Does Midi Prescribe Progesterone? Yes—Two Different Ways, and Only One Is FDA-Approved
Confirm the route before you book
Midi is not currently an HRT Index affiliate. Confirm whether you would receive an FDA-approved pharmacy prescription or a compounded Custom Rx capsule, along with the visit cost, state availability, pharmacy, and total medication cost.
Yes. Midi Health prescribes progesterone in two distinct ways: a commercially manufactured, FDA-approved oral micronized progesterone prescription sent to a pharmacy, or Midi Custom Rx compounded oral progesterone starting at $35 for 30 days. The compounded capsule is vegan and peanut-free, is not FDA-approved, and is typically paid out of pocket.
The decision is not “progesterone or no progesterone.” It is which route fits your situation: a standard pharmacy product with FDA-reviewed labeling, or a compounded product built around an unavailable dose, peanut oil or gelatin avoidance, or a pharmacy supply problem.
Here is the damaging admission before anything else: the advertised $35 is medication only, not your total cost; Midi does not publish one reconciled product-specific state list for the compounded capsule; and the compounded capsule does not have FDA approval. Those are not footnotes. They are the decision.
Best for you if
- You want a menopause-focused virtual clinic that can prescribe commercially manufactured, FDA-approved hormone therapy.
- You have a uterus and need a clinician to manage endometrial protection alongside systemic estrogen.
- You cannot use the peanut oil or gelatin found in the FDA-approved oral micronized progesterone labels we verified.
- Your pharmacy cannot fill oral progesterone and you want a clinician-managed backup route.
- You have PPO insurance you want to try for the clinical visit.
Not for you if
- You have Medicaid or Medi-Cal. Midi says it cannot treat you, even if you offer to self-pay.
- You need Medicare reimbursement. Midi accepts Medicare beneficiaries only as self-pay patients, and its policy says related claims cannot be submitted to Medicare or a Medicare-related plan.
- You want a guaranteed all-in monthly price before the clinical visit.
- You want medication without a clinical evaluation. A licensed Midi clinician decides whether a prescription is appropriate.
- You have unexplained vaginal bleeding. Midi’s own product page says it must be evaluated first.
The two Midi progesterone routes, side by side
| Decision point | FDA-approved pharmacy prescription | Midi Custom Rx compounded capsule |
|---|---|---|
| What it is | A commercially manufactured oral micronized progesterone product, such as an FDA-approved brand or generic, prescribed to a pharmacy | A patient-specific compounded oral progesterone capsule ordered through Midi |
| FDA status | FDA-approved finished product with FDA-reviewed labeling | Not FDA-approved; FDA has not premarket-verified the finished product’s safety, effectiveness, or quality |
| Published medication price | Midi does not publish a universal price; your pharmacy, strength, insurance, deductible, and any discount program determine it | Starts at $35 for a 30-day supply |
| Insurance | May run through your pharmacy benefit, subject to formulary rules, prior authorization, deductible, and copay | Midi says Custom Rx is typically not covered by most plans and is purchased out of pocket; a receipt is available if your plan independently allows reimbursement |
| Peanut oil or gelatin | The Prometrium label and every current generic label we checked list peanut oil; the products we checked also list gelatin | Midi lists microcrystalline cellulose and a hypromellose-and-water vegetarian capsule, and markets it as vegan and peanut-free |
| Where it is filled | The retail or mail-order pharmacy you choose | Through Midi’s Custom Rx fulfillment process; the progesterone monograph directs patients to Belmar Pharmacy, while Midi’s general Custom Rx materials also name Precision Compounding Pharmacy |
| Delivery | Pharmacy pickup or that pharmacy’s delivery service | Midi’s product page says typically 3–7 days; its help center says 3–5 business days after payment |
| State status | Midi says clinical care is available in all 50 states; pharmacy stock and benefit rules still vary | Confirm before paying. Midi’s current progesterone product page does not publish a state list, its monograph says the product is not available in all 50 states, and its general Custom Rx state page lists partner-specific exclusions |
| Best fit | You want an FDA-approved product and can use the commercial formulation | You need a dose or inactive-ingredient change not commercially available, or your clinician is addressing a documented supply problem |
Commercial facts checked against Midi’s progesterone product page, pricing FAQ, Custom Rx insurance FAQ, Custom Rx state FAQ, and progesterone product monograph on August 14, 2026.
The right online HRT provider isn't the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider — and to flag when online care isn't the right starting point — before your first consult.
The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.
Provider-link disclosure: Midi Health is not currently an HRT Index affiliate. The direct provider links below do not change the price you pay or the facts on this page.
Check Midi’s current visit pricing, state coverage, and insurance participation → (Provider link; Midi is not currently an HRT Index affiliate.)
Does Midi prescribe progesterone?
Yes. Midi prescribes progesterone after a licensed clinician reviews your symptoms, health history, uterus status, bleeding pattern, current estrogen use, allergies, and medication needs. Its public materials now support two separate routes: a commercially manufactured prescription sent to a pharmacy and a compounded Custom Rx capsule purchased through Midi.
A consult is an evaluation, not a vending machine. Seeing progesterone on Midi’s site tells you it is available for clinicians to consider. It does not promise a particular product, strength, schedule, manufacturer, or compounded prescription for every patient.
That distinction matters because provider pages often blur “we offer it” into “you will get it.” Midi’s own product page is clearer: your clinician evaluates whether the prescription is appropriate, and a Custom Rx order appears only if it is approved as part of your Care Plan.
What changed in 2026—including on our own site
Older descriptions of Midi as an FDA-approved-only HRT provider are no longer complete. Midi’s help center published a dedicated article for Midi Custom Rx oral micronized progesterone on March 14, 2026, and its current store now sells a compounded capsule through its clinician-managed workflow.
We are saying this plainly because older HRT Index pages also used the FDA-approved-only description. Any page that still says Midi never prescribes compounded hormone therapy needs to be corrected or linked to this page. The answer changed when Midi’s product line changed.
What the word “progesterone” still does not tell you
Before you accept or fill a prescription, confirm four things:
- Is the finished product FDA-approved or compounded?
- Which manufacturer or compounding pharmacy made it?
- What inactive ingredients are in the exact capsule?
- What strength and schedule did the clinician prescribe?
Those four answers settle most of the confusion on this page.
See whether Midi’s clinical model fits your situation → (Provider link; Midi is not currently an HRT Index affiliate.) Confirm the visit cost first; medication and labs are separate bills.
