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The HRT Index

Pandia Health vs Wisp for Menopause HRT: Which Fits You Best? (2026)

Wisp pricing rechecked October 3, 2026: its menopause-care page now advertises “Starting at $33/month” and monthly Care Team access. Medication is paid separately at a local pharmacy. The public page does not establish the billing interval, minimum term, amount due today, or renewal terms. Confirm these at checkout; do not read $33/month as proof of a $33 monthly charge or a $99 quarterly charge. Other provider and pharmacy figures below retain their stated earlier verification dates.

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

Bottom line

Wisp advertises menopause care starting at $33/month with monthly Care Team access; medication is paid separately at your pharmacy. Confirm its actual charges and billing terms. Pandia Health’s July 21, 2026 snapshot lists $69/month, $177 per quarter, or $419.88 per year, with auto-renewal and ongoing managed care. Pandia’s previously checked prescribing-state list and Georgia conflict need confirmation at intake. Neither care fee includes medication or is billed to health insurance.

The reason the two feel impossible to compare is simple: they’re priced like two different things. Wisp is a single class pass. Pandia is a gym membership. Once you see it that way, the rest of the decision comes down to your state, whether you want a quick start or an ongoing care team, and how you plan to pay for the prescription.

Scope note:This page covers Pandia Health and Wisp for perimenopause and menopause care — not birth control, emergency contraception, or skin care. Both brands are known for birth control, so if that’s why you’re here, this isn’t your page.

We don’t earn a commission from Pandia or Wisp. When we point you to a different provider on this page, we tell you if it’s a paid partnership — so you can weigh the advice for what it is.

Who is Pandia Health or Wisp best for?

Pandia Health may fit you if you:

  • Live in one of its ~14 prescribing states
  • Want ongoing membership care with unlimited messaging
  • Like medication delivered to your door
  • Want a clearly published, FDA-approved-only medication list
  • Want a pharmacy that can bill your insurance for refills

Pandia may not fit you if you:

  • Live outside its prescribing states
  • Only want a short, one-and-done care window
  • Need your insurance to cover the visit
  • Want testosterone or compounded hormones
  • Don’t want a subscription with cancellation terms

Wisp may fit you if you:

  • Need all-50-state access
  • Prefer intake-led menopause care and local-pharmacy choice
  • Prefer your prescription sent to a local pharmacy
  • Want to use your own insurance or discount card at pickup
  • Don’t want to commit to a monthly plan

Wisp may not fit you if you:

  • Want a price that includes your medication
  • Need Wisp itself to bill your insurance
  • Need the actual initial charge, billing interval, minimum term, and renewal amount fully disclosed before checkout
  • Need the exact product named before you pay
Neither may fit you if youneed an insurance-covered clinical visit, an in-person exam or imaging, testosterone, or care for a complex medical history. We’ll show you where to go in those cases too.

How do Pandia Health and Wisp compare at a glance?

Sources: pandiahealth.com/menopause and telemedicine-consent terms; hellowisp.com/products/menopause-consult. Verified July 21, 2026.
What you’re comparingPandia HealthWisp
Care modelMonthly membership (auto-renews under the dated terms)Intake-led care with monthly Care Team access; confirm billing and renewal terms
Care rate$69/mo · $177/quarter · $419.88/year (July 21, 2026 snapshot)Starting at $33/month; actual charges need checkout confirmation
What the fee coversOngoing care, unlimited messaging, refills; workshops on longer plansMenopause care and monthly Care Team access; medication separate
Medication included?NoNo
New prescriptions in~14 states (Georgia disputed)All 50 states
How you get medicationFree home delivery via Pandia PharmacySent to your local pharmacy (delivery is a general option to confirm)
Insurance for the visitNo (cash / FSA / HSA)No (Wisp doesn’t bill insurance)
Insurance for medicationPandia Pharmacy can bill many plansYou use your own insurance or a discount card at the pharmacy
HormonesFDA-approved only; no compounded; no testosteroneFDA-approved estradiol + oral progestogen; separate compounded estriol face cream; no testosterone
Routine bloodworkNot required (a clinician may order it)Menopause lab policy not clearly published — confirm at intake
Cancellation30 days’ notice; auto-renews; $150 minimum appliesNo subscription on the consult; sales generally final; up to $25 if not prescribed

