blood clotting disorders or untreated heart disease.
• It doesn't name progesterone or explain how the lining of the uterus is protected.
• It doesn't list a non-hormonal option for hot flashes.

If you still have a uterus

The Menopause Society says women with a uterus need protection for the uterine lining when using systemic estrogen. This usually means adding a progestogen, a hormone that protects that lining. Ask BeyondMD how your plan protects your uterus, with which product, and whether that product is inside the $289.

The medicine questions that change your choice

Treatment types, what BeyondMD and Gala publish, and what to ask (read October 20, 2026)

These questions help you have a better consultation. They don't choose a medicine or a dose for you. A clinician who knows your history does that.

If you want a published HRT menu, Alloy lists estradiol pills and patches it describes as FDA-approved. Confirm the exact product you'll receive.

Gala says it prescribes FDA-approved bioidentical forms and lists the types above, but it doesn't name brands either, so ask Gala for the product name too. Our Gala HRT review shows what to ask.

For the full explanation, see compounded vs FDA-approved HRT, our FDA-approved HRT medication list and who needs progesterone for menopause.

Do you need lab work to start HRT, and what are BeyondMD's labs for?

BeyondMD says required lab work is included in its HRT programs and separately advertises testing through Quest Diagnostics. That doesn't establish that every patient needs new tests. Hormone blood tests usually aren't needed to identify perimenopause, so ask which tests you need, why, and whether recent results can be used.

The U.S. Office on Women's Health says a provider can usually tell if you're in perimenopause from your age, your symptoms and changes in your periods, and that blood hormone tests are not usually needed. If your periods stop before age 40, it suggests asking about testing. (Office on Women's Health, Menopause basics, updated October 19, 2026)

The Menopause Society's 2022 hormone therapy position statement adds that saliva and urine hormone tests used to set doses are unreliable and not recommended.

That doesn't make labs useless. They can help in real ways:

• Ruling out look-alikes. An underactive or overactive thyroid can cause tiredness, mood changes and period changes that feel like perimenopause.
• A baseline before testosterone. If a clinician considers testosterone, the Global Consensus Position Statement calls for a starting total testosterone level and follow-up checks to watch for excessive levels and other signs of overuse.
• Medicine safety checks. Fezolinetant, a non-hormonal hot-flash pill, carries an FDA boxed warning about rare but serious liver injury. Its label calls for liver blood tests before starting, every month for the first three months, and again at months six and nine. (Veozah label, DailyMed)

Here's what BeyondMD sells for women on its lab page. It doesn't say which one the HRT program includes.

BeyondMD's women's lab panels, sold separately (checked October 20, 2026)

Two good questions to ask:

1. "What will each of these tests change about my treatment?"
2. "Can I upload labs from my own doctor instead, and do labs repeat with every 90-day program?"

If labs feel like a hassle, ask whether new testing is actually needed. If a clinician recommends tests that are included, BeyondMD's bundle may suit you. The useful question is what each result would change about your care. For screening tests before HRT, see do you need a mammogram before HRT.

Is BeyondMD legit, and who handles your care?

BeyondMD is a real company with a Michigan address, a BBB profile listing a 2009 start date, named clinicians and posted policies, and it runs on the Prescribery telehealth platform. The pages we checked don't identify which clinician you'll get, which pharmacy fills HRT orders or an HRT state list, and we couldn't confirm its LegitScript status because the lookup was blocked.

What we found (checked October 20, 2026)

BeyondMD also runs brand-specific online sign-ups for some drug makers. Our bremelanotide guide walks through one of them, for the libido drug Vyleesi.

How BeyondMD measures against a basic legitimacy checklist

BeyondMD describes medical review and state-licensed care, but its HRT-specific prescription details remain unclear. Use the checklist to separate a published promise from something independently checked.

Our read: "Is BeyondMD a real company?" and "Is BeyondMD's HRT offer clear?" are different questions. BeyondMD looks like a real company. Its HRT offer isn't clear yet.

A tip that works for any online clinic: when you get your clinician's name, look up the license on your state medical board or nursing board website.