What kind of progesterone does Midi prescribe?
Midi’s current materials describe commercially manufactured oral micronized progesterone sent to a pharmacy and a separate compounded oral progesterone capsule sold through Midi Custom Rx. The commercial route can use an FDA-approved product. The Custom Rx route is compounded and not FDA-approved. Do not let the shared word “progesterone” erase that difference.
Route 1: an FDA-approved product sent to your pharmacy
Midi’s main HRT page says it prescribes FDA-approved bioidentical hormones. Its progesterone materials also distinguish its compounded capsule from “commercial” oral progesterone. Together, those pages support the pharmacy route: a clinician can prescribe an FDA-approved oral micronized progesterone product and send it to the pharmacy you choose.
“Bioidentical” does not mean “compounded.” FDA-approved hormone products can be chemically identical to hormones made by the body. Compounding is a separate regulatory and manufacturing question about the finished product.
Do not assume the bottle will say Prometrium. Prometrium is the original branded oral micronized progesterone product, but FDA-approved generics exist. Your clinician and pharmacy determine the product actually dispensed. Ask for the product name, manufacturer, and NDC number so you can pull the exact label on DailyMed.
Route 2: the Midi Custom Rx compounded capsule
Midi’s current product page publishes these specifics:
- Starts at $35 for a 30-day supply.
- Marketed as 100% vegan and peanut-free.
- Purchased out of pocket through the Midi portal after clinician approval.
- Active ingredient listed as progesterone micronized powder.
- Inactive ingredients listed as microcrystalline cellulose and a vegetarian capsule made from hypromellose and water.
- Existing patients message their clinician with “progesterone” in the subject line; Midi says the clinician responds within 24 hours.
- If approved, the patient receives an email, pays through the Midi portal, and receives the prescription in the published delivery window.
Midi says this compounded option may be considered when a needed dose is not commercially available or when a patient needs to avoid common commercial ingredients such as peanut oil or gelatin.
That is a narrow reason, and it is the right way to frame it. The compounded product is not presented here as inherently better, more natural, equivalent, or more effective. It is a different finished product built for a specific prescribing need.
Is Midi’s progesterone FDA-approved?
The pharmacy route can use an FDA-approved oral micronized progesterone product. Midi Custom Rx progesterone is compounded and is not FDA-approved. FDA states that it does not verify the safety, effectiveness, or quality of compounded drugs before marketing, even when compounding serves a legitimate need such as an allergy or unavailable dosage form.
This is the part that deserves the most precise language on the page.
Where Midi discloses the compounded status
| Midi surface checked August 14, 2026 | Calls the product compounded? | Links safety information? | States on that page that compounded drugs are not FDA-approved? |
|---|---|---|---|
| Progesterone product page | Yes | Yes | No—the disclosure is in the linked safety information |
| Oral micronized progesterone help-center article | Yes | Not in the article text we reviewed | No |
| HRT shortage page | Yes | Yes/footnoted | Yes |
| Progesterone product monograph | Yes | This is the safety page | Yes |
The fair version is simple: Midi does disclose the product’s compounded status, and the product page links to the safety monograph. The disclosure is not absent. But the sentence most likely to change a buyer’s decision sits in the safety material rather than in the price block.
Before paying, open the product page’s “Important Safety Information” link and read the compounded-drug paragraph. It takes less time than recovering from a wrong assumption later.
What “not FDA-approved” means here
FDA approval attaches to a specific finished product, made under an approved application, with a defined formulation, manufacturing process, quality controls, and label. It does not attach to a clinic or to the name of a hormone in the abstract.
The FDA explains that compounded drugs can fill an important patient need—for example, when an approved product contains an ingredient a patient cannot use. But compounded drugs are not FDA-approved, are not generic drugs, and do not go through FDA premarket verification of the finished product’s safety, effectiveness, and quality.
That does not mean every compounded prescription is illegitimate. It means the burden shifts. The prescriber must have a patient-specific reason, and you should know which pharmacy made the product, why it was selected, how it was tested, and what to do if there is a problem.
Who actually makes the compounded capsule?
Midi’s progesterone monograph tells patients to follow directions supplied by Belmar Pharmacy. Midi’s general Custom Rx state page also names Precision Compounding Pharmacy as a partner. Midi does not publish a product-specific routing table showing which pharmacy fills progesterone orders in each state.
That is still more disclosure than many telehealth storefronts provide. It gives you a name to verify through a state board of pharmacy and a direct question to ask before paying:
“Which pharmacy will compound my progesterone, and is that pharmacy licensed to ship this exact prescription to my state?”
No CTA in this section. Get the FDA-status and pharmacy answer right first.
Why does Midi offer compounded progesterone?
Midi frames the compounded capsule as a workaround for two concrete problems: commercial oral progesterone may be unavailable at a patient’s pharmacy, or the patient may need a dose or inactive-ingredient profile that commercial products do not provide. Its shortage page specifically directs patients to try pharmacy solutions before turning to Custom Rx.
That framing matters. It is not “compounded is better.” It is “the standard route is not working for this patient.”
The shortage is real, but it is not universal
The American Society of Health-System Pharmacists maintained a progesterone-capsule shortage bulletin as of August 14, 2026. Its most recent update, June 30, listed some products as available and others— including certain 100 mg and 200 mg presentations—as backordered.
That explains why two women in the same city can get completely different answers from two pharmacies. A shortage bulletin does not mean every strength and manufacturer is unavailable everywhere. It means supply is uneven enough that the exact product, pharmacy, and date matter.
Five things to try before paying for Custom Rx
Midi’s own shortage guidance tells patients to try these steps:
- Request the refill early if the insurance plan allows it.
- Ask whether a 90-day supply is available.
- Ask the pharmacy about another FDA-approved brand or generic it can fill.
- Check other branches or pharmacies and transfer the prescription if stock is available.
- Ask the insurer about a mail-order pharmacy with different inventory.
That list may cost Midi a Custom Rx sale, which is exactly why it belongs here. Try the free supply fixes first. If the FDA-approved route works, you keep the FDA-reviewed product and may preserve pharmacy-benefit coverage.
If it does not work, the compounded route becomes a practical conversation rather than an impulse purchase.
If your pharmacy cannot fill the prescription, see whether Midi can evaluate an alternative route → (Provider link; Midi is not currently an HRT Index affiliate.) Confirm the exact product, pharmacy, state, and total cost before paying.