What we actually verified ()

Verified from a current sourceSources conflictStill unpublished — confirm before you pay
Both care fees, and Pandia’s $419.88/year auto-renewPandia’s Georgia availability (menopause page vs state FAQ)Wisp’s initial charge, billing interval, minimum term, renewal, and refill terms
Medication is billed separately under bothPandia’s state count (14 vs 15 with Georgia)The declined-treatment charge and refund terms for the current Wisp order
Wisp serves all 50 states; charges up to $25 if not prescribed—Wisp’s exact systemic products (listed by category)
Pandia’s $150 cancellation minimum and named formulary—Wisp’s menopause lab requirements

We read each provider’s live pricing, medication, state, insurance, and cancellation pages and dated every fact. We did notcomplete a paid consult, test a cancellation, or run an insurance claim — so where a detail isn’t published, we say “confirm it” instead of guessing.

The right online HRT provider isn’t the same for every woman — it depends on your symptoms, what you have tried, age, state and health history. Some situations belong with an in-person clinician first.

Get my personalized HRT path →Free · about 60 seconds · points you to a starting path

Pandia Health vs Wisp: which is better for menopause HRT?

Pandia may fit for ongoing managed care and its pharmacy services if you live in a prescribing state. Wisp may fit for intake-led menopause care and local-pharmacy choice. Wisp now advertises starting at $33/month with monthly Care Team access, but its public page does not establish billing or renewal terms. Medication is separate with both. Confirm state eligibility and complete costs for the same period.

Think of it as two different jobs. Wisp does one job cleanly: get you evaluated and, if it’s clinically appropriate, send a prescription to your pharmacy — anywhere in the country, for one price. Pandia does a different job: keep managing your care month after month, handle your refills, and run your insurance at its own pharmacy — but only where it’s licensed.

Fast read by priority
Your top priorityBetter starting fit
Available anywhere in the U.S.Wisp
An ongoing care team and messagingPandia (if it’s in your state)
Lowest complete cost for your comparison periodCompare checkout-confirmed care charges and medication quotes
Clearest named FDA-approved medication listPandia
A pharmacy that can bill your insurancePandia
A known total that includes medicationNeither (medication is filled separately)
The visit billed to insuranceNeither
One honest catch applies to both, up front:neither headline price is the whole price. Pandia’s membership doesn’t include your medication. Wisp’s advertised care rate doesn’t include your prescription either. If you’re hoping for a single, guaranteed all-in number before a clinician even picks your medication, neither Pandia nor Wisp gives you that — your cost depends on the drug, the dose, and your pharmacy.

Which one can prescribe in your state?

Wisp offers its menopause consult in all 50 states. Pandia’s general prescribing page lists 14 states. Its menopause-specific pages list those 14 plus Georgia — so Pandia’s own pages disagree on Georgia. Treat Georgia as unconfirmed until Pandia verifies it at intake.

Pandia’s 14 consistently listed prescribing states:

ArizonaCaliforniaColoradoFloridaIllinoisMichiganMinnesotaNevadaNew YorkOhioOregonPennsylvaniaTexasWyoming

The Georgia question — a real conflict worth knowing

Pandia’s general “which states does Pandia service” FAQ lists the 14 states above. A current Pandia menopause page adds Georgia, which would make 15. We couldn’t reconcile the two from the outside. If you’re in Georgia, confirm current menopause availability with Pandia before you pay. Don’t assume either way.

A delivery nuance that trips people up: Pandia publishes all-50-state delivery— but that statement is specifically about birth control. Whether Pandia will deliver or transfer an existing menopause prescriptionnationwide isn’t clearly stated. Don’t count on it without confirming. New menopause prescriptions are limited to the states above.

Wisp’s all-50 accessis its clearest advantage. Just remember that “available in your state” means Wisp can legally see you there — it doesn’t guarantee a clinician will prescribe hormones, which still depends on your health history.