How does BeyondMD sign-up work, and will someone call you?

Yes, expect a call. BeyondMD's "Get Started" button for HRT opens a short form, and the confirmation message says a specialist "will call you shortly." You can pick phone, text or email as your preferred contact and choose a time, and text-message consent is optional.

The form asks for:

• Your date of birth
• A check box confirming you're at least 18
• Your gender
• Your preferred contact method: phone call, text or email
• A date and time (shown in Pacific time)
• Your agreement to BeyondMD's Privacy Policy, Terms and "Non-FDA Disclosure"

Your first conversation is with a "specialist." Trustpilot reviewers describe these staff as reps, counselors and coordinators. Ask whether the person you're talking with is a clinician. The call can feel like helpful hand-holding, or like a sales call. That depends on you.

A quick self-check. Would you rather talk it through with a person, or read everything and decide on your own?

• Talk it through: BeyondMD's phone-first start fits you. Use the question list on the call.
• Start online: a provider with an online assessment may suit you better. Gala says its assessment takes about five minutes and includes ongoing messaging; some states require a short video visit before prescribing.

Three practical tips:

1. Choose "text" as your preference if calls are hard during work, then confirm how any required clinician contact will happen. The September 2026 one-star reviewer said one missed call meant starting over.
2. Ask the specialist to email the price, the product and the refund rules before you pay.
3. Don't send more health detail by regular email than you need to. BeyondMD's own refund policy says the same.

Can you cancel BeyondMD HRT and get a refund?

BeyondMD's policy, updated September 2, 2026, says consultation fees are non-refundable once the review starts, and medicine orders generally can't be canceled or refunded after pharmacy processing begins. Errors or shipping problems may qualify for a remedy. Future-renewal cancellation follows the applicable program terms, so ask for the deadline and act in writing.

Here are the rules from BeyondMD's Refund & Cancellation Policy, in plain words.

1. Consultation and review fees are non-refundable once the consultation or review has started. Paying doesn't guarantee a prescription. If BeyondMD couldn't provide a service you paid for, you may get that fee back.
2. Medicine, including compounded medicine, generally can't be canceled, returned or refunded once the pharmacy has started processing it.
3. Before the pharmacy starts, contact support fast. BeyondMD reviews each request; a refund isn't guaranteed.
4. Recurring programs: cancel future renewals under your program's terms, before the next renewal or pharmacy processing date. The pharmacy can start before the ship date.
5. A lack of results or a shipping delay alone does not automatically qualify for a refund.
6. Damaged, wrong or missing medicine: BeyondMD says it will investigate and may replace, reship, credit or refund. It may ask for photos.
7. How to reach them: customerservice@beyondmd.com or 1-888-516-0285.

What to ask, moment by moment

A worked example with real dates

Say your first supply starts on November 2, 2026, and BeyondMD confirms a renewal exactly 90 days later. That date would be January 31, 2027. Because pharmacy processing may begin sooner, ask for the actual cancellation cutoff. January 17 could be a reminder to check the dates; it is not BeyondMD's stated deadline or a guarantee that cancellation is still possible. Request written confirmation and the date your plan ends.

One thing BeyondMD's HRT page doesn't say is whether the 90-day program renews by itself at all. Its terms mention recurring payments for people who enroll in them. Ask.

Compare: Gala's general policy uses a different rule, a cutoff 72 hours before your billing date. See Gala's cancel rules for details and what to confirm.

Does BeyondMD take insurance, HSA or FSA for HRT?

BeyondMD's HRT page doesn't establish insurance billing or HSA/FSA acceptance; it advertises package prices. Its terms say you may fill a prescription at any pharmacy you choose, so if you have insurance, ask whether your HRT prescription can go to your local pharmacy instead.