How much does progesterone through Midi actually cost?
Midi publishes a $35 starting price for a 30-day compounded supply, a $250 self-pay first visit, and $150 self-pay continued-care visits. The visit price excludes labs and prescription medication. Insured patients pay according to plan benefits; Midi reports an average of about $50 out of pocket per insured visit, but that is not a quote for your plan.
The $35 is real. It is also not the total.
| Cost component | Current published figure | What can change it |
|---|---|---|
| Initial Midi visit | $250 self-pay | In-network status, deductible, copay, coinsurance |
| Continued-care visit | $150 self-pay | How often a clinician asks you to follow up; insurance benefits |
| Midi Custom Rx compounded capsule | Starts at $35 for 30 days | Prescribed dose, current product price, available refill quantity |
| FDA-approved pharmacy prescription | No universal Midi price | Product, strength, manufacturer, pharmacy, ZIP code, formulary, deductible, copay, prior authorization, discount program |
| Labs, if ordered | Not included in visit price | Test ordered, laboratory, insurance, deductible |
| Appointment cancellation | Fee may apply with less than 24 hours’ notice | Midi does not publish the fee amount in the help-center article we verified |
| Prescription return or refund | Prescription treatments cannot be returned or refunded | Midi says to contact support if an error occurred |
Use the real formula
Your total out-of-pocket cost = visit out-of-pocket + medication out-of-pocket + labs or other services ordered.
Do not divide a visit fee across twelve months and call that a monthly price. Do not subtract an imaginary insurance payment. Do not assume $35 includes the appointment. The bills are separate because the services are separate.
Is the $35 compounded capsule the cheapest route?
Not necessarily. An FDA-approved generic at a retail pharmacy may cost less than $35 with insurance or a current discount program. It may also cost more if you are in a deductible or the pharmacy has limited stock. The only honest comparison is the live price for your exact strength, product, pharmacy, and ZIP code.
The useful conclusion is narrower:
The $35 Custom Rx capsule is a published out-of-pocket option. Its value is the altered formulation and fulfillment route—not a guaranteed lowest price.
Insurance, HSA, and FSA are three different questions
Midi’s Custom Rx support article says the prescriptions are typically not covered by most insurance plans. It also says that if a plan does provide coverage, the patient can download an official receipt for reimbursement. That is more precise than saying insurance can never cover it.
Midi also says FSA or HSA funds may be used for Custom Rx purchases if the plan permits online transactions. Eligibility still belongs to your plan administrator, not to the card alone.
Does Midi charge a monthly membership?
Midi publicly states that its core clinical model has no mandatory subscription. That does not mean care is free after the first visit. Continued-care visits are billed when they occur, prescriptions need valid refills, and Midi’s Custom Rx help center says patients who run out of refills are prompted to book a clinician visit.
See Midi’s current visit pricing before you book → (Provider link; Midi is not currently an HRT Index affiliate.) Then price the pharmacy prescription or Custom Rx order separately.
What if you are allergic to peanuts or cannot take gelatin?
This is the clearest published reason to consider Midi Custom Rx. The Prometrium label and every current U.S. oral micronized progesterone label we checked list peanut oil; the products we checked also list gelatin. Midi lists neither in its compounded capsule and markets the formulation as vegan and peanut-free. The tradeoff is FDA approval.
That tradeoff deserves plain language because the allergen is not a minor packaging detail. The FDA-approved Prometrium label says the product contains peanut oil and should not be used by patients allergic to peanuts.
We did not rely on the drug name alone. We checked the labeled inactive ingredients. Formularies and manufacturers can change, so do the same for the bottle you are actually offered.
The practical decision table
| Your priority | Route to discuss | What you keep | What you give up or must verify |
|---|---|---|---|
| FDA-approved oral micronized progesterone | Commercial pharmacy product | FDA-reviewed finished product and label; possible pharmacy-benefit coverage | Current labels we checked contain peanut oil and gelatin; pharmacy stock varies |
| Peanut-free, gelatin-free oral capsule | Midi Custom Rx compounded progesterone | Oral capsule and a published formulation without those inactive ingredients | FDA approval; product-specific premarket verification; likely out-of-pocket payment; state confirmation |
| FDA-approved option without micronized progesterone | Another FDA-approved progestogen or combination product selected by a clinician | FDA-reviewed finished product | Different drug or formulation with its own label, risks, and fit; not a direct substitute to choose on your own |
| Long-acting intrauterine progestogen | Clinician discussion about an IUD where appropriate | Long-acting delivery and contraception depending on product and indication | In-person placement; U.S. product labeling and HRT use must be discussed specifically |
If you have a serious allergy, do these three things
- Ask for the exact product name, manufacturer, and NDC number before taking a commercial capsule. Use the NDC to read the current DailyMed label.
- For Custom Rx, ask the compounding pharmacy about cross-contact. “Peanut-free formulation” does not automatically answer whether peanut-containing products are handled in the facility.
- Do not accept “progesterone” as the full answer. The finished product and inactive ingredients are what decide the allergy question.
No CTA in this section. Get the allergy answer right first.
Is Midi’s compounded progesterone available in every state?
Do not assume it is. Midi’s current progesterone product page does not publish a state list. Its product monograph says the compounded product is not available in all 50 states. A general Custom Rx support article lists different exclusions for Belmar and Precision, but it predates the progesterone product and is not a reconciled product-specific map.
This is the most useful unresolved commercial fact on the page.
| Midi source | Date or status checked | What it currently says |
|---|---|---|
| Progesterone product page | Live August 14, 2026 | No product-specific state list appears on the page |
| Progesterone product monograph | Live August 14, 2026 | Compounded medication is not available in all 50 states |
| General Custom Rx state FAQ | Updated February 24, 2025 | Precision: unavailable in South Carolina and Arkansas; Belmar: unavailable in Arkansas and Alabama |
| Midi clinical-care pages | Live August 14, 2026 | Midi says its virtual clinical care is available in all 50 states |
Do not rely on a cached or older “all states except Arizona” statement. It does not appear on the current live product page, so it is not safe to use as the current product-level availability rule.
What the overlap means
- Arkansas appears as excluded for both pharmacies in Midi’s general Custom Rx article. It is the highest-confidence state to ask about before any payment.
- Alabama and South Carolina appear as partner-specific exclusions in that general article.
- Every other state still requires confirmation for this exact progesterone product, because the monograph says the product is not available in all 50 states and Midi has not published a reconciled product-level list.
