Henry Meds HRT vs Winona: What $149 Actually Buys at Each

The HRT Index Editorial TeamIndependent women's health research

Last reviewed:August 17, 2026

Editorial research — not medically reviewed by a clinician. Why this label

Last updated: August 17, 2026 · Last verified: August 17, 2026 · By The HRT Index Editorial Team. Educational research, not medical advice, and not reviewed by a clinician. See our medical review policy. Full disclosure.

Before you compare the headline prices

Your prescription route, uterus status, age, state, and payment model can change which provider is actually cheaper.

Match your route and provider fit

We may earn a commission if you start care with Winona. We earn nothing from Henry Meds and have no relationship with them. That did not change a single number on this page — and one of the numbers below still goes against us.

Henry Meds HRT vs Winona comes down to the medication route. Winona is usually cheaper for tablets and lower-priced single products; Henry’s published $149 program can be cheaper for a patch, especially if it includes progesterone on the same bill. Both restrict new HRT treatment to ages 35–59. Confirm Henry’s bundle and renewal interval before paying.

That age limit ends the search before price matters for a lot of women. If you are 60 or older, neither of these two is your starting point. Skip to what to do instead.

The finding nobody else puts in one place is this: the cheaper company changes with the prescription, and the most dramatic Henry savings depends on one fact Henry does not state clearly enough — whether an estrogen option and a progesterone option are included concurrently under the same $149 charge. We show the verified prices, the conditional math, and the row where the company that pays us loses.

Best for / not for you if

Winona is the better fit if you:

expect an oral estrogen route or a lower-priced single medication
want five published estradiol-patch strengths before intake
prefer portal messaging and do not want a phone or video appointment
want a written 24-hour order-cancellation window
live in one of its 37 listed states or Puerto Rico

Henry Meds is the better fit if you:

want a patch and Henry confirms your prescribed estrogen and progesterone are both included in one $149 charge
want the option of a live video visit, where available in your state
want to discuss testosterone; Winona does not prescribe it
live somewhere Winona does not serve and Henry confirms availability during intake

Neither is your answer if you:

are under 35 or 60 and older
need Medicare, Medicaid, or commercial insurance billed
need a provider that publishes a complete state list before intake and you are outside Winona’s footprint
have unexplained bleeding or a history that needs examination, records review, or specialist coordination before online prescribing

The 30-second table

Decision point	Henry Meds	Winona
Published headline price	$149 per month for the women’s HRT program	From $149 per month for the estradiol patch
Progesterone on the same price?	The Programs page lists estrogen and progesterone options under $149; concurrent inclusion is not explicit	Separate product: progesterone capsules from $39 per month
Published HRT age range	At least 35 and below 60	35–59
Clinician contact	Video visit available; asynchronous review may be available depending on state	Portal messaging only; no phone or video visits
Refund window	No ordinary refund once prescription medication ships; $30 consultation component becomes non-refundable after a prescription	Full refund only inside the 24-hour processing window
States published?	No complete list found	37 states plus Puerto Rico
Testosterone for women?	Compounded cream listed at $100 more per month if prescribed	No; compounded oral DHEA is a different product
Bills insurance?	No	No
Arbitration opt-out	30 days	30 days

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.

What we actually verified

On August 17, 2026, we re-read the provider pages beneath the advertisements, not just the sales headlines.

At Henry Meds, operated by Adonis Health, Inc., we checked:

the women’s HRT page and HRT FAQ
the Programs pricing document, where dose ceilings are published
the How It Works page
the Terms of Service, marked updated August 6, 2026
the refund, return, and replacement policy
the current Better Business Bureau profile

At Winona, we checked:

the complete product list and individual product pages
the main FAQ, including age, state, billing, care-model, and shipping answers
the Terms and Conditions, marked updated July 15, 2026
the Help Center cancellation, payment, pharmacy, refill, and outside-pharmacy pages
the current Better Business Bureau profile

We also checked FDA compounding guidance, FDA testosterone information, DEA scheduling, The Menopause Society, the British Menopause Society, peer-reviewed literature, Trustpilot, and the public docket for Eli Lilly’s GLP-1 marketing lawsuit against Adonis Health.

Your question	What we verified	What remains open	What it means for you
What does Henry’s $149 buy?	Its Programs page places estrogen options and progesterone options beneath one $149 heading	It does not expressly say both are included simultaneously when both are prescribed	Get the exact medication list and total recurring charge in writing before enrollment
Which is cheaper?	Winona’s current from-prices and 28/84-day processing cadence; Henry’s $149 published monthly price	Henry’s exact renewal interval is disclosed at signup, not on the public HRT price page	Treat the annual table as a standardized published-price model, not a checkout quote
Can I get in?	Winona: ages 35–59, 37 states plus Puerto Rico. Henry: at least 35 and below 60	Henry publishes no complete served-state list	Winona can be checked before intake; Henry may require beginning intake to confirm
FDA-approved or compounded?	Both providers label products individually, although Winona’s general FAQ conflicts with some product badges	Exact manufacturer and NDC for the product actually dispensed	Ask for the manufacturer, NDC, and whether the medication is compounded before paying
Are labs included?	Winona says hormone testing is not required. Henry’s women’s program line does not list labs, while its men’s TRT lines do	Whether Henry requires or includes any labs for your women’s HRT plan	Do not choose Henry because a third-party review says women’s labs are included
What if I cancel?	Winona has a 24-hour order window. Henry requires cancellation before renewal and generally does not refund fulfilled periods	Your exact next processing date	Put the renewal date in your calendar immediately
Can I seek insurance reimbursement?	Both companies’ current Terms contain no-claim language	Winona’s FAQ and Help Center simultaneously promote HSA/FSA receipts and, on some pages, possible insurance submissions	Get written clarification before submitting any commercial-insurance claim

What we could not confirm, and will not pretend to: Henry does not publish a complete HRT state list. Its public pages do not state the women’s HRT renewal interval. And the wording of its Programs page does not conclusively prove that estrogen and progesterone are always supplied together for one $149 charge. Those three facts can change the winner, so they stay visible instead of being buried in a disclaimer.

