Does Teladoc Prescribe HRT? Yes—Through Primary Care, With 4 Real Limits

How we checked: On August 25, 2026, we read Teladoc Health's current U.S. prescription policy, consumer FAQ, self-pay pricing, 24/7 Care and Primary Care pages, employer-facing women's-care material, and member menopause article. We did not create an account, complete an intake, speak to support, or attempt to obtain a prescription. Where Teladoc does not publish an answer, we say so.

Where our money comes from: Teladoc pays us nothing. We have no relationship with Teladoc. Some alternatives later on this page are affiliate partners, and every paid link is labeled. Read our full affiliate disclosure.

Does Teladoc prescribe HRT? Yes. Teladoc Health can prescribe menopause HRT through its benefit-gated Primary Care service when a licensed clinician decides it is appropriate. The public $89 24/7 Care visit is not the route for starting ongoing HRT. Primary Care is not sold self-pay, no prescription is guaranteed, and Teladoc's controlled-substance policy excludes testosterone.^[1][2][3]

That's the answer. Here's the part almost nobody tells you: there are two Teladoc doors, and the obvious $89 one is the wrong one for starting HRT.

The $89 visit you can buy today—the one built for urgent, short-term problems—is not Teladoc's published route for menopause HRT. The service that explicitly includes menopause and HRT is Primary Care, and you can only use it if your employer or health plan put it in your account.

The 4 limits	What it means before you book	Evidence status
1. You need the right service	Teladoc explicitly places menopause and HRT inside Primary Care. Its standard 24/7 Care policy does not start treatment for chronic, long-term conditions.	Provider-stated
2. Primary Care is benefit-gated	Teladoc says Primary Care is not available for self-pay. The public $89 price belongs to 24/7 Urgent Care.	Provider-stated
3. The exact medication is not public	Teladoc does not publish a U.S. menopause formulary, and it does not guarantee a prescription.	Original documentation finding + provider-stated guarantee policy
4. Testosterone is excluded	Teladoc does not prescribe federally or state-controlled substances. Testosterone is Schedule III under federal law.	Verified from two primary sources

Is Teladoc a good fit for your HRT care?

Teladoc may be the cleanest first check when Primary Care already appears in your benefits and you are comfortable starting with a general primary care clinician. It is a weak fit when you need cash-pay access, testosterone, a menopause specialist, or confirmation of a specific patch, pill, gel, or vaginal product before the visit.

Teladoc may fit you if:

• Primary Care appears in your Teladoc account. Older benefit paperwork may call it Primary360 or P360; Teladoc says the name changed while the experience remained the same.^[5]
• You want any prescription sent to your own pharmacy and billed through your own drug coverage.
• You are comfortable discussing menopause with a family medicine, internal medicine, or primary care clinician rather than requiring a menopause-only practice.
• Your employer or health plan makes the visit affordable.
• You want ongoing primary care, lab coordination, screening, and referrals in the same system.

Teladoc is not your best route if:

• You only have 24/7 Care, or you need to buy the visit yourself.
• You want testosterone. Teladoc's controlled-substance policy rules it out.
• You need the exact hormone product confirmed before you spend money.
• You specifically want a clinician whose menopause training is published before booking.
• You need an in-person examination or urgent assessment before a routine telehealth visit makes sense.

Do not use a routine HRT visit as emergency care. Call 911 for severe chest pain, major breathing difficulty, stroke symptoms, or another medical emergency. Postmenopausal bleeding and a new breast lump are not automatically 911 situations, but both warrant prompt clinical evaluation rather than being waved through by an online eligibility form.^[17][15][16]

Does Teladoc prescribe HRT through the service in your account?

Your account—not the public price page—answers the first practical question. Open Teladoc and look for Primary Care, Primary360, or P360. If none of those appears, the menopause-HRT service Teladoc publicly describes is not currently available through your benefit.

Open the Teladoc app or sign in on the website. Look at your available services.

Do you see “Primary Care,” “Primary360,” or “P360”?

• Yes: Teladoc may be a sensible first stop. Keep reading so you book the right service and know what is still unconfirmed.
• No, only 24/7 Care: do not assume an $89 urgent-care visit can start ongoing HRT. It may be able to consider a limited refill of an unchanged existing prescription, but HRT is not named among guaranteed refillable medications.
• You cannot tell: check with your employer, health plan, or Teladoc before requesting the visit.

Check your Teladoc services →
This is Teladoc's own sign-in page. We earn nothing from it. Your account is what tells you whether the correct door is available.

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.

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.

Which Teladoc service prescribes HRT: Primary Care or 24/7 Care?

Use Teladoc Primary Care to ask about starting or managing menopause HRT. Teladoc explicitly says its Primary Care service supports perimenopause and menopause, including HRT when needed, and its prescription policy says Primary Care providers can start medications. Standard 24/7 Care is built for acute treatment and limited unchanged refills—not ongoing hormone management.^[1][2]

We built the matrix below by reconciling Teladoc's menopause statement, prescription policy, refill FAQ, pricing page, and Primary Care page. Teladoc does not assemble these rules in one place.

The Teladoc HRT door matrix

Verified August 25, 2026 from Teladoc Health's current U.S. pages.

