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The HRT Index Editorial TeamIndependent women's health research
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Editorial research — not medically reviewed by a clinician. Why this label

GoodRx Care HRT Cost (2026): The $49 Refill, Coupons, and What Medication Really Costs

By The HRT Index Editorial Team · Last verified: · We have no relationship with GoodRx and earn nothing if you use it. Some links to Sesame, Hers, and Midi are affiliate links — if you start care through one, we may earn a commission at no extra cost to you, and it never changes what we verify or conclude. Educational only, not medical advice. See our affiliate disclosure.

GoodRx Care HRT cost isn’t one price. Its short-term refill visit is $49 (or $19 with a GoodRx Gold membership), and it can refill a medicine you already take — up to a 90-day supply, one refill per visit, once in 12 months. It can’t start a new medicine, and it isn’t a menopause program. GoodRx’s real value for hormone therapy is the pharmacy coupon on the drug: generic estradiol tablets run about $20–25 for a 90-day supply, and progesterone can drop to under $15 a month. Medication and any labs are always a separate charge.

Here’s the part almost every other page blurs. “GoodRx Care,” a “GoodRx coupon,” “GoodRx Gold,” and “GoodRx Companion” are four different things, and people mash them into one number. We opened all the pages and pulled the current prices so you don’t have to. The real numbers — and which path actually fits you — are below.

GoodRx may be a smart move if:

  • You already have a valid HRT prescription and just want the cheapest pharmacy price.
  • You need a short bridge — one steady medicine is about to run out and your usual doctor can't see you.
  • You're between 18 and 65 and okay confirming your exact medicine qualifies before you pay.

GoodRx probably isn’t your starting point if:

  • You've never been prescribed HRT and need someone to start it.
  • You need a dose or medication change.
  • You need two prescriptions renewed and haven't confirmed one visit can cover both.
  • You want ongoing care — check-ins, symptom follow-up, adjustments over time.
  • You're outside 18–65, the range GoodRx Care lists for its visits.
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.

One thing to hold onto before you read further

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.

What we actually verified (July 2026) — click to expand
GoodRx Care’s refill rules, prices, and age range on its live refill page; GoodRx Gold and GoodRx Companion prices and state limits in GoodRx’s own pages and Terms of Service; GoodRx Care’s payment rules in its help center; and the current GoodRx price for each medicine below, read off its own GoodRx drug page. We did notsign up for a GoodRx Care visit or get a prescription — this is a documents-and-prices review, not an undercover patient test. Prices change and vary by pharmacy, dose, quantity, and ZIP code.

So what does GoodRx Care HRT cost — really?

A GoodRx Care refill visit costs $49, or $19 with a GoodRx Gold membership, and your medicine is always a separate charge at the pharmacy. There’s no single “GoodRx HRT price” because you’re really looking at up to four separate things: the visit (if you even need one), a membership (only if you join one), your medicine at the pharmacy, and any labs. Most people only need one or two of those.

Let’s untangle it, because this is where the money hides.

They share a brand. They don’t share a job. Here’s what each layer costs, mapped to who you are:

Your situationVisitMembershipMedicineThe honest verdict
You already have a valid HRT prescription$0 — no visit needed$0 (free coupon)Coupon price (see table below)Best GoodRx use. Just price your fill.
One steady medicine is about to run out, no changes$49 ($19 with Gold)OptionalPaid at your pharmacyA possible short bridge, if your medicine qualifies.
You want the cheaper $19 visit$19Gold $9.99/mo (or Companion $14.99/mo)Paid at pharmacy (Companion makes some generics far cheaper)Worth it only if your savings beat the fee.
You need to start HRT, or change dose/typeNot offered — the refill service can't start new medsUse a menopause provider.
You need ongoing menopause careNot offered as a menopause programUse a dedicated provider; keep GoodRx for pharmacy savings.