Find your situation:

• You have a PPO plan with low copays. Check an in-network option first. A covered visit and a covered generic may cost less than any cash bundle.
• You have a high deductible or no insurance. A cash plan can make sense. Compare BeyondMD's $96.33-per-30-days package component with Gala's advertised $69 monthly offer, then check the complete quotes.
• You want to use an HSA or FSA card. BeyondMD doesn't say; ask for an itemized receipt. Gala says it accepts HSA and FSA cards.
• You have Medicare. Midi says Medicare is out of network, but Medicare members are welcome as self-pay patients, with no claims submitted to Medicare for Midi visits, medicines or related services. Your own covered clinician is a good first check.
• You have Medicaid. Midi says it can't treat Medicaid or Medi-Cal patients, even as self-pay patients. Neither BeyondMD nor Gala says it bills Medicaid. Start with your plan's in-network clinicians.

(Midi pricing and insurance, checked October 20, 2026)

If using your insurance comes first, check your exact plan before choosing a cash-pay bundle.

Does BeyondMD's HRT+ plan include testosterone?

BeyondMD's HRT+ program offers "additional hormone options" in select states, and its FAQ says testosterone depends on your evaluation and state, but it doesn't promise testosterone. In the United States, no testosterone product is FDA-approved to treat hypoactive sexual desire disorder (HSDD) or other menopause symptoms. Using an approved testosterone product for those symptoms is off-label; compounded testosterone is not FDA-approved. Testosterone is a Schedule III controlled substance that requires a prescription.

(FDA, Testosterone information; DEA, Controlled substance schedules)

What the evidence supports, in plain words: the 2019 Global Consensus Position Statement on testosterone for women, endorsed by The Menopause Society and other groups, found one evidence-based use. That's low sexual desire that causes distress, called hypoactive sexual desire disorder or HSDD, in women after menopause. It found too little evidence to support testosterone for other symptoms such as energy or mood. A testosterone blood test does not diagnose HSDD; the clinician also assesses other reasons for low desire.

The FDA is looking at this. On September 17, 2026, it held a public workshop on testosterone use in menopausal women to examine the evidence and knowledge gaps and inform future research and possible drug development. (FDA workshop page) A workshop isn't an approval. Nothing changed about testosterone's status for women because of it.

Don't mix up two programs. BeyondMD also sells a separate "Testosterone Replacement Therapy Program," starting at $99, described as injectable testosterone. Its program card doesn't describe it as menopause care. Ask BeyondMD which option, if any, HRT+ means for you.

Questions to ask:

• "Is testosterone part of HRT+ in my state?"
• "What form would it be, and is it compounded?"
• "What blood tests and follow-up come with it, and do they cost extra?"

An honest note about Gala: Gala's HRT pages don't list testosterone. If testosterone is your main goal, Gala isn't a confirmed match. Talk with a qualified clinician, and see our guide to libido and menopause.

BeyondMD vs Gala vs Midi: which fits you?

Gala fits women who want listed treatment types, a lower advertised entry price, an online start or a non-hormonal option to discuss. Some states require a short video visit. BeyondMD may fit women who want required labs bundled in or a person on the phone; testosterone availability needs confirmation. Midi fits women who want to check insurance and have scheduled visits.

Three ways to get online menopause care (provider offers and applicable public terms checked October 20, 2026)

Where Gala clearly wins

Gala lists four menopause treatment types, each requiring a clinician's approval, with online care, prescription delivery and ongoing support:

1. Estradiol pills or patches: estrogen therapy for hot flashes, night sweats and other menopause symptoms.
2. Micronized progesterone: can protect the uterine lining when prescribed with systemic estrogen; oral micronized progesterone may also improve sleep.
3. Vaginal estradiol cream or tablets: for vaginal dryness and painful sex. Low-dose vaginal estrogen may also help prevent recurring UTIs after menopause; that urinary use is off-label.
4. Non-hormonal medicines, including fezolinetant: for hot flashes and night sweats without estrogen, for women who can't or prefer not to use hormones.

Here's where that adds up to a better fit than BeyondMD for some women.

You want to know what you're getting. Gala names four treatment types. BeyondMD's HRT page names none.

You want a lower advertised entry price. Gala advertises $69 a month with free prescription shipping, compared with BeyondMD's $96.33-per-30-days package component before shipping. Confirm that the prescription and any required extras fit your budget; these are not matched all-in quotes.

