Her Way Health HRT Reviews: Pellets, Prices, Online Care and What to Ask First

Her Way Health HRT reviews show 5.0-star clinic listings, but most we could read praise staff, facials and fillers, not hormone results. Herway can fit women near Carlsbad or San Diego who want in-person care and can confirm the medicine and full bill. Its online HRT pages disagree, so confirm availability before paying.

Herway may be a good fit if you:

• Live near Carlsbad or San Diego's Mission Valley and want to be seen in person
• Like a one-stop clinic that also offers pelvic floor therapy and sexual-wellness care
• Are comfortable with lab work before your first consult and, if pellets are offered, compounded hormones after a clear talk about risks and alternatives

Start somewhere else if you:

• Need a clearly confirmed online HRT route. Herway's telehealth landing page has listed hormones as "coming soon," while its HRT sign-up page still shows products and prices.
• Need a named FDA-approved estradiol or progesterone product and Herway cannot confirm it before you pay
• Need insurance to pay and Herway cannot confirm coverage, or need a full price before you book
• Have unexplained vaginal bleeding, or a history of blood clots, stroke, heart attack, liver disease, or breast or uterine cancer. Start with an in-person clinician who can review your history.

The biggest gap, up front. We found no in-person prices, no named prescribing clinicians on the pages we read, and no detailed discussion of hormone risks on Herway's pellet and optimization pages. That doesn't make Herway a bad clinic. It means the useful questions have to be asked before your first lab draw, not after. We give you those questions below.

If you're already leaning toward an in-person visit, you can see Herway's two listed clinics and keep this page open for the checklist.

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 · Last verified October 2026

We read, on October 23, 2026: Herway's home, About, locations, BioTE pellet and hormone optimization pages; its telehealth FAQ and terms of use (revised November 27, 2024); its telehealth service page and HRT sign-up page; an Atlanta page still online; BioTE's quality statement; three directories showing Google-review snapshots; Justia's trademark record; Gala's HRT and policy pages; and Midi's pricing and billing pages. Medical points were checked against FDA material, The Menopause Society, the Endocrine Society, the British Menopause Society, sexual-health guidance, product labels and the original studies cited below.

We confirmed in public documents: two listed California clinics; BioTE pellets plus "bioidentical" creams and injections; labs required before clinic consultations; a telehealth FAQ saying it uses compounded medicines only; online-service terms saying the affiliated practices do not take commercial insurance; and an HRT sign-up page listing starting prices. A separate telehealth landing page has listed hormones as "coming soon," so online availability remains unresolved.

We did not: book, pay, visit, talk to a Herway clinician or receive medicine. This is a documentation review, not a patient test.

We could not confirm: any in-person price or HRT-specific membership commitment, the names or licenses of the prescribing clinicians, exact finished medicines, whether online HRT checkout works today, or whether any clinic outside California is open. We did not verify live Google or Yelp totals.

Our Herway links are editorial links; we earn nothing from these links. We may earn a commission if you start care with Gala through a marked link. Featured placement can reflect that relationship; it does not mean better clinical care. How we make money.

On this page: Which Herway · Reviews · Who runs it · Online HRT · Treatments · Pellets · Cost · Questions to ask · Compare · Verdict · FAQ · Before-you-pay worksheet

Which Herway are you looking at: the clinic or the online service?

Her Way Health + Hormones, which also styles itself "Herway," runs two California clinics and two different online sign-up sites. The clinic and the online sites describe different treatments, different steps and different prices, so a review of one doesn't tell you much about the other. Decide which one you mean before you read anything else.

Here's what each part of Herway says it offers, in its own words, as of October 23, 2026.

Herway option	What Herway's pages describe	Is it available now?	What to confirm
Clinic: BioTE pellet therapy	Labs first, then a consult. If approved, small pellets are placed under the skin of the upper buttock in the office. Herway says they release hormones over 3–4 months.	Listed at the Carlsbad and San Diego clinics	The exact pellet product, the fee, what happens if the dose is too strong
Clinic: "hormone optimization"	Labs first, then "bioidentical creams and injections." Follow-up labs at about 6 weeks.	Listed	Product names, which pharmacy makes them, visit and lab fees
Online: telehealth landing page (lp.herwayhealth.com)	Weight loss, longevity, skin and hair treatments now. Hormones (estradiol patch, estradiol tablet, estradiol vaginal cream, progesterone) marked "Coming soon."	Marked "Coming soon"; conflicts with the HRT sign-up page	Whether hormone care has launched in your state
Online: HRT sign-up site (join.herwayhealth.com/hrt)	Estradiol pill, patch, gel and vaginal gel, progesterone and two non-hormonal pills, each with an "as low as" monthly price and a Get Started button	Unclear. The page is still linked from Herway's own site.	Whether checkout works, and which product you'd actually get

Source: Herway pellet page, hormone optimization page, telehealth landing page, HRT sign-up page, Research dated October 23, 2026.

Two quick examples show why this matters.

• You want a delivered patch you put on at home. A glowing review about a pellet visit, or a facial, can't tell you how Herway handles online refills.
• You want to talk face to face. An online sign-up won't book you into the Carlsbad office. Use the clinic's booking route instead.

Not the same as Health & Her. A UK menopause supplement and app brand called Health & Her shows up for similar searches. It has nothing to do with Herway.

Her Way Health HRT reviews: what do patients actually say?

Herway has 5.0-star Google-review snapshots in three directories, but most readable excerpts describe facials, fillers, microneedling and friendly staff. Few of those excerpts describe hormone care, and none we could read establishes months-long treatment results. These stars do not establish the quality or outcomes of hormone treatment.

What the positive reviews praise

The praise is about people. Reviewers describe a warm, welcoming team that takes time to explain things. One Google review shown on a clinic directory, from Natalie B. on January 22, 2026, describes a facial and a first-time lip filler and praises how clean and comfortable the office felt. That's a real compliment. It just isn't about hormones.

Herway's own website also shows testimonials it picked. Two are relevant to hormone care:

• Nicole M., labeled "Hormone Health" on Herway's home page, said she "had been to multiple doctors reporting distressing symptoms that they ignored." She says she feels much better about her health now.
• Brenda G., labeled "Hormone Replacement Therapy" on an older Herway page, said staff were "very thorough in their explanation about the hormonal pellets I was getting."

Herway chose those quotes, and neither is dated. Treat them as the clinic's best foot forward. They tell you some patients felt heard. They can't tell you how a treatment will work for you.

Why we don't give Herway one star score

Each place you see a rating counts something different. Here's what each one actually measures.

