Nurx Menopause Cost: What $65.99 a Month Actually Buys

Nurx menopause cost starts at $65.99 a month — $197.97 for three months, $791.88 for a year at the advertised minimum. Nurx says that price includes your medication, refills, free shipping, and unlimited messaging with the clinical team.

Two things change the decision, and you should know both before you enter a card. Nurx says Solstice prescriptions are filled by a compounding pharmacy, which means the finished product is not FDA-approved. And the "Guaranteed or it's free" promise? Under the actual terms, it needs three continuous months before any refund is considered.

Here's the part that will make you feel less crazy. If you went to nurx.com, clicked "Menopause" in the menu, and landed on a waitlist form, you weren't doing it wrong. That page is live. So is a Nurx page saying the company doesn't offer hormone therapy at all. And so are two pages selling it.

We opened all four on the same morning. Let's sort it out.

Is Nurx right for you? The 30-second version

Nurx menopause cost at a glance

Every figure below came from a Nurx page we loaded ourselves on July 24, 2026 — not from another review site.

Why can't you find the Nurx menopause price? Because there are four different Nurx pages.

Nurx is currently running four live pages about menopause that say four different things. Two sell hormone therapy at slightly different prices, one is a waitlist, and a fourth states that Nurx does not offer hormone replacement therapy. All four were live and publicly accessible on July 24, 2026.

This isn't a small thing. It's the reason this search exists.

There's a fifth clue. Nurx keeps a public FAQ listing what every consultation costs — birth control $28, weight management $79, UTI $65, acne $40, mental health $59, hair loss $80, and several more. Updated May 2026. There's no menopause line in it.

What we can and can't say about why

What's verified: two separate Nurx web platforms are carrying contradictory menopause pages, and Nurx hasn't published an explanation.

What's context, not proof: Nurx merged into Thirty Madison in February 2022, and the newer hormone therapy line lives on a different platform (new.nurx.com) than the older pages. A platform transition would explain the inconsistency, but that's our inference, not a fact Nurx has confirmed.

There's also an ownership question worth knowing about, and almost nobody writing about Nurx has mentioned it. In September 2025, Remedy Meds announced a definitive agreement to acquire Thirty Madison in an all-stock transaction valued at more than $500 million, with closing expected in the fourth quarter of 2025 subject to conditions. We could not confirm from a public primary source that the transaction has completed, and Nurx's site footers still read "Nurx is a Thirty Madison company."

Thirty Madison's current terms identify KMG Medical Group MO, P.C. and affiliated medical groups as the telehealth care providers. But if you're about to set up a recurring charge, you're entitled to know the corporate picture is in motion and the website hasn't caught up.

What to do with it

• Hit the waitlist? It conflicts with Nurx's active enrollment pages. Use the current hormone therapy page instead of treating the older waitlist as the program's status.
• Saw $65 in one place and $65.99 in another? Both are real, on different Nurx pages. We use $65.99 throughout, because it's the more precise figure and we'd rather over-estimate your cost than under-estimate it.
• Read that Nurx doesn't offer HRT? That line sits in a mental-health-service FAQ and conflicts with Nurx's current sales pages. It looks service-scoped or stale.

How much does Nurx menopause treatment cost per month, for three months, and for a year?

Nurx advertises menopause hormone therapy from $65.99 per month and a vaginal estrogen cream from $64.99 per month. At the systemic rate, three months totals $197.97 and twelve months totals $791.88. These are the lowest advertised prices, not personalized quotes — the final amount depends on what a clinician prescribes and what checkout shows.

Why the three-month row matters more than the monthly one: some menopause symptoms ease within a few weeks, but a fair assessment of whether hormone therapy is working usually takes several weeks to around three months. Nurx's own timeline says something similar. So $197.97 is the minimum three-month planning figure, not $65.99. Anyone quoting you a monthly price for hormone therapy without the three-month number is showing you half the decision.

What Nurx says the price includes

• A licensed clinician reviewing your intake and writing the prescription, if appropriate
• The medication itself
• Refills
• Free shipping
• Unlimited messaging with the care team
• Dose and ratio adjustments as needed
• Intake reviewed within 24 hours, with most messages answered the same day

What isn't settled by the public pages

We're not going to guess at these and hand you a fake total. Every number on this page traces to a dated source. Where Nurx hasn't published something, we say so — and give you the exact question to ask instead. And you can ask all of them for free, because the consultation is free.