Want the exact number for your prescription? The estimator below turns your medicine, dose, and situation into a real total — and tells you whether you even need a visit.

GoodRx HRT Cost Estimator

Enter your own numbers to see what GoodRx would actually cost you. Nothing is sent or stored — all calculations happen in your browser.

Health inputs stay local to your device. We don’t collect, transmit, or retain anything you enter here. See our consumer health-data privacy policy.

1. What do you need from GoodRx?

Can GoodRx Care actually prescribe or refill your HRT?

GoodRx Care can consider a short-term refill of a medicine you already take — up to a 90-day supply — but it cannot start a new medicine, and approval is up to the provider. It is not a menopause program: there’s no hormone workup, no dose fine-tuning over time, and no ongoing follow-up built in.

So “getting HRT through GoodRx” really means one of two narrow things — bridging a prescription you already have, or using the free coupon on the drug.

Here’s exactly what GoodRx publishes about its short-term refill service, from its own page:

RuleWhat GoodRx says
Age range18–65
Visit cost$49, or $19 with a Gold membership
Supply limitShort-term refills, up to a 90-day supply
Refills per visitOnly one refill per visit
Can it start a new medication?No — you can't start a new medication through this service
Controlled substancesNot eligible (Adderall, Xanax, oxycodone named as examples)
Who decides?Your provider decides whether your medicine is appropriate to refill
FrequencyOnce in 12 months — then follow up with your in-person provider

So could it refill estradiol or micronized progesterone? Possibly — neither is a controlled substance, and they may already be part of your treatment. But GoodRx doesn’t name them on the refill page, so the honest move is to confirm your exact medicine, dose, and state before you pay.

One catch worth flagging

The rule is “one refill per visit.” If you have a uterus, your clinician usually prescribes both estrogen and progesterone. GoodRx doesn’t say whether one visit can cover two prescriptions. Ask before you pay — don’t assume.

The honest limitation — and where it stops mattering

GoodRx Care’s refill service is not ongoing menopause care. It’s a one-time, up-to-90-day bridge, capped at once a year, and it can’t start or change a regimen. If you need a fresh diagnosis, a new prescription, or someone to adjust your dose as your symptoms shift, this isn’t it — a dedicated menopause clinician is the better route.

But here’s why that limit doesn’t sink GoodRx for a lot of women: because GoodRx isn’t a menopause program, it carries none of the ongoing-care cost — so if you already have a stable prescription, the free coupon can make your medicine remarkably cheap. You may not need a visit at all.

If you do need someone to start or manage your HRT — not just refill it — don’t force a one-time bridge to do a clinician’s job.

“Modern, top-notch stuff. Easy to use, smooth sailing. I was able to get a doctor to see via video chat right away to get my Rx refill.”
— Di, Pennsylvania (posted on GoodRx Care’s site, April 2021 — not menopause-specific, and not a claim about typical results)

What’s included in a GoodRx Care visit — and what costs extra?

The GoodRx Care fee pays for the online visit only. It does not include your medicine, a membership, or a menopause lab panel — and you can’t use insurance, HSA, or FSA on the visit itself. GoodRx’s help center is blunt about this: the visit is self-pay, and it can’t give you an itemized receipt to submit for reimbursement. You can use your health benefits at the pharmacy for the medicine.
What you’re paying forIncluded in the visit fee?
The telehealth visit with a licensed clinicianYes
A guaranteed prescriptionNo — the provider decides
Your medicine at the pharmacyNo — separate
A Gold or Companion membershipNo — separate
Insurance, HSA, or FSA on the visitNo — self-pay only, no itemized receipt
A menopause hormone lab panelNot part of the refill service
Ongoing adjustments and follow-upNot part of the refill service

The takeaway: budget the visit and the medicine as two separate line items, and don’t count on the visit fee for HSA or FSA reimbursement. The medicine at the pharmacy is a different story — that can still run through your plan or a coupon.