Where you see it	What we saw (date)	What it counts	Useful for	Not useful for
Google-review snapshots, via two clinic directories	5.0 from 41 reviews on Regenerated and 39 on MyPeptideMatch (October 23, 2026). The displayed counts differ; we did not verify the live Google total or combine the samples.	Carlsbad clinic. All services mixed together. The readable excerpts on Regenerated are about aesthetics.	What the visible reviews say about staff and visits	A separate HRT rating or hormone outcomes
Birdeye's Google-review snapshot	5.0 from 48 reviews (October 23, 2026); the page labels all 48 as Google reviews and none as Birdeye reviews	Carlsbad clinic. Of five readable excerpts, one describes an initial hormones/peptides consult; the others concern aesthetics or staff.	The scope of an initial consultation or service experience	Online HRT refills, long-term outcomes, or an independent set of 48 additional reviews
Herway's own testimonials	First names, chosen by Herway. One on an older page praises a clinic with a different name ("Executive Medical").	Quotes the clinic picked	Hearing Herway's pitch	An unbiased sample
Directory badges (for example, an "OIG Cleared" label on one directory)	Shown by a third-party directory	That directory's own claim	—	Proof of licensing. We didn't verify it.

Source: Birdeye; directory pages at regenerated.com and mypeptidematch.com; Herway home page; older Herway Atlanta page. Checked October 23, 2026.

We didn't find a Better Business Bureau profile, Reddit thread or forum discussion specifically about Herway's hormone care. That doesn't mean none exist. It means you shouldn't read "no complaints" into five perfect stars from a small, mostly aesthetic sample.

When you read Herway reviews yourself, check four things:

1. The service. A Botox review says nothing about estrogen.
2. The clinic. Carlsbad and Mission Valley may have different staff.
3. The date. Older pages show testimonials from other locations and years.
4. The clinician's name. If a review praises someone, ask whether that person would treat you.

Good reviews still can't tell you which kind of care fits your life. The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

Free · About 60 seconds · No email required. It asks five questions and points you to a featured online option or to guidance about a different starting point. It doesn't diagnose you or decide whether you should take hormones; a clinician does that. We may earn a commission from the providers it features. How it works.

Who runs Her Way Health, and is it legit?

Her Way Health + Hormones lists two California clinics, and Justia carries a trademark-application record for the brand. Its online-service terms separate the platform from unnamed partner physician practices that provide medical care. We found no named prescribing clinician on the provider pages we read, so ask for your clinician's name and check the license before treatment starts.

Where are Herway's clinics?

Herway's locations page lists two clinics.

Clinic	Address	Phone
Carlsbad	2333 State Street, #203, Carlsbad, CA 92008	(760) 290-3552
San Diego – Mission Valley	3333 Camino del Rio S, Ste 235, San Diego, CA 92108	(858) 609-0866

An older Herway page for Atlanta, Georgia, is still online, and another older page mentions a "Chesterfield" clinic. The current locations page lists only the two California clinics. We couldn't confirm whether anything outside California is open, so call ahead before you travel.

Who owns it, and who treats you?

Here's what the documents say.

Question	What we found	Where
Who operates the website?	The terms name Her Way Health & Hormones LLC and its affiliates. This is the platform operator, not an independently verified owner of each clinic.	Terms of use
Who filed the trademark?	Justia's record lists Women's Health Works LLC as the applicant, filed March 8, 2024. It does not establish current ownership or a medical license.	Trademark record
Does the online platform practice medicine?	Its terms say Herway "does not provide any medical services." Online care comes from a provider employed by or contracted with a partner physician practice.	Terms of use, revised Nov 27, 2024
Which practice?	Not named	Terms
Who are the clinicians?	We found no named prescribing clinician on the provider pages we read. Testimonials mention names, but they do not establish a current clinician roster.	Home, About and older pages
Who is listed for pharmacy questions?	The FAQ lists Belmar Pharmacy (Odessa, Florida) and OpenLoop Health (Des Moines, Iowa) under pharmacy contacts. We did not confirm which pharmacy would dispense a particular HRT prescription.	Telehealth FAQ
What is BioTE certification?	A training and sourcing program run by the pellet company, BioTE. It is not a state medical license.	BioTE quality page

Is it a med spa or a medical practice? Its menu combines medical and aesthetic services: Morpheus8, fillers and facials alongside hormones and pelvic floor therapy. A clinic can do all of that well. What matters for you is who prescribes your hormones and how well they know menopause care.

How to check a license in California. Once you have a name, look it up. Physicians are listed with the Medical Board of California, and nurse practitioners and physician assistants through the state's DCA license search. The Menopause Society also keeps a practitioner directory. A badge on a directory website is not a license check.

Can you get Her Way Health HRT online right now?

Not clearly. Herway's telehealth landing page has listed hormone care as "coming soon," while its HRT sign-up page still shows products with monthly starting prices. Confirm whether online hormone care is open in your state before paying.

What the telehealth landing page describes

Herway's telehealth landing page has listed weight-loss injections, "longevity" injections such as NAD+ and sermorelin, low-dose naltrexone, and skin and hair medicines. Its Hormones section was marked "Coming soon" above four items: estradiol patch, estradiol tablet, estradiol vaginal cream and progesterone. It says Herway is cash-pay only, a licensed U.S. clinician reviews every visit, and some treatments may be compounded.

What the HRT sign-up page still lists

Herway's main site also has a "Start Your Telehealth Journey" button. It leads to the join.herwayhealth.com homepage, whose HRT link opens join.herwayhealth.com/hrt. That page lists products with "as low as" monthly prices (the full table is in the cost section) and a Get Started link. We did not complete checkout, so the menu alone does not confirm that online HRT is available in your state.

Which states, and what age?

Herway's telehealth FAQ and terms say telemedicine is offered in every state except Alaska, Hawaii, Maine, Mississippi, North Dakota, Vermont, Washington, Wyoming and Washington, D.C. The FAQ says patients must be 18 or older, and the terms add that some services may be limited to people over 21. Neither page gives an age range for menopause care specifically. If you live in one of the excluded states, Herway's online service isn't an option for you.

Where Herway's own pages disagree

We put Herway's pages side by side so you don't have to open eight tabs.

Topic	One Herway page says	Another Herway page says	What to ask
Is online HRT open?	Telehealth landing page: hormones "Coming soon"	HRT sign-up page: HRT products with prices and a Get Started button	"Can I start hormone therapy online today, in my state? Which page is current?"
FDA-approved or compounded?	Telehealth FAQ: "We exclusively use compound medications."	HRT sign-up page shows an estradiol patch, pill and gel with no compounding label; the telehealth landing page says only that "certain treatments may be compounded"	"Is the product I'd get FDA-approved or compounded? What is its exact name and maker?"
Which states?	FAQ and terms: all but AK, HI, ME, MS, ND, VT, WA, WY and DC	Telehealth landing page: no state list	"Do you treat hormones in my state right now?"
Clinic hormone forms	Pellet page: estrogen or testosterone pellets	Optimization page: creams and injections	"Which forms does my clinic offer, and why that one for me?"
Safety questions	Pellet and optimization pages list FAQ titles about safety, risks and side effects	Every one of those answers is the same short "how it works" paragraph	"Can you give me written risk information for this exact product?"
Locations	Locations page: Carlsbad and San Diego	An older Atlanta page and a "Chesterfield" mention are still online	"Which clinics are open now?"