Which medications and routes are included at $65.99?

Nurx advertises estradiol or estriol for systemic treatment, micronized progesterone included in the plan when needed, and vaginal estrogen cream as an option. It does not publicly itemize which exact combination stays at the advertised starting price, so the recurring charge has to be confirmed during intake.

• Estradiol — the main estrogen used in menopause hormone therapy
• Estriol — a weaker estrogen. This one matters a great deal — see the FDA-approved vs. compounded section below
• Micronized progesterone — Nurx says this is included in your plan if needed. Generally used to protect the uterine lining in women who still have a uterus and are taking estrogen
• Topical vaginal estrogen — described as an optional localized treatment for dryness, discomfort during sex, and urinary symptoms

What we could not find published anywhere: whether a woman prescribed estrogen and progesterone and a vaginal cream pays $65.99, or more. Nurx's own FAQ doesn't resolve it. That's the single most important thing to confirm on the payment screen.

Does Nurx require labs, and are labs included in the cost?

The public Nurx pages we reviewed do not publish a standard lab requirement, an included panel, or a lab fee for the menopause program. Treat laboratory cost as unresolved until Nurx confirms whether testing applies to your treatment plan.

We did not find a lab policy on Nurx's menopause pages, the Solstice page, or the consultation-fee FAQ. That is not the same as "Nurx never orders labs." A clinician reviewing your history may well request testing, and nothing public tells us who would order it or who would pay.

For most women with clear menopause symptoms, blood tests aren't required to start hormone therapy — the diagnosis is usually made on symptoms, age, and history. That's mainstream practice, not a Nurx policy. But "usually not required" and "not required for you" are different sentences, and only a clinician can write the second one.

Five questions to settle it

1. Are any baseline labs recommended for someone with my history?
2. If so, are they included in the monthly price?
3. Can I use recent results from my own doctor?
4. Which lab network do you use, and who bills me?
5. Who reviews the results with me?

What happens if the clinician decides not to prescribe?

Nurx advertises the menopause consultation as free, but its public pages do not clearly state what happens financially if a clinician determines that treatment isn't appropriate. Confirm that outcome in writing before authorizing any payment.

Completing an intake never guarantees a prescription, and it shouldn't — a clinician declining to prescribe is the system working, not failing.

Nurx charges consultation fees on other service lines, and its general refund policy states that consult fees, including ongoing care fees, are not refund-eligible. The menopause pages advertise a free consult. We could not find a page that reconciles the two for this specific program.

So ask directly: "If a clinician decides not to prescribe for me, what am I charged?" Get the answer before you enter payment details, not after.

Is Nurx menopause treatment FDA-approved, or compounded?

Nurx states that prescriptions for its Solstice™ menopause program are filled by a licensed compounding pharmacy. A finished compounded prescription is not FDA-approved: the FDA does not review compounded products for safety, effectiveness, or quality before marketing the way it reviews approved finished drug products. This is a different regulatory category from products like Estrace, Climara, or generic Prometrium.

This is the most important section on this page, and it's the thing most Nurx pricing articles leave out.

What "compounded" actually means

A compounding pharmacy prepares a medication for a patient rather than manufacturing a standardized product. Two pathways exist, and they aren't the same:

• 503A pharmacies compound for identified patients against a prescription.
• 503B outsourcing facilities register with the FDA, may compound without patient-specific prescriptions, and are subject to current good manufacturing practice requirements and FDA inspection. Even so, their products still don't go through FDA premarket approval.

Compounding is lawful when federal and state requirements are met, and it's genuinely valuable for people who can't use a commercially available product. But Nurx does not name its pharmacy or say which pathway it uses. That's question 5 on the checklist near the end of this page, and it's the one we'd ask first.

The word "bioidentical" doesn't settle this

"Bioidentical" describes the molecule — a hormone with the same structure as the one your body makes. It tells you nothing about regulatory status. Estradiol and micronized progesterone exist as FDA-approved finished products and as compounded preparations. Only the FDA-approved finished products went through FDA premarket review. Same molecule, two different categories.

The estriol tell

Here's the detail that settles it, and it took two primary sources.

Nurx's menopause page states that treatment options include estradiol and estriol. The FDA's consumer page on menopause says: "There are no FDA-approved drugs containing estriol." It adds that marketed drugs containing estriol are compounded, and that the agency doesn't have evidence they're safe and effective or a "safer form of estrogen."