You prefer to start online. Gala starts with an assessment it says takes about five minutes and includes ongoing messaging. Some states require a short video visit before prescribing.

You can't, or don't want to, take estrogen. Gala lists non-hormonal options, including fezolinetant, an FDA-approved pill for hot flashes. (It needs liver tests, so ask who arranges them and whether they're included.)

You want to pay with an HSA or FSA card. Gala says it accepts them. BeyondMD doesn't say.

Gala's honest limits

Gala's public HRT pages don't name the brand or strength of every medicine, so confirm your exact product before you pay. It doesn't bill insurance, and its linked general policy calls for cancellation 72 hours before billing; confirm the terms applying to HRT. It doesn't list testosterone. Its company-wide review pool includes weight-loss customers. On October 20, its HRT and linked general-policy pages still differed about whether charging happens at intake or after approval. Our Gala HRT review covers each of these and the seven questions to ask Gala.

Gala publishes its own HRT stories. One, from a patient listed as Marisa, 49, says: "Within three weeks of starting estradiol I was sleeping through the night again." Gala chose and posted that story. It's marketing, not evidence of typical results or medical proof, but it shows the kind of relief women are looking for.

Quick check: do these reasons fit what you need, and can you use cash-pay care? Then Gala is worth exploring. Confirm your exact product, complete price and state availability before paying.

Start Gala's HRT assessment If bundled required labs or a phone conversation matter more, BeyondMD is worth exploring. If testosterone is your main question, ask a qualified clinician about appropriate options and state access; both BeyondMD and Midi require further checks. Use the questions below before you pay.

For more side-by-sides, see Gala vs Winona and our comparison of online HRT providers.

Who is BeyondMD HRT best for, and who should skip it?

BeyondMD HRT may fit women considering a package with required labs and a phone-first start, once the prescription and full bill are clear. Women who need a named FDA-approved product or insurance billing should settle those requirements first. A complex health history needs individual clinical assessment.

Find yourself in this table.

A 30-second self-check

Answer honestly. Nobody sees this but you.

1. Am I considering a 90-day supply, and will I confirm the payment terms?
2. Am I comfortable taking a call and asking direct questions?
3. Will I wait until BeyondMD names the exact medicine before I pay?
4. If a health history in the last row applies to me, have I arranged a clinician's review? (If none applies, mark this not applicable.)

Yes to 1–3, with 4 answered yes or not applicable? BeyondMD may be worth exploring. This is a service-fit check, not medical clearance. Take the questions with you.

A no on 1, 2 or 3? That's useful, and it's fine. Let the free quiz sort out what kind of care fits your symptoms, age and state.

A no on 4? Start with a clinician who can assess your history rather than using a quiz to decide treatment. Unexplained bleeding needs prompt evaluation. The Menopause Society keeps a practitioner directory that identifies certified clinicians.

What health factors could change the right choice?

Your age, how long it's been since your last period, whether you have a uterus, and any history of blood clots, stroke, heart disease, liver disease or certain cancers change which treatment, and which kind of care, makes sense. A clinician weighs these, not a review page.

A few facts worth having before any consultation:

Timing matters. The Menopause Society says the benefit-risk balance for bothersome hot flashes is generally favorable for women under 60 or within 10 years of menopause who have no contraindications. Starting later carries greater absolute risks and needs individual review. That doesn't mean no. It means a careful conversation. (The Menopause Society)

Some histories usually rule systemic hormone therapy out. The Menopause Society lists breast cancer, uterine cancer, unexplained uterine bleeding, liver disease, a history of blood clots and heart disease as reasons for particular caution or avoiding systemic treatment. BeyondMD's own page lists similar exclusions. If one is yours, ask your treating clinician about suitable alternatives or specialist care; non-hormonal medicines also have their own risks and restrictions.

Bleeding after menopause comes first. The Office on Women's Health says vaginal bleeding after menopause is not normal and to see a provider right away. (Office on Women's Health) Arrange that evaluation before starting HRT; it may include an exam and tests.