Research dated October 23, 2026. Neither page establishes which offer governs your order.

None of this proves poor care. It does mean Herway's public paperwork can't answer the two questions that decide this purchase: which exact medicine and what exact bill.

If you want a clearer online route while Herway's pages disagree, Gala advertises HRT online in most states. Its HRT page lists estradiol pills or patches, progesterone, vaginal estradiol and non-hormonal options, and advertises one $69 monthly price that it says includes the telehealth visit, the prescription and shipping. Confirm the exact product and your billing date before you pay.

Affiliate link. Gala may pay us if you enroll. A clinician decides whether to prescribe, and availability depends on your state.

Which treatments does Herway offer, and are they FDA-approved?

In its clinics, Herway offers BioTE hormone pellets and "hormone optimization" with creams and injections; its online HRT page lists estradiol pills, patches and gels, progesterone and two non-hormonal pills. Herway's telehealth FAQ says it uses compounded medicines only, and compounded medicines are not FDA-approved. Ask for the exact product before you assume any item on the menu is an approved one.

Bioidentical, FDA-approved and compounded, in plain words

Three words get mixed up all the time.

• Bioidentical describes the molecule. The hormone has the same shape as the one your body makes. It says nothing about approval. Many FDA-approved estradiol and progesterone products are bioidentical. So are many compounded ones.
• FDA-approved means the finished medicine, the actual pill, patch or gel in the box, was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and consistent quality, and comes with official prescribing information.
• Compounded means a pharmacy prepares the medicine for a prescription instead of selling a manufactured, approved product. The FDA says compounded drugs are not FDA-approved, and it doesn't check their safety, effectiveness or quality before they're sold. (FDA)

The Menopause Society puts it plainly: "Custom-compounded hormones are not safer or more effective than approved bioidentical hormones." (The Menopause Society) ACOG, the national group for OB-GYNs, says compounded bioidentical hormone therapy should not be prescribed routinely when FDA-approved versions exist. (ACOG Clinical Consensus No. 6, 2023)

That doesn't mean compounding is always wrong. It can make sense if you're allergic to an ingredient in an approved product or need a strength nobody makes. But "natural" isn't a reason on its own. If a clinic recommends a compounded product, it's fair to ask, "Why wouldn't an FDA-approved option work for me?"

What Herway lists, and what we know about each item

Item Herway lists	Where	What it's generally used for	What we can confirm	Your question
BioTE pellets (estradiol or testosterone)	Clinics	Whole-body hormone therapy	BioTE says its pellets are compounded by FDA-registered outsourcing facilities	"Which hormone and dose, and why pellets for me?"
"Bioidentical" creams	Clinics	Whole-body or local hormone therapy, depending on product	Product not named	"Exact product? Approved or compounded?"
Hormone injections	Clinics	Depends on the hormone and product	Product not named	"Which hormone, what product, how often, at home or in the office?"
Estradiol pill	Online HRT page	Hot flashes, night sweats	Listed; FAQ says all online medicines are compounded	"Is this an FDA-approved tablet or compounded?"
Estradiol patch	Online HRT page	Hot flashes, night sweats	Listed; status unclear	"Which patch and strength? Manufactured or compounded?"
Estradiol gel	Online HRT page	Hot flashes, night sweats	Listed; status unclear	Same question
Estradiol vaginal gel	Online HRT page	Vaginal dryness, pain with sex	Listed; status unclear	"Is this local, low-dose treatment?"
Progesterone	Online HRT page	Protecting the uterine lining during systemic estrogen therapy	Listed; route and status unclear	"Which form, and how will it protect my uterus?"
"Paroxetene" pill (likely paroxetine)	Online HRT page	Non-hormonal hot-flash treatment	Name is misspelled; strength not stated	"Is this the 7.5 mg form approved for hot flashes?"
Desvenlafaxine pill	Online HRT page	Non-hormonal hot-flash treatment (off-label)	Listed	"This is off-label for hot flashes. Why this one for me?"

Source: Herway's pellet, optimization and HRT sign-up pages and telehealth FAQ; BioTE quality page. Checked October 23, 2026.

Two notes on the non-hormonal pills. A low-dose paroxetine capsule, sold as Brisdelle, is FDA-approved for moderate to severe hot flashes from menopause (label). That doesn't confirm what Herway would dispense. Desvenlafaxine, sold as Pristiq, is FDA-approved for depression (label). Using it for hot flashes is off-label, which means using an approved medicine for a purpose outside its approved label. Off-label use can be reasonable, but you should know when it's happening.

Whole-body or local: why it matters

Systemic therapy travels through your bloodstream to your whole body. Estrogen pills taken by mouth, estradiol patches and skin gels are systemic treatments for hot flashes and night sweats. Estrogen pellets also deliver hormone through the body; that does not make them FDA-approved. Vaginal products and testosterone need to be considered separately.

Local therapy works mostly where you put it. Low-dose vaginal estrogen is local. It treats vaginal dryness, pain with sex and some urinary symptoms, but it won't fix hot flashes. (The Menopause Society) If your main problem is night sweats and you're offered only a vaginal product, that's worth raising. If your only problem is dryness, you may not need systemic therapy at all. Our vaginal estrogen guide explains the difference in more detail.

If you still have a uterus

If you take systemic estrogen and still have your uterus, you generally need a progestogen, such as progesterone, to protect the lining of the uterus (the endometrium) from overgrowth and cancer. (The Menopause Society) Ask exactly how your plan protects you. Don't assume a progesterone cream does the job; it hasn't been shown to give adequate protection. (British Menopause Society review) Low-dose vaginal estrogen alone generally doesn't need an added progestogen, but any unexplained bleeding needs to be checked.

What about testosterone?

Herway's pellet page says pellets may contain estrogen or testosterone. In the U.S., testosterone is a prescription-only, Schedule III controlled substance. (DEA) There is no FDA-approved testosterone indication for treating menopause symptoms or hypoactive sexual desire disorder in women; the FDA said so in an August 2026 notice announcing a public workshop on the topic. (Federal Register) An international consensus statement supports testosterone for one thing in postmenopausal women: low sexual desire that causes distress, after a proper clinical assessment, called hypoactive sexual desire disorder. (Global consensus) That evidence is not a recommendation for compounded testosterone pellets. It isn't a proven fix for fatigue, brain fog or aging. If testosterone is suggested, ask what symptom it's for, how levels and side effects will be checked, and what happens if you want to stop. Our libido guide has more.

Did the 2026 FDA label change apply here?