That conclusion follows directly from two primary-source facts: Nurx lists estriol, and the FDA says no FDA-approved drug product contains it. If a Nurx clinician prescribes you estriol, it is a compounded preparation — because no FDA-approved version exists in the United States. No interpretation required.

What the evidence says about compounded hormones

Both sides, because you deserve both.

The case for caution. At the FDA's request, the National Academies of Sciences, Engineering, and Medicine reviewed compounded bioidentical hormone therapy and reported on July 1, 2020. It found a lack of rigorous safety and effectiveness evidence from well-designed, properly controlled studies. It recommended restricting compounded hormone therapy to patients with a documented allergy to an active ingredient or excipient in an FDA-approved product, or a documented clinical need for a dosage form that isn't available FDA-approved — and said patient preference alone shouldn't be enough.

What your OB-GYN's professional body says. ACOG's Clinical Consensus of November 2023 states that compounded bioidentical menopausal hormone therapy should not be routinely prescribed when FDA-approved formulations can meet the patient's needs. ACOG also named the marketing problem directly: "bioidentical hormone" gets used as a term implying a product is more natural, safer, or more effective, and the evidence for those implications is lacking.

The case against the NASEM report. Pharmacy groups including the National Community Pharmacists Association pushed back, arguing the committee lacked practising compounders and prescribers. The FDA has been weighing whether to add these hormones to its "difficult to compound" list.

Neither source proves a specific Nurx prescription is wrong for a specific woman. That's a clinician's call. But you should know which category you're buying.

On "personalized ratios"

Nurx's Solstice page argues that fixed-ratio products force you into potentially incorrect hormone ratios, while Solstice lets you adjust them. Adjustable dosing is real clinical practice and a legitimate selling point. One caveat: a 2019 study published in Menopause found content variability in sampled compounded estradiol and progesterone preparations. That study did not test Nurx's pharmacy or Solstice products. It's a reason to ask question 5, not a verdict.

Nurx says its prescriptions are third-party verified for purity and potency. It doesn't publicly identify the tester, the protocol, the acceptance criteria, or whether batch-level certificates are available. Those are answerable questions, and you're allowed to ask them.

One more thing worth flagging

Both Nurx menopause pages carry a headline claim: "50% reduction in heart disease risk." On the Solstice page, that's attributed to an "FDA STATEMENT, 2024." We traced it. The matching announcement is the HHS statement of November 10, 2025 — not 2024 — which described an association between starting menopausal hormone therapy within 10 years of menopause and lower cardiovascular risk. The FDA's consumer guidance still says hormone therapy should not be used to prevent heart attacks or strokes. And the 2025–26 federal labeling action concerned FDA-approved menopausal hormone therapy products — not compounded prescriptions.

Does Nurx take insurance for menopause treatment?

No insurance is required. Nurx does not publicly explain whether Solstice can be billed to private insurance or whether it provides a superbill, so confirm that in writing. Thirty Madison's terms state the company is not contracted with any government health insurance plan, and Nurx's policy says it does not accept Medicare, Medicaid, or TRICARE and cannot serve those patients. HSA and FSA cards are advertised as eligible.

The sentence that saves some readers real money

"No insurance required" and "cheaper than using your insurance" are two very different claims, and only one of them is being made. If you have prescription coverage, generic FDA-approved estradiol and micronized progesterone are often modest copays. For plenty of insured women, that lands below $65.99 — for an FDA-approved finished product. You still need a prescriber, but that prescriber can be your own doctor, an ob-gyn, or a telehealth service that bills your plan.

We're telling you this on a page where saying it earns us nothing. If you have insurance and you haven't priced generic estradiol against your own plan, do that before you subscribe to anything.

If you're on a government plan

Nurx's policy closes the door. So does Sesame, which requires users to certify they aren't Medicare, Medicaid, or TRICARE beneficiaries. Midi is more nuanced: Midi says it cannot treat Medicaid or Medi-Cal patients even on a self-pay basis, while Medicare beneficiaries may self-pay — but those visits and medications can't be submitted to Medicare. Our Find My HRT Path tool screens for this in the first few questions, so you don't hit the same wall twice.

What does "Guaranteed or it's free" actually mean at Nurx?