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.

→ Find My HRT Path

Henry Meds HRT vs Winona: which is better?

Winona is the better starting point when you expect tablets, want a lower-cost single product, or prefer fully asynchronous care. Henry Meds becomes the price leader on the patch route in our published-price model and may be substantially cheaper with progesterone — but only if Henry confirms both prescribed hormones share the $149 bill. Both reject new HRT patients at 60.

Find your likely lane first. These figures use Winona’s published 30-day-supply processing cadence of every 28 days and Henry’s public “per month” price multiplied by 12. They are standardized comparisons, not personalized quotes.

Likely route or priority	Published-price leader	Difference in the standardized model
Estradiol patch plus oral progesterone	Henry, conditionally	About $663 per year if both Henry products share one $149 charge
Estradiol patch only	Henry	About $154 per annualized year
Estrogen tablets plus oral progesterone	Winona	About $576 per annualized year
Estrogen tablets only	Winona	About $1,084 per annualized year
Estrogen body cream plus oral progesterone	Winona	About $119 per annualized year
Combined estrogen-plus-progesterone cream	Winona on price only	About $628 lower, but this compounded cream is not clinically interchangeable with an FDA-approved patch-plus-capsule regimen
You want to discuss testosterone	Henry	Winona does not prescribe testosterone
You want live video available	Henry	Winona offers no phone or video visits
You want the clearest short refund window	Winona	24-hour full-refund window after order processing begins

Two things matter more than the biggest number.

First: “Henry is cheaper” and “Winona is cheaper” are both incomplete. Henry’s published-price model is lower on the patch lanes. Winona is lower on the tablet lanes and on several lower-priced single-product routes.

Second: the $663 patch-plus-progesterone result is not a fact about your future bill until Henry confirms simultaneous inclusion. The provider’s public document gives us the ingredients for that calculation, but not the sentence the calculation needs.

The real first question is not “which company?” It is “which route am I likely to be prescribed, and do I still have a uterus?” If you do not know, that is normal. That is what the tool above is for.

Does Winona’s route and care model fit your situation? Sponsored: Check current eligibility and product pricing at Winona. Checking eligibility does not guarantee a prescription. Confirm the exact medication, FDA or compounded status, billing date, and cancellation terms before paying.

What does $149 actually buy at Henry Meds vs Winona?

Henry’s $149 is published as a women’s HRT program price with estrogen and progesterone categories beneath it. Winona’s $149 is a from-price for the estradiol patch itself; progesterone capsules begin at another $39. The apparent bundle-versus-menu difference is real, but Henry must confirm whether both prescribed categories are included concurrently.

This is the unit collision behind the entire comparison. One company publishes a program price. The other publishes product prices. Same number on the screen. Different thing underneath it.

Henry’s main HRT page presents the $149 price and labels its routes, but its numerical dose ceilings live in the Programs document:

estradiol tablets up to 2 mg
estradiol patches up to 0.1 mg
compounded Bi-Est estradiol/estriol cream up to 1 mg
micronized progesterone tablets up to 200 mg
compounded progesterone cream up to 200 mg
compounded testosterone cream up to 2 mg for another $100 per month

Two things are worth noticing.

The dose detail sits in the legal pricing layer, not in the main treatment cards. The Programs page is linked in Henry’s footer, so it is not hidden from the site. But a woman can read the sales section, see $149, and never see a strength until she goes looking for the legal document.

“Up to” is a ceiling, not your prescribed dose. Someone prescribed a lower patch strength does not automatically pay less. The dose, quantity, product manufacturer, and actual recurring charge need to appear in the enrollment disclosure.

Bi-Est is a compounded combination containing estradiol and estriol. FDA states that there are no FDA-approved drugs containing estriol, so a Bi-Est product containing estriol is not an FDA-approved finished drug.

Winona publishes a separate from-price for each product on its product page:

Winona product	Published from-price	Provider-stated status
Progesterone capsules	From $39 per month	FDA-approved
Estrogen tablets	From $54 per month	FDA-approved
Estrogen body cream	From $89 per month	Compounded
Estrogen plus progesterone body cream	From $89 per month	Compounded
Progesterone body cream	From $89 per month	Compounded
Vaginal estrogen cream	From $89 per month	Compounded
Estradiol patch	From $149 per month	FDA-approved
Oral DHEA	From $27 per three-month supply	Compounded; not FDA-approved

“From” matters. Winona’s Terms say the subscription fee can increase or decrease if the prescription dose or refill frequency changes. The number on the product page is not permission to treat every patient’s future bill as fixed.

Winona publishes five patch strengths: 0.025, 0.0375, 0.05, 0.075, and 0.1 mg. Its patch page directs patients to replace the patch every four days or as directed by the physician. The dispensed label and clinician instructions control.

The transparency split neither provider wins cleanly

We went looking for one transparency winner and found a split instead:

Winona publishes five patch strengths but no product-specific progesterone capsule strength on the sales page.
Henry publishes a 200 mg progesterone ceiling but only an “up to 0.1 mg” patch ceiling.
Winona publishes every product’s from-price but places the 28-day processing cadence in the FAQ rather than next to each price.
Henry publishes one simple program price but leaves the simultaneous estrogen-plus-progesterone inclusion question unresolved.

Before either company charges your card, ask this in writing:

What exact medication, strength, quantity, manufacturer or compounding pharmacy, refill interval, and total recurring charge will I receive? If I need both estrogen and progesterone, are both included in that one recurring charge?

That single message resolves more buying friction than another hour of reading reviews.

What will Henry Meds vs Winona really cost over a year?

At Winona’s published 28-day processing cadence, a from-price annualizes to 365 ÷ 28, or 13.04 cycles. That makes a $149 patch about $1,942 on an annualized basis. Henry’s public $149 “per month” price is $1,788 when standardized as 12 payments, but its exact renewal interval and concurrent bundle contents must be confirmed at signup.