Question	24/7 Care / General Medical	Primary Care / Primary360	Evidence label
Can it start menopause HRT?	Not the published route. Standard 24/7 Care does not start treatment for chronic, long-term conditions.	Yes, potentially. Teladoc explicitly places menopause and HRT in Primary Care, and Primary Care can start medications when clinically appropriate.	Provider-stated, read together
Can it consider an existing HRT refill?	Possibly, not guaranteed. It may renew many existing prescriptions when no dose or other change is needed, but Teladoc does not name HRT as an eligible drug category.	Yes, potentially. Primary Care provides ongoing medication management, subject to the clinician's decision.	Provider-stated + HRT-specific limit not disclosed
What is the published routine refill ceiling?	A 30-day supply of many prescriptions, up to twice per calendar year, when clinically appropriate. That is not an HRT promise.	May prescribe up to a full year for maintenance medications. That is not a promise of a 12-month HRT prescription.	Provider-stated general policy
Can it change an HRT dose?	Standard refill policy requires that no dose or other change be needed.	Book Primary Care for ongoing management; Teladoc does not publish an HRT-specific dose-adjustment protocol.	Provider-stated + not publicly disclosed
Can it prescribe testosterone?	No.	No.	Verified policy implication
Can you buy it without a benefit?	Yes—$89 per urgent-care visit.	No public self-pay option.	Provider-stated
Can it order labs, imaging, or referrals?	24/7 Care says it can order basic diagnostic labs for appropriate urgent-care needs.	Yes. Primary Care can order lab work, imaging, screenings, and referrals.	Provider-stated
Is any prescription guaranteed?	No.	No.	Provider-stated

The policy language that controls the answer

Teladoc's prescription policy draws a sharp line:

• Standard 24/7 Care may start treatment for acute, short-term illness, but it does not start treatment for chronic, long-term conditions. It may consider limited maintenance refills only when no dosing or other change is needed.
• Primary Care providers “can start new medications” and may provide maintenance refills when clinically appropriate.
• Teladoc does not guarantee prescriptions.
• If a medication is prescribed, Teladoc sends it to the pharmacy you choose rather than dispensing it itself.^[2]

Then Teladoc's employer-facing women's-care page supplies the missing hormone-specific sentence: Primary Care supports perimenopause and menopause, “including hormone replacement therapy when needed.”^[1]

That is why the correct answer is yes through Primary Care, not “maybe somewhere inside Teladoc.”

The name change that trips people up

If your benefit paperwork says Primary360 or P360, do not assume you have an obsolete product. Teladoc says it simplified the name to Primary Care and that the experience remained the same.^[5]

Look for any of the three names. Then verify the displayed visit cost before you confirm.

How much does Teladoc HRT cost—and why is $89 the wrong number?

Teladoc's public $89 price is for 24/7 Urgent Care, not for the Primary Care service that explicitly includes menopause HRT. Teladoc does not publish a universal Primary Care HRT price because Primary Care is not sold through its public self-pay program. Your account must show whether you have access and what your visit fee will be.^[3][4]

Without insurance or an employer benefit, Teladoc currently publishes these self-pay prices:

Public self-pay service	Current posted price
24/7 Urgent Care	$89 per visit
Dermatology	$89 per review
Nutrition	$89 per visit
Mental Health	$119 per visit
Primary Care	Not available for self-pay

The mistake is simple and expensive:

$89 buys a 24/7 urgent-care visit. It does not buy the Primary Care service Teladoc publicly identifies as its menopause-HRT route.

The four costs you actually need to check

A visit price is only one layer. The bill can also include medication, outside testing, and follow-up.

Cost layer	What Teladoc publishes	What only your account, plan, pharmacy, or clinician can confirm
The visit	Primary Care access is benefit-based; Teladoc shows any visit fee before you confirm.	Your copay, deductible, coinsurance, and whether Primary Care appears in your benefit.
The medication	Teladoc does not dispense medication; it sends any prescription to your chosen pharmacy.	Your formulary, tier, cash price, deductible, and prior-authorization rules.
Labs, imaging, or screening	Primary Care can order them and help connect you with an in-network lab or facility.	Whether each service is covered, where it must be performed, and what you owe.
Follow-up	Teladoc does not publish an HRT-specific visit cadence.	When your clinician requires the next appointment and what that appointment costs.

One genuine advantage of the Teladoc structure: if a clinician prescribes, the prescription goes to the pharmacy you choose. That lets you compare your insurance price and available cash price instead of being locked into a provider-owned medication bundle. It does not guarantee that the drug will be covered or inexpensive.

Does Teladoc take insurance, Medicare, Medicaid, HSA, or FSA?

Teladoc says it works with many Medicare Advantage and Medicaid managed-care plans, but it is not a provider for Medicare fee-for-service or Medicaid fee-for-service. Access still depends on your specific benefit.^[4]

For eligible plans, Teladoc says visit fees can be paid with an HSA, FSA, or HRA card. You will see the fee before confirming the request.^[4]

If you need to pay cash for menopause care, do not force the $89 urgent-care door to do a job it was not built to do. Jump to the current cash-pay and insurance alternatives below.

Can Teladoc refill the HRT I already take?

Possibly—but do not treat the refill FAQ as an HRT entitlement. Teladoc says General Medical providers may renew a 30-day supply of many prescriptions up to twice per calendar year when clinically appropriate. HRT is not named, controlled substances are excluded, and the standard policy requires an unchanged dose.^[6][2]

That number needs one hard boundary: sixty days is a conditional ceiling, not a guaranteed HRT benefit.