Nurx advertises its menopause program with the phrase "Guaranteed or it's free," marked with an asterisk. Under Thirty Madison's Terms and Conditions, last updated December 4, 2025, that refund applies only if you remain continuously enrolled for three consecutive months, submit your refill forms, receive and take the medication as directed, and are still dissatisfied with the health outcomes you expected at enrollment. It refunds Program Membership Fees.

This is the section we'd want a friend to read before she paid.

The four conditions

The policy sitting underneath it

Thirty Madison keeps a separate Return and Refund Policy, last updated September 30, 2024. Two lines matter:

• Delivered medication can't be returned or refunded, for consumer safety reasons.
• Medical consult fees, including ongoing care fees, are not refund-eligible.

So the menopause guarantee is a narrower carve-out added later, sitting on top of a general no-refund policy.

Our honest read

Three months is clinically reasonable. Hormone therapy takes time to evaluate, and a company refunding people at week two would be refunding people who never gave the treatment a fair chance. We'd defend the structure.

What we won't defend is the distance between two sentences. "Guaranteed or it's free" and "stay enrolled and pay for three months first" are different promises, and only one of them is on the landing page. Now you know both.

How to cancel, and the day that trips people up

Nurx subscriptions renew automatically. To avoid being charged for the next order, cancel within 48 hours of receiving the reminder message that your refill is being prepared. That 48-hour window is the single most useful fact in this whole section. Miss it and the order is already moving.

You can cancel by messaging through nurx.com or the app, by email, or by phone on 1-551-290-3134, seven days a week from 8am to 8pm Eastern.

And here's the detail buried in the terms: when a recurring date lands on a Friday, Saturday, or Sunday, the order may be billed and shipped up to two days early. So "I'll deal with it Friday" can be a day late. Use the earliest date shown in your account or reminder, and put it in your phone the day you sign up.

How does Nurx's price compare to Hers, Midi, Sesame, and Winona?

Among the providers compared below, Nurx has the lowest published bundled entry price that clearly advertises clinician access, medication, refills, and shipping together. It's also the only bundled option in the compounded category. Hers is the closest structural match at $79 per month for FDA-approved oral estradiol and micronized progesterone on a 12-month plan.

Read this table carefully — these are not all the same kind of price. Some are bundles, some are visit fees, some are single medications.

On Winona, two honest notes. Its formulary is mixed, and we've seen conflicting statements across its own pages about which products are FDA-approved — so confirm the status of the specific product you'd be prescribed. And a $39 single-medication price is not comparable to a $65.99 bundled regimen. The lowest line item isn't the cheapest complete treatment.

How to actually read that table

• Cash-pay, want it simple, comfortable with compounded — Nurx is genuinely competitive
• Cash-pay, want FDA-approved — Hers, if a 12-month plan works for you
• Have commercial insurance — Midi, and price your generics at your own pharmacy first
• Want to pick your own clinician — Sesame
• Government plan — none of the above; you need a different route

The option nobody selling a subscription mentions

You can get FDA-approved generic estradiol and micronized progesterone at a retail pharmacy with a prescription from any prescriber, including your own doctor. On discount programs, generic oral estradiol is commonly listed around $10 to $30 a month and micronized progesterone from about $15 — though what you actually pay varies by strength, quantity, pharmacy, ZIP code, coupon, and your plan's formulary and deductible.

Everything above that is paying for convenience, access, and someone to message. Those are real things, worth real money to real people. But you should know what you're paying extra for.

One note if you're considering a patch: estradiol patch supply has been uneven in 2026. The FDA has not listed estradiol patches on its drug shortage list, while ASHP's shortage bulletin does list several estradiol transdermal products. If a patch is your preference, check availability for the specific product before you build a budget around it.

The one thing about Nurx we'd want you to weigh hardest

Every provider has a real flaw. Here's Nurx's, stated plainly.

Nurx does not offer a verified private-insurance pathway, and it does not publish a full itemized price before you start the intake. You can't sit at your kitchen table, add up estrogen plus progesterone plus a vaginal cream plus labs, and know your number. You have to go into the flow to find out.

If knowing your exact cost before you begin is your priority, Midi is better — a visit is $250 and $150, full stop, and your medication is priced by your own pharmacy where you can see it.

But here's the trade. Because Solstice is marketed as no-insurance-required, Nurx can bundle clinician access, medication, refills, and shipping into one displayed recurring price that isn't tied to a deductible or a prior authorization. For a woman who's already been through three appointments and a denied claim, one predictable number is not a small thing. It's the entire appeal.

