Fountain HRT Cost in 2026: What You'll Actually Pay Per Year

Fountain HRT costs $199 every 4 weeks, $499 every 12 weeks, or $1,799 every 48 weeks. Those are not monthly prices. Across a full 52-week year they come to $2,587, $2,162, and $1,949 — roughly $216, $180, and $162 per calendar month. Fountain does not bill insurance. Every plan renews automatically.

Independent editorial research. Not medically reviewed by a clinician, and not medical advice. We have no affiliate relationship with Fountain and earn nothing if you sign up. Some links to alternative providers are affiliate links, labeled where they appear.

That gap is the whole reason this page exists. "$199 a month" and "$2,587 a year" feel like two different products. They're the same one.

And honestly? The pricing math turned out to be the simple part. When we opened Fountain's Terms of Use and Return Policy and read them side by side, we found two documents — published the same day — that don't clearly reconcile on the single most expensive question a new member can ask. More on that below. It's worth reading before you send anyone $1,799.

Best for / Not for you if

Fountain HRT cost at a glance

Prices read directly off fountain.net/hrt on July 23, 2026. The last two columns are our arithmetic, shown below.

How much does Fountain HRT cost?

Fountain HRT has three published prices: $199 charged every 4 weeks, $499 charged every 12 weeks, or $1,799 charged every 48 weeks. Fountain's pricing page presents the same core membership under all three options — the published differences are the amount charged and the billing interval. Fountain does not offer a per-month plan.

Source: fountain.net/hrt pricing block, verified July 23, 2026. Exact 4-week, calendar-month and 52-week columns are our calculations.

Two things worth saying out loud, because they cut in Fountain's favor.

First, Fountain's weekly claims are all correct. The site says Pro is "less than $38/week," Standard is "less than $42/week," and Starter is "less than $50/week." We checked every one. They're accurate. $1,799 ÷ 48 really is $37.48 a week.

Second, the discount math is honest too. Fountain shows Pro with a struck-through "$2,388" and Standard with "$597." Those aren't invented anchor prices. $2,388 is exactly 12 Starter cycles; $597 is exactly 3. The savings Fountain advertises are real savings against its own entry price, measured over the same number of cycles.

So this isn't a story about a company inflating a discount. It's a story about a unit of measurement — and that unit quietly changes the answer by hundreds of dollars.

Why "$150 a month" isn't actually a month

Fountain bills in 4-week cycles, and a 52-week year holds 13 of them, not 12. So a year on the Starter plan is 13 charges of $199 — $2,587, not the $2,388 you'd get by multiplying by twelve. On the Pro plan, $1,799 buys 48 weeks of care, which is about 11 months, not a year.

A month is roughly 30.4 days. Four weeks is 28 days. Those two-and-a-bit days don't sound like much. Over a year they add up to an entire extra billing cycle.

The same thing happens on the other two plans, just further out:

• Standard: $499 ÷ 12 weeks × 52 weeks = $2,162.33 a year
• Pro: $1,799 ÷ 48 weeks × 52 weeks = $1,948.92 a year

Divide those by twelve and you get the number you can compare to a phone bill or a gym membership: $215.58, $180.19, and $162.41 a month.

And on Pro specifically, be clear about what comes next. The plan renews after 48 weeks with another $1,799 charge. That renewal prepays the following 48-week period. It is not a small top-up for the last few weeks of your first year.

Why your billing date drifts

If you sign up on January 10 and pay monthly, you get charged on the 10th of every month. Predictable. On a 28-day cycle, your charge date walks backward through the calendar instead: January 10, February 7, March 7, April 4, and so on.

Two consequences:

• At least one calendar month will carry two Fountain charges. Not an error. Just what 13 charges landing across 12 months looks like.
• A 28-day cycle won't hold the same calendar date each month. Set a reminder rather than trusting your memory.

Fountain's "Save $589" versus the real annual saving

Fountain advertises the Pro plan as saving you $589. That's true over 48 weeks, compared against 12 Starter cycles. Over a full 52-week year, the gap between Pro and Starter is $638.08 — because the extra cycle Starter needs to reach 52 weeks makes the comparison slightly worse for Starter than Fountain's own figure suggests. Fountain is under-selling its own discount by about $49.

The renewal clock

Which Fountain plan actually makes sense for you?

