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
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.
- GoodRx Care: An online doctor visit — a licensed clinician by text, phone, or video, with the prescription sent to your pharmacy the same day. Its short-term refill visit is $49, or $19 with a Gold membership.
- A GoodRx coupon: The free pharmacy discount everyone knows. It costs $0, needs no account, and it's usually the real HRT savings.
- GoodRx Gold: A paid membership — $9.99 a month or $89.99 a year for one person. GoodRx's refill page ties the $19 refill visit to Gold.
- GoodRx Companion: GoodRx's newer paid membership — $14.99 a month or $119.88 a year after a 7-day trial. It makes 200+ common generics free and also advertises $19 visits.
They share a brand. They don’t share a job. Here’s what each layer costs, mapped to who you are:
| Your situation | Visit | Membership | Medicine | The 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) | Optional | Paid at your pharmacy | A possible short bridge, if your medicine qualifies. |
| You want the cheaper $19 visit | $19 | Gold $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/type | Not offered — the refill service can't start new meds | — | — | Use a menopause provider. |
| You need ongoing menopause care | Not offered as a menopause program | — | — | Use 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.
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Can GoodRx Care actually prescribe or refill your HRT?
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:
| Rule | What GoodRx says |
|---|---|
| Age range | 18–65 |
| Visit cost | $49, or $19 with a Gold membership |
| Supply limit | Short-term refills, up to a 90-day supply |
| Refills per visit | Only one refill per visit |
| Can it start a new medication? | No — you can't start a new medication through this service |
| Controlled substances | Not eligible (Adderall, Xanax, oxycodone named as examples) |
| Who decides? | Your provider decides whether your medicine is appropriate to refill |
| Frequency | Once 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.”
What’s included in a GoodRx Care visit — and what costs extra?
| What you’re paying for | Included in the visit fee? |
|---|---|
| The telehealth visit with a licensed clinician | Yes |
| A guaranteed prescription | No — the provider decides |
| Your medicine at the pharmacy | No — separate |
| A Gold or Companion membership | No — separate |
| Insurance, HSA, or FSA on the visit | No — self-pay only, no itemized receipt |
| A menopause hormone lab panel | Not part of the refill service |
| Ongoing adjustments and follow-up | Not 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?
| Medicine (generic) | What you get | GoodRx price |
|---|---|---|
| Estradiol tablets | 90 tablets, 0.5 mg (~3-month supply) | $19.87 |
| Estradiol tablets | 90 tablets, 1 mg | $23.37 |
| Estradiol tablets | 90 tablets, 2 mg | $24.83 |
| Estradiol patch | 4 patches, 0.05 mg/day | $28.46 |
| Estradiol patch | 8 patches, 0.075 mg/day | $35.32 |
| Micronized progesterone | 30 capsules, 100 mg | ~$9–32 (about $32 standard; as low as ~$9 with Companion, and ~$14 by mail order) |
| Estradiol gel | 3 pumps, 50 g (0.06%) | $169.38 |
| Vaginal estradiol cream | 1 tube, 42.5 g (0.01%) | $33.41 |
| Vaginal estradiol insert | 24 inserts, 10 mcg | $90.88 |
| Estradiol injection | 1 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.
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?
| Option | Cost | Best for | Limit to know |
|---|---|---|---|
| Free GoodRx coupon | $0, no signup | You 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/yr | Gets 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?
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?
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.
| Provider | Clinical legitimacy | Care quality | Medication fit | Price transparency | Access |
|---|---|---|---|---|---|
| GoodRx (coupon + refill) | Licensed telehealth; not a menopause program | Short-term refill only; no ongoing menopause care | Existing FDA-approved meds via refill; coupon prices any drug | Visit is clear ($49/$19 with Gold), but total is split across visit, membership, and pharmacy | Ages 18–65 for Care; coupons at 70,000+ pharmacies |
| Sesame ★ | Licensed clinicians; you pick your own | Ongoing subscription, messaging, basic labs in most states | FDA-approved meds sent to your pharmacy | $59/mo (about $49/mo for eligible Costco members); medicine separate | Self-pay (doesn't bill Medicare/Medicaid); no controlled substances |
| Midi ★ | Menopause-focused clinicians | Ongoing care; bills insurance | FDA-approved meds to your pharmacy; testosterone off-label (~25 states) | Your plan's copay applies with insurance; $250 first visit / $150 follow-up self-pay | All 50 states; in-network with most PPOs; doesn't serve Medicaid |
| Hers ★ | Licensed telehealth | App + provider; unlimited messaging | FDA-approved estradiol + progesterone; medicine included | $79/mo oral, $134/mo patch (starting prices on 12-month plans) | Self-pay; not all states |
| Winona | Licensed telehealth | Product-based program | Mixed: tablets, capsules, patch are FDA-approved per Winona; compounded creams are not | Product-specific prices; no insurance | Self-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:
- You already have a valid prescription: Use the free GoodRx coupon. Compare it to your insurance price and fill it. Done.
- One steady medicine is running out, no changes, and you're 18–65: A GoodRx refill visit may bridge you (confirm your medicine qualifies).
- You want a flat price with medicine shipped to your door: Hers.
- You want to use insurance or see a menopause specialist: Midi.
- You want the cheapest ongoing visit and prefer to fill at your own pharmacy with a coupon: Sesame.
- You're not sure yet: Let the quiz match you.
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
- You need a new prescription. The refill service can't start new medicine. Use a menopause provider.
- Your dose or route may need to change. Switching a patch to a pill, or systemic to local vaginal estrogen, is a treatment decision — not a price lookup.
- You need two prescriptions renewed. "One refill per visit" makes this uncertain. Confirm first, or use ongoing care.
- You want follow-up. A once-a-year bridge isn't continuity.
- You're outside 18–65. GoodRx Care lists that range for its visits — another route will fit better.
- You're exploring testosterone. Testosterone is a controlled medicine with no FDA-approved product for menopausal women. Midi can prescribe it off-label in about 25 states, after an evaluation and lab review.
- Anything feels urgent or off (chest pain, heavy or unexplained bleeding). That's not a job for a cost article — seek in-person care immediately.
How to check your exact GoodRx price before you pay
- Copy the exact drug name from your prescription. Generic vs. brand matters.
- Pick the exact form and strength. A 0.05 mg patch is a different search than 0.1 mg.
- Match the exact quantity. A 90-day supply often prices better per month than 30.
- Choose your exact pharmacy and ZIP. Prices swing by location and store.
- 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
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
| Date | What we rechecked | Result |
|---|---|---|
| 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 limits | Gold $9.99/mo; Companion $14.99/mo, 7-day trial, not in WA, no $19 visits in OK/WA — confirmed | |
| HRT medicine prices | Refreshed 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?
Is medicine included in the $49 visit?
Does GoodRx Care prescribe HRT?
Can GoodRx Care start HRT?
Can GoodRx Care change my dose or patch strength?
Can GoodRx Care refill estradiol or progesterone?
Can one GoodRx Care visit refill both estradiol and progesterone?
How many days can GoodRx Care refill?
How often can I use the short-term refill service?
Who is eligible by age?
Is the $19 visit from Gold or Companion?
How much is estradiol with GoodRx?
How much is progesterone with GoodRx?
Can I use a GoodRx coupon with my insurance?
Does GoodRx Care take insurance, HSA, or FSA?
Does GoodRx Care order hormone labs?
Is GoodRx Care available in every state?
Can someone over 65 use GoodRx Care?
Can GoodRx Care refill testosterone?
Is GoodRx a pharmacy?
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)
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.