How much do estradiol and progesterone cost with GoodRx?

There’s no single GoodRx HRT price — it depends on the exact drug, form, strength, quantity, pharmacy, and ZIP — but generic tablets are the cheap end and gels, injections, and vaginal products cost more. The prices below are GoodRx’s current listed prices for each exact quantity, pulled from its own drug pages in . Your pharmacy’s price will vary, and some pharmacies (and GoodRx Companion) go lower.
Medicine (generic)What you getGoodRx price
Estradiol tablets90 tablets, 0.5 mg (~3-month supply)$19.87
Estradiol tablets90 tablets, 1 mg$23.37
Estradiol tablets90 tablets, 2 mg$24.83
Estradiol patch4 patches, 0.05 mg/day$28.46
Estradiol patch8 patches, 0.075 mg/day$35.32
Micronized progesterone30 capsules, 100 mg~$9–32 (about $32 standard; as low as ~$9 with Companion, and ~$14 by mail order)
Estradiol gel3 pumps, 50 g (0.06%)$169.38
Vaginal estradiol cream1 tube, 42.5 g (0.01%)$33.41
Vaginal estradiol insert24 inserts, 10 mcg$90.88
Estradiol injection1 vial, 5 mL (20 mg/mL)$52.07

Prices checked on GoodRx’s own drug pages. Each is the listed cash price for that exact quantity and changes by pharmacy, location, and dose. A “90-day supply” assumes one tablet a day — your directions may differ. Vaginal rings cost the most: GoodRx’s own estimate is that a 90-day ring can run over $800.

Tablets are the cheapest by far. A 90-tablet supply of generic estradiol is roughly $20–25 — often about $7–8 a month. That's the "HRT is a few dollars" headline you've seen. It's true for a single generic estrogen pill.
Progesterone swings a lot by pharmacy. The same 30 capsules can be $32 at one store and about $9 at another (and as low as ~$9 with Companion). Always compare a few pharmacies before you fill.
Gels, injections, and vaginal products cost more than pills. Vaginal (local) estrogen and systemic (whole-body) HRT aren't interchangeable — that's a clinical decision, not a price choice. The table compares products, not medical equivalence.
Brand combination products cost more. Products like Bijuva (an FDA-approved estradiol-plus-progesterone capsule) cost more than separate generics. Price them directly if a brand is prescribed.

So what’s a real month?

For most women on pills, the medicine runs roughly $16–40 a month — a 90-day tablet supply works out to under $10 a month, plus progesterone at about $9–32. A patch plus progesterone lands closer to $37–67 a month. That’s the medicine only. A visit (if you need one) and any labs are separate — which is exactly why “$12 HRT” is a single pill, not the cost of starting therapy.

If you already have a prescription, that’s genuinely great news: the coupon may be all you need. If you don’t have a prescriber yet but want the closest thing to GoodRx’s cheap, à-la-carte style — a low-cost visit where you pick your own clinician and still fill at your pharmacy with a coupon — Sesame is the natural fit.


Gold, Companion, or the free coupon — which is cheapest for HRT?

For most generic HRT, the free coupon already wins — it’s $0 and needs no account. A membership only pays off if it makes yourmedicine cheaper than the free coupon, or you’ll use the $19 visits and other perks.
OptionCostBest forLimit to know
Free GoodRx coupon$0, no signupYou already have a prescription and just want the lowest pharmacy price.A discount, not care — can't get you a prescription.
GoodRx Gold$9.99/mo or $89.99/yrGets you the $19 refill visit and deeper discounts on some drugs.Not available in Washington; no $19 visits in Oklahoma.
GoodRx Companion$14.99/mo or $119.88/yr (7-day free trial)Makes 200+ generics free (progesterone can drop to ~$9), plus $19 visits, dental, vision, lab discounts.Not available in Washington; no $19 visits in Oklahoma or Washington.