On February 12, 2026, the FDA approved label changes for six FDA-approved menopause hormone products, removing some boxed-warning statements. (FDA) That applies to those approved products. Compounded hormones have no FDA-approved label, so the change doesn't approve them or change their status. Our 2026 label changes explainer covers what did change.

If you'd rather talk with a clinician about an estradiol patch or pill you can adjust or stop, from home, Gala is an online option. Gala's HRT page says it prescribes "FDA-approved bioidentical forms": estradiol pill or patch, progesterone and vaginal estradiol. Because one other Gala page carries a general compounding notice, ask for the exact product name before checkout.

Affiliate link. Gala may pay us if you enroll. A clinician decides what, if anything, to prescribe.

Are BioTE hormone pellets safe? What to know before a Herway pellet appointment

Pellets can relieve symptoms for some women, but the ones BioTE supplies are compounded, they can't easily be adjusted once placed, and a retrospective study linked pellets to higher hormone levels and more side effects than FDA-approved therapy. A woman choosing pellets should do it after a clear risk conversation, not because they're called natural. Herway's own pellet FAQ doesn't answer its safety questions, so ask for written information.

How a pellet appointment works at Herway

Herway's pellet page describes these steps:

1. Labs first. You complete lab work before Herway schedules your consultation.
2. Consult. A provider reviews your labs, symptoms and goals and chooses a dose.
3. Insertion. If treatment is right for you, the provider numbs a spot, usually the upper buttock, makes a small cut and places tiny pellets under the skin, then covers it with a bandage.
4. After. Herway says you may have bruising or tenderness for a few days and should avoid hard lower-body exercise for a short time. It says the pellets release hormones over 3–4 months and that you'll have follow-ups.

That's Herway's description, not our test.

What the evidence says

What you may hear	What the evidence says	Source
"Bioidentical means natural and safer."	Bioidentical describes the molecule, not approval or safety. Compounded bioidentical therapy shouldn't be prescribed routinely when FDA-approved versions exist.	ACOG, 2023; The Menopause Society
"Pellets are FDA-approved."	BioTE says its pellets are compounded at FDA-registered outsourcing facilities. Compounded drugs are not FDA-approved.	BioTE; FDA
"Pellets give steady, natural levels."	One hospital system compared 384 women on pellets with 155 on FDA-approved therapy. Side effects were reported by 57.6% of the pellet group and 14.8% of the comparison group. The pellet group also had higher estrogen and testosterone levels. Among women who had a uterus before treatment, it also had more hysterectomies. It's a look back at records, not a trial, but it's a signal worth asking about. This was not a Herway study and does not establish what would happen with a particular BioTE prescription.	Jiang et al., 2021; original study
"We test your levels to dose you precisely."	The Endocrine Society found no evidence that repeated saliva or blood testing to monitor compounded hormones is effective, except for thyroid hormone.	Endocrine Society statement
"Testosterone pellets are approved for women."	No FDA-approved testosterone indication exists for treating menopause symptoms or hypoactive sexual desire disorder in women.	FDA notice, August 2026

Hormone-target testing is different from safety monitoring. Testosterone blood tests can check for excessive exposure, and fezolinetant requires liver tests. (ISSWSH clinical guideline; fezolinetant label)

Pros and cons, honestly

What some women like about pellets:

• No daily pill, patch or cream to remember
• A few visits a year instead of daily dosing

What to weigh:

• Hard to adjust or stop. Once placed, a pellet keeps releasing hormone. If the dose turns out too strong, you can't simply skip tomorrow's dose.
• Compounded. No FDA-approved prescribing information for the product.
• Testosterone side effects. Testosterone can cause acne and unwanted hair growth; excessive levels can also cause voice changes, and some changes may not reverse. (ISSWSH guideline; testosterone label)
• Bleeding. High estrogen levels can cause bleeding, which then has to be checked.

Why Herway asks for labs first

Herway requires lab work before your consult, and again about six weeks after you start creams or injections. Some tests can matter, such as a thyroid check when symptoms could have another cause. But menopause is usually recognized from your age, symptoms and cycle changes, and hormone levels swing a lot in perimenopause, so one result rarely tells the whole story. (Mayo Clinic) The Menopause Society says saliva and urine tests are unreliable for choosing hormone doses, and blood hormone testing is rarely needed. (2022 position statement) Before you pay for a panel, ask: "What is each test looking for? How could the result change my plan? What does it cost?"

Four questions to bring to a pellet consult

1. "Is this pellet FDA-approved or compounded, and who makes it?"
2. "Why pellets instead of an FDA-approved patch, gel or pill for my symptoms?"
3. "What happens if my dose turns out too high? Can a pellet be removed?"
4. "If I have a uterus, how will my lining be protected, and how will you check?"

A 20-second self-check

Answer honestly. Nobody sees this but you.

1. Do I live close enough to Carlsbad or Mission Valley for repeat visits?
2. Am I comfortable with compounded products after hearing the trade-offs, or do I want FDA-approved ones?
3. Am I free of red flags: unexplained bleeding, or a past blood clot, stroke, heart attack, liver disease, or breast or uterine cancer?

• Yes, comfortable, no red flags: Herway may fit. Bring the questions in the before-you-pay section.
• Not nearby, or you want FDA-approved products, or you want online care now: compare Gala, or Midi if you need insurance.
• Any red flag: start with an in-person clinician who can review your history.
• Not sure: Find My HRT Path can help you sort out the starting point.

What does Her Way Health HRT cost in the first 90 days?

Herway doesn't publish prices for its in-person pellets, creams, injections, consults or labs, so the real clinic cost is unknown until you get a written quote. Its online HRT page lists "as low as" monthly prices, starting at $69.50 for an estradiol pill and $13.50 for progesterone. Those amounts don't say what's included, and the telehealth landing page says online hormones are still coming.

What prices Herway lists

Herway's online HRT page, "as low as" amounts per month (checked October 23, 2026)

Listed option	Advertised starting amount	What we don't know
Estradiol pill	$69.50/month	Strength, product, approval status, visit fee, shipping
Estradiol patch	$89.50/month	Same
Estradiol gel	$99.50/month	Same
Estradiol vaginal gel	$79.50/month	Same
Progesterone	$13.50/month	Whether it's included with estrogen or charged separately
"Paroxetene" pill (likely paroxetine)	$59.50/month	Exact medicine and strength
Desvenlafaxine pill	$69.50/month	Same

Source: join.herwayhealth.com/hrt. "As low as" means a starting amount, not a quote. These prices were present in the page text on October 23, 2026; product, inclusions, billing and online availability still need confirmation.

Herway clinic care: no published price for labs, consult, pellet insertion, creams, injections, follow-up labs or any membership. One older testimonial mentions a membership "with lots of perks," but we found no membership terms.