Winona’s 28-day cadence changes the unit

Winona’s FAQ says payment and prescription for a 30-day supply are processed every 28 days; 90-day supplies are processed every 84 days.

The clean comparison is therefore an annualized equivalent, not the claim that every person will see exactly 13 charges in her first 365 days. The actual transaction count depends on the first processing date, the length of the observation window, pauses, prescription changes, and whether a 30- or 90-day schedule applies.

For a stable 30-day product at the published cadence:

Published cycle price × 365 ÷ 28 = annualized equivalent.

A $149 cycle becomes about $1,942. A $39 cycle becomes about $508. A $54 cycle becomes about $704.

Henry’s Terms say the billing frequency and renewal interval are disclosed during signup. Its HRT price page says $149 per month, so we use 12 payments only as a public-price standardization. Your checkout disclosure is the source of truth for your actual cash-flow calendar.

The standardized twelve-month model

Likely route	Winona published from-price, annualized at 365/28	Henry public price, standardized at 12 months	Lower published-price model
Estradiol patch plus progesterone capsules	$188/cycle → about $2,451	$149/month → $1,788, only if both are included concurrently	Henry by about $663, conditional
Estradiol patch only	$149/cycle → about $1,942	$149/month → $1,788	Henry by about $154
Estrogen tablets plus progesterone capsules	$93/cycle → about $1,212	$149/month → $1,788	Winona by about $576
Estrogen tablets only	$54/cycle → about $704	$149/month → $1,788	Winona by about $1,084
Estrogen body cream plus progesterone capsules	$128/cycle → about $1,669	$149/month → $1,788, if both categories are included	Winona by about $119
Combined estrogen-plus-progesterone body cream	$89/cycle → about $1,160	$149/month → $1,788	Winona by about $628 on price only
Separate estrogen body cream plus progesterone body cream	$178/cycle → about $2,320	$149/month → $1,788, if both categories are included	Henry by about $532, conditional
Add Henry testosterone cream	Not offered	$249/month → $2,988	Henry is the only one listing it

How we calculated it: Winona published from-price × 365 ÷ 28 for a 30-day product; Henry published monthly price × 12. The model assumes an unchanged prescription, no pause, no expedited shipping, and no different checkout price. It is not a quote.

Do not read the cream rows as clinical equivalents. A compounded estrogen-progesterone body cream is not interchangeable with an FDA-approved estradiol patch plus an FDA-approved oral progesterone product. The table compares cash prices inside each provider’s menu. It does not claim equal absorption, safety, efficacy, or uterine protection.

Here is the part where we lose money by telling you the truth

Winona’s published-price model is more expensive for an estradiol patch plus progesterone capsules than Henry’s model — by about $663 a year if Henry confirms both medications share the $149 charge. We may earn a commission from Winona and earn nothing from Henry. That does not make the patch row disappear.

Why can Winona still be the better starting point for many women?

Because the same per-product structure that makes its patch combination expensive makes tablets and several single-product routes substantially cheaper. Winona also publishes its state list, product-level from-prices, five patch strengths, a 24-hour refund window, and a fully asynchronous care model.

You are not paying more in every Winona lane. You are paying more in the patch lane.

If patch price is your only criterion, ask Henry to confirm the full bundle before you enroll. If tablets, asynchronous care, published state availability, or a defined 24-hour refund window matter more, Winona has the stronger fit.

Know which route you are comparing? Sponsored: See Winona’s current product prices. For the bundle lane, ask Henry what the $149 includes before enrollment. We earn nothing from Henry Meds.

Can you even get in? What are the age and state rules?

Both companies publish the same practical HRT intake window: ages 35–59. Winona lists all 37 states plus Puerto Rico where it serves HRT patients. Henry says patients must live or have an address in a supported state but publishes no complete list, so state eligibility may not become clear until intake.

The age ceiling nobody should discover after filling out intake

Winona’s FAQ says it provides HRT treatment plans to women ages 35–59.

Henry’s HRT FAQ says a patient must be at least 35 and below age 60. Yet the top of the same HRT page markets care to women “35 and older.” The FAQ is the narrower rule and the one that determines eligibility.

A 60th birthday does not make hormone therapy universally inappropriate. It makes these two intake pathways unavailable for a new HRT plan. The Menopause Society says the benefit-risk balance is generally most favorable when systemic hormone therapy begins before 60 or within 10 years of menopause onset, while also rejecting a universal age rule for stopping an individualized therapy.

If you are 60 or older

You are not out of options. You are out of these two intake funnels.

Look for a menopause-trained clinician or a telehealth service that evaluates age, time since menopause, symptoms, route, dose, and individual risk instead of using a hard 59-year ceiling. Starting systemic hormone therapy later may require a more individualized discussion; continuing an established therapy is a different question from starting it for the first time.

Start with The HRT Index's Find My HRT Path tool. It flags when online care is not the right first step and routes you toward providers without this specific age gate.

Winona’s current service area

As of August 17, 2026, Winona’s FAQ lists 37 states plus Puerto Rico:

Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin, Wyoming — plus Puerto Rico.

Winona does not list Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia, or the District of Columbia.

Henry says a user must live or have an address in a supported state. We found no complete public list on its HRT page, FAQ, How It Works page, Programs document, or Terms on the verification date. Its Terms also say service availability can vary by jurisdiction and change.

That is not a scandal. It is friction. Winona lets you check state eligibility before intake. Henry may make you begin intake to find out.

In a state Winona lists? Sponsored: Check current Winona eligibility. Not on the list? Begin Henry’s intake and confirm state availability before payment. We earn nothing from Henry Meds.

Are Henry Meds and Winona FDA-approved or compounded?

Neither company is “FDA-approved.” Products are. Henry labels its estradiol patch and tablets FDA-approved and its Bi-Est, vaginal, progesterone, and testosterone creams compounded. Winona labels its patch, estrogen tablets, and progesterone capsules FDA-approved while labeling its creams and oral DHEA compounded. Confirm the exact manufacturer or pharmacy before paying.