The conditional 60-day ceiling

If a 24/7 Care clinician accepts your unchanged HRT prescription for renewal on both permitted occasions, the arithmetic looks like this:

Conditional bridge calculation	Days
Two possible 30-day renewals in one calendar year	60
Continuous year of treatment	365
Remaining gap after the maximum conditional bridge	305

That calculation is original. The eligibility decision is still the clinician's.

Three things follow from it:

1. Treat 24/7 Care as a possible bridge, not a maintenance plan. Even the maximum published routine-refill allowance would cover only part of a year.

2. “Per calendar year” means the limit is tied to the January-through-December calendar. Ask how many General Medical renewals you have already used. Do not assume your allowance runs from the date of your first refill.

3. Standard 24/7 Care is the wrong place for a dose change. Teladoc's policy allows these maintenance refills only when no dosing or other change is needed. If the regimen needs adjustment, use Primary Care or another ongoing prescriber.

If you are trying to bridge an existing prescription

1. Have the original bottle, box, or pharmacy label in front of you.
2. Know the exact product name, strength, route, directions, last fill date, and days remaining.
3. Upload a photo of the label if the platform allows it.
4. Ask whether the clinician can renew the current regimen unchanged under Teladoc's policy.
5. Ask exactly how much is being prescribed and when you need ongoing follow-up.
6. Do not cancel your existing care or let another prescription lapse until replacement care and medication are actually secured.

Need an ongoing prescriber rather than a temporary bridge? Compare online menopause providers that can manage an existing regimen.

Which HRT medications does Teladoc prescribe?

Teladoc confirms that Primary Care can provide HRT when needed, but its public U.S. pages do not publish a menopause medication list. We found no current Teladoc page promising a particular estradiol patch, pill, gel, spray, progesterone product, vaginal estrogen product, brand, strength, or compounded preparation.^[1][2]

That is the honest weak point of the Teladoc route: you can verify that the service handles HRT, but you cannot verify the exact HRT menu before the visit.

What you want to know	What is established	Reader-facing label
Will Teladoc prescribe an estradiol patch?	Primary Care HRT capability is confirmed. No patch, brand, strength, or dosing option is published.	Not publicly disclosed—ask at the visit
Will Teladoc prescribe oral estrogen, gel, or spray?	No product-level public list was found.	Not publicly disclosed—ask at the visit
Will Teladoc prescribe progesterone or another progestogen?	No product-level public list was found.	Not publicly disclosed—ask at the visit
Will Teladoc prescribe vaginal estrogen?	No cream, tablet, insert, or ring is named on the public U.S. pages reviewed.	Not publicly disclosed—ask at the visit
Does Teladoc use compounded hormones?	Teladoc publishes no U.S. menopause sourcing disclosure either way.	Do not assume—ask directly
Will Teladoc prescribe testosterone?	Teladoc excludes controlled substances; testosterone is Schedule III.	Verified no under current policy

FDA-approved and compounded medications are not interchangeable labels

FDA-approved medications have gone through FDA review for safety, effectiveness, and manufacturing quality for their approved use. Compounded medications are not FDA-approved, and FDA does not verify their safety, effectiveness, or quality before they are marketed.^[12]

FDA also says it does not have evidence that compounded products marketed as “bioidentical hormones” are safer or more effective than FDA-approved menopause hormone therapy.^[13]

That does not mean a compounded medication can never be prescribed. It means you deserve a straight answer about which category you are receiving and why.

Ask this exact question before the visit ends:

“What is the exact product, and is it FDA-approved or compounded?”

Do not accept “bioidentical” as the answer. That word alone does not tell you FDA approval status.

Our one honest warning about Teladoc

Teladoc does not publish which hormone medications it will prescribe, and it does not guarantee any prescription. If a specific patch, brand, vaginal product, compounded formula, or menopause-trained clinician is non-negotiable, choose a service that publishes those details before you pay.

But if Primary Care is already sitting inside your benefits, Teladoc may still be the lowest-friction first check. You can ask an ongoing primary care clinician, coordinate labs or referrals in the same system, and send any prescription to your own pharmacy without buying a separate menopause membership first.

That is the trade: less medication certainty before the visit, in exchange for using care you may already have.

Need the medication route settled before you spend anything? Match your symptoms, route preference, insurance, state, and risk flags with Find My HRT Path →
About 90 seconds. No email needed. Your answers stay on the page.

Does Teladoc prescribe testosterone?

No. Teladoc's current prescription policy says its providers do not issue prescriptions for substances controlled by a federal or state agency. Testosterone is a Schedule III controlled substance under federal law, so Teladoc's published rule excludes it across its services.^[2][10]

This is not a vague “provider preference.” Two rules meet:

1. Teladoc excludes controlled substances.
2. Federal regulation places testosterone in Schedule III.

There is no reason to pay for a Teladoc visit hoping for an exception to a published platform-wide policy.

Why testosterone is different from estrogen and progesterone

The difference here is legal classification, not a claim that one hormone is automatically better or worse. Menopause estrogen and progesterone products are not federally scheduled controlled substances. Testosterone is.