Insurance: Herway's online-service terms say its affiliated practices don't accept commercial health insurance and aren't enrolled in Medicare or Medicaid. Confirm your clinic's billing policy separately. The pages we read do not confirm HSA or FSA acceptance.

The math, worked out

Here's what the listed numbers add up to. These are examples, not quotes.

• Herway online, pill plus progesterone (if both are prescribed and billed separately at the listed starting amounts): $69.50 + $13.50 = $83 in advertised monthly amounts. Three such monthly amounts: $83 × 3 = $249.
• Herway online, patch plus progesterone (under the same separate-billing assumption): $89.50 + $13.50 = $103 in advertised monthly amounts. Three such monthly amounts: $309.
• Herway clinic, pellets or creams: labs, consult, insertion or medicine, and follow-up labs are all unknown. Total: incomplete.

Two cautions. These sums do not confirm that progesterone is an add-on charge or that three payments fall in your first 90 days. Three calendar months and 90 days aren't the same period, so count actual billing dates. And an unknown cost is not $0. If a required item isn't priced, your total is incomplete.

Herway next to three other routes

Illustrative early charges, using each provider's published prices

Route	First charge: amount and timing	What the listed price says it covers	Illustrative arithmetic, not a complete bill	Unknowns	Price checked
Herway clinic	Labs required before consult; amount and payment timing not published	Not published	Incomplete	Labs, consult, insertion or medicine, follow-up labs, membership	Oct 23, 2026
Herway online (HRT sign-up page)	Not stated	Separate starting amounts are listed; combined-plan billing, visits and shipping are not stated	$249 for three pill-plus-progesterone monthly amounts, or $309 for patch-plus-progesterone, only if both are separately billed at those starting amounts	Product, inclusions, billing dates, supply, minimum commitment, whether checkout works	Oct 23, 2026
Gala HRT	Amount and timing unconfirmed; $69/month is the advertised rate	Gala says $69 includes the telehealth visit, prescription and shipping, with no membership fee	$207 if three $69 charges fall in the window; this is arithmetic, not a confirmed 90-day invoice	Whether every medicine you're prescribed is included; any labs; supply, exact billing interval and applicable cancellation terms	Oct 23, 2026
Midi Health, self-pay	$250 after the first completed visit; card required to book	Visit only; medicine and labs are separate	$400 for a first visit plus one $150 follow-up, if both visits occur in the window	Pharmacy cost, labs; with insurance, your plan's cost-sharing applies instead	Oct 23, 2026

Source: Herway HRT page; Gala HRT offer; Midi pricing and billing policy. These rows show listed amounts under stated assumptions. They are not checkout totals, and they don't buy identical care, so don't read them as a savings ranking.

What the table does show: Gala is the only route here that states, in one number, that the visit, the prescription and shipping are included. Herway lists starting amounts for individual treatments without explaining combined-plan pricing or all inclusions. Herway's clinic prices aren't published at all.

Why the billing interval matters: a hypothetical $69 plan billed every 28 days could charge on days 1, 29, 57 and 85: $69 × 4 = $276 within 90 days. That is not a confirmed Gala billing schedule. Use the dates in your own quote.

Your 90-day cost record

Copy this, fill it in from a written quote and keep it private. The complete before-you-pay worksheet includes the 12 questions and a copyable message.

MY HRT COST RECORD (private)

Provider and page or clinic: ______________________
Online or in person:          ______________________
Date of quote:                ______________________
Charged today:                $______  Before or after clinician review? ______
Labs before or after visit:   $______ / included / unknown
Consult or visit fee:         $______ / included / unknown
Each medicine, exact name:    __________________  $______ every ______
Procedure (e.g., pellet):     $______ / not needed / unknown
Follow-up labs or visits:     $______ / included / unknown
Membership:                   $______ every ______ / none / unknown
Shipping:                     $______ / included / unknown
Next billing date:            ______________________
Cancellation cutoff:          ______________________
Minimum commitment/end fee:    ______________________ / none / unknown

FIRST 90 DAYS = each required charge due inside the 90-day window, counted once.
Record required payments after day 90 separately.
If any required line says "unknown," the total is INCOMPLETE. Don't write $0.

The HRT cost guide explains first-90-day math across more providers.

What should you ask Herway before you pay?

Ask who will treat you, which exact product you'd get and whether it's FDA-approved or compounded, the full first-90-day price, and how cancelling and refunds work. Get the answers in writing before you pay for labs or an online order. A good answer names a person, a product, a dollar amount, a date or a process.

Know the refund rules first

Herway's telehealth FAQ says it can't refund or accept returns of prescription products and that "all sales are final." It promises a refund if you're outside its service area and asks you to contact support about filling or delivery errors. That passage does not promise a refund for an error. Its terms say charges aren't refundable except under a separate refund policy, that subscriptions renew "at regular intervals as described during the checkout process," and that you can cancel before a cutoff date shown when you buy. We didn't find an HRT-specific cutoff or minimum commitment on the public pages we read, so get the terms at checkout and save them. These are online terms; ask for the clinic's cancellation and refund terms separately.

For continuity, Herway's terms say you can request that your telehealth record be sent to another provider, with your consent and that provider's contact details. Ask who will handle refills during a change of care; we found no published promise of refills to cover a gap between providers.

The before-you-pay questions

#	Ask this	Why it matters
1	"Is this online care or clinic care, and which practice and clinician would treat me? What's their license?"	Herway's terms don't name the practice. A name lets you check a license.
2	"What exact product would I get: name, maker, route and strength? Is it FDA-approved or compounded?"	Herway's telehealth FAQ says it uses compounded medicines only, while its menu lists products like a patch.
3	"Does the price include every medicine in my plan, including progesterone if I need it?"	A one-product price isn't a whole regimen.
4	"For clinic care, what do the pre-consult labs cost, and who bills them?"	Herway requires labs before clinic consultations, and no price is published.
5	"What will the first 90 days cost in total: consult, labs, medicine or pellet insertion, and follow-up labs?"	No clinic price is published.
6	"Is there a membership? What does it include, and how do I end it?"	A testimonial mentions one; no terms are public.
7	"What's charged today, and is that before or after a clinician approves treatment?"	Herway's FAQ says prescription sales are final.
8	"When will I be billed again, for how much, and what's the cancellation cutoff?"	The terms leave the interval and cutoff to checkout.
9	"If you recommend pellets, why not an FDA-approved patch, gel or pill? What if the dose is too strong?"	Pellets are hard to adjust once placed.
10	"If I have a uterus, how will my uterine lining be protected?"	Systemic estrogen generally needs a progestogen.
11	"Who answers side-effect questions and approves refills, how fast, and how do I transfer my records if I leave?"	The FAQ mentions 24/7 customer support by email, which isn't the same as clinician access. Records transfer is described; refills during a change of care are not promised.
12	"Is online hormone care open in my state today? Which Herway website is current?"	One page says "coming soon"; another shows prices.