Hormone labels changed in 2026. On February 12, 2026, the FDA approved labeling changes for a first group of six menopausal hormone therapy products, removing boxed-warning statements about heart disease, breast cancer and probable dementia. (FDA announcement) That isn't a finding that hormones are risk-free, it doesn't cover every product, and it doesn't make compounded hormones approved. The label for your exact prescribed product is the one to read. Our 2026 label changes explainer has the details.

About BeyondMD's benefit list. BeyondMD's page says HRT helps with hot flashes, sleep, mood, focus, energy, bone and metabolic health, and sexual wellness. Those are BeyondMD's claims. Hot flashes and night sweats are where the evidence for estrogen is strongest; ask your clinician which of your symptoms a medicine is likely to help.

None of this is advice to start, stop or change a medicine. It's what to bring up so the clinician has the full picture. To see how our quiz handles health history, read how Find My HRT Path works. For the bigger picture, see HRT benefits and risks.

What should you ask BeyondMD before you pay?

Ten questions cover the main gaps in BeyondMD's public pages: the exact medicine, uterine protection, today's charge, the $148 price, the consultation fee, labs, shipping, renewals, cancelling and your clinician. Ask them on the call, then ask the specialist to send the answers by email or text before you pay.

You can copy this message and send it by text or email, or read it on the call.

Hi — I'm asking about your women's HRT program. Before I pay, could you
please confirm these in writing?

1. If I'm prescribed HRT, what exact product would I get, in what form
   (pill, patch, cream, gel, other), and is it FDA-approved or compounded?
   Which pharmacy fills it?
2. If I have a uterus, how will my plan protect the uterine lining, and is
   that medicine included in the price?
3. What exact amount will be charged to my card today? What does the
   "Starting at $148" price on your HRT page buy?
4. Is there a consultation fee? If I'm not prescribed anything, or I miss
   the clinician's call, do I pay again or get it back?
5. Which lab panel is included? Can I use recent labs from my own doctor?
   Do labs repeat with each 90-day program, and at what cost?
6. How much is shipping per order?
7. Does the program renew automatically? At what price? Is there a minimum
   payment commitment? What are my next renewal and pharmacy processing dates?
8. How do I cancel, how far ahead, and will you confirm it in writing?
9. Who is my clinician, what is their license, and how do I reach them
   about side effects or a refill?
10. If I'm already taking HRT, can my clinician review my current
    prescription, and how do refills work if I switch to you or leave?

If relevant:
- Is testosterone part of HRT+ in my state? In what form?
- Can my prescription go to my local pharmacy so my insurance can cover it?

Then keep a private record of what they tell you.

BEYONDMD HRT — MY RECORD (private)

Date I asked: ___________
1. Product / form / FDA-approved or compounded / pharmacy: ____________
2. Uterine protection and whether it's included: _____________________
3. Charged today: $______   What $148 means: ________________________
4. Consultation fee and refund rule: _________________________________
5. Lab panel / my own labs OK? / repeats and cost: __________________
6. Shipping per order: $______
7. Auto-renews? ____  Renewal price: $______  Next dates: ____________
   Minimum payment commitment: _____________________________________
8. How to cancel / last safe day: ____________________________________
9. Clinician name / license / how to reach: __________________________
10. Current prescription and refill plan: ____________________________

My decision:  explore BeyondMD  /  compare options  /  keep current care  /  seek clinical assessment

If the answers are clear and they work for you, BeyondMD's plan page has the call-back form.

If the answers stay vague, compare Gala's published treatment options before you hand over a card.

How did we review BeyondMD?

We read BeyondMD's public HRT, lab, process, policy and terms pages, its sign-up form, and its Trustpilot and BBB profiles on October 20, 2026, and checked medical points against the FDA, The Menopause Society, ACOG and the Office on Women's Health. We didn't sign up, pay or get care, so this is a documentation review.

We use The HRT Index Verification Standard and show its five public pillars in this order. This review doesn't give BeyondMD a score; a made-up number would just be one more thing for you to second-guess.