Pro has the lowest cost per week but requires $1,799 up front for 48 weeks. Starter costs $638.08 more over a year but limits your commitment to 28 days at a time. Standard sits in between at a $213.42 annual premium over Pro. The right answer depends less on the price and more on how confident you are that Fountain will work for you.

What flexibility costs you

Now the question is answerable. Is walking away after four weeks instead of forty-eight worth $53 a month to you?

For a lot of women trying an unfamiliar telehealth program for the first time, yes — easily. For someone who has already done a video visit, seen her labs, and knows the medication agrees with her, probably not.

Our honest read: if you're reading a cost page, you're probably not ready for Pro yet. Pro makes the strongest financial sense after you've verified the program, the medication, your state access, the lab arrangement and the refund terms.

Fountain says people who don't qualify pay nothing. We earn nothing from this link.

What does the Fountain HRT price include?

Fountain states that its membership covers your prescribed hormone kit, provider video visits, shipping, concierge support, and lab work in the single fee. The lab inclusion carries an asterisk reading "except where prohibited by state law," and Fountain's public women's HRT materials don't identify the lab vendor, the collection method, or which states are affected.

One small thing we noticed

While verifying prices on July 23, 2026, we found the same block on Fountain's HRT page describing the included video visit as both "30-min" and "20-min" — in the same section. The quiz is also described as taking "5 mins" in the hero and "15 MINUTES" a few scrolls down. Neither is a scandal. But if you're choosing between providers partly on clinician time, ask which number is right before you pay.

Does Fountain HRT take insurance, HSA, or FSA?

Fountain does not bill insurance. Its pricing page says "No insurance involved," and its Terms of Use state that Fountain is "not an insurance product." HSA and FSA are more nuanced: prescribed hormone therapy is generally an eligible expense with a prescription, but a bundled membership fee that includes non-medical services is a different question, and your plan administrator decides it.

Whether Fountain will accept your HSA card is a payment-processing question. Whether the expense qualifies is an IRS question, and your plan administrator answers it. Prescribed HRT is normally eligible with a prescription. A bundled concierge membership that also includes support, shipping and account services is a harder call, because part of what you're buying isn't strictly medical care.

The clause worth knowing about

Buried in Fountain's own Terms of Use, §15, is this line:

"Before making a purchase, you will see an itemized invoice listing the actual charges by Medical Group for the Services."

An itemized invoice separates the medical charges from everything else. That's the document a plan administrator will ask you for if you try to claim any of this. Ask for it, screenshot it, and keep it before you pay. It won't make the full membership fee eligible on its own — an invoice is evidence, not approval — but without it you have nothing to submit. Confirm eligibility with your plan administrator before you pay, not after.

If you need a provider that bills your insurance, Midi Health is in-network with most PPO plans and is the closest thing to a like-for-like alternative — with two limits worth knowing: Midi says it cannot treat Medicaid or Medi-Cal patients even on a self-pay basis, and Medicare beneficiaries may self-pay but may not submit related claims.

Is Fountain the cheapest way to get HRT?

No. Fountain is not the lowest-cost route for medication alone. Generic estradiol commonly runs about $10 to $30 a month with a discount card, micronized progesterone about $15, and compounded testosterone cream about $30 to $80 — roughly $660 to $1,500 a year for medication before any clinician visits. Fountain's Starter plan is $2,587. The difference buys lab work, ongoing video visits, support, shipping, and coordinated medication delivery.

Fountain does NOT compete on medication price. If the lowest possible cost is what matters most, Hers starts around $79 a month with FDA-approved estradiol and progesterone included — on a 12-month plan — and piecing together generics with a pay-per-visit clinician can land lower still.

But because Fountain isn't chasing the lowest sticker price, it can do the thing that actually stops most women from ever starting. It collapses four separate bills, three phone calls, a pharmacy run and a lab appointment into one charge. And it markets testosterone as available when a clinician prescribes it, which several prominent menopause platforms don't offer at all.

Illustrative cash-price examples

Illustrative ranges, not quotes. Actual prices vary by product, strength, quantity, pharmacy, location, coupon and plan.

So what is the bundle actually costing you?

Fountain's Pro plan lands inside that DIY range. At $1,948.92 a year it sits between the $1,360 floor and the $2,200 ceiling — meaning once you count visits and lab work, which most DIY estimates quietly leave out, the bundle is competitive on price. It just wants $1,799 of it on day one.