You can copy these into a message:

Hi, before I book, could you answer these in writing?
1. Online or clinic care? Which practice and clinician, and their license?
2. Exact product name, maker, route and strength? FDA-approved or compounded?
3. Does the price include every medicine in my plan, including progesterone?
4. For clinic care, cost of the pre-consult labs, and who bills them?
5. Total for the first 90 days: consult, labs, medicine or insertion, follow-up labs?
6. Is there a membership? What's included and how do I end it?
7. What's charged today, before or after a clinician approves?
8. Next billing date, amount and cancellation cutoff?
9. If pellets: why not an FDA-approved patch, gel or pill? What if the dose is too strong?
10. If I have a uterus, how will my lining be protected?
11. Who handles side effects and refills, how quickly, and how do I transfer records if I leave?
12. Is online hormone care open in my state today?
Thank you!

Clear answers help you decide whether to book. They don't decide whether hormone therapy is right for you; that's a conversation with a clinician who knows your history.

If you're near Carlsbad or Mission Valley and want to be seen in person, take these questions with you and ask for the price and product in writing.

Regular link. We earn nothing if you book with Herway.

Her Way Health vs Gala, Midi or your own doctor: which fits you?

Herway may fit nearby women who want in-person, one-stop care and have weighed compounded pellets or confirmed the exact cream or injection offered. Gala fits women who want cash-pay online care from home now, with one advertised monthly price and FDA-approved forms per its own pages; Midi fits women who want insurance for virtual visits; and your own clinician is best for exams or a complicated history. Pick the option that can confirm the care, product and bill you need.

Compare the care before the price

Factor	Herway clinic	Herway online	Gala Health HRT	Midi Health	Your clinician or a Menopause Society practitioner
Best for	Women near Carlsbad or San Diego who want face-to-face care	Not settled; hormones "coming soon" on the telehealth landing page	Cash-pay online care at home with one stated monthly price	Insured virtual visits	Exams, complex history, existing care
Where	2 California clinics	All states except AK, HI, ME, MS, ND, VT, WA, WY, DC (FAQ)	"Most U.S. states," per Gala; no published list	Check your state and plan	Local
Hormone forms	Compounded BioTE pellets; creams and injections (products not named)	Estradiol pill, patch, gel, vaginal gel; progesterone (HRT sign-up page)	Estradiol pill or patch; progesterone; vaginal estradiol cream or tablets; non-hormonal options including fezolinetant	Pills, patches and other options	Any appropriate product
FDA-approved or compounded	Pellets compounded (BioTE); others not identified	Telehealth FAQ says "exclusively" compounded; exact menu products remain unidentified	Gala's HRT page says "FDA-approved bioidentical forms"; one other Gala page has a compounding notice; confirm your product	Publishes FDA-approved HRT options; confirm your prescription	Ask
Labs	Required before consult; optimization page describes repeat labs at about 6 weeks	Not stated	"Usually not," per Gala; ordered when they'd change the plan	Ordered when appropriate; billed separately	As needed
Published price	None	"As low as" $69.50 pill, $13.50 progesterone and others	$69/month advertised, including visit, prescription and shipping	$250 first visit, $150 follow-up (self-pay)	Plan cost-sharing
Insurance	Confirm the clinic policy; online terms say no commercial insurance and no Medicare/Medicaid enrollment	Cash-pay only	Cash-pay; Gala says it accepts HSA and FSA cards	Most PPO plans; not Medicaid or Medi-Cal; Medicare limits apply	Check clinician and plan
Testosterone	In pellets	Not listed	Not listed	Separate program; confirm state	Clinician-dependent
In-person exam	Yes	No	No	No	Yes
Our link	Unpaid	Unpaid	Affiliate	Unpaid	—
Checked	Oct 23, 2026	Oct 23, 2026; landing-page status not rechecked	Oct 23, 2026	Oct 23, 2026	—

Source: Herway locations, FAQ, terms, HRT page and telehealth landing page; Gala HRT offer and hormone health; Midi pricing. These are published offers, not patient testing.

A quick self-check

What does your next provider most need to get right? Pick the one that matters most.

• "I want to be seen in person, and I'm near Carlsbad or Mission Valley." Herway may fit. Use the questions.
• "I want to start online now, from home." Gala is worth a close look.
• "I want FDA-approved estradiol and progesterone." Gala says it prescribes FDA-approved forms; confirm the exact product. Midi or your own clinician can also prescribe named approved products.
• "I need insurance to pay." Check Midi or an in-network clinician.
• "I have unexplained bleeding, or a history of clots, stroke, heart attack, liver disease, or breast or uterine cancer." Start in person.
• "I'm not sure." Use Find My HRT Path (below).

When Gala is the stronger fit

Gala can be the stronger fit for a woman who wants hormone care online today, or who isn't near Herway's clinics, as long as she's comfortable paying cash and Gala serves her state. It's also a clearer published route for a woman who wants FDA-approved forms instead of compounded pellets, provided Gala confirms her exact product.

Here's what Gala's current HRT pages say you get, checked October 23, 2026:

• One advertised price. $69 a month, which Gala says includes the telehealth visit, the prescription and shipping, with no membership fee and no price rise when your dose changes.
• Four kinds of menopause treatment, each needing a clinician's approval:

What Gala lists	What it's used for	What to keep in mind
Estradiol pills or patches	Estrogen therapy for hot flashes, night sweats and other menopause symptoms	The clinician chooses the form; confirm the finished product and that it's in your plan price
Oral micronized progesterone	In an appropriate prescribed regimen, protects the uterine lining during systemic estrogen treatment; may improve sleep	Whether you need it, and the product and regimen, are the clinician's call; do not assume progesterone creams or vaginal products give the same protection
Vaginal estradiol cream or tablets	Vaginal dryness and painful sex; can help prevent recurring urinary tract infections (UTIs), an off-label use	Local treatment, not a hot-flash treatment; a current UTI still needs prompt care
Non-hormonal medicines, including fezolinetant	Hot flashes and night sweats without estrogen, for women who can't or prefer not to use hormones	Fezolinetant has a boxed warning for liver injury. Its label requires liver blood tests before starting, monthly for the first three months, and at months six and nine (label); ask how tests are arranged and who pays

Confirm whether every prescribed medicine—including any progesterone or fezolinetant—and any required tests are included in your quoted price. Gala lists micronized progesterone and fezolinetant among its non-hormonal options; that does not establish their inclusion in every $69 plan. The progesterone and vaginal-estrogen explanations above follow The Menopause Society's guidance, not provider outcome claims.

• Care from home. A roughly five-minute online assessment, U.S.-licensed clinician review, and a short video visit in states that require one. Gala advertises free 1–2 day shipping once a prescription is processed.
• Ongoing support. Messaging with your care team seven days a week through your account, plus check-ins and dose changes when the clinician finds them appropriate.
• Few routine labs. Gala says hormone testing usually isn't needed.