What compounded means — and what it does not mean

A compounded drug is prepared for an individual patient by a licensed pharmacy or outsourcing facility under a federal compounding pathway. Sections 503A and 503B of the Federal Food, Drug, and Cosmetic Act create different conditions and exemptions for compounding.

What neither pathway creates is FDA approval of the finished compounded drug. FDA does not review compounded products for safety, effectiveness, and manufacturing quality before marketing in the same way it reviews an approved new drug product.

Compounded medicine can meet a legitimate patient-specific need. It should not inherit the evidence, labeling, or approval status of a commercially manufactured product.

Where Henry does this unusually well

Henry’s HRT page gives one of the strongest compounded-drug disclosures in this category. It says compounded medications are not FDA-approved, do not undergo premarket review, may vary in quality, efficacy, and safety, should not be considered equivalent to FDA-approved products, and should not be judged using clinical-trial data from approved products.

That last point matters. Evidence for an approved estradiol patch does not automatically establish the performance of a compounded Bi-Est cream.

Where Winona’s own pages conflict

Winona’s product badges separate several products into FDA-approved and compounded categories. Its main FAQ, however, broadly says all its HRT treatment options are compounded by a licensed pharmacist. Product-level pages then label the patch, estrogen tablets, and progesterone capsules FDA-approved.

The conflict gets sharper on several compounded-cream pages. Winona says ingredients “such as estriol and progesterone USP” are FDA approved while also saying the finished medication is compounded. FDA states there are no FDA-approved drugs containing estriol. Calling estriol itself “FDA approved” is inaccurate.

Winona’s DHEA page gets this distinction right: only intravaginal prasterone is FDA-approved; Winona’s oral DHEA is compounded and not FDA-approved.

“Bioidentical” does not settle the FDA question

“Bioidentical” describes a hormone molecule that is chemically identical to a hormone made by the body. “Compounded” describes how a specific medication is prepared. FDA-approved products containing estradiol and progesterone exist. A medication does not need to be compounded to be described as bioidentical.

The status attaches to the exact finished product, not to a marketing category and not merely to the presence of a familiar ingredient.

Ask this before paying either provider

Is the medication you will dispense an FDA-approved manufactured product? If yes, what is the manufacturer and NDC? If it is compounded, which pharmacy prepares it, under which compounding pathway, and why is the compounded form being selected for me?

A licensed clinician and pharmacy should be able to answer without blurring the two lanes.

If you still have a uterus, what protects the uterine lining?

Systemic estrogen without adequate progestogen protection can raise the risk of endometrial hyperplasia and cancer in someone with a uterus. Both providers list oral progesterone and compounded progesterone cream options. Specialist guidance warns that variable absorption from compounded transdermal progesterone creams may not provide sufficient endometrial protection.

This is the most important medical-fit section on the page. There is no provider CTA inside it.

The basic decision

Systemic estrogen reaches the body through routes such as pills, patches, gels, or sprays. If you still have a uterus, a clinician generally adds an adequate progestogen regimen to oppose estrogen’s effect on the endometrium.

The word adequate is doing real work. The route, dose, schedule, estrogen exposure, bleeding pattern, and individual history matter.

What specialist guidance says about progesterone cream

The British Menopause Society’s clinical guidance says there is a lack of evidence that progesterone doses used in compounded preparations provide sufficient endometrial protection. It specifically notes variable absorption from transdermal creams and gels.

A systematic review by Stute and colleagues concluded that transdermal micronized progesterone does not provide endometrial protection. That does not prove every individual compounded formula fails. It means the evidence needed to treat a cream as interchangeable with an established oral or intrauterine regimen is not there.

Now look at what each provider lists

Henry Meds places “up to 200 mg Progesterone Cream” beside “up to 200 mg Micronized Progesterone tablets” under the same progesterone category. The HRT page does not publish an endometrial-protection warning specific to the cream.

Winona sells progesterone body cream and a combined estrogen-plus-progesterone body cream. Its product and journal pages describe the cream as protecting the uterine lining. That is a stronger claim than the specialist evidence supports for compounded transdermal progesterone.

We are not diagnosing the safety of a prescription we have not seen. We are saying the public sales language does not resolve the question a woman with a uterus needs answered.

The question to send before paying

I still have a uterus. If the plan includes systemic estrogen, what exact progestogen, dose, route, and schedule protects my endometrium? What evidence supports that route, and what is the plan if I develop unscheduled bleeding?

Oral micronized progesterone is listed by both companies. Winona labels its capsule FDA-approved; Henry labels oral tablets as FDA-approved on its HRT page and gives an “up to 200 mg” ceiling in Programs. The exact dispensed product, manufacturer, and regimen still need confirmation.

If you have had a hysterectomy, a progestogen often is not needed solely for endometrial protection, but individual exceptions exist. That decision belongs with the prescriber who knows why the surgery was done and what tissue remains.

Does Henry Meds or Winona test hormones before treatment?

Winona explicitly says it does not require hormone bloodwork for HRT. Henry’s public women’s-HRT price line does not list labs, while the same Programs document names labs in all three men’s TRT options. Henry’s Terms allow clinician-ordered Quest or Tasso testing, but they do not establish that routine women’s HRT labs are included.

One document, two programs, a meaningful omission

Henry program in the same Programs document	Published price	Labs named?
Men’s TRT — testosterone injection	$129/month	Yes
Men’s TRT — testosterone cream	$129/month	Yes
Men’s TRT — enclomiphene capsules	$129/month	Yes
Women’s HRT program	$149/month	No lab language in the program line

That does not prove Henry will never order a lab for a woman. Its Terms say a provider may order testing through Quest or a Tasso-enabled workflow and that associated costs are included when ordered through Henry’s platform. It does prove the women’s program should not be advertised as automatically including routine labs based only on the men’s program language.