Two limits that decide it for a lot of readers: Companion isn’t available in Washington. And the discounted $19 visits aren’t available to members in Oklahoma or Washington. Neither membership is insurance, and you can’t combine them with Medicare or Medicaid.

The simple rule: don’t join a membership because you saw your drug’s name on a list. Join only if the exact price for your medicine — at your pharmacy — beats the free coupon, or you’ll actually use the visits and discounts.

A quick heads-up on “Gold.”

GoodRx launched Companion in May 2026, but several GoodRx Care pages — including the refill page — still say “$19 visit with Gold Membership.” That’s a lag in GoodRx’s own copy, not a hidden second plan. Confirm which membership applies at checkout rather than trusting an old label.


Are these HRT medicines FDA-approved or compounded?

The generic estradiol and micronized progesterone in GoodRx’s price tables are FDA-approved products — reviewed by the FDA for safety and effectiveness. GoodRx’s coupon service only works with FDA-approved drugs dispensed by licensed pharmacies.

GoodRx is a pharmacy-discount platform. Its coupons and price listings are for FDA-approved drugs at licensed retail pharmacies — not compounded products from compounding pharmacies. So when you see estradiol or progesterone prices on GoodRx’s drug pages, you’re looking at FDA-approved generic medications.

Some other HRT providers — not GoodRx — dispense compounded “bioidentical” hormones. These are not FDA-approved as finished products, and the FDA states it does not have evidence that compounded bioidentical hormones are safer or more effective than FDA-approved hormone therapies. Keep those two categories separate as you compare providers.

If you want to understand which category a specific provider’s products fall into, see our GoodRx Care HRT review and the full provider comparison.


GoodRx vs. Midi, Hers, and Sesame: which is cheapest for you?

If you already have a prescription, the free GoodRx coupon is usually your cheapest route — your medicine can be under $25 for a 90-day supply. If you still need to be prescribedHRT, GoodRx isn’t a menopause provider, so compare it to ones that are.

We evaluate every provider on the same five pillars: clinical legitimacy, care quality, medication fit, price transparency, and access. No star scores — just the verified facts.

ProviderClinical legitimacyCare qualityMedication fitPrice transparencyAccess
GoodRx (coupon + refill)Licensed telehealth; not a menopause programShort-term refill only; no ongoing menopause careExisting FDA-approved meds via refill; coupon prices any drugVisit is clear ($49/$19 with Gold), but total is split across visit, membership, and pharmacyAges 18–65 for Care; coupons at 70,000+ pharmacies
Sesame ★Licensed clinicians; you pick your ownOngoing subscription, messaging, basic labs in most statesFDA-approved meds sent to your pharmacy$59/mo (about $49/mo for eligible Costco members); medicine separateSelf-pay (doesn't bill Medicare/Medicaid); no controlled substances
Midi ★Menopause-focused cliniciansOngoing care; bills insuranceFDA-approved meds to your pharmacy; testosterone off-label (~25 states)Your plan's copay applies with insurance; $250 first visit / $150 follow-up self-payAll 50 states; in-network with most PPOs; doesn't serve Medicaid
Hers ★Licensed telehealthApp + provider; unlimited messagingFDA-approved estradiol + progesterone; medicine included$79/mo oral, $134/mo patch (starting prices on 12-month plans)Self-pay; not all states
WinonaLicensed telehealthProduct-based programMixed: tablets, capsules, patch are FDA-approved per Winona; compounded creams are notProduct-specific prices; no insuranceSelf-pay

★ Affiliate link below. Winona and GoodRx are editorial. On labeling: Winona offers both FDA-approved products and compounded creams (not FDA-approved). Verify the exact product dispensed.

A simple way to place yourself:

Affiliate disclosure: Hers, Midi, and Sesame links below are affiliate links. GoodRx mentions are editorial. We may earn a commission at no extra cost to you; it never changes our findings.