And the thing that takes most of the sting out of it: the consultation is free. You find out your real number before you commit a dollar. That's a meaningfully better deal than a $199 consult that ends with a surprise.

Where is Nurx menopause care available, and who can't use it?

Nurx states its menopause program is available in most U.S. states but publishes no state list, so availability is confirmed when you enter your state during intake. Nurx's policy says it cannot serve Medicare, Medicaid, or TRICARE beneficiaries, and Thirty Madison's terms state its providers do not prescribe DEA controlled substances — which rules out testosterone.

Why testosterone is a routing decision, not a price decision

Testosterone is a Schedule III controlled substance in the United States. Thirty Madison's terms state that its providers do not prescribe DEA controlled substances. So testosterone isn't available through Nurx at any price, in any state.

If low libido is your main concern, that changes which providers you should even be looking at — Midi offers testosterone treatment in some jurisdictions. Two things worth understanding first: no testosterone product is FDA-approved in the United States for treating women. A clinician may prescribe an FDA-approved testosterone product off-label, or prescribe a compounded testosterone product — those are different regulatory categories, and it's fair to ask which one you'd be getting.

What do Nurx patients say — and what don't the ratings tell you?

Nurx displays a 4.7 rating alongside more than 26,000 Nurx-wide reviews on its own pages. As checked on July 24, 2026, Trustpilot showed 4.1 out of 5 from 1,851 Nurx-wide reviews, and the Better Business Bureau showed an A+ business rating alongside a 1.11 out of 5 customer-review average from 424 reviews. These sources measure different things and shouldn't be averaged. None of them provides a reliable menopause-specific sample.

An A+ rating and 1.11 stars are not a contradiction

BBB states that customer review stars are not used in its letter grade. The grade is BBB's own opinion of how a business is likely to interact with customers, based on its rating methodology. It isn't a customer-satisfaction score and it isn't a guarantee. The star average is something else entirely: how people who chose to post felt.

What the complaints are about is the part worth your attention. Across the BBB and Trustpilot reviews we read on July 24, 2026, the recurring themes were consistent and specific — and every one of them was a money or logistics issue rather than a clinical one:

• Difficulty cancelling, with billing continuing in the meantime
• Being charged after a cancellation was requested
• A consultation fee charged when no prescription was written
• Slow or rotating support contacts
• Medication that didn't arrive and wasn't replaced

This is a self-selected sample, not a representative measure of all customers. But notice where those complaints cluster: auto-renewal, the weekend early-billing rule, and what happens when no prescription is issued. Those are precisely the mechanics we flagged earlier on this page.

That's not a reason to walk away. It's a reason to confirm your cancellation date and save your confirmations — which costs you ninety seconds.

Real reviews, correctly labelled

Published by Nurx on its own site, with names and dates:

"No hassle, fast shipments, have literally worked faster than local doctors."
— Gabriela Garza, listed by Nurx as a verified user, May 15, 2026

"Very quick message response. Always very helpful and friendly!"
— Dawn Johnson, listed by Nurx as a verified user, May 18, 2026

"Easy to receive medication, slightly difficult to renew."
— Rio, published on Nurx's own review feed, March 29, 2026

Both positive reviews appear on Nurx's own pages and describe service experience across Nurx's product lines. Neither is identified as a menopause patient, and neither is evidence that any treatment works.

Before you pay: 12 questions to ask Nurx

Print this. Take it into the intake — where the consultation is free, so every one of these costs you nothing to ask. Each is a gap we found in Nurx's public information, which means these aren't generic questions. They're the specific things nobody has published.

1. Is $65.99 my total recurring charge, or a starting figure?
2. Exactly which hormone, strength, and quantity does that cover?
3. Is progesterone included in my plan, and does it change my monthly total?
4. Does adding vaginal estrogen cream change my monthly total?
5. Which pharmacy fills my prescription, and is it a 503A pharmacy or a 503B outsourcing facility?
6. Are any labs recommended for me? If so, who orders them and who pays?
7. How are refills triggered, and what happens if one is delayed?
8. What am I charged if a clinician decides not to prescribe?
9. What is my exact next billing date?
10. Does the $3 monthly support fee apply to this program?
11. Will I get an itemized receipt for my HSA or FSA?
12. If I stop at month two, what — in writing — do I get back?