One Gala patient quoted on its hormone page, Marisa, 49, said: "Within three weeks of starting estradiol I was sleeping through the night again." Gala chose that story. It isn't a typical result or medical proof.

Gala's limits, stated plainly:

• No insurance billing. If you need your plan to pay, Gala isn't the match.
• Online only; pellets and testosterone are not listed. If you need an exam, use an in-person clinician. Do not choose Gala for pellets or testosterone based on the HRT pages we reviewed.
• Its pages don't fully agree. The main HRT page says FDA-approved forms; another Gala HRT page carries a compounded-medication notice. Ask for the product name and maker before you pay.
• Billing terms need checking. Gala's offer page says you can pause or cancel anytime from your account, but its linked general refund policy asks for cancellation at least 72 hours before your billing date and includes weight-loss wording. The general policy says the first charge happens when intake is completed; another HRT page says you are charged if approved. Confirm the amount, timing, billing interval and applicable cancellation/refund terms before paying.
• No published state list or HRT age range. Gala says you won't be charged if it can't serve your state.

Our full Gala HRT review covers the complaints, billing math and seven questions to ask Gala.

If the Gala column fits you, you can look at the plan now and keep this page open for the questions.

Affiliate link. Gala may pay us if you enroll. A prescription is never guaranteed.

When insurance or an in-person visit matters more

Herway's online terms and Gala's HRT pages describe cash-pay care; confirm Herway clinic billing separately. If using your insurance is the deciding factor, check your exact plan before comparing cash prices. Midi Health says it's in-network with most PPO plans and lets you check coverage by state and plan. Its self-pay visits are $250 for a first visit and $150 for follow-ups; medicine and labs are separate. Midi says it can't treat Medicaid or Medi-Cal patients, even as self-pay. Medicare beneficiaries can pay cash, but Midi says neither the patient nor Midi can submit related claims to Medicare; its policy places visits, labs and medicines out of pocket.

Regular link. We don't earn from this Midi link. Compare the two in Gala vs Midi.

If you need an exam, have unexplained bleeding or a complicated history, or already trust a clinician, start there. The Menopause Society's practitioner directory can help you find someone nearby. To see which online services prescribe which forms, compare our medication map or the full comparison of online menopause providers. For another clinic that offers pellets, see our HerKare review.

Is Her Way Health worth it? Our verdict

Herway can be worth it for women near Carlsbad or San Diego who want warm, in-person care and have weighed the trade-offs of compounded pellets or confirmed the exact cream or injection offered. It's hard to recommend sight unseen: clinic prices and prescribing clinicians weren't named on the pages we read, while online hormone availability and exact products remain unresolved. Women who need a named FDA-approved product, insurance billing or a clearer online route have other options.

Here's how Herway looks on each part of The HRT Index Verification Standard. These are plain-language judgments, not scores.

Pillar	What we checked	What we found
1. Clinical legitimacy	A real business, named clinicians, a way to check licenses	Two listed California clinics and a trademark-application record on Justia. Online-service terms name the platform operator but not the partner physician practices. We found no named prescribing clinician on the provider pages we read and did not check a license.
2. Care quality	Follow-up, monitoring, reviews	Clinic labs and follow-ups are described; repeat labs at about six weeks appear on the optimization page. Directory rating snapshots are 5.0, and readable excerpts mostly concern aesthetics and staff. The safety FAQ answers repeat general process text. We didn't test care.
3. Medication fit	Forms offered, FDA-approved vs compounded	A wide menu. Pellets are compounded per BioTE, and the telehealth FAQ says it uses compounded medicines only. Exact products aren't named. If you need an FDA-approved product, Herway must confirm the finished product before it can meet that need.
4. Price transparency	Any price, inclusions, billing and refund terms	Weak. No clinic prices. Online "as low as" prices are present but don't establish the full bill. The telehealth FAQ says prescription sales are final, and the terms leave the cancellation cutoff to checkout.
5. Access	Locations, states, insurance, online availability	Two listed California clinics. Online terms exclude eight states and Washington, D.C. The HRT menu and the recorded "coming soon" landing page leave online availability unresolved. Online terms describe cash-pay care.

What would change our view:

• Published prices for labs, consults, pellets and medicines
• Named clinicians with menopause training
• Exact FDA-approved estradiol and progesterone products confirmed, if available, alongside compounded options
• Online hormone availability resolved with a clear product list, state list and written terms

How we reviewed Her Way Health

This is a dated documentation review, not a patient test. On October 23, 2026, we read the accessible Herway pages and terms, Justia's trademark record, BioTE's quality statement, three review directories, Gala's HRT and policy pages, and Midi's pricing and billing pages. We checked medical points against FDA, The Menopause Society, the Endocrine Society, the British Menopause Society, sexual-health guidance, product labels and the original research cited below. We kept what Herway says, what reviewers say, what medical sources say and our own judgment separate.

• What we did: compared accessible source text from the pages listed below; the limits of those documents remain visible in our conclusions.
• What we didn't do: call, book, pay, visit, talk to a clinician, receive medicine or check a license.
• How we picked review excerpts: we used readable excerpts that describe a specific experience and labeled who chose them. We didn't sample every review.
• Money: We earn nothing from the direct Herway and Midi links in this article. Gala may pay us for a qualifying enrollment through our link. Gala's featured spot in Find My HRT Path is a disclosed commercial placement. Affiliate disclosure · Methodology.
• Corrections: if something here is out of date, email partners@thehrtindex.com. We log material corrections.

Her Way Health questions

Is Her Way Health the same as Herway?

Yes. The business uses both "Her Way Health + Hormones" and "Herway." It isn't related to Health & Her, a UK supplement and app brand.

Is Her Way Health legit?

Herway lists two California clinics, and Justia's trademark record names Women's Health Works LLC as the original applicant. Its online terms say care comes from unnamed partner physician practices. Those documents do not verify a clinician's license; ask for the name and check it.

Where is Her Way Health located?

Its current locations page lists Carlsbad (2333 State Street, #203) and San Diego's Mission Valley (3333 Camino del Rio S, Ste 235). Older pages mention Atlanta and Chesterfield; call before assuming those are open.

Does Her Way Health offer HRT online?

Its telehealth landing page has listed hormone care as "coming soon." Its HRT sign-up page still shows products and prices. Ask Herway whether online hormone care is open in your state today.

Are Herway's hormones FDA-approved?

Its telehealth FAQ says it uses compounded medicines only, and BioTE says its pellets are compounded. Compounded medicines aren't FDA-approved. Ask for the exact product name for anything you're offered.

How much do Herway hormone pellets cost?

Herway doesn't publish a pellet price, or prices for its required labs and consult. Get a written quote that covers the first 90 days.