Sources: Pandia’s menopause and state-availability pages; hellowisp.com/products/menopause-consult; verified July 21, 2026.

What will you actually pay?

Compare all care charges for the same period, then add medication. Wisp advertises starting at $33/month, but a verified 90-day or annual care total needs the checkout charge, billing interval, minimum term, and renewal terms. Pandia’s July 21, 2026 examples below retain their earlier verification date; confirm current terms.

Care fees only — medication is separate under all plans.
PlanPublished care feeFirst 90 days (care)Full year (care)Medication
Wisp menopause careStarting at $33/month; actual billing terms need confirmationAll care charges confirmed at checkout for 90 daysAll care charges confirmed at checkout for 12 monthsSeparate, at your pharmacy
Pandia — monthly$69/mo, auto-renews$207$828Separate
Pandia — quarterly$59/mo, billed $177/quarter$177$708Separate
Pandia — annual$419.88/year, auto-renews(billed once for the year — see note)$419.88Separate

The Pandia annual plan is billed at $419.88 for the year per Pandia’s telemedicine terms — the advertised “$34.99/month” is that yearly price divided by 12, not a monthly charge. So on day one of the annual plan, you’re paying for the full year.

The fine print on Pandia’s “$120 savings”

Pandia’s quarterly plan advertises “$120 saved,”but it doesn’t say over what period. The quarterly plan is $59/month, which is $10 less than the $69 monthly plan. Over a three-month quarter, that’s about $30. Over a full year, it’s $120. So the $120 is the yearly figure.

Why “$34.99/month” isn’t a low monthly bill

Pandia’s cheapest rate, $34.99/month, is tied to a one-year membership billed at $419.88 up front, and it auto-renews. It’s genuinely the lowest per-month price of the three — but it’s a full-year commitment, not a month-to-month deal.

The medication is a separate bill — but it’s usually cheap

Neither care fee includes your prescription. The good news: standard menopause hormones — estradiol and micronized progesterone — are widely available as low-cost generics. Common oral generics often run in the low tens of dollars a month with a discount card, and can be near-zero with insurance. Your exact price depends on the specific product, strength, quantity, pharmacy, and whether you use insurance or a discount card.

So who’s actually cheaper?

Let CW90 and CW12 be all Wisp care charges payable over 90 days and 12 months under checkout-confirmed terms. Let P90 and P12 be the complete pharmacy cost of the prescribed regimen over those periods. Wisp totals = CW90 + P90 and CW12 + P12. Compare these with the corresponding confirmed Pandia care charges plus its actual medication cost. If regimen and medication payment are identical, the care-fee comparison is sufficient; otherwise obtain separate pharmacy quotes.

For example, Pandia’s dated quarterly care total is $177 for 90 days, so Wisp costs less on care only if CW90 < $177under confirmed billing terms. Pandia’s dated annual care charge is $419.88 paid upfront; compare that with CW12 rather than assuming Wisp is a one-time $99 visit. Continuity, refill authorization, clinical access, pharmacy service, and prescription coverage also matter.

Medication figures are illustrative generic prices with a discount card and vary by product, dose, quantity, pharmacy, and plan.

We earn no commission from either link.

Do Pandia Health or Wisp take insurance?

Neither provider bills the online menopause care fee to insurance. Pandia’s dated description permits HSA/FSA payment and says its pharmacy can bill eligible medication coverage, subject to the plan and prescription. Wisp’s care is private-pay; its approved prescriptions go to your local pharmacy, where eligible coverage or a discount card may apply. Confirm the actual care charge and the exact medication price separately.

Pandia — pharmacy can bill insurance

  • Membership and visit: cash, FSA, or HSA only
  • Pandia Pharmacy bills many insurance plans for your medication
  • Accepted plans include Aetna, Cigna, UnitedHealthcare, LA Care, FamilyPact, and Medicaid in select states
  • Does not accept: Kaiser, Humana, Tricare (and others)
  • Being on the pharmacy list doesn’t mean Pandia can prescribe in your state — check both

Wisp — cash-pay visit, your own insurance at pharmacy

  • Wisp’s menopause-care fee is cash pay; it does not bill insurance for the care fee
  • At the pharmacy, use your own insurance or a discount card
  • Your copay depends on the drug, dose, and your plan
  • HSA / FSA may apply — confirm with your plan administrator

What do customers say?