What would change our view:

• BeyondMD naming FDA-approved estradiol and progesterone products for its HRT programs (that would be good news for BeyondMD)
• A published renewal price, billing rule and state list
• A clear answer on the consultation fee
• HRT-specific reviews, positive or negative
• A confirmed LegitScript listing

Commercial facts on this page come from the provider's own current pages. Medical facts come from the FDA, product labels, The Menopause Society, ACOG and the Office on Women's Health. Where we give our view, we say so. Our full approach is in our methodology. We earn nothing from BeyondMD and still link to it, because a one-sided page wouldn't help you.

BeyondMD HRT: quick answers

The short answers below separate the published offer from the prescription, bill and access you still need to confirm. They do not replace a clinician's review.

Is BeyondMD legit? BeyondMD is a real Michigan company with named clinicians, a BBB profile and posted policies. What's unclear is its HRT offer: the medicine isn't named and its prices conflict. Get the product and charges in writing before you pay.

How much is BeyondMD HRT a month? BeyondMD advertises $289 for a 90-day supply, equal to $96.33 per 30 days for comparison, before shipping. HRT+ is $355.25, or $118.42 per 30 days. These are not verified monthly bills; confirm today's charge and renewals.

Why does BeyondMD's HRT page say $148? The page shows "Starting at $148" near the top but $289 in its plan box and FAQ. It doesn't explain the $148. Ask what it buys.

Does BeyondMD use compounded hormones for HRT? Its HRT page doesn't say. A notice on the page says BeyondMD's medicines are compounded by 503A pharmacies and that providers will review FDA-approved alternatives when applicable. Ask for the exact product and its status.

Can I get an estradiol patch or progesterone from BeyondMD? BeyondMD's HRT page doesn't name a patch, progesterone or any other product. Ask. Gala and Alloy both list estradiol patches and progesterone, though a clinician still decides what's right for you.

Are labs included every time? BeyondMD's HRT page says required labs are included. It doesn't say which panel, or whether labs repeat with each 90-day program. Ask about both.

What states does BeyondMD serve? Its FAQs say "most U.S. states," its footer says "all 50 states," and HRT+ is "available in select states." We did not find an HRT state list on the pages checked.

Is there an age limit? You must confirm you're 18 or older. We did not find an HRT-specific age range on the pages checked.

How fast does the medicine arrive? BeyondMD says approval usually takes 3 to 5 business days and shipping takes 3 to 7 business days, or 5 to 7 on another page. Those are estimates, not guarantees.

Can I bring my current HRT prescription to BeyondMD? You can ask a new clinician to review what you take now, but BeyondMD's pages don't promise to continue an existing prescription. Line up your refill plan with your current and new clinicians before you switch, and don't stop a medicine on your own.

Does an easy sign-up mean I'll be prescribed HRT? No. Sign-up starts a review. A licensed clinician decides whether a prescription is appropriate, and BeyondMD's refund policy says consultation fees may not come back if you aren't prescribed anything.

Is Find My HRT Path a medical eligibility test? No. It's a free care-navigation quiz. It asks about your symptoms, what you've tried, your age, your state and your health history, then shows a featured care option or guidance when online care isn't the right starting point. It doesn't diagnose, prescribe or check every provider.

Bottom line: should you try BeyondMD for HRT?

BeyondMD can make sense if you want required labs bundled in or like a phone-first start, and you get the exact medicine and charges in writing first. If you'd rather start online with listed treatment types and a monthly advertised price, explore Gala; if you're still unsure what kind of care fits, use the free quiz.

Here's the whole page in four lines.

• The reviews: 20 on Trustpilot with a 3.8 score; none explicitly identifies HRT or menopause care.
• The price: advertised $289 for 90 days of supply, or $96.33 per 30 days for comparison, plus shipping. $148 and $299 also appear in the page or metadata; the applicable charge and renewal terms need confirmation.
• The medicine: not named, with a sitewide compounded notice. Ask before you pay.
• The exit: cancel before the next renewal or pharmacy processing date, in writing.