Fountain's Starter plan carries a real premium. Against the same illustrative DIY range, Starter is roughly $387 to $1,227 more per 52 weeks — about $30 to $94 per four-week cycle.

Is $30 to $94 a cycle worth it? We're not going to tell you it isn't. If bundling is the difference between you getting treatment and putting it off for another year, it's the best money you'll spend. If you're organized, insured, and comfortable calling a pharmacy, it's a real premium for convenience.

One practical note: the American Society of Health-System Pharmacists lists multiple estradiol transdermal products on its shortage bulletin (updated July 1, 2026), while the FDA has not listed estradiol patches on its own shortage database. Availability varies. If patches are what you had in mind, ask your pharmacy what they can actually get before you build a budget around one.

If one predictable monthly number matters more to you than having labs bundled in, see what Hers charges for FDA-approved estradiol and progesterone with the medication included. Check the billing terms carefully — the lowest advertised rate requires a 12-month plan. (The HRT Index may earn a commission if you use this link. It doesn't change your price, and it didn't change a word above.)

What would you actually be prescribed — compounded or FDA-approved?

Fountain confirms one product is compounded and doesn't disclose the rest. Its own website describes its vaginal estradiol as "a compounded cream containing 0.01% estradiol (E2)," and carries Fountain's disclaimer that "compounded medications are not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality in the same way as commercially manufactured prescription products." For the systemic hormones in its kits, Fountain does not publish the product name, the manufacturer, or the pharmacy.

Two terms, defined once. FDA-approved means the finished medication went through FDA review for safety, effectiveness and manufacturing quality. Estrace, Climara, Vivelle-Dot, Prometrium and their generics are FDA-approved. Compounded means a medication is prepared for a specific patient rather than mass-manufactured. It's legal and exists for good reasons — a patient allergic to an ingredient in a commercial product, or a strength not made commercially. But the finished compounded product is not FDA-approved. Worth being precise: compounded medicines are not unregulated. They sit in a different regulatory framework. "Not FDA-approved" and "unregulated" are not the same sentence.

"Bioidentical" doesn't settle the question either. It describes chemical structure, not approval status. Plenty of FDA-approved hormones are bioidentical. So are plenty of compounded ones. When Fountain says "bio-identical hormones," that tells you about the molecule, not the regulatory pathway.

What Fountain does and doesn't tell you

Fountain confirms one product. Its Vaginal Restore E2 FAQ page says the vaginal product is "a compounded cream containing 0.01% estradiol (E2)" in a base called Ellage. Full marks for saying so directly.

Fountain does not confirm the rest. For the estrogen, progesterone and testosterone in the systemic kit, we could find no product name, no manufacturer, no compounding pharmacy, and no statement either way about FDA approval status. The marketing language — "individualized dosages," "made just for you," "exclusive to Fountain" — points toward compounding, but pointing toward something isn't confirming it.

Here's the honest version: Fountain's public materials don't show what the systemic medication is, who makes it, or whether it's FDA-approved. That's a fair thing to pin down at your evaluation — before you pay, not after.

Why this belongs on a cost page

1. A custom formulation is harder to price-shop than a named FDA-approved product.
2. Coverage and reimbursement for compounded medication vary, and Fountain's program is cash-pay regardless.
3. Portability is unclear. Fountain's Terms permit you to direct a prescription to a pharmacy of your choice, but its HRT materials don't say whether another pharmacy could prepare the same custom formulation or whether using one changes your membership fee.

What the guidance says

The American College of Obstetricians and Gynecologists advises against routinely prescribing compounded menopausal hormone therapy when FDA-approved options meet a patient's needs. The National Academies of Sciences, Engineering, and Medicine reached a similar place in 2020: restrict compounded hormone therapy to two situations — an allergy to an ingredient in an approved product, or a dosage form not available FDA-approved.

Does Fountain include testosterone, and is that worth paying for?

Fountain markets testosterone as available when a clinician prescribes it, which is genuinely uncommon — several prominent online menopause platforms don't offer it at all. Testosterone is a Schedule III controlled substance in the United States, and no testosterone product is FDA-approved specifically for women. Fountain does not publicly identify which testosterone product it prescribes or whether the finished product is compounded.

Several well-known menopause telehealth platforms don't prescribe testosterone to women. Alloy describes it as a controlled substance requiring testing and monitoring it isn't set up to perform. Sesame Care states its providers can't prescribe controlled substances at all. Winona's FAQ says it doesn't prescribe testosterone.