Pandia Health — Trustpilot

4.9 / 5

~483 reviews · July 21, 2026

Consistently praised for responsive messaging and clinician expertise, particularly for perimenopause. One reviewer noted an initial assessment issue that was corrected by a second clinician — a reminder to ask for a second look if something doesn’t fit your history.

Wisp — Trustpilot

4.0 / 5

11,317 reviews · July 21, 2026

Higher volume with generally positive scores. BBB lists Wisp as not accredited with a D− ratingdue to 14 unanswered complaints as of July 21, 2026 — a responsiveness signal, not a treatment safety finding.

Reviews are individual experiences. Review sites don’t verify every claim, ratings shift constantly, and no review should decide whether hormone therapy is right for you — that’s a clinical question.

When neither Pandia nor Wisp is your best fit

Neither platform should be forced to fit. If you need your visit billed to insurance, an in-person exam or imaging, testosterone, or care for a complex history, a different route may be more appropriate. Sometimes the honest answer is “start somewhere else.” New or unexplained bleeding needs prompt clinical evaluation. Symptoms that feel urgent or severe need urgent care.

If Pandia and Wisp didn’t fit because…ConsiderWhy it fitsPriceAvailability
You want your insurance to cover the visit (or you need testosterone)MidiIn-network with most PPO plans; menopause specialists; orders labs when needed; separate testosterone programPer-visit; insurance variesAll 50 states (general care); testosterone ~25 states
You want one price with your medication delivered, no pharmacy stepHersMedication-inclusive menopause plans (estradiol, plus progesterone when clinically appropriate)Oral from $79/mo; patch from $134/mo (12-month plans)Not available in every state — confirm yours
You want an in-person-style visit or labs includedSesameVideo-based menopause subscription; basic labs if the provider deems necessary; prescription sent to your preferred pharmacySubscription; medication separateConfirm your state

Midi’s testosterone program provides compounded testosterone, which is not FDA-approved. Prices for Hers and Sesame should be confirmed on their sites.

Midi — all 50 states

Insurance-covered visits; menopause specialists; testosterone program

See Midi →(Sponsored)

Hers — medication included

Oral from $79/mo; patch from $134/mo on 12-month plans

See Hers plans →(Sponsored)

Sesame — video + labs

Video menopause subscription; labs if provider deems needed

See Sesame →(Sponsored)

Should you choose Pandia Health or Wisp?

Start with your state, then work through care length, fulfillment, insurance, and whether you need anything these two don’t offer. This points you to a commercial starting fit — not a diagnosis or a promise that hormone therapy is right for you.

  1. 1.Are you outside Pandia’s ~14 states? → Wisp is the nationwide option between these two. In Georgia? Confirm Pandia first. Otherwise, keep going.
  2. 2.Do you want an ongoing care team and messaging? → Pandia is the stronger model, if it’s in your state. If not, or you’re unsure, keep going.
  3. 3.Do you want a short, defined care window at one price? → Wisp. Otherwise, keep going.
  4. 4.Home delivery or local pickup? → Home delivery leans Pandia; local pharmacy leans Wisp.
  5. 5.Is using insurance for medication a priority? → Compare Pandia’s pharmacy billing your insurance against filling a cheap generic yourself through Wisp.
  6. 6.Do you need the visit itself billed to insurance? → Neither. Look at Midi.
  7. 7.Do you need testosterone? → Neither. Look at a provider that prescribes it off-label, like Midi’s separate program.
  8. 8.Any red flags, or a need for an exam? → Start in person.

How we compared them — and what we didn’t test

We used The HRT Index Verification Standard: we read each provider’s published prices, separated FDA-approved from compounded, compared state and insurance information, recorded where official pages conflict, and marked details that aren’t published. We evaluate providers on five things, in order — clinical legitimacy, care quality, medication fit, price transparency, and access — and we don’t assign numeric scores.