- The pharmacy route is different. Midi may provide clinical care in your state and send an FDA-approved prescription to a local pharmacy even when Custom Rx shipping is unavailable.
Do not merge these pages into a made-up 47-state or 49-state answer. Send one message:
“Is Midi Custom Rx progesterone available in my state today, and which pharmacy would fill it?”
Check Midi’s clinical availability and ask the product-specific shipping question → (Provider link; Midi is not currently an HRT Index affiliate.)
Will insurance cover Midi’s progesterone?
Separate the bills. The Midi visit may be covered if the clinic is in network for your plan. An FDA-approved pharmacy prescription may be covered under your pharmacy benefit. Midi Custom Rx is bought out of pocket and is typically not covered by most plans, although Midi provides receipts when a plan independently allows reimbursement.
The three payment channels are:
- Medical claim: the clinician visit.
- Pharmacy claim: a commercially manufactured prescription filled at a retail or mail-order pharmacy.
- Custom Rx purchase: a compounded product paid through Midi’s portal.
“In network” does not mean “free.” Deductible, copay, and coinsurance still apply. Midi’s provider-reported average of about $50 out of pocket per insured visit is useful context, not a promise.
The hard insurance stops
Medicaid and Medi-Cal: Midi says it is not enrolled with these programs and cannot treat beneficiaries, even as self-pay patients.
That is a disqualification, not a soft warning. Use your benefit with an enrolled clinician or health system.
Medicare and Medicare-related plans: Midi says beneficiaries may be seen as self-pay patients, but neither the patient nor Midi may submit related claims for visits, medications, labs, imaging, or associated services.
Run the cash math before booking: $250 for the first visit, $150 for continued care, plus medication and any labs.
Four questions to ask before booking
Call the number on your insurance card and ask:
- Is the specific Midi medical group and clinician type in network for my telehealth specialist benefit?
- What are my copay, coinsurance, and remaining deductible for the first visit?
- Is the exact oral micronized progesterone product or generic tier covered under my pharmacy benefit?
- Does my plan ever reimburse patient-specific compounded prescriptions, and what documentation is required?
Write down the representative’s name, date, and call reference number. A provider coverage checker is a lead. Your benefit plan and processed claim decide the bill.
Check Midi’s employer and insurance participation, then verify it with your plan → (Provider link; Midi is not currently an HRT Index affiliate.)
What dose and schedule does Midi use for progesterone?
Midi publishes 100 mg daily as a common starting point, while also describing 100 mg nightly with estrogen, 100 or 200 mg for 12 days each month, and a progesterone-only regimen that can increase from 100 mg to 200 or 300 mg. Those are provider-published regimens, not a promise or a substitute for your bottle’s directions.
Very few telehealth clinics publish this much dosing detail. Midi does. That transparency is useful, but the distinctions matter.
| Regimen Midi publishes | How Midi describes it | What you must understand |
|---|---|---|
| 100 mg nightly with estrogen | A common continuous regimen | Daily use may reduce withdrawal bleeding, but bleeding patterns still vary and dosing must match the estrogen plan |
| 100 or 200 mg for 12 days each month with estrogen | A cyclic regimen | A withdrawal bleed may occur after the progesterone days end |
| 100 mg nightly without estrogen, increased to 200 or 300 mg if needed | A progesterone-only regimen for selected patients | This is provider-published, individualized use; the current Prometrium label does not approve progesterone alone as a general menopause-symptom treatment |
How this differs from the current Prometrium label
The current FDA-approved Prometrium label gives a specific endometrial-hyperplasia prevention regimen: 200 mg at bedtime for 12 days in each 28-day cycle for postmenopausal women with a uterus who are taking daily conjugated estrogens.
Midi’s 100 mg continuous regimen is a clinician-published practice regimen. It is not the exact regimen printed in the Prometrium label. That does not prove it is wrong; it means a reader should not use the label or a blog post to change her own schedule.
Midi’s own clinician article says progesterone dose depends on the amount of estrogen being used. The British Menopause Society likewise states that progestogen dosing should be proportionate to estrogen dosing.
Why bedtime appears so often
The FDA-approved label warns that progesterone can cause drowsiness or dizziness and directs patients to take it at bedtime. Midi’s Custom Rx page also recommends bedtime use.
That is not permission to treat sedation as harmless. If you have severe dizziness, impaired coordination, mood deterioration, or another concerning reaction, contact the prescribing clinician promptly. Do not drive or operate machinery when impaired.
No CTA in this section. Dose and schedule belong to the clinician and the pharmacy label.
Can Midi prescribe progesterone without estrogen or while you still have periods?
Potentially, yes. Midi publishes a progesterone-only regimen and treats perimenopause, so taking estrogen is not an absolute prerequisite for an evaluation and still having periods does not disqualify you. The prescription is not guaranteed, and progesterone-only use for menopause symptoms is not the same as the FDA-labeled endometrial-protection indication.
Progesterone without estrogen
Midi’s clinical article describes 100 mg nightly without estrogen for selected patients whose clinicians advise against estrogen, with possible increases to 200 or 300 mg.
That is a meaningful provider-specific answer because many women search this question after being told estrogen is not appropriate. But the limit belongs in the same paragraph: the current Prometrium label is for endometrial protection with conjugated estrogen and for secondary amenorrhea—not for a universal progesterone-only menopause regimen.
The right question for a consult is not “Will you give me progesterone alone?” It is:
“Given my symptoms, history, and the reason estrogen is not being used, is progesterone alone an evidence-supported and appropriate option for me—and what outcome would we monitor?”
If you still have periods
Midi treats perimenopause, including women who are still cycling. Still having periods changes the discussion; it does not close the door.
Three things matter:
- Menopause hormone therapy is not contraception. Pregnancy is still possible during perimenopause.
- Your bleeding pattern matters. New, heavy, prolonged, or otherwise unexplained bleeding needs evaluation rather than an automatic dose adjustment.
- Cyclic and continuous schedules can produce different bleeding patterns. Your clinician should tell you what is expected and what should trigger follow-up.
If this is the exact question that has kept you from booking, bring it directly to a Midi evaluation → (Provider link; Midi is not currently an HRT Index affiliate.)
Do you need progesterone if you are on estrogen?