Fountain isn't alone on this: Midi Health launched compounded topical testosterone for women in October 2025 and now offers it across 25 jurisdictions. Fountain's claim to be "the only HRT program that offers testosterone treatment, face-to-face video visits, and 24/7 support" is a three-part claim; Midi now also offers testosterone.

What the evidence actually supports

The Global Consensus Position Statement on Testosterone Therapy for Women (2019, endorsed by the Endocrine Society and The Menopause Society) reached these conclusions:

• The only evidence-based indication is hypoactive sexual desire disorder (HSDD) in postmenopausal women — persistent low sexual desire causing real personal distress, identified after a full assessment.
• There's insufficient evidence for other symptoms: fatigue, mood, cognition, body composition or bone health.
• A blood testosterone level should not be used to diagnose HSDD. Levels don't map onto symptoms the way people assume.
• The recommendations apply to doses keeping testosterone in the physiologic premenopausal range; they don't apply to preparations producing supraphysiologic concentrations.
• The consensus generally discourages compounded testosterone where an approved product can meet the patient's needs.

If testosterone is the reason Fountain is on your list, our guide to online testosterone therapy for women covers routes, monitoring and who prescribes it.

Is Fountain HRT worth it?

Fountain makes financial sense for a specific woman: paying cash, living in a state where Fountain operates, who wants testosterone considered, who values one bill over the lowest bill, and who honestly wouldn't get lab work done if she had to arrange it herself. Other routes may cost less depending on the medication, formulation, visit frequency, lab costs, insurance coverage and state.

We earn nothing from Fountain. The HRT Index may earn a commission from the Midi link. It doesn't change your price.

Can you cancel Fountain HRT and get a refund?

Fountain's policy says you can cancel by text or email to stop future payments, and it doesn't publish a separate cancellation fee. What happens to money you've already prepaid is less clear. The Return Policy says Fountain is "able to" refund the unused portion of a multi-month membership pro rata. The Terms of Use say your account closes at the end of the current billing period. Both documents are dated April 3, 2024, and they don't explain how the two provisions work together.

A note before we start: this section summarizes Fountain's published terms. It isn't legal advice and doesn't determine whether any provision would be enforceable in a particular dispute.

First, the good news

Fountain's policy says you can cancel any time by sending a text message or an email, and that this avoids future payments. No published cancellation fee. That's better than a lot of subscriptions. The uncertainty is narrow — it's only about money you've already paid for time you haven't used.

The two documents side by side

Return & Refund Policy says: "...if you have signed up for a multi-month membership and still have future months of treatment pre-paid at the time of cancellation, we are able to refund you the remaining amount (ie. a 'pro-rated' amount)."

Note the phrasing: "we are able to." That describes a capability, not a commitment.

Terms of Use, §15, says: "If you cancel your subscription, your account will automatically close at the end of your current billing period."

For a Pro member, the "current billing period" is 48 weeks. Cancel at week 10 and one document points toward a refund of the unused portion; the other points toward the account simply staying open until week 48. Under a simple weekly-proration illustration, 38 unused weeks would work out to roughly $1,424 — but Fountain doesn't publish its actual proration formula, so treat that as arithmetic, not a promised amount.

There's a third wrinkle. The refund policy talks about "months." Fountain doesn't sell months. It sells 4-week cycles and 12- and 48-week terms. The policy's own vocabulary doesn't match the product it governs.

Three more things in the Terms worth knowing

• Your renewal price isn't guaranteed. Terms §15 lets Fountain change subscription pricing, taking effect at the start of a subsequent subscription period.
• There's a no-dispute provision. Terms §15 contains a contractual clause in which you agree not to dispute Fountain's charges with your card issuer, for transactions that conform to the Terms. It sits alongside an arbitration provision and a class-action waiver in §25.
• The $500 fallback cap. Terms §28 sets a $500 fallback cap on Fountain's aggregate liability where broader liability disclaimers aren't enforceable. It is a fallback, not a promise to refund you $500. Still worth seeing on the same page as $1,799 requested up front.

Get four things in writing before you prepay

"Hi — before I sign up I'd like four things confirmed in writing: 1. Is FountainHRT available in my state? 2. Are labs included in my state, or will I be billed separately — and which lab do you use? 3. If I choose a multi-cycle plan and cancel early, do I get a pro-rated refund of the unused portion — and how is it calculated? 4. What renewal price will apply after my prepaid term, and how much notice will I get before any price change? Thank you."