There is also no FDA-approved testosterone product for women in the United States. FDA-approved testosterone products are approved for certain men with low testosterone tied to an associated medical condition.^[11]

When a U.S. clinician prescribes testosterone to a woman, the prescription may involve an FDA-approved male product used off-label or a compounded preparation. Either way, it remains a Schedule III controlled substance and still requires a licensed prescriber, an appropriate evaluation, and compliance with federal and state rules.^[11][12][10]

If testosterone is the goal, Teladoc is not the route. Use a clinician or service that explicitly evaluates testosterone for women, discloses whether the proposed product is FDA-approved for another population and used off-label or is compounded, and follows controlled-substance requirements. One non-affiliate example is MyMenopauseRx: its current FAQ says it prescribes testosterone only for patients located in Illinois and works with a patient’s local PCP outside Illinois. That is still a clinician-managed Schedule III pathway—not a direct-to-consumer shortcut.^[20]

Does Teladoc actually treat menopause?

Yes—Teladoc explicitly says its Primary Care service supports perimenopause and menopause, including HRT when needed. The strange part is where it says it: the clearest sentence appears on an employer-and-health-plan page, while the consumer Primary Care and 24/7 Care pages do not list menopause by name.^[1][5][7]

That split explains why this question is so hard to answer from Teladoc's public website.

Teladoc page	What it says	Who the page appears to serve
Women's-care article for organizations	Explicitly says Primary Care supports perimenopause and menopause, including HRT when needed.	Employers and health plans
Consumer Primary Care page	Lists preventive care, labs, prescription refills, blood pressure, diabetes, GLP-1s, sexual health, and hair regrowth. Menopause and HRT are not named.	Consumers
Consumer 24/7 Care page	Lists urgent care, refills, hair regrowth, erectile dysfunction, birth control, and short-term sleep treatment. Menopause and HRT are not named.	Consumers
Member article, “Understanding menopause”	Tells readers to discuss treatment options with a doctor, but does not name hormone therapy.	Members
Teladoc Health Canada Menopause Care	A separate Canadian program delivered through Expert Medical Opinion, with nurse consultation and specialist recommendations. It is not evidence of a U.S. prescribing pathway.	Canadian members

The member article and Canadian program were checked separately because they answer different questions: one is U.S. member education; the other is a Canadian expert-opinion pathway.^[8][9]

The sentence that sums up the problem

Teladoc's consumer pages can name erectile dysfunction, hair regrowth, and birth control, but they do not name menopause. The clearest U.S. sentence we found about HRT sits on a page written for the organizations buying the benefit.

The simplest explanation is also the fairest: pages for benefit buyers describe broader clinical scope, consumer pages emphasize high-traffic services, and the Canadian program is a different offering under a different healthcare system.

None of that changes your next move. Stop trying to solve your benefit from public marketing copy. Log in. If Primary Care is there, book that service and ask directly. If it is not there, move to another route.

Will Teladoc require blood work, a mammogram, or an exam before HRT?

Teladoc publishes no universal HRT testing checklist. Primary Care can order lab work, imaging, screenings, and referrals, but the clinician decides what is needed from your history, symptoms, age, existing records, medication plan, and unresolved safety questions. Do not assume “no blood test” means “no evaluation.”^[5]

The public pages reviewed also do not state that every patient must complete a mammogram before HRT. Screening or in-person examination requirements must be confirmed with the clinician for your history and proposed treatment.

Blood hormone testing usually is not the diagnosis for women 45 or older

For otherwise healthy people aged 45 or older with typical menopause symptoms, NICE recommends identifying perimenopause or menopause clinically rather than using routine laboratory or imaging tests such as FSH to make the diagnosis. Hormone levels fluctuate during the transition, so one result may not settle the question.^[14]

That rule does not cover every situation. Younger age, atypical symptoms, possible premature ovarian insufficiency, pregnancy possibility, thyroid disease, medication effects, or another suspected condition can change the workup.

The tests that matter may be about safety and context

A clinician may care more about blood pressure, screening history, thyroid function, lipids, glucose, unexplained bleeding, or another condition than about proving menopause with a single hormone number. What is ordered should connect to a decision.

Ask:

“What test are you ordering, what decision will it change, where do I get it done, and what will it cost?”

That question turns a vague lab order into something you can actually evaluate.

Some situations need in-person evaluation first

Postmenopausal bleeding warrants prompt evaluation. ACOG's updated 2026 guidance recommends initial evaluation designed to rule out endometrial disease rather than treating the bleeding as a routine telehealth symptom.^[15]

A new breast lump or another concerning breast change also deserves prompt medical assessment.^[16]

Severe chest pain, major shortness of breath, stroke symptoms, or another emergency belongs with 911—not an HRT intake.^[17]

What are the best alternatives if Teladoc cannot start my HRT?

Choose the next route by the thing Teladoc could not give you: cash-pay access, menopause specialization, a published FDA-approved formulary, government-plan participation, or a bundled medication model. The cheapest-looking option is not automatically cheapest once visits, medication, labs, state access, and recurring charges are separated.

Before the table: Teladoc, Elektra Health, MyMenopauseRx, and your own clinician pay us nothing. Midi Health, Sesame, and Winona are affiliate partners. We use the same evidence rules for paid and unpaid options, and the “Pays us?” column stays visible because hiding it would make the table less useful.

Provider facts and prices below were rechecked August 25, 2026. A listed price is a care fee or specific product price—not a promise that you qualify for treatment or that medication is included. Confirm your state, plan, and checkout total before paying.