No hormone panel does not mean no evaluation

Winona says it prescribes based on symptoms and medical history rather than requiring hormone testing. Hormone levels fluctuate during perimenopause, and a single panel does not answer every menopause question.

But “hormone testing is not routinely required” is not the same sentence as “no testing could ever matter.” A clinician may need to evaluate bleeding, anemia, thyroid disease, pregnancy, medication effects, or another condition that can mimic or complicate menopause symptoms.

When online intake should not be the only first step

Seek a clinician who can examine you, order targeted tests, and review records when you have symptoms such as:

unexplained, heavy, persistent, or postmenopausal bleeding
symptoms that could reflect thyroid disease or another endocrine condition
marked fatigue, breathlessness, or other signs that could warrant anemia evaluation
a personal history of clot, stroke, hormone-sensitive cancer, or another condition requiring individualized risk review

Find My HRT Path flags situations where online prescribing is not the right starting point.

Comfortable with symptom-led asynchronous care? Sponsored: See what Winona includes and check eligibility. A clinician still decides whether treatment is appropriate.

Does Henry Meds or Winona prescribe testosterone for women?

Henry lists compounded testosterone cream as a $100 monthly add-on if prescribed, bringing the published program price to $249 per month. Winona does not prescribe testosterone and instead sells compounded oral DHEA from $27 per three-month supply. DHEA and testosterone are different products; neither selection guarantees a prescription or a clinical indication.

If testosterone is the reason you opened this comparison, this section changes the answer.

Henry lists it. Its Programs document publishes compounded testosterone cream up to 2 mg for $100 more per month.

Winona does not prescribe it. Its FAQ says it offers DHEA instead. That is a formulary limitation, not a semantic distinction.

Three facts to know before treating the add-on like a product choice

One: testosterone is a Schedule III controlled substance in the United States. It requires a prescription, and controlled-substance prescribing rules can depend on federal law, state law, provider licensing, the telehealth modality, and whether an in-person evaluation is required. Clicking an intake option is not the same as receiving a prescription.

Two: no FDA-approved testosterone product is approved for women in the United States. FDA’s current testosterone information says approved testosterone products are approved only for certain men with low testosterone tied to an associated medical condition. A woman may receive a compounded preparation or an approved male product prescribed off-label, but those are different regulatory routes.

Three: oral DHEA is not testosterone. Winona’s own DHEA page says its oral DHEA is compounded and not FDA-approved; it distinguishes that product from FDA-approved intravaginal prasterone. DHEA may be converted by the body into other hormones, but it is not a substitute you should assume answers a testosterone question.

Winona does not prescribe testosterone. Full stop. If discussing testosterone is a priority, Henry is the only one of these two that publishes that option. That does not mean testosterone is indicated, guaranteed, or casually obtained.

Testosterone is the deciding issue? Review Henry’s women’s HRT program and controlled-substance intake requirements. Editorial link — we earn nothing from Henry Meds. Not sure testosterone is the right question? Use Find My HRT Path.

Do you talk to a clinician at Henry Meds or Winona?

Henry offers a face-to-face video visit and, depending on the patient’s state, may offer an independent provider review without video. Winona does not offer phone or video physician visits; care runs through secure portal messaging, with its FAQ saying physicians typically respond within 24–48 hours. This is the cleanest care-model difference between them.

If being dismissed in a previous appointment is part of why you are searching, read this twice. A live conversation and an asynchronous message thread do not feel the same when the history is complicated.

Henry’s model

Henry says patients complete medical forms, then can schedule a face-to-face video call or, depending on the home state, choose an independent provider review without video. Messaging remains available through the patient portal.

Its Terms add details the headline does not:

the complimentary evaluation is capped at up to 15 minutes
the evaluation does not guarantee a prescription
if a provider issues a prescription under the selected service, subscription enrollment and charging can begin immediately
if the provider does not approve treatment, no subscription enrollment or charge occurs

Henry says most people receive medication 8–10 business days after speaking with a provider. It warns that California fulfillment may take longer because of additional compounded-product testing requirements.

Winona’s model

Winona starts with an online medical intake. A state-licensed, board-certified physician reviews the information and may prescribe if appropriate.

After enrollment, the model is written access:

no phone or video visits
24/7 portal messaging access
typical physician response in 24–48 hours
no separate consultation fee advertised
free dose adjustments
a physician check-in around 10 weeks

Winona’s FAQ says there is a mandatory 24-hour processing period after the pharmacy receives a prescription request, then typical preparation and shipping. Packages generally arrive within 3–5 business days, with free standard shipping.

Which model fits you

Choose Henry’s model if a live conversation matters enough that you are willing to schedule it, while accepting that asynchronous review may be the available option in some states and the complimentary evaluation can be brief.

Choose Winona’s model if you actively prefer no appointment and want a written record of questions and answers. Do not choose it expecting a call later. Winona’s FAQ says it offers no phone or video visits.

Two details surprise some Winona customers:

packaging is branded; Winona says no discreet alternative is available
there is no live-contact fallback inside the physician-care model

Want a live conversation available before treatment? See how Henry’s provider visit works. We earn nothing from Henry Meds. Prefer written care without appointments? Sponsored: Start Winona’s free online visit.

Can you use insurance, HSA, or FSA?

Neither provider bills insurance. Henry’s Terms say it is self-pay only and that users agree not to submit insurance claims. Winona’s July 2026 Terms also say users will not submit claims to government programs or other third-party payors — even though its FAQ and product pages promote HSA/FSA receipts and sometimes possible insurance submissions. Get that conflict resolved in writing.

This is the sharpest correction to the original draft.

Henry’s position is blunt

Henry’s Terms say:

it does not participate in Medicare, Medicaid, or insurance
it does not submit insurance claims
the user agrees not to submit them
FSA/HSA use is not guaranteed and should be checked with the plan administrator

There is no reimbursement promise to build a buying decision around.

Winona publishes two incompatible messages

Winona’s FAQ says it does not bill insurance directly, accepts HSA/FSA cards, and provides HSA/FSA receipts. Several product pages go further and say patients can use receipts and documentation to file a claim with an insurer for possible reimbursement.