Save the reply and its timestamp. That gives you a dated record of what you were told, which is worth more than anything we can tell you.

Is Fountain HRT available where you live?

Fountain does not publish a state list for its women's HRT program. The 25-state list on its site belongs to the men's testosterone program and shouldn't be reused for HRT. Fountain's reviews page refers to "28+ states" company-wide. The public Fountain materials we reviewed on July 23, 2026 don't provide a complete current state list for women's HRT.

Why this is a cost question, not just an access question

• Your time is worth something. Working through an evaluation for a program you can't buy is a bad hour.
• The labs asterisk is state-dependent too. Fountain's lab inclusion reads "except where prohibited by state law." The value of what you're buying may change depending on where you live.

What to do: run Fountain's evaluation, or ask support directly, and get written confirmation that women's HRT, the likely prescription, shipping and lab access are all available at your address.

How Fountain's price compares to five alternatives

Among the five models compared here, Fountain has one of the highest normalized recurring costs and bundles more services into its stated price than the medication-only or visit-only alternatives. Hers costs less per month with FDA-approved medication included but no labs and no testosterone. Sesame is a lower-cost clinician-subscription route when medication is bought separately. Midi is the closest genuine substitute because it offers both testosterone and an insurance path.

Most comparison tables put price in the first column. We put the billing unit and commitment there instead — because that's what makes these numbers comparable at all.

Competitor prices from each provider's own published pages, verified July 2026. Midi's testosterone cream is compounded. Fountain confirms its vaginal estradiol is compounded; systemic hormone status not disclosed. Winona says its tablets/capsules/patches are FDA-approved; its creams are compounded. Hers features FDA-approved products. Compounded medication is not presented as equivalent to, safer than, or more natural than FDA-approved medication.

Quick routing, if Fountain isn't your fit

If testosterone is the reason Fountain is on your list, and you'd rather try insurance before paying cash — check whether Midi is in-network for your plan and whether its testosterone program covers your state.

The HRT Index may earn a commission if you use this link. It doesn't change your price.

What do Fountain HRT reviews say about cost and service?

On July 23, 2026, the FountainHRT-branded Trustpilot profile showed 4.4 out of 5 from 69 reviews. Fountain's own website advertises a 4.9 rating and references "7,000+ Fountain Members." Those are company-provided, company-wide figures and can't be treated as an HRT-specific review sample. Trustpilot also notes the company hasn't invited reviews recently, so the sample may not be representative.

If you're a woman researching FountainHRT and you see "4.9" and "7,000+ members," you'd reasonably assume you're looking at feedback from women in the program you're considering. You can't assume that. Fountain runs three separate programs, and its men's testosterone service carries its own Trustpilot profile — rated 4.3 from roughly 299 reviews. The women's HRT profile has about 69. Sixty-nine reviews is a small sample. It isn't damning. It reflects a program Fountain itself describes as "new." But it means individual reviews carry a lot of weight, and you should read a handful rather than trusting the average.

Here's a balanced set from the FountainHRT profile, all publicly posted, all about money and service — never about whether treatment worked. Public reviews are subjective service accounts, aren't verified by us, aren't clinical evidence, and one person's experience doesn't predict yours.

On value: "What a blessing if you want to take charge of your health. Common sense approach, reasonable pricing, helpful customer service, knowledgeable medical advice, the way it should be."

On value, again: "...the staff has been wonderful to work with, and the cost has been very reasonable."

On what you're paying for: "You're essentially paying for drugs. This is not a medical service."

That third one is the objection worth sitting with. It's one member's opinion, and other reviewers describe the opposite — attentive video visits, fast responses, providers who explain things. But she's naming the risk in any bundled model: if you don't use the visits, the messaging and the labs, you're paying concierge prices for a delivery service.

On billing: In an April 2026 review, L. Jones said she authorized one $35 consultation charge, then saw two $35 transactions, received one refund, disputed the other charge and cancelled the card. That's one reviewer's unverified account and doesn't establish Fountain's normal billing practice. We include it because billing friction is exactly what a cost page should surface.

What to look for when you read reviews yourself: patterns, not drama. Response times. Whether people get the same provider twice. How billing problems get resolved. Skip the dramatic symptom transformations — those tell you nothing about whether the service will work for you.