Compare all providers: compare full online HRT care costs →


When GoodRx is not your best HRT starting point

GoodRx isn’t the right first step for starting HRT, changing your dose or medicine, renewing two prescriptions at once, or managing menopause over time. Those need a clinician who can weigh your history, symptoms, and risks — not a coupon or a one-time refill.

How to check your exact GoodRx price before you pay

Match the coupon to your exact drug, form, strength, quantity, pharmacy, and ZIP — then compare it to your insurance price for the same fill. GoodRx prices change, and a small mismatch in the details can produce a very different number. Recheck before every refill.
  1. Copy the exact drug name from your prescription. Generic vs. brand matters.
  2. Pick the exact form and strength. A 0.05 mg patch is a different search than 0.1 mg.
  3. Match the exact quantity. A 90-day supply often prices better per month than 30.
  4. Choose your exact pharmacy and ZIP. Prices swing by location and store.
  5. Compare the final GoodRx cash price to your insurance price. Use whichever is lower.

Then save proof: a screenshot with the date, pharmacy, dose, quantity, and price. If the pharmacy rings up something different, double-check the drug and pharmacy you picked, generate a fresh coupon, and ask whether they ran cash or insurance.

One more reality: GoodRx is not a pharmacy. It shows prices and coupons; a pharmacy fills your prescription. That’s why the exact-match step matters — you’re pricing a specific product at a specific counter.


What we actually verified

This page is a documents-and-prices review — we did not use GoodRx as a patient or receive HRT through it. We show what’s confirmed and what’s still open, and we label our judgments as judgments.

What we confirmed ():

  • GoodRx Care's refill rules, $49/$19-with-Gold pricing, and 18–65 age range (live refill page)
  • Gold ($9.99/mo or $89.99/yr) and Companion ($14.99/mo or $119.88/yr, 7-day trial, not in Washington, no $19 visits in Oklahoma or Washington)
  • Visit is self-pay with no HSA/FSA and no itemized receipt (GoodRx Care help center)
  • Each medicine's current price and quantity (read off its own GoodRx drug page)
  • Alternative-provider prices (Sesame, Midi, Hers, Winona) from each provider's own pages

What we did not verify:

  • Whether a specific reader's medicine will be approved for refill (that's the provider's call)
  • Whether one refill visit can cover two prescriptions (GoodRx doesn't say — confirm before paying)
  • Any medical outcome — this is not medical advice

Audit log

DateWhat we recheckedResult
GoodRx Care refill fee and rules$49 / $19 with Gold; ages 18–65; one refill; once per 12 months — confirmed
Gold and Companion prices, state limitsGold $9.99/mo; Companion $14.99/mo, 7-day trial, not in WA, no $19 visits in OK/WA — confirmed
HRT medicine pricesRefreshed from GoodRx drug pages by exact quantity

How we review providers: we use The HRT Index Verification Standard— read every published price, separate FDA-approved from compounded, verify state availability and insurance, and re-check on a fixed schedule (top providers monthly, the full roster quarterly). Then we weigh each provider on five pillars: clinical legitimacy, care quality, medication fit, price transparency, and access.


GoodRx Care HRT cost: quick answers

Direct answers to the most common questions. The FAQ accordion is crawlable HTML — no JavaScript required to read the answers.