Pick your next step:

If BeyondMD fits and its answers are clear:

If you want listed treatment types, a $69 monthly advertised offer and an online start with ongoing messaging:

See Gala's $69 HRT plan Gala may pay The HRT Index if you enroll. A prescription is never guaranteed. A licensed clinician decides what's right for you.

Still not sure what kind of care fits? You don't have to pick a provider from a star rating. The free Find My HRT Path quiz asks about your symptoms, what you've tried, your age, your state and your health history. Then it shows a featured care option, or guidance when online care isn't the right starting point. It takes about a minute and doesn't ask for your email.

And if you already have a doctor who knows your history, it's always fair to ask them first.

Sources

BeyondMD (all read October 20, 2026)

• BeyondMD — Women's Hormone Replacement Therapy (HRT $289, HRT+ $355.25, "Starting at $148," inclusions, shipping, sitewide compounding notice)
• BeyondMD — Sexual Health, Hormone Balance and Vitality programs (women's HRT card "Starting at $148"; testosterone program card)
• BeyondMD — How it works (approval and shipping times, charging, labs, states)
• BeyondMD — Labs (Quest Diagnostics panels and prices)
• BeyondMD — Homepage (clinicians, delivery FAQ, testimonials, contact and hours)
• BeyondMD — Patient testimonials
• BeyondMD — Get Started form for HRT (nothing entered)
• BeyondMD — Refund & Cancellation Policy, last updated September 2, 2026
• BeyondMD — Terms of Service (Prescribery Corp. Terms of Use)

Reviews and business records (read October 20, 2026)

• Trustpilot — beyondMD
• Better Business Bureau — BeyondMD
• MomMetabolic — BeyondMD review

Other providers

• Gala — Hormone health, read October 20, 2026
• Gala — Dedicated HRT price and care page, read October 20, 2026 ($69/month advertising and state-dependent video visits)
• Gala — Refund policy, updated February 2026; read October 20, 2026 (general policy; confirm HRT applicability)
• Gala — Alternate HRT landing page, read October 20, 2026 (charging language and compounding notice)
• The HRT Index — Gala Health HRT reviews (further editorial reading, not primary proof of current provider prices)
• Alloy — HRT, prices checked October 20, 2026
• Alloy — Product menu and estradiol pill, read October 20, 2026
• Alloy — Costs and billing, read October 20, 2026
• Alloy — Insurance, read October 20, 2026
• Midi Health — Pricing and insurance, read October 20, 2026
• Midi — Billing, hormone formulations, how care works and testosterone requirements, read October 20, 2026

Medical and regulatory

• FDA — Compounding and the FDA: Questions and Answers
• FDA — FDA Approves Labeling Changes to Menopausal Hormone Therapy Products, February 12, 2026
• FDA — Public workshop: Testosterone Use in Menopausal Women, September 17, 2026
• The Menopause Society — Hormone Therapy
• The North American Menopause Society — 2022 Hormone Therapy Position Statement
• ACOG — Compounded Bioidentical Menopausal Hormone Therapy, Clinical Consensus No. 6, November 2023
• Office on Women's Health — Menopause basics, updated October 19, 2026
• Davis SR et al. — Global Consensus Position Statement on the Use of Testosterone Therapy for Women, 2019; full publisher text read October 20, 2026. PMC full-text copy.
• DailyMed — Veozah (fezolinetant) prescribing information, updated February 26, 2026; read October 20, 2026
• FDA — Testosterone information
• DEA — Controlled substance schedules

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.

Keep reading

• Gala Health HRT reviews: the $69 plan, complaints and verdict
• Best online HRT providers for menopause
• Compounded vs FDA-approved HRT
• What HRT costs in 2026
• Transcend HRT reviews for women and Defy Medical HRT reviews for women, two other clinics that also sell wellness programs
• Fezolinetant for hot flashes
• Vaginal estrogen
• Looking at BeyondMD for a libido medicine instead? See our guides to flibanserin and bremelanotide.
• If BeyondMD's weight-loss program is what brought you here, see our weight care guide.