What we actually verified

Every Fountain price and policy statement on this page came from Fountain's own pages, fetched on July 23, 2026: the pricing block on fountain.net/hrt, the Terms of Use, the Return & Refund Policy, and the Vaginal Restore E2 FAQ. Competitor prices came from each provider's own published pricing. Where Fountain's documents don't reconcile, we've shown both rather than picking the one we liked.

Verified directly from primary sources, July 23, 2026

• All three plan prices, billing intervals, and struck-through anchor prices
• Fountain's per-week claims (checked; all accurate)
• The "labs included except where prohibited by state law" asterisk
• The 20-minute versus 30-minute visit discrepancy on the same page
• Terms of Use §6: not an insurance product
• Terms of Use §15: automatic renewal, price-change rights, no-dispute provision, itemized-invoice promise
• Terms of Use §25: binding arbitration and class-action waiver
• Terms of Use §28: the conditional $500 fallback liability cap
• Return & Refund Policy: no refunds on delivered treatment, narrow money-back guarantee, cancel by text or email, pro-rata language
• Fountain's own compounding disclaimer on its Vaginal Restore E2 FAQ page
• Trustpilot: 4.4 from 69 reviews on the FountainHRT profile

We could not verify from public materials reviewed on July 23, 2026

• What's in the systemic kit — no product name, manufacturer, pharmacy, or FDA status published
• The women's HRT lab arrangement — vendor, collection method, or which states the exclusion covers
• FountainHRT's state footprint — no published list
• What happens to prepaid money on early cancellation, or how any pro-rata refund is calculated
• Whether HSA or FSA reimbursement works for the bundled membership fee
• Whether using your own pharmacy changes the fee
• The exact evaluation and checkout sequence, including when payment details are collected

What we did not do

We did not enrol as a patient. We did not receive medication. We did not test Fountain's pharmacy, labs, or cancellation process firsthand. This is document verification and arithmetic, not a first-person account, and we'd rather say so than let you assume otherwise.

Read more about how we work: Methodology · Editorial standards · Medical review policy · Corrections

Fountain HRT cost: frequently asked questions

The bottom line

Fountain HRT costs between $1,949 and $2,587 per 52 weeks, depending on how far ahead you're willing to pay. That's a real amount of money, and it buys something real: medication, lab work, video visits, support and shipping in one charge, with testosterone available when a clinician prescribes it — which is still uncommon.

It is not the lowest-cost route for medication alone. It doesn't try to be.

If you're paying cash anyway, you'd genuinely skip the lab work otherwise, and you want the whole thing handled in one place, the Pro plan — a $162.41 calendar-month equivalent, billed as $1,799 every 48 weeks — lands right inside what you'd spend assembling it yourself. Just get the refund terms in writing first, and put a reminder on your phone for day 320.

If you need insurance, want a named FDA-approved medication you can fill anywhere, or can't afford to have $1,799 tied up, this isn't your provider — and there's no shame in that. There are four other good routes on this page.

One last thing, and we mean it. If you've spent months being told your symptoms are "just aging," and you've finally found a company that will evaluate you for treatment, that instinct is a good one. Don't let a pricing page talk you out of getting help. Just spend five minutes getting four answers in writing before the money moves.

We earn nothing from Fountain. Quiz is free, no email required.

Want the clinical side — who prescribes, what's in the kit, and how Fountain's care model actually works? Read our full Fountain HRT review.

Comparing more broadly? See how much HRT costs in 2026 and our comparison of online HRT providers.

Sources:fountain.net/hrt, fountain.net/terms, fountain.net/return-policy and fountain.net/ve2-faqs (all fetched July 23, 2026) · Trustpilot FountainHRT profile (July 23, 2026) · joinmidi.com pricing, menopause, testosterone and cost pages · forhers.com · sesamecare.com menopause service page and Terms of Service · bywinona.com FAQ · Davis SR et al., Global Consensus Position Statement on the Use of Testosterone Therapy for Women, J Clin Endocrinol Metab 2019;104(10):4660-4666 · ACOG Clinical Consensus on compounded bioidentical menopausal hormone therapy (2023) · National Academies of Sciences, Engineering, and Medicine, The Clinical Utility of Compounded Bioidentical Hormone Therapy, 2020 · American Society of Health-System Pharmacists drug shortage bulletin (updated July 1, 2026) · Truveta Research, estrogen-based therapy prescriptions 2018-2026.