Your situation	Best route to check	Current verified structure	The part that can stop the fit	Pays us?
Primary Care already appears in Teladoc	Teladoc Primary Care	Account-specific visit fee; prescription goes to your pharmacy	No public HRT formulary; no testosterone; no prescription guarantee	No
Commercial PPO or employer coverage	Midi Health	Most PPO plans; self-pay $250 first visit / $150 return visit; HSA/FSA accepted	Medicare is out of network; Medicaid and Medi-Cal patients are not accepted	Yes
Medicare, Medicaid, or selected commercial plans in a covered state	Elektra Health	Select insurance in 16 clinical-care states; self-pay $249 first / $149 follow-up	Clinical prescribing is not nationwide; check state and plan before booking	No
Insurance billing plus published FDA-approved estradiol and progesterone	MyMenopauseRx	Most major insurance plans; $150 self-pay per visit; prescriptions sent to your pharmacy	39 states plus Washington, DC; no Medicare, Medicaid, or HMO plans	No
Cash pay with ongoing video care and messaging	Sesame	$59/month menopause subscription; medication separate; basic listed labs included when ordered, with state exceptions	It is recurring, not a one-off visit; Sesame does not bill health insurance	Yes
Bundled medication and shipping	Winona	Ages 35–59; available in 37 states plus Puerto Rico; examples include compounded estrogen/progesterone cream from $89/month and a patch Winona labels FDA-approved from $149/month	No insurance billing; asynchronous portal care; FDA-approved and compounded products sit in different categories	Yes
You already have a PCP or gynecologist who will engage	Your existing clinician	Ordinary office billing; prescription can go to your pharmacy	Access, appointment delay, and menopause experience vary	No

Midi Health: the closest insurance-based substitute

Midi is the closest structural match when you wanted Teladoc Primary Care but the benefit is missing. Midi says it is in-network with most PPO plans, charges $250 for a self-pay first visit and $150 for a return visit, accepts HSA/FSA payments, and sends prescriptions through ordinary pharmacy channels.^[18]

The honest limits matter. Medicare is out of network; Medicare beneficiaries may self-pay but cannot submit Midi-related claims to Medicare. Midi does not accept Medicaid or Medi-Cal patients.^[18]

Does that match your insurance situation? Check Midi's current coverage and availability →
Sponsored link—we may earn a commission if you start care.

Sesame: cash-pay ongoing care, not a one-off visit

Sesame's menopause service is no longer a one-off marketplace visit. It is now a $59 monthly subscription with video visits as needed, unlimited messaging, prescriptions sent to your preferred pharmacy, and specified basic labs included when ordered—except that patients in some states pay the lab directly.^[19]

Medication is not included. Sesame says it does not bill health insurance, though medication or outside lab costs may still run through a patient's plan. It lists FDA-approved products and also says a provider may discuss compounded preparations, so confirm the exact category before accepting a prescription.^[19][12]

The cancellation terms are simple but real: you can self-cancel, and you must cancel before the next billing cycle to avoid the next charge. Prior months are not refundable; the first month is not refunded after the initial visit occurs.^[19]

If $59 monthly care, local-pharmacy prescriptions, and ongoing messaging fit better than a one-time urgent-care visit, see Sesame's current menopause program →
Sponsored link—we may earn a commission if you start care.

Winona: bundled and shipped, with three fences up front

Winona can be easier for someone who wants the clinician, medication, refills, and shipping bundled together. But three facts belong before the button:

1. FDA-approved and compounded products are separate. Winona labels its estrogen tablets, progesterone capsules, and estrogen patches FDA-approved. Its compounded creams are not FDA-approved. The estrogen-plus-progesterone body cream is listed from $89 per month; the patch Winona labels FDA-approved is listed from $149 per month. Confirm the exact dispensed product and its FDA label before accepting treatment.^[23][24][25]
2. The HRT age range is 35–59. Winona says it does not initiate its HRT plans outside that range.^[23]
3. The footprint is 37 states plus Puerto Rico. Winona publishes the full list. Check it before completing the intake.^[23]

Winona does not bill insurance. Prescriptions renew automatically every 28 days for a 30-day supply or every 84 days for a 90-day supply. You can cancel in account settings, but an order is refundable only within the 24-hour processing window. Communication with physicians is asynchronous through the patient portal rather than scheduled phone or video visits.^[23]

If bundled treatment and shipping fit—and the age, state, communication, and medication-category limits do too— check Winona eligibility →
Sponsored link—we may earn a commission if you start care.

Elektra Health: the government-plan route in a narrow footprint

Elektra is worth checking when Medicare, Medicaid, or a participating commercial plan is the reason Teladoc does not work. Its current FAQ lists clinical care in New York, Connecticut, Massachusetts, Florida, Pennsylvania, New Jersey, Illinois, Arizona, Georgia, Iowa, Missouri, Nebraska, Ohio, Oklahoma, Tennessee, and Texas. Coaches can work nationwide, but coaching is not the same as clinical prescribing.^[22]

Insurance participation differs by state. Elektra's current cash prices are $249 for an initial visit and $149 for a follow-up. One dated change matters: Elektra says it will no longer be in-network with Healthfirst after September 30, 2026, so New York Healthfirst members should verify coverage before booking.^[22]

MyMenopauseRx: insurance billing and a published FDA-approved lane

MyMenopauseRx says it works with most major insurance plans, charges $150 for a self-pay virtual visit, sends prescriptions to the pharmacy you choose, and prescribes FDA-approved estradiol and progesterone.^[20]

Its public state list currently names 39 states plus Washington, DC. It does not accept Medicare, Medicaid, or HMO plans. Its current FAQ also lists a $99 fee for cancellations within 24 hours and a $99 no-show fee. Check the live state and insurance gates before you build a plan around it.^[20][21]

You may not need a new telehealth company

A primary care clinician or gynecologist you already know may be willing to evaluate menopause symptoms, especially when you ask directly instead of opening with a vague “I don't feel like myself.” Bring the symptom timeline, medical history, screening records, medication preference, and the questions below.