Its current Terms say the opposite: Winona and its related medical and pharmacy entities do not submit claims to government programs or other third-party payors, and the user agrees not to submit a reimbursement claim to them either.

The Terms are the contract. The product-page copy is the sales message. Until Winona reconciles them, do not assume an itemized receipt gives permission to file a commercial-insurance claim.

What to ask before using an HSA, FSA, or insurer

Your FAQ says I can receive reimbursement documentation, but your July 2026 Terms say I will not submit a claim to any third-party payor. May I use my HSA/FSA card? May I submit only an HSA/FSA substantiation receipt, or may I also submit a commercial-insurance claim? Please answer in writing before I enroll.

HSA/FSA eligibility can depend on the expense, the plan, and the documentation. A provider accepting the card is not a guarantee that a plan administrator will approve the expense.

If you need Medicare, Medicaid, or direct commercial-insurance billing, neither provider is the right lane. Start with Find My HRT Path or our comparison of online HRT providers for menopause.

What does it cost to change your mind?

Winona gives a full refund only when an order is canceled during its 24-hour processing window. Henry generally does not refund shipped prescriptions or partially used subscription periods; a $30 consultation component becomes non-refundable after a prescription is issued. Both use binding individual arbitration and both give a 30-day opt-out window.

“Cancel anytime” and “refund anytime” are not the same promise.

Policy point	Henry Meds	Winona
Change-of-mind refund after prescription ships	No ordinary refund; prescription products are final sale	No refund after the 24-hour processing window
Defined early order window	No comparable 24-hour full-refund promise found	Full refund within the 24-hour processing window
Non-refundable price component	$30 consultation component after a prescription is issued; processing fee may also reduce an approved refund	None separately disclosed in the reviewed policy
Partial-period refund	Generally no	No after the 24-hour window
Cancellation timing	Cancel before renewal; Terms require at least 48 hours before the end of the current term	Cancel or pause through account settings; pause options include 30, 60, or 90 days
Multi-month exposure	Henry says certain treatments may use longer-term plans; signup disclosure controls	Help Center says no long-term agreement or separate subscription fee, but products refill automatically
Order error or damage	Report promptly; 48-hour window appears in the Terms	Contact support/pharmacy under the refund and dispensing-error process
Arbitration	Binding individual arbitration; 30-day written opt-out	Binding individual arbitration; 30-day email opt-out

About Henry’s $30

The $30 is not presented as another charge on top of the $149. It is a component of the bundled amount. Its importance appears when a refund is considered: once a provider has reviewed the case and issued a prescription, that component is non-refundable.

Put one date in your phone immediately

At Winona, the 24-hour cancellation period starts when the order enters processing. Its 30-day supplies then process every 28 days unless paused or canceled.

At Henry, the public Terms say cancellation must occur at least 48 hours before the current term ends. The exact billing frequency and renewal date are disclosed during signup.

The day you enroll, record:

the first charge date
the next automatic processing date
the final cancellation deadline
the support channel required for cancellation
the arbitration opt-out deadline, if preserving court rights matters to you

Both companies use arbitration

Henry’s Terms require binding individual arbitration and waive class participation unless the user sends a written opt-out within 30 days of first accepting the Terms. Henry accepts the notice at legal@henrymeds.com or by mail and specifies the information the notice must contain.

Winona’s Terms also require binding individual arbitration and waive jury and class-action rights. Winona permits an email opt-out to hello@bywinona.com within 30 days of first accepting the Terms or first using the service if no account was created.

The original comparison treated this as a Henry-only issue. It is not.

A written 24-hour order window is the deciding factor? Sponsored: Review Winona’s current cancellation policy before starting.

Are Henry Meds and Winona legitimate?

Both are operating telehealth businesses in which licensed clinicians decide whether to prescribe and licensed pharmacies dispense medication. That establishes a legitimate care channel, not a guarantee that either provider fits you or that every product is FDA-approved. Henry currently has an F BBB rating; Winona’s BBB profile also shows complaints and no accreditation.

The right question is not merely “are they real?” It is “does the care, medication, contract, and complaint pattern fit the risk I am willing to take?”

The HRT Index Verification Standard

This is The HRT Index Verification Standard — the five pillars we check in this exact order. We do not turn them into an invented provider score.

Pillar	Henry Meds	Winona	Editorial conclusion
Clinical legitimacy	Licensed-provider telehealth model; affiliated licensed pharmacies; unusually clear compounded disclosure	State-licensed, board-certified physicians; two named 503A pharmacy locations	Both establish a legitimate clinical pathway; verify the exact prescriber and pharmacy on your order
Care quality	Video available, asynchronous review by state, portal messaging; free evaluation capped at 15 minutes	No phone or video; unlimited portal messaging, free adjustments, typical 24–48-hour replies	Henry if live contact matters; Winona if asynchronous care is the feature
Medication fit	Approved and compounded routes; publishes dose ceilings; lists compounded testosterone	Approved and compounded routes; publishes five patch strengths; no testosterone; compounded oral DHEA	Route-specific; no single winner
Price transparency	One program price and legal dose ceilings, but bundle concurrency and public renewal interval remain unclear	Per-product from-prices, but 28-day cadence is separated from product pricing and fee can change with prescription	Winona shows more product-level prices; both leave one material cash-flow question open
Access	No complete public state list; 35–59 HRT intake	37 states plus Puerto Rico; 35–59 HRT intake	Winona is easier to pre-screen

The complaint record, reported in proportion

As checked August 17, 2026:

Henry Meds: BBB rating F, not accredited, with BBB listing 232 complaints and 26 failures to respond as reasons for the rating.
Winona: not BBB accredited, with BBB listing 16 complaints in the previous three years and nine closed in the previous 12 months.

Those numbers are not directly comparable as complaint rates. The providers differ in size, age, product mix, and customer volume. BBB also weights response behavior, not just complaint count.