How much is the GoodRx Care short-term refill visit?
$49, or $19 with a GoodRx Gold membership. Your medicine is a separate charge at the pharmacy.
Is medicine included in the $49 visit?
No. The visit and your pharmacy medicine are separate. The visit fee never includes medication.
Does GoodRx Care prescribe HRT?
Not as a menopause service. It has no menopause evaluation or dose management. Its short-term refill service may consider an existing, non-controlled medicine, but it can't start a new one.
Can GoodRx Care start HRT?
No. The short-term refill service cannot start a new medication. Starting HRT needs a provider who can evaluate you.
Can GoodRx Care change my dose or patch strength?
A dose or route change is a new treatment decision, not a refill — so the short-term refill service isn't the route. Use a menopause provider.
Can GoodRx Care refill estradiol or progesterone?
Possibly — neither is a controlled substance — but GoodRx doesn't name them on its refill page. Confirm your exact medicine, dose, and state before you pay.
Can one GoodRx Care visit refill both estradiol and progesterone?
GoodRx doesn't say. Its rule is "one refill per visit," and it doesn't clarify whether one visit can include two prescriptions. Don't assume — ask first.
How many days can GoodRx Care refill?
Up to a 90-day supply, at the provider's discretion.
How often can I use the short-term refill service?
Once in 12 months. GoodRx tells you to follow up with your in-person provider.
Who is eligible by age?
GoodRx Care lists ages 18–65 for its visits.
Is the $19 visit from Gold or Companion?
GoodRx's refill page ties the $19 visit to a Gold membership ($9.99/mo). Companion ($14.99/mo) also advertises $19 visits. Some pages still say "Gold" after Companion's launch — confirm which applies at checkout.
How much is estradiol with GoodRx?
Generic estradiol tablets are about $20–25 for a 90-day supply (often under $10 a month). Gels, injections, and vaginal products cost more. Prices vary by pharmacy, dose, and quantity.
How much is progesterone with GoodRx?
Micronized progesterone (generic Prometrium), 100 mg × 30 capsules, runs about $9–32 depending on the pharmacy — as low as ~$9 with GoodRx Companion.
Can I use a GoodRx coupon with my insurance?
Not on the same fill — you use one or the other. For cheap generics the coupon often wins, but it isn't automatically applied to your deductible (many plans let you submit the receipt).
Does GoodRx Care take insurance, HSA, or FSA?
Not for the visit — it's self-pay. You can still use your health benefits at the pharmacy for the medicine.
Does GoodRx Care order hormone labs?
No menopause lab pathway is part of the refill service. If you need testing or monitoring, choose a care model that includes it.
Is GoodRx Care available in every state?
GoodRx offers broad national access, but Companion isn't available in Washington, and discounted $19 visits aren't available to members in Oklahoma or Washington. Check your state.
Can someone over 65 use GoodRx Care?
Its visits list ages 18–65. If you're outside that range, use another route.
Can GoodRx Care refill testosterone?
No. The short-term refill service can't prescribe controlled substances, and testosterone is Schedule III. There's also no FDA-approved testosterone product for menopausal women, so it's prescribed off-label elsewhere.
Is GoodRx a pharmacy?
No. GoodRx shows prices and coupons; a pharmacy fills your prescription.

Still not sure which HRT program is right for you?

Take our free 60-second matching quiz. Get a personalized action plan based on whether you need a new prescription or a refill, systemic or vaginal care, insurance or cash-pay — and whether online care is even the right starting point for you.

Sources (click to expand)
GoodRx Care short-term refill page, general-visit page, help center (payment and HSA/FSA), and Terms of Service; GoodRx Gold and GoodRx Companion membership pages and Terms of Service (prices and state limits); GoodRx drug pages for each medicine listed above (prices read by exact quantity and ZIP, ); GoodRx Companion launch materials (). Alternative-provider prices from official Midi Health, Sesame, Hers, and Winona sites. Prices and availability change; confirm current terms before you pay.

Educational editorial research only. This page is not medical advice, a diagnosis, or a treatment plan, and it was not reviewed by a clinician. Starting, stopping, or changing hormone therapy should happen with a licensed clinician who has reviewed your medical history. FDA-approved and compounded medications are different regulatory categories. The HRT Index is an independent decision resource; GoodRx is not an affiliate partner. Some links on this page (Hers, Midi) may earn us a commission at no additional cost to you, which does not change our findings.

This page is not emergency guidance. Seek in-person or urgent care for severe, rapidly worsening, or potentially life-threatening symptoms.