Nobody in this industry—including us—earns a commission when your existing clinician is the right answer. It is still the right answer for plenty of women.

What should I say when I book a Teladoc HRT visit?

Book Primary Care and ask for an evaluation of perimenopause or menopause symptoms—not a guaranteed drug. The strongest visit request names what is happening, what it is disrupting, what you have already tried, and whether you are starting care or trying to continue an unchanged regimen.

Print this, screenshot it, or copy it into your notes.

Before you request the visit

• Confirm you selected Primary Care, not 24/7 Care.
• Check the displayed fee before confirming.
• Upload recent notes, labs, imaging, and screening records you already have.
• Have current medication bottles, boxes, or label photos ready.
• Know your preferred pharmacy.
• Write down when symptoms began, how often they happen, and what they are stopping you from doing.
• Note whether you still have a uterus and whether you still have periods; both can change the clinical conversation.
• List any history of unexplained bleeding, blood clots, stroke, heart attack, liver disease, or hormone-sensitive cancer for the clinician to evaluate.

Ten questions to ask

1. Is Primary Care the correct Teladoc service for evaluating my perimenopause or menopause symptoms?
2. What experience do you have managing menopause hormone therapy?
3. Based on my history, is hormone therapy something you can evaluate through this service?
4. If I am already taking HRT, can you continue my current product and dose?
5. If you prescribe something, what is the exact product—and is it FDA-approved or compounded?
6. Can the prescription go to my usual pharmacy?
7. What records, labs, imaging, or screening do you need before deciding?
8. How much medication would be prescribed, and when is follow-up required?
9. What should I check with my drug plan or pharmacy before filling it?
10. If hormone therapy is not appropriate, what evidence-based alternatives can we discuss?

Three things to write down before the visit ends

• The exact product, strength, route, and directions—or the exact reason no prescription was issued.
• Every test, referral, or record still needed, including who is arranging it.
• The follow-up date, refill plan, and what should trigger earlier contact.

Teladoc says it can send a prescription to the pharmacy you choose and, with consent, share information with other clinicians involved in your care.^[2][4]

Still not sure whether Teladoc, a menopause specialist, or in-person care fits? Run your situation through Find My HRT Path →
About 90 seconds. No email. The tool flags when online care is not the right starting point.

How did we verify Teladoc's HRT policy?

We used The HRT Index Verification Standard: check the provider's live commercial claims, separate direct statements from conclusions, distinguish FDA-approved from compounded medication, verify access and pricing, and date the result. This was a documentation review—not a secret-shopper test or firsthand prescription attempt.

The standard evaluates providers on five pillars, always in this order: clinical legitimacy, care quality, medication fit, price transparency, access.

Provider-stated facts

Teladoc directly states that:

• Primary Care supports perimenopause and menopause, including HRT when needed.
• Primary Care providers can start medications and may provide maintenance refills.
• Standard 24/7 Care does not start treatment for chronic, long-term conditions.
• General Medical providers may renew a 30-day supply of many prescriptions up to twice per calendar year when clinically appropriate.
• Standard maintenance refills require no dosing or other change.
• Controlled substances are excluded.
• Prescriptions are not guaranteed.
• Primary Care is not available through the public self-pay program.
• Public self-pay prices are $89 for 24/7 Urgent Care, $89 for Nutrition, $89 for a Dermatology review, and $119 for Mental Health.

Verified by combining two primary sources

• Teladoc does not prescribe testosterone under its current policy. Teladoc excludes controlled substances, and federal regulation lists testosterone as Schedule III.

Original findings from our documentation review

• The public $89 price is not the price of the Teladoc service that explicitly handles menopause HRT.
• Teladoc's public U.S. pages do not disclose a drug-level menopause formulary.
• A possible two-renewal 24/7 Care bridge would cover at most 60 days, leaving a 305-day gap in a 365-day year—and HRT eligibility for those renewals is not guaranteed.
• Teladoc's clearest U.S. HRT sentence appears on an organization-facing page, while its consumer service pages omit menopause by name.

Not publicly disclosed

• Which specific estrogen, progesterone, progestogen, or vaginal-estrogen products Teladoc will prescribe.
• Whether Teladoc uses any compounded menopause medication.
• A universal HRT lab, mammogram, or in-person-exam rule.
• An HRT-specific prescription length or follow-up schedule.
• The menopause-specific credentials of the clinician available to you.
• Your Primary Care visit fee.

What we did not do

We did not create a Teladoc account, complete an intake, request a visit, speak to support, test cancellation, obtain a prescription, or inspect a member-only medication list. Those are not small omissions, so we do not write as though we performed them.

Who wrote this

The HRT Index Editorial Team. We do not sell medication, and this page was not medically reviewed by a clinician. Teladoc did not pay for placement and had no editorial control. Some alternatives pay a commission if a reader starts care through a labeled sponsored link.

Found an error or a changed policy? Send it through our corrections process.