If you have a uterus and use systemic estrogen, a progestogen is generally needed to protect the endometrium. In the specific FDA-label trial for Prometrium, endometrial hyperplasia occurred in 6% of women using conjugated estrogen plus cyclic Prometrium, compared with 64% using conjugated estrogen alone over up to three years.
That 6-versus-64 result is real, but it must not be stripped of context. The trial involved 358 postmenopausal women with an intact uterus. The tested regimen was conjugated estrogens 0.625 mg daily plus Prometrium 200 mg for 12 days of each 28-day cycle—not every estrogen dose, every progesterone regimen, or a compounded capsule.
The point survives the context: unopposed systemic estrogen can substantially increase endometrial-hyperplasia risk, and adequate endometrial protection is not an upsell.
The FDA’s 2026 menopausal-hormone-therapy labeling changes reinforce that distinction. The agency removed several class-wide boxed-warning statements but retained the endometrial-cancer boxed warning for systemic estrogen-alone products.
The exceptions and edge cases
- Low-dose vaginal estrogen is different from systemic estrogen. It is intended for local genitourinary symptoms and generally does not require a progestogen at standard low doses. See our vaginal estrogen guide for the route distinction.
- After total hysterectomy, progesterone is usually not needed for uterine protection because there is no endometrium to protect. Your surgical history and any other reason for use still belong in the clinical discussion.
- Ablation and supracervical hysterectomy are not the same as total uterine removal. Tell the clinician exactly what procedure you had.
- A hormonal IUD may change the endometrial-protection plan. Do not add oral progesterone automatically; ask whether the device, dose, age, and indication already cover the intended role.
- Unexplained bleeding must be evaluated. Midi’s product page lists it as something to disclose before prescribing, and current bleeding guidance recommends assessment based on timing, severity, HRT regimen, and individual risk factors.
No CTA in this section.
Is compounded progesterone as good as an FDA-approved product?
There is no evidence-based reason to answer with a clean yes. Midi’s compounded capsule is oral rather than a transdermal cream, so it avoids the specific absorption concern attached to compounded progesterone creams. That does not establish bioequivalence, potency consistency, endometrial protection, safety, or effectiveness equal to an FDA-approved finished product.
This is where careless wording creates YMYL trouble. “Contains progesterone,” “oral capsule,” and “micronized powder” are formulation facts. They are not proof that two finished products perform the same way.
| Question | FDA-approved commercial product | Midi Custom Rx compounded capsule |
|---|---|---|
| Has FDA approved the finished product? | Yes | No |
| Has the finished product gone through an approved application demonstrating required quality and performance? | Yes | No FDA-approved application for this product |
| Does the product have FDA-reviewed labeling? | Yes | No |
| Is the route oral? | Yes | Yes |
| Does oral route alone prove equivalent absorption or endometrial protection? | Not applicable—the approved product has its own reviewed evidence | No |
| Who is responsible for product-specific compounding controls? | FDA-approved manufacturer under the approved application and applicable manufacturing requirements | The compounding pharmacy under the legal and quality framework that applies to that facility |
| Why might a clinician still use it? | Standard route when the approved formulation is appropriate and available | Patient-specific dose, inactive-ingredient, or availability need that the commercial product does not meet |
ACOG’s Clinical Consensus says compounded bioidentical menopausal hormone therapy should not be prescribed routinely when FDA-approved formulations exist. FDA likewise says compounded drugs should be used when a patient’s medical need cannot be met by an FDA-approved drug.
That does not make Midi’s option pointless. It makes its reason for use the center of the decision.
The honest editorial conclusion
Midi’s oral compounded capsule avoids the transdermal-cream problem. It does not erase the compounded-product problem.
That is more useful than either extreme. It does not dismiss a formulation that may solve a real allergy or supply barrier, and it does not pretend oral route turns a compounded product into an FDA-approved generic.
Seven questions to ask about any compounded prescription
- Which pharmacy is compounding it, and is it licensed to ship to my state?
- What patient-specific need makes the compounded product preferable to an FDA-approved product for me?
- What are the exact active and inactive ingredients?
- What is the strength, dosage form, beyond-use date, and storage instruction?
- What testing or certificate-of-analysis information can the pharmacy provide for the ingredients or finished preparation?
- What lot or prescription identifier will appear on my bottle?
- Who handles an adverse reaction, damaged shipment, or suspected dispensing error?
A pharmacy or clinic that answers those clearly is giving you something concrete to evaluate.
No CTA in this section.
How do you get progesterone from Midi?
New patients book a 30-minute virtual first visit. Existing patients can message their clinician in Athena with “progesterone” in the subject line; Midi says a clinician responds within 24 hours. If Custom Rx is approved, the order appears in the Midi portal, where the patient pays before the pharmacy ships it.
| Step | New to Midi | Already a Midi patient |
|---|---|---|
| 1 | Check clinical availability and insurance participation | Log into the Athena portal for clinical messaging |
| 2 | Book the approximately 30-minute first visit | Message the clinician and put “progesterone” in the subject line |
| 3 | Complete intake: symptoms, medical history, uterus and bleeding status, allergies, current medications | Wait for the clinician’s response; Midi publishes a 24-hour response target for this request |
| 4 | Meet the clinician and discuss whether progesterone is appropriate | If prescribed, watch for the approval email |
| 5 | Receive a pharmacy prescription or a Custom Rx order | About 24 hours after the prescription is created, open Midi Portal → Midi Custom Rx → My Rx → Buy Now |
| 6 | Fill at your pharmacy or pay for Custom Rx | Pay in the portal; published delivery is 3–7 days, with a separate help article stating 3–5 business days after payment |
Copy this into your notes
For the FDA-approved pharmacy route:
I want to discuss oral micronized progesterone for my clinical situation. I prefer an FDA-approved product sent to my pharmacy so I can check my benefit and the labeled inactive ingredients. Which product, manufacturer, strength, and schedule would you prescribe?
For the peanut-free or gelatin-free compounded route:
I cannot use a capsule containing peanut oil or gelatin. I understand Midi offers a compounded oral progesterone capsule that is not FDA-approved. Is it available in my state, which pharmacy would prepare it, what would the total cost be, and how does the prescribed dose fit my estrogen plan?
Copy, paste, done. No download gate.
Book a Midi evaluation or open your portal to send the product-specific question → (Provider link; Midi is not currently an HRT Index affiliate.)
Can Midi refill a progesterone prescription you already have?