The Henry F rating remains a damaging admission because it is current and because the company’s own Terms contain the billing and cancellation details that appear repeatedly in complaint narratives. It should not be converted into a claim that every customer has the same experience.

The Eli Lilly lawsuit — and what it is not

Eli Lilly filed a federal lawsuit against Adonis Health, doing business as Henry Meds, on April 23, 2025. The case concerns alleged marketing and sale of compounded tirzepatide in the GLP-1 weight-loss market. The public docket remained active when retrieved in July 2026.

This is not an HRT lawsuit. It does not establish that Henry’s women’s HRT service caused harm, and allegations are not findings. It belongs on the page because a reader searching the company will see it, but it belongs in proportion: current corporate litigation over GLP-1 marketing, not evidence about an estradiol or progesterone prescription.

One thing neither provider guarantees

Completing intake does not guarantee a prescription. Henry says payment does not guarantee prescribing or dispensing and that an ineligible patient is not enrolled after the free evaluation. Winona says every prescription requires an online medical evaluation and physician approval.

Sometimes the correct answer is no. Sometimes it is “not through this online model.” That is clinical legitimacy working, not a failed checkout.

What do real customers say?

Trustpilot showed Henry Meds at 4.5 across 12,511 reviews and Winona at 4.6 across 7,988 reviews on August 17, 2026. The scores are not clean HRT-to-HRT comparisons: Henry’s profile covers several treatment lines, while Winona’s brand is menopause-focused. Reviews describe service experiences; they do not prove safety or medical effectiveness.

Why 4.6 versus 4.5 does not decide this

Henry’s Trustpilot pool includes weight-management, men’s testosterone, erectile-dysfunction, and women’s-HRT customers. A company-wide score cannot be treated as a women’s-HRT score.

Winona’s reviews are more directly tied to its menopause-focused service, but they still represent self-selected customer reports, not a clinical study or complete complaint database.

The HRT Index Verification Standard never converts either profile into a numeric provider score.

Current service comments worth knowing

These are short service observations, not efficacy claims:

A Henry reviewer on July 3, 2026 called the visit “quick and easy” but said the cost remained high.
A Henry reviewer on August 5, 2026 reported repeated missed or canceled appointments and slow rescheduling. Henry replied publicly.
A Winona reviewer on August 5, 2026 praised having someone who “actually listens.”

Each is one person’s account. None establishes what your clinician, pharmacy, shipment, response time, or outcome will be.

One response-rate contrast

Trustpilot currently says Henry replied to 98% of negative reviews, typically within 24 hours. BBB simultaneously lists 26 complaints Henry failed to answer as a reason for the F rating.

Same company. Different channels. Different recorded responsiveness.

That does not tell you which channel predicts your experience. It does tell you to preserve written records, use the official portal, and escalate before a renewal deadline rather than after it.

Henry Meds HRT vs Winona: our verdict by situation

There is no universal winner. Winona wins the tablet lanes, published state access, fully asynchronous care, and the clearer short cancellation window. Henry wins patch-only pricing in the standardized model, may win patch-plus-progesterone by about $663 if both share one bill, offers video where available, and is the only one listing testosterone.

Find yourself in the table.

If this is you	Start here	Why
I expect a patch and still have a uterus	Ask Henry first, then compare Winona	Henry may be about $663 lower, but only after written confirmation that both prescriptions share $149
I expect a patch and do not need progesterone for uterine protection	Henry on price; Winona on published strengths and refund window	About $154 annualized difference in the public-price model
I expect estrogen tablets	Winona	About $1,084 lower in the standardized single-product model
I expect tablets plus oral progesterone	Winona	About $576 lower in the standardized model
I want a compounded combined body cream	Winona on price, not equivalence	Lower published price; verify why compounded and how uterine protection is handled
I want to discuss testosterone	Henry	Only one of the two that lists it; prescription-only Schedule III controlled substance
I want a video option	Henry	Video is available, with state-dependent asynchronous review also possible
I never want a phone or video visit	Winona	Care is portal-based by design
I want a defined refund window	Winona	Full refund only within 24 hours of processing
I want one simple program price	Henry, after written confirmation	Bundle framing is simpler; exact concurrent medications and renewal interval remain the catch
I need insurance billed	Neither	Both are cash-pay and both Terms contain no-claim language
I am 60 or older	Neither	Both HRT intake rules stop at 59
I only have vaginal dryness, burning, or pain with sex	Clarify local versus systemic treatment first	A full systemic program may be the wrong category

One route note worth its own line

If vaginal dryness, irritation, burning, urinary symptoms, or pain with sex is the main problem — without hot flashes or another reason for systemic treatment — you may be shopping in the wrong category.

The Menopause Society says low-dose local vaginal hormone treatment is recommended when only vaginal symptoms are present. Local vaginal estrogen and systemic hormone therapy are not the same treatment lane. Both providers list vaginal products, but the exact product status matters: Winona and Henry currently label their own vaginal creams as compounded, while FDA-approved local vaginal products also exist elsewhere.

Choosing local versus systemic therapy is a medical decision, not a subscription feature. Resolve that before comparing annual totals.

Found your row and Winona fits it? Sponsored: Check current eligibility and pricing at Winona. Still split between two rows? Find My HRT Path matches your age, state, uterus status, route preference, and payment needs — and flags when online care is not the right starting point.

What if neither Henry Meds nor Winona is right for you?

If you are under 35 or 60 and older, need insurance billed, want a provider with a published state list outside Winona’s footprint, need live specialist coordination, or have symptoms that require examination or targeted testing first, neither provider is the right starting point. That is a decision, not a dead end.

You need insurance billed

Some menopause telehealth services bill commercial insurance. The tradeoff is usually more eligibility checks, network rules, prior authorization, or copays instead of a single cash subscription.

Start with our comparison of online HRT providers for menopause.

You are 60 or older

Age does not create a universal ban on hormone therapy. It does place you outside these two companies’ published HRT intake rules. Look for a clinician who will assess age, time since menopause, route, dose, symptoms, and individual risk rather than applying the same commercial cutoff.