Frequently asked questions

The core answer does not change: Teladoc can prescribe HRT through benefit-gated Primary Care, not as a guaranteed $89 urgent-care service. These answers close the remaining questions about products, refills, testing, insurance, pharmacy routing, specialist access, and state availability.

Does Teladoc prescribe HRT?

Yes. Teladoc explicitly says its Primary Care service supports perimenopause and menopause, including HRT when needed. A licensed clinician still decides whether to prescribe, and Teladoc does not guarantee any prescription.

Which Teladoc service should I use for hormone therapy?

Use Primary Care, formerly called Primary360 or P360. Standard 24/7 Care is designed for acute treatment and limited unchanged maintenance refills, not the ongoing service Teladoc identifies for menopause HRT.

Can I buy Teladoc Primary Care without insurance or an employer benefit?

No public self-pay option is currently available. Teladoc says Primary Care and Condition Management are not available for self-pay. Log in or check with your employer or plan to see whether Primary Care is included.

Is the $89 Teladoc visit an HRT appointment?

No. The posted $89 self-pay price is for 24/7 Urgent Care. It is not a published cash price for Primary Care, and it should not be presented as the cost to start HRT through Teladoc.

Does Teladoc prescribe estrogen or estradiol?

Teladoc confirms general HRT capability through Primary Care but does not publish a list of specific estrogen or estradiol products. Ask about the exact patch, pill, gel, spray, or vaginal product during the visit.

Does Teladoc prescribe progesterone?

Teladoc does not publish a product-level menopause formulary, so no specific progesterone or progestogen can be confirmed in advance from its public U.S. pages.

Does Teladoc prescribe vaginal estrogen?

Teladoc's public U.S. pages do not name vaginal estrogen cream, tablets, inserts, or rings. Primary Care can discuss menopause HRT, but the exact product must be confirmed with the clinician.

Does Teladoc prescribe compounded hormones?

Teladoc does not publicly disclose whether its U.S. Primary Care clinicians prescribe compounded menopause products. Ask whether the exact medication is FDA-approved or compounded; the categories are not interchangeable.

Does Teladoc prescribe testosterone?

No under its current published policy. Teladoc excludes controlled substances, and testosterone is a Schedule III controlled substance in the United States.

Can Teladoc refill my current HRT prescription?

Possibly, but not as a guaranteed benefit. General Medical may renew a 30-day supply of many prescriptions up to twice per calendar year when clinically appropriate, and standard refills require no dose or other change. Teladoc does not name HRT as automatically eligible.

How long can a Teladoc Primary Care prescription last?

Teladoc says Primary Care may prescribe up to a full year for maintenance medications. It does not promise that every HRT prescription will be written for 12 months, so ask the clinician for the exact quantity and follow-up date.

Will Teladoc order blood tests for HRT?

Primary Care can order lab work, imaging, screenings, and referrals. Teladoc publishes no universal HRT testing rule. The clinician decides what is needed based on your history and the decision being made.

Will I see a menopause specialist at Teladoc?

Not necessarily. Teladoc describes Primary Care clinicians as doctors and nurse practitioners in fields such as family medicine and internal medicine. Menopause-specific credentials are not promised, so review the available profile and ask about experience.

Where does Teladoc send an HRT prescription?

To the pharmacy you choose. Teladoc says it does not dispense prescription medication; a clinician sends any prescription electronically or by phone to your selected pharmacy.

Does Teladoc take Medicare or Medicaid?

Teladoc says it works with many Medicare Advantage and Medicaid managed-care plans but is not a provider for Medicare fee-for-service or Medicaid fee-for-service. Your plan must confirm whether the relevant Teladoc service is included.

Is Teladoc available in every state?

Teladoc's 24/7 Care page says virtual urgent care is offered across all 50 states and select territories, subject to provider licensing. Primary Care access is a separate benefit question: even where Teladoc operates, Primary Care may not appear in your employer or health-plan package.

Is Teladoc a good way to start HRT?

It can be a strong first check when Primary Care is already in your benefits and you are comfortable with a general primary care clinician. It is a poor fit when you need cash-pay access, testosterone, a named menopause specialist, or a confirmed medication list before booking.

So, should you use Teladoc for HRT?

Use Teladoc first if Primary Care is already in your account. That is the service Teladoc publicly connects to menopause HRT, and it may let you use a clinician and pharmacy structure you already pay for through your benefits.

But do not confuse that with certainty. Teladoc does not publish the exact menopause formulary. It does not guarantee a prescription. It does not sell Primary Care through the $89 self-pay page. And it does not prescribe testosterone.

If all you have is the $89 door, call it what it is: urgent care with a possible limited refill bridge—not a dependable way to start or maintain ongoing HRT. Even the maximum routine refill allowance would be 60 conditional days, not a year of care.

If Primary Care is missing, choose the alternative based on the reason it failed: insurance, cash pay, government coverage, medication certainty, state access, or a bundled model. The comparison above includes paid and unpaid routes because the right answer does not always pay us.

Still not sure which HRT program is right for you? Take The HRT Index's free Find My HRT Path quiz. It takes about 90 seconds, requires no email, and flags when online care is not the right starting point.

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This page is educational and is not medical advice. It does not diagnose any condition or recommend a treatment for you personally. Hormone therapy has benefits, risks, contraindications, and formulation choices that depend on your age, symptoms, medical history, and anatomy. A licensed clinician must decide whether starting, continuing, stopping, or changing treatment is appropriate.