Question 5 is high-value because Nurx doesn't identify its dispensing pharmacy publicly, and the two pathways carry different obligations. You're entitled to know which one is making your medication.

So is Nurx menopause treatment worth $65.99 a month?

Nurx publishes a low bundled price that includes medication, clinician access, and shipping, with a free consultation before you commit — a reasonable starting point for a cash-paying woman who understands she's buying a compounded preparation. It's the wrong answer for anyone who wants an FDA-approved finished product, needs care billed to insurance, is on a government plan, or needs testosterone.

We evaluate every provider on the same five pillars, in the same order, and we don't assign scores.

• Clinical legitimacy. A licensed clinician reviews your intake and a prescription isn't guaranteed — both good signs. Care is delivered through KMG Medical Group MO, P.C., an independent physician-owned group. Nurx is LegitScript-certified, and Dr. Crystal Jacovino, a board-certified endocrinologist and internist, leads clinical operations. What's missing: the compounding pharmacy isn't named, and its 503A or 503B status isn't disclosed.
• Care quality. Unlimited messaging, 24-hour intake review, and clinician-adjusted dosing are all stated by Nurx. There's no published data on response consistency and no menopause-specific outcome reporting.
• Medication fit. This is where it narrows. Compounded estradiol, estriol, and progesterone, plus optional vaginal estrogen. The public Solstice pages don't list patches or rings, don't disclose an FDA-approved finished-product option, and testosterone is off the table.
• Price transparency. Strong on headline-price visibility — $65.99 and $64.99 are right there. Weaker below the headline: no itemized configuration pricing, no lab policy, no published state list.
• Access. Fast, online, cash-pay, HSA/FSA eligible, no waiting room. Closed to government-plan patients and to an unpublished number of states.

Choose Nurx if these are true

• You're paying cash regardless
• You've read the compounded section and you're comfortable
• One predictable monthly charge is worth more to you than product choice
• You'll confirm your exact total at checkout
• Your state is covered
• A clinician agrees the model fits you

Choose something else if any of these are true

• You want an FDA-approved finished product → Hers
• You need care billed to insurance → Midi
• You're on Medicare, Medicaid, or TRICARE → neither Nurx nor Sesame can serve you
• You want or may need testosterone → Midi, where available
• You want to choose your own clinician → Sesame

How did The HRT Index verify Nurx's menopause cost?

Nurx prices and policies were checked against Nurx and Thirty Madison sources on July 24, 2026. Medical and regulatory claims were checked against the FDA, NASEM, ACOG, and peer-reviewed literature. Competitor prices and review-platform figures were checked against their own pages. Where Nurx does not publish something, we say so and give you the question to ask rather than estimating.

This page follows The HRT Index Verification Standard — our documented review process: read every published price, separate FDA-approved from compounded, verify state availability and insurance, and re-check on a fixed schedule.

What we actually verified

What we could not verify, and won't pretend we did

• The exact state list for Nurx menopause care
• Whether $65.99 is a true all-in figure or a starting point
• Which medication combination the starting price covers
• Whether labs are ever required, and who pays
• Whether the $3 support fee applies to this program
• What you're charged if a clinician decides not to prescribe
• Whether private-insurance billing or a superbill is available for Solstice
• The name of the compounding pharmacy, and whether it operates as a 503A pharmacy or a 503B outsourcing facility
• Which organisation performs the third-party purity and potency testing Nurx describes, and under what protocol
• Whether the Remedy Meds acquisition has completed

We'd rather hand you the questions than hand you a guess. And because the consultation is free, you can get most of these answered without spending anything.

Who made this and why

Who: The HRT Index Editorial Team.
How: We loaded every relevant Nurx page and recorded its date stamp, read the applicable Thirty Madison terms and refund policies, calculated three-month and annual totals from the published monthly price, and checked every medical and regulatory claim against a primary source.
Why: Because a "from" price doesn't tell a woman what she's committing to over three months or a year — and because no page we found had noticed that Nurx is currently saying four different things about whether it treats menopause at all.

The FDA consumer page we cite for estriol and compounded hormones is stamped current as of December 2023, which predates the 2025–26 labeling changes to FDA-approved menopausal hormone therapy. The estriol fact concerns approval status and hasn't changed. But if you read that page yourself, some of its framing around dose and duration sits behind the more recent label revisions. We're flagging it so you're not confused when you check our work — and yes, please check our work.

Nurx menopause cost: frequently asked questions