Online care is not the right first step

Unexplained bleeding, significant clotting or stroke history, a hormone-sensitive cancer history, or symptoms pointing to another diagnosis may require examination, imaging, labs, or records review. HRT may still be part of the eventual answer. It should not begin with a web form when the web form cannot resolve the risk.

You want to use your own pharmacy

Both companies’ current Terms allow prescriptions to be sent to another pharmacy in some circumstances.

Henry says the patient bears resulting delays or cost differences.
Winona says the subscription fee does not include medication and fulfillment when a prescription is sent outside its pharmacy network; the patient pays the outside pharmacy separately.

“Send it to my pharmacy” can break the advertised bundle or menu economics. Ask for the service fee and prescription-transfer terms before assuming it saves money.

Does this sound like your situation? Take Find My HRT Path — it matches your age, state, uterus status, route preference, and payment needs, and flags when online care is not the right starting point.

Questions women ask before choosing Henry Meds or Winona

Is Henry Meds HRT FDA-approved?

Partly, at the product level. Henry labels its estradiol patch and tablets FDA-approved and labels its Bi-Est body cream, vaginal cream, progesterone cream, and testosterone cream compounded. Compounded finished products are not FDA-approved. Confirm the manufacturer or compounding pharmacy for the medication actually dispensed.

Is Winona FDA-approved?

The company itself is not “FDA-approved.” Winona labels its patch, estrogen tablets, and progesterone capsules FDA-approved and labels its body creams, vaginal cream, progesterone cream, and oral DHEA compounded. Its claim that estriol is an FDA-approved ingredient is inaccurate; FDA says no FDA-approved drug contains estriol.

How much is Henry Meds HRT per month?

Henry publishes $149 per month for its women’s HRT program and another $100 per month for compounded testosterone cream if prescribed. Its Programs document lists estrogen and progesterone categories beneath the $149 heading, but you should confirm whether both prescribed products are included concurrently and confirm the renewal interval at signup.

Is Winona really $149 per month?

The estradiol patch begins at $149 per month. Progesterone capsules begin at $39, estrogen tablets at $54, and several creams at $89. Winona processes a 30-day supply every 28 days, so $149 annualizes to about $1,942 at that cadence. Actual first-year charges depend on processing dates, pauses, and prescription changes.

What is the age limit for Henry Meds women’s HRT?

Henry’s FAQ says at least 35 and below 60. The top of the HRT page says “35 and older,” but the FAQ supplies the narrower eligibility rule.

Does Winona treat women over 60?

No for its HRT plans. Winona says it provides HRT treatment to women ages 35–59. Some non-HRT products have a different minimum age.

What states is Winona available in?

Winona lists 37 states plus Puerto Rico as of August 17, 2026. It does not list Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia, or the District of Columbia.

Does Henry Meds ship women’s HRT to my state?

Henry does not publish a complete HRT state list. Its Terms say services vary by jurisdiction. Begin intake only far enough to confirm state availability and stop before payment if the program is unavailable or the terms do not fit.

Can you cancel Henry Meds anytime?

You can cancel before renewal through the account or support channels, but cancellation takes effect at the end of the paid period. Henry requires cancellation at least 48 hours before the current term ends, generally does not refund partial periods, and may use longer-term plans for some treatments. Read the signup disclosure for your plan.

Can you get a refund from Winona?

Only during the 24-hour order-processing window for a full refund under its published policy. After that window, orders cannot be canceled, refunded, or returned under the ordinary policy.

Does either provider include bloodwork?

Winona says it does not require hormone testing. Henry’s women’s program line does not name labs, although its Terms permit clinician-ordered testing through affiliated workflows. Confirm whether any test is required, what it costs, and whether it is included for your specific plan.

Do you need progesterone with an estrogen patch?

If you still have a uterus and are using systemic estrogen, an adequate progestogen regimen is generally needed for endometrial protection. The route and dose matter. Specialist guidance warns that compounded transdermal progesterone cream may not provide sufficient protection.

Does either provider take insurance, HSA, or FSA?

Neither bills insurance. Henry says HSA/FSA use is not guaranteed. Winona accepts HSA/FSA cards and supplies HSA/FSA receipts, but its current Terms say users will not submit reimbursement claims to third-party payors, conflicting with some product-page reimbursement language. Get written clarification before filing anything.

Can you get testosterone at Winona?

No. Winona sells compounded oral DHEA, which is a different product and not FDA-approved. Henry lists compounded testosterone cream for another $100 per month if prescribed. Testosterone is a Schedule III controlled substance, requires a prescription, and is never guaranteed.

How fast does each provider ship?

Winona says prescriptions enter a mandatory 24-hour processing period, then packages generally arrive within 3–5 business days; standard shipping is free. Henry says most people receive medication 8–10 business days after speaking with a provider and warns of possible additional California delay for compounded-product testing.

How we keep this page current

Prices, policies, product badges, state lists, and complaint counts move. Winona’s Terms expressly allow subscription fees to change when the prescription dose or refill frequency changes. Henry’s Terms make the signup disclosure—not the public headline—the source for the billing frequency.

We re-check:

Monthly: public HRT prices, Winona’s product list, Henry’s Programs document, dose ceilings, 28/84-day cadence, and the wording of Henry’s concurrent estrogen-plus-progesterone bundle
Quarterly: age rules, Winona’s state list, whether Henry publishes one, product-level FDA/compounded labels, labs language, care modality, shipping, refund and cancellation policies, outside-pharmacy terms, insurance/HSA/FSA language, and arbitration clauses
When a price or cadence changes: every annualized comparison in this article
When a legal or complaint claim changes: BBB counts and rating, Trustpilot counts, and the public status of the Lilly litigation

We move the Last verified date only after the sources are re-read. If it says August 2026, that is when the current price, policy, and availability claims were checked.

Still not sure which HRT program is right for you? Take our free 60-second matching quiz.