Possibly. Midi says its clinicians may refill some medications a patient already takes, but it does not promise an automatic transfer or continuation of a specific progesterone product. A clinician reviews the medication as part of your Care Plan. For Custom Rx, available refills appear in the portal; if none remain, Midi prompts you to book a visit.
Bring these details to the first appointment:
- Exact product name and manufacturer.
- NDC number.
- Strength and schedule.
- Original reason it was prescribed.
- Current estrogen product and dose, if any.
- Bleeding pattern before and after starting it.
- Side effects, allergy concerns, and pharmacy supply problems.
- Date of your last dose and how many capsules remain.
That is enough information for a clinician to see whether you are asking for continuity, a formulation change, or a new treatment decision.
Do not wait until the last capsule to discover that a visit, prior authorization, or new pharmacy order is required. Midi’s own shortage page recommends early refill planning where the insurance plan permits it.
Bring the bottle details and check Midi’s transfer-of-care availability → (Provider link; Midi is not currently an HRT Index affiliate.)
What are the real drawbacks of getting progesterone through Midi?
The biggest drawback is not the drug price. It is the fragmented cost and policy picture: a $250 first visit, separate medication and lab bills, no guaranteed all-in monthly total, a compounded state list that is not reconciled at product level, and a Custom Rx prescription that cannot be returned or refunded once fulfilled.
Here it is straight.
Midi does not give you one predictable monthly number
If a single bundled price is your first priority, Midi’s pay-per-visit structure may frustrate you. The clinical fee, medication, and labs are separate. Insurance may reduce the visit or pharmacy cost, but it can also create deductible and network uncertainty.
But because the FDA-approved prescription can go to your own pharmacy, you keep the ability to use your pharmacy benefit, compare pharmacies, or ask for another in-stock FDA-approved manufacturer. That flexibility is the point of the split model.
The admission and the pivot are both true:
Midi does not give you one all-in monthly progesterone price. If predictability is your first priority, compare a bundled provider model. But because Midi separates clinical care from a pharmacy prescription, the FDA-approved prescription is not locked inside a proprietary subscription.
See our Midi vs Alloy vs Winona vs Evernow comparison if the care model—not only the medication—is the unresolved decision.
There is no mandatory care subscription, but there are continuation rules
Midi says there is no mandatory subscription for its core care model. Visits are billed when completed. That does not mean there is no recurring cost: continued-care visits may be needed, and Custom Rx refills depend on the prescription. If you are out of refills, Midi’s help center says you will be prompted to book a visit.
Appointment cancellation and prescription refunds are not the same policy
- Midi asks patients to change or cancel visits with at least 24 hours’ notice to avoid a cancellation fee. The help-center article does not publish the amount.
- Midi says prescription treatments cannot be returned or refunded. If an error occurred, contact support.
- If a Custom Rx order arrives damaged, Midi asks for photos and details within seven days of delivery.
The distinction matters. There may be no monthly membership to cancel, but there is still an appointment deadline and a no-return prescription policy.
Billing is the documented operational weak spot
Midi’s own pricing materials repeatedly warn that a coverage check does not guarantee a zero balance. Its BBB profile currently carries a B rating and lists 161 complaints over the last three years, with billing and access issues appearing among the published complaint records. Complaint totals are not complaint rates, and individual allegations are not adjudicated clinical findings. They are still a reason to verify benefits before the first visit.
The practical protection is boring and effective: call the insurer, record the reference number, save the coverage-check result, and review the first explanation of benefits before booking repeated visits.
The advertising record belongs here too
On February 25, 2026, the National Advertising Division said it challenged a Midi social-media claim about the percentage of patients finding symptom relief within two months. Midi permanently discontinued the challenged claim during the inquiry. NAD did not review the claim on its merits and treats the discontinued claim, for compliance purposes, as though it had recommended discontinuation.
That was an advertising matter, not a finding that Midi’s clinical care or progesterone product is unsafe. We do not repeat the withdrawn percentage as proof of outcomes.
The marks running the other way
Midi has NCQA Credentialing Accreditation, and its site displays a LegitScript seal. NCQA has published a case study describing how Midi uses credentialing accreditation in payer relationships. Those are relevant trust signals for the clinical organization; neither one turns a compounded drug into an FDA-approved product.
No CTA in this section. Read it and decide.
What do older pages get wrong about Midi and progesterone?
The most common stale claim is that Midi prescribes only FDA-approved hormone products and never offers compounded HRT. That was a defensible summary before the 2026 Custom Rx launch. It is no longer a complete description of Midi’s formulary. The second common error is treating $35 as the total cost rather than the medication-only starting price.
| Stale or incomplete claim | Current verified correction |
|---|---|
| “Midi is FDA-approved-only.” | Midi still prescribes FDA-approved hormone products, but it also sells a compounded Custom Rx progesterone capsule and other compounded HRT options. |
| “Midi’s progesterone costs $35 total.” | $35 is the published starting price for a 30-day compounded supply. The clinical visit, labs, and other prescriptions are separate. |
| “Compounded progesterone cannot ever be reimbursed.” | Midi says Custom Rx is typically not covered by most plans, but it provides an official receipt when a plan independently allows reimbursement. |
| “The compounded capsule ships everywhere except Arizona.” | The current product page no longer publishes that statement. The monograph says not all 50 states; a general Custom Rx page lists partner-specific exclusions. Confirm the exact product before paying. |
| “Every Midi prescription is compounded.” | False. Midi’s HRT model includes FDA-approved products sent to outside pharmacies as well as separate Custom Rx products. |
| “Oral compounded means equivalent to Prometrium.” | False. Oral route does not establish bioequivalence, FDA approval, potency consistency, or equivalent endometrial protection. |
This page supersedes any older HRT Index sentence that describes Midi as FDA-approved-only. A corrections-led site should say that in public, not silently patch it and hope nobody noticed.
Who should choose Midi for progesterone—and who should not?