Sources

These are the primary provider, regulatory, and clinical sources used for the claims above. Commercial pages were reviewed on August 25, 2026 unless another date is shown.

¹ Teladoc Health, “The self-care step too many women skip,” current page reviewed August 25, 2026. Teladoc states that Primary Care supports perimenopause and menopause, including HRT when needed.

² Teladoc Health, “Prescription policy,” current page reviewed August 25, 2026. Covers 24/7 Care's acute-versus-chronic boundary, unchanged maintenance refills, Primary Care medication authority, controlled-substance exclusion, no prescription guarantee, and pharmacy routing.

³ Teladoc Health, “Affordable virtual healthcare without insurance,” current page reviewed August 25, 2026. Lists $89 24/7 Urgent Care, $89 Nutrition, $89 Dermatology, $119 Mental Health, and states that Primary Care and Condition Management are not available for self-pay.

⁴ Teladoc Health, “Frequently asked questions,” current page reviewed August 25, 2026. Covers fee display, HSA/FSA/HRA payments, Medicare Advantage and managed Medicaid participation, fee-for-service exclusions, prescription renewals, and sharing visit results with a regular clinician when the member consents.

⁵ Teladoc Health, “Virtual Primary Care,” current page reviewed August 25, 2026. Covers the Primary360/P360 name change, ongoing care, prescriptions, maintenance medications, labs, imaging, screenings, and referrals.

⁶ Teladoc Health, “Frequently asked questions—prescription renewal,” current page reviewed August 25, 2026. States that General Medical providers may renew a 30-day supply of many prescriptions up to twice per calendar year when clinically appropriate.

⁷ Teladoc Health, “24/7 Virtual Urgent Care,” current page reviewed August 25, 2026. Describes nationwide urgent care, personal-care categories, basic diagnostic labs, and its short-term-care role.

⁸ Teladoc Health, “Understanding menopause,” current page reviewed August 25, 2026.

⁹ Teladoc Health Canada, “Menopause Care,” current page reviewed August 25, 2026. Describes the Canadian Expert Medical Opinion pathway.

¹⁰ Electronic Code of Federal Regulations, “21 CFR § 1308.13—Schedule III,” current through August 2026; testosterone is listed among Schedule III anabolic steroids.

¹¹ U.S. Food and Drug Administration, “Testosterone Information,” current page reviewed August 25, 2026. FDA states that approved testosterone products are approved for certain men; no product is approved for women.

¹² U.S. Food and Drug Administration, “Compounding and the FDA: Questions and Answers,” current page reviewed August 25, 2026. FDA states that compounded drugs are not FDA-approved and are not pre-verified for safety, effectiveness, or quality.

¹³ U.S. Food and Drug Administration, “Menopause,” current page reviewed August 25, 2026. Covers FDA-approved menopause therapies and FDA's position on compounded products marketed as bioidentical hormones.

¹⁴ National Institute for Health and Care Excellence, “Menopause: identification and management—recommendations,” current guidance reviewed August 25, 2026. Covers clinical identification of perimenopause and menopause in people 45 or older and when FSH testing may be appropriate.

¹⁵ American College of Obstetricians and Gynecologists, “ACOG publishes updated guidance on evaluation of postmenopausal bleeding,” April 16, 2026.

¹⁶ Centers for Disease Control and Prevention, “Symptoms of Breast Cancer,” current page reviewed August 25, 2026.

¹⁷ American Heart Association, “Warning Signs of a Heart Attack,” current page reviewed August 25, 2026.

¹⁸ Midi Health, “Pricing & Insurance,” current page reviewed August 25, 2026. Lists $250 first and $150 return self-pay visits, most-PPO participation, HSA/FSA use, Medicare out-of-network status, and Medicaid/Medi-Cal exclusion.

¹⁹ Sesame, “Online Menopause Treatment,” current page reviewed August 25, 2026. Lists the $59/month subscription, local-pharmacy prescriptions, medication exclusion, included lab panel with state exceptions, no insurance billing, and cancellation/refund terms.

²⁰ MyMenopauseRx, “Menopause Treatment Costs” and “Frequently Asked Questions,” current pages reviewed August 25, 2026. Covers insurance participation, $150 self-pay visits, HSA/FSA eligibility, FDA-approved estradiol and progesterone, pharmacy routing, the Illinois-only testosterone prescribing statement, Medicare/Medicaid/HMO exclusions, and $99 late-cancellation and no-show fees.

²¹ MyMenopauseRx, “States We Serve,” current page reviewed August 25, 2026. The public list names 39 states plus Washington, DC.

²² Elektra Health, “Frequently Asked Questions,” current page reviewed August 25, 2026. Lists 16 clinical-care states, state-specific insurance participation, and $249 initial / $149 follow-up self-pay prices.

²³ Winona, “Frequently Asked Questions,” current page reviewed August 25, 2026. Covers age 35–59, 37 states plus Puerto Rico, insurance, FDA-approved versus compounded products, automatic billing, cancellation, and asynchronous communication.

²⁴ Winona, “Estrogen Body Cream with Progesterone,” current page reviewed August 25, 2026. Lists a compounded product from $89 per month.

²⁵ Winona, “Estrogen Patch,” current page reviewed August 25, 2026. Winona labels the patch FDA-approved and lists it from $149 per month.