Does Her Way Health take insurance?

Its online-service terms say its affiliated practices don't accept commercial insurance and aren't enrolled in Medicare or Medicaid. Confirm the billing policy for a specific clinic separately.

Can I get a refund?

Herway's FAQ says prescription sales are final, with a refund if you're outside its service area. Ask about the cancellation cutoff and what happens if no prescription is issued before you pay.

Why does Herway require labs before a consult?

That's its stated process for pellets and hormone optimization. Ask what each test is for, what it costs, and how it could change your plan.

Does Herway prescribe testosterone for women?

Its pellet page says pellets may contain estrogen or testosterone. No FDA-approved testosterone indication exists for treating menopause symptoms or hypoactive sexual desire disorder in women, so ask what symptom it's for and how side effects will be checked.

Does Find My HRT Path tell me whether I should take hormones?

No. It's a free care-navigation quiz that points you to a featured online option or to guidance when online care isn't the right start. A clinician decides whether treatment is right for you.

Should I choose Herway or Gala?

Choose the one that can confirm the care, product and full bill you need. Herway offers in-person care near San Diego; Gala offers cash-pay online care now and says it prescribes FDA-approved forms.

Your next step

You don't need to decide on treatment today. Pick the step that answers your biggest remaining question.

• Leaning toward Herway in person? Send the before-you-pay questions and ask for the quote, product and refund terms in writing.
• Want care from home now? Look at Gala's HRT plan, and confirm the exact product and billing date first.
• Need insurance to pay? Check your plan with Midi or an in-network clinician.
• Have bleeding you can't explain, or a complicated history? Start with an in-person clinician or a Menopause Society practitioner.

Still not sure whether a local clinic or online care fits you? Use The HRT Index's Find My HRT Path tool. It asks five quick questions about what's bothering you, what you've tried, your age, your state and your health history, then shows a featured online option or tells you when online care isn't the right place to start. It doesn't diagnose you or pick a prescription.

Free · About 60 seconds · No email. See how it works.

And if you already have a clinician who knows your history, it's always fair to ask them first.

---

Sources

Her Way Health (research dated October 23, 2026)

• Home page
• About
• Locations
• BioTE pellet therapy
• Hormone optimization
• Telehealth FAQ
• Terms of use (revised November 27, 2024)
• Telehealth and telemedicine service (updated November 27, 2024)
• Telehealth landing page
• Online HRT sign-up page
• Clinic booking finder
• Older Atlanta page
• Trademark record, Women's Health Works LLC

Reviews and directories (checked October 23, 2026)

• Birdeye, Carlsbad Google-review snapshot
• regenerated.com directory
• mypeptidematch.com directory

Pellet supplier

• BioTE, quality control

Alternatives

• Gala, HRT offer (read October 23, 2026)
• Gala, hormone health (read October 23, 2026)
• Gala, HRT page with compounding notice (read October 23, 2026)
• Gala, refund policy (read October 23, 2026)
• Midi Health, pricing and insurance (checked October 23, 2026)
• Midi, billing policy (read October 23, 2026)
• Midi, Medicare and Medicaid self-pay policy (read October 23, 2026)
• Gala, progesterone · Non-hormonal options (read October 23, 2026)
• Gala, terms and conditions (read October 23, 2026)
• The HRT Index, Gala HRT review

Medical and regulatory

• FDA, Compounding and the FDA: Questions and Answers
• ACOG Clinical Consensus No. 6, Compounded Bioidentical Menopausal Hormone Therapy (2023)
• The Menopause Society, Hormone Therapy
• The Menopause Society, 2022 hormone therapy position statement
• Mayo Clinic, menopause diagnosis and treatment (updated July 9, 2026)
• ISSWSH, Clinical Practice Guideline for Systemic Testosterone for HSDD in Women (2021)
• Testosterone enanthate product label (label example, not a Herway product identification)
• Endocrine Society scientific statement on compounded bioidentical hormones (2016)
• Jiang et al., Safety assessment of compounded non-FDA-approved hormonal therapy versus FDA-approved hormonal therapy in treating postmenopausal women (2021; Menopause 28:867–874; DOI 10.1097/GME.0000000000001782). Author-uploaded full text read October 23, 2026.
• British Menopause Society, progestogens and endometrial protection
• FDA, labeling changes to menopausal hormone therapy products (February 12, 2026)
• FDA, testosterone use in menopausal women, Federal Register notice (August 18, 2026)
• DEA, controlled substance schedules
• Global Consensus Position Statement on Testosterone Therapy for Women (2019)
• DailyMed, Veozah (fezolinetant) label
• FDA, Brisdelle (paroxetine) label
• DailyMed, Pristiq (desvenlafaxine) label
• Medical Board of California, license verification · California DCA license search
• The Menopause Society, practitioner directory

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.

Keep reading: Compounded vs FDA-approved HRT · FDA-approved HRT medication list · HRT benefits and risks · Non-hormonal options · Fezolinetant for hot flashes · Who needs progesterone for menopause · Perimenopause symptoms checklist

WINDOW START (DAY 1): ______________________
WINDOW END (DAY 90):  ______________________

MY HRT COST RECORD (private)

Provider and page or clinic: ______________________
Online or in person:          ______________________
Date of quote:                ______________________
Charged today:                $______  Before or after clinician review? ______
Labs before or after visit:   $______ / included / unknown
Consult or visit fee:         $______ / included / unknown
Each medicine, exact name:    __________________  $______ every ______
Procedure (e.g., pellet):     $______ / not needed / unknown
Follow-up labs or visits:     $______ / included / unknown
Membership:                   $______ every ______ / none / unknown
Shipping:                     $______ / included / unknown
Next billing date:            ______________________
Cancellation cutoff:          ______________________
Minimum commitment/end fee:    ______________________ / none / unknown

FIRST 90 DAYS = each required charge due inside the 90-day window, counted once.
Record required payments after day 90 separately.
If any required line says "unknown," the total is INCOMPLETE. Don't write $0.

Hi, before I book, could you answer these in writing?
1. Online or clinic care? Which practice and clinician, and their license?
2. Exact product name, maker, route and strength? FDA-approved or compounded?
3. Does the price include every medicine in my plan, including progesterone?
4. For clinic care, cost of the pre-consult labs, and who bills them?
5. Total for the first 90 days: consult, labs, medicine or insertion, follow-up labs?
6. Is there a membership? What's included and how do I end it?
7. What's charged today, before or after a clinician approves?
8. Next billing date, amount and cancellation cutoff?
9. If pellets: why not an FDA-approved patch, gel or pill? What if the dose is too strong?
10. If I have a uterus, how will my lining be protected?
11. Who handles side effects and refills, how quickly, and how do I transfer records if I leave?
12. Is online hormone care open in my state today?
Thank you!