Midi fits best when you want clinician-managed menopause care and need either an FDA-approved pharmacy prescription or a documented reason to discuss a peanut-free compounded capsule. It fits worst when you need Medicaid participation, Medicare reimbursement, medication without a visit, or one guaranteed monthly total before any clinical evaluation.
| If this is your situation | Our editorial call based on the verified facts |
|---|---|
| You have a uterus, use systemic estrogen, and want a menopause-focused clinician | Midi is a reasonable provider to evaluate the endometrial-protection plan |
| You want FDA-approved oral micronized progesterone only | Midi can still fit; say “FDA-approved only” at the start and verify the product and manufacturer before filling |
| You have a peanut allergy or cannot take gelatin | Midi’s published compounded capsule directly addresses those ingredients, but confirm cross-contact, state shipping, pharmacy, and non-FDA-approved status |
| Your pharmacy is out of stock | Try Midi’s five supply steps first; discuss Custom Rx only if the pharmacy route remains blocked |
| You want the lowest possible medication price | Price an FDA-approved generic at your own pharmacy first; $35 is not guaranteed to be the cheapest route |
| You want one fixed monthly price | Compare a bundled provider model; Midi separates visits, medication, and labs |
| You have Medicaid or Medi-Cal | Not Midi. Use an enrolled clinician or health system through your benefit |
| You have Medicare and need reimbursement | Not Midi for reimbursed care. Midi is self-pay only for Medicare beneficiaries |
| You have unexplained or postmenopausal bleeding | Evaluation first. Do not treat it as a routine online prescription request |
| You want a prescription with no clinical relationship | Not Midi. A licensed clinician evaluates and manages the Care Plan |
You have probably already made the hard decision: you are done letting a pharmacy shortage, an ingredient you cannot take, or a vague provider page stall you. What remains is logistics.
Confirm two things before the click: what the visit will cost under your plan, and whether the exact progesterone route you want is available in your state.
Check those two facts with Midi before you book → (Provider link; Midi is not currently an HRT Index affiliate.)
What did The HRT Index actually verify?
We reviewed Midi’s live progesterone product page, product monograph, HRT and shortage pages, pricing and insurance materials, Custom Rx order, shipping, refill, state, cancellation, and refund policies, plus FDA labeling, DailyMed, ASHP, ACOG, BMS, NCQA, NAD, and BBB records. We did not enroll, buy the product, or complete a consult.
We apply The HRT Index Verification Standard: read every published price, separate FDA-approved from compounded options, verify state availability and insurance, and re-check on a fixed schedule—top providers monthly, the full roster quarterly. It is a documented process, not a numeric provider score.
The five pillars, in order
- Clinical legitimacy — Licensed clinician evaluation, a prescription requirement, NCQA Credentialing Accreditation, and named pharmacy partners are meaningful positives. The compounded finished product remains outside FDA approval.
- Care quality — A 30-minute first visit, clinician messaging, published dosing discussions, and follow-up pathways support a real clinical relationship. We did not test clinician continuity or response quality firsthand.
- Medication fit — The combination of an FDA-approved pharmacy route and a peanut-free compounded oral route gives Midi unusual flexibility for this exact question. The routes must stay clearly separated.
- Price transparency — The $250, $150, and $35 figures are public. The missing pieces are an all-in total, a product-specific compounded state list, the cancellation-fee amount, and the pharmacy price for an FDA-approved prescription.
- Access — Clinical care is advertised in all 50 states, but Medicaid/Medi-Cal are excluded, Medicare is self-pay only, pharmacy stock varies, and Custom Rx shipping must be confirmed for the exact product and state.
Provider-stated versus independently checked
| Claim | Provider-stated | What we independently checked |
|---|---|---|
| Custom Rx starts at $35 for 30 days | Yes | Live product page on August 14, 2026 |
| Capsule is vegan and peanut-free | Yes | Product page ingredients omit peanut oil and gelatin; facility cross-contact was not independently tested |
| Compounded drugs are not FDA-approved | Yes, in monograph | Matches FDA’s current compounding Q&A |
| FDA-approved pharmacy route exists | Yes, across HRT and progesterone materials | Current Prometrium and generic labeling confirms approved oral micronized progesterone products exist; the exact product Midi will prescribe cannot be known before the clinical decision |
| Some oral progesterone products are in shortage | Yes | ASHP’s June 30, 2026 bulletin lists affected and available presentations |
| Custom Rx insurance is uncommon | Yes | Support article says typically not covered and describes receipts for possible reimbursement |
| Product-specific state availability | Not reconciled | Current product page has no list; monograph says not all 50; general partner page lists exclusions |
| Visit cancellation rule | Yes | Current help article says at least 24 hours to avoid a fee; fee amount not published there |
| Prescription returns | Yes | Current policy says prescription treatments cannot be returned or refunded |
| Clinical outcomes for this compounded capsule | No product-specific evidence published | We found no independent patient study or FDA-reviewed product evidence for Midi’s compounded capsule |
Seven things to confirm before you pay {#before-you-pay}
- Is the prescription an FDA-approved finished product or Midi Custom Rx compounded progesterone?
- Which manufacturer or compounding pharmacy will make it?
- Is that exact product available in your state today?
- What will the visit cost under your plan, including deductible and coinsurance?
- What will the medication cost at the pharmacy or in the Midi portal?
- What follow-up and refill steps will be required, and when might another $150 visit apply?
- What are the expected bleeding pattern, side effects, and reasons to contact the clinician urgently for your prescribed schedule?
What we could not confirm
- A single current product-specific state map for Midi Custom Rx progesterone.
- Which FDA-approved brand or generic a Midi clinician would prescribe to a particular patient.
- The amount of Midi’s late-cancellation fee.
- Whether the same clinician is guaranteed at each visit.
- Product-specific potency, bioavailability, endometrial-protection, or outcome data for Midi’s compounded capsule.
- Facility-level peanut cross-contact controls for the pharmacy that would fill an individual order.
Who created this page and why
This page was researched and written by The HRT Index Editorial Team. It is editorial research, not medical advice, and it has not been medically reviewed by a clinician. We reviewed public documentation rather than presenting a first-person patient experience.
It exists because Midi’s 2026 Custom Rx launch changed the answer to a simple search query. The internet—and some of our own older pages—did not change with it fast enough.
One real, limited testimonial
Midi publishes this access-focused statement from a patient named Katherine G.:
“My clinician was kind and thoughtful. By the end of the day, I had my prescriptions called in.”
That is a provider-published marketing testimonial about access and consultation experience. It is not independent evidence that progesterone is safe, effective, or appropriate for you. Individual experiences vary.
We found no independently verified patient account focused specifically on Midi’s compounded progesterone capsule. We will not manufacture one.
Frequently asked questions
Does Midi prescribe progesterone?
Yes. A licensed Midi clinician can prescribe progesterone when it is appropriate. Midi’s current materials support an FDA-approved pharmacy route and a separate compounded Custom Rx capsule.
Does Midi prescribe Prometrium?
Midi does not publicly promise Prometrium by brand. It can prescribe commercially manufactured oral micronized progesterone, but the actual brand or FDA-approved generic depends on the clinical decision and pharmacy fill. Ask for the product name, manufacturer, and NDC.
Is Midi’s progesterone FDA-approved?
The commercially manufactured product sent to a pharmacy can be FDA-approved. Midi Custom Rx progesterone is compounded and is not FDA-approved.
How much is progesterone through Midi?
The compounded capsule starts at $35 for a 30-day supply. The self-pay first visit is $250 and continued-care visits are $150. Labs and medication are not included in the visit price.
Is $35 the total cost?
No. It is the published starting price for the compounded medication only. Add the visit out-of-pocket amount and any labs or other services.
Does insurance cover Midi’s progesterone?
A Midi visit may be covered when the clinic is in network. An FDA-approved pharmacy prescription may be covered under the pharmacy benefit. Midi says Custom Rx is typically not covered by most plans, but a receipt is available if the plan allows reimbursement.
Can I use an HSA or FSA for Midi Custom Rx?
Midi says HSA or FSA funds may be used if the plan permits online transactions. Confirm eligibility with the plan administrator.
Is Midi’s compounded progesterone vegan and peanut-free?
Midi markets it as 100% vegan and peanut-free and lists microcrystalline cellulose plus a hypromellose-and-water capsule as inactive ingredients. A serious allergy still warrants a direct cross-contact question to the compounding pharmacy.
Can Midi prescribe progesterone if I am allergic to peanuts?
That is one of the clearest reasons Midi gives for considering its compounded capsule. The compounded product is not FDA-approved, and state availability must be confirmed before purchase.
Does Midi prescribe progesterone without estrogen?
Midi publishes a progesterone-only regimen for selected patients, beginning at 100 mg nightly with possible increases. That is a clinician-directed, provider-published use—not a guaranteed prescription or the FDA-labeled endometrial-protection regimen.
What dose of progesterone does Midi start with?
Midi says 100 mg daily is a common starting point, with dose and schedule tailored to the estrogen plan and patient. Its materials also describe cyclic and progesterone-only regimens.
Can Midi prescribe progesterone if I still get periods?
Yes, being in perimenopause and still cycling does not prevent an evaluation. Hormone therapy is not contraception, and bleeding patterns need to be discussed before prescribing.
Is Midi Custom Rx progesterone available in every state?
Midi does not publish one current product-specific state list. Its monograph says the compounded product is not available in all 50 states, and a general Custom Rx page lists partner-specific exclusions. Ask which pharmacy would fill the exact prescription before paying.
Can Midi refill my existing progesterone prescription?
Midi says clinicians may refill some existing medications after evaluation. It does not promise an automatic continuation of a particular product. Custom Rx refills appear in the portal when available; if no refills remain, Midi prompts the patient to book a visit.
Can Midi help if my pharmacy is out of progesterone?
Yes. Midi publishes supply-workaround steps and offers a compounded capsule as a possible clinician-directed alternative when commercial oral progesterone cannot be obtained.
Do I need labs before Midi prescribes progesterone?
Midi does not publish a universal lab requirement for every progesterone prescription. It orders labs when the clinician considers them necessary, and its pricing page states that labs are not included in the visit fee.
Can I return Midi Custom Rx progesterone?
Midi’s current policy says prescription treatments cannot be returned or refunded. Contact support if an error occurred; damaged orders should be documented and reported promptly.
How do I cancel a Midi appointment?
Use the Midi portal to change or cancel it. Midi asks for at least 24 hours’ notice to avoid a cancellation fee; the public help article does not state the fee amount.
One last thing
If you have a uterus and use systemic estrogen, adequate endometrial protection is not optional. In one specific FDA-label trial, the difference was 6% versus 64% endometrial hyperplasia.
And if you have spent weeks calling pharmacies—or the commercial capsule contains the one ingredient you cannot take—Midi now has another route. It is real. It is clinician-managed. It starts at $35 for 30 days.
It is also compounded, not FDA-approved, usually paid out of pocket, and not supported by one clean public state map.
That is the whole answer. No blur. No missing bill. No pretending the two products are equivalent.
Still not sure which HRT program is right for you? Use Find My HRT Path for a free, private match.
Find My HRT Path is handled under The HRT Index’s Consumer Health Data Privacy Policy.
Sources
Midi Health commercial and policy sources
- Custom Rx: Progesterone, checked August 14, 2026.
- Progesterone product safety monograph, checked August 14, 2026.
- Midi HRT care page, checked August 14, 2026.
- What Is the Lowest Dose of Progesterone for HRT?, checked August 14, 2026.
- How much will my appointment cost?, updated May 5, 2026; checked August 14, 2026.
- Can I use insurance, FSA, or HSA for Custom Rx?, updated October 29, 2025; checked August 14, 2026.
- Where are Custom Rx prescriptions available?, updated February 24, 2025; checked August 14, 2026.
- HRT shortage and options from Midi, updated May 5, 2026; checked August 14, 2026.
- How to place a Custom Rx order, updated May 5, 2026; checked August 14, 2026.
- How to order a Custom Rx refill, checked August 14, 2026.
- How long Custom Rx delivery takes, checked August 14, 2026.
- How to cancel or reschedule a visit, updated May 5, 2026; checked August 14, 2026.
- Prescription return and refund policy, updated July 18, 2025; checked August 14, 2026.
Medical, regulatory, shortage, and accountability sources
- FDA: Compounding and the FDA—Questions and Answers, checked August 14, 2026.
- DailyMed: Prometrium prescribing information, checked August 14, 2026.
- FDA menopausal hormone therapy labeling changes, checked August 14, 2026.
- ASHP progesterone capsule shortage bulletin, updated June 30, 2026; checked August 14, 2026.
- ACOG Clinical Consensus: Compounded Bioidentical Menopausal Hormone Therapy, 2023.
- The Menopause Society: 2022 Hormone Therapy Position Statement, checked August 14, 2026.
- British Menopause Society: Management of unscheduled bleeding on HRT, reviewed May 2026.
- NCQA: Midi Health Credentialing, checked August 14, 2026.
- National Advertising Division decision summary for Midi Health, February 25, 2026.
- BBB Business Profile: Midi, checked August 14, 2026.
This page is re-verified monthly. Pricing, pharmacy stock, insurance participation, state availability, product policies, and shortage status can change. Confirm current details before paying.