What we did not independently test:a completed paid consult, an actual prescription decision, a real pharmacy claim, a cancellation request, or Wisp’s current paid-care renewal.

Confidence level on key claims ▼
ClaimOur confidence
Wisp advertises starting at $33/month with monthly Care Team access; medication separateRechecked October 3, 2026
Wisp fills medication separately at a local pharmacyVerified from a current source
Wisp serves all 50 states; charges up to $25 if not prescribedVerified from a current source
Pandia’s plan prices ($69 / $177 quarter / $419.88 year, auto-renew)Verified from a current source
Pandia’s $150 cancellation minimumVerified from a current source
Pandia’s review window (1–2 business days)Verified from its consent
Pandia serves Georgia for menopauseConflicting official sources — confirm
Pandia delivering an existing menopause prescription nationwideNot verified (all-50 delivery language is birth-control-specific)
Wisp’s exact systemic productsListed by category — confirm the dispensed product
Wisp’s initial charge, billing interval, minimum term, renewal model, and refill authorizationConfirm at checkout
Wisp’s menopause lab requirementsNot clearly published

Pandia Health vs Wisp: frequently asked questions

Is Pandia Health or Wisp cheaper?
Compare the same period and complete regimen. Wisp’s October 3 page advertises starting at $33/month, but it does not establish actual billing or renewal terms. Add all care charges confirmed at checkout to your pharmacy cost. Pandia’s dated annual care examples are $419.88–$828, plus medication. Neither path is universally cheaper, and a prescription or follow-up plan is not guaranteed to continue indefinitely.
Does Wisp’s advertised care rate include medication?
No. Wisp advertises starting at $33/month for menopause care with monthly Care Team access. If prescribed, medication is paid separately at your local pharmacy, where eligible prescription coverage or a discount card may apply. Confirm actual care charges and billing terms at checkout.
Does Pandia’s membership include medication?
No. The membership covers your care, messaging, and refill management. Medication is billed separately — often through Pandia Pharmacy, which can bill many insurance plans.
Which one is available in all 50 states?
Wisp offers its menopause consult in all 50 states. Pandia writes new prescriptions in about 14 states, and its all-50 delivery language is specific to birth control.
Does Pandia Health serve Georgia?
Its own pages disagree. Pandia’s general state FAQ lists 14 states without Georgia; a menopause page adds Georgia. Confirm current menopause availability with Pandia before you pay if you’re in Georgia.
Which one offers estradiol patches?
Both do. Pandia names specific patches (Dotti, Vivelle-Dot, Climara, Minivelle, Lyllana, and generics). Wisp lists estradiol patch options without naming exact brands on its consult page — you confirm the product when you’re prescribed.
Do either of them prescribe compounded hormones?
Pandia says no — it prescribes FDA-approved products only. Wisp’s systemic menopause hormones are FDA-approved, but it separately sells a compounded estriol face cream that’s a prescription skincare product, not part of its hormone therapy.
Do either of them prescribe testosterone?
No. Pandia says so directly, and Wisp’s menopause menu doesn’t offer it. There’s no testosterone product FDA-approved for women in the United States, and testosterone is a Schedule III controlled substance that requires a prescription.
Can insurance pay for the medication?
Pandia can bill many plans for medication through its pharmacy. Wisp doesn’t bill insurance itself, but at the pharmacy you can use your own coverage or a discount card. Your copay depends on the product, plan, quantity, and any prior authorization.
Are lab tests required?
Pandia says routine labs aren’t required, though a clinician may order them. Wisp’s menopause-specific lab policy isn’t clearly published — confirm it at intake.
Is a video visit required?
Pandia’s care is asynchronous, with no real-time doctor conversation. Wisp’s general process describes phone or secure chat follow-up. Neither publishes one universal video requirement, and your state and situation can change the method.
How fast can Wisp send a prescription?
Wisp’s pages give both “same day” and “up to 72 hours” for a menopause review — plan for up to 72 hours. After it’s sent, your pharmacy’s stock and workflow decide when it’s ready.
How fast is Pandia?
Pandia’s consent notes a one-to-two-business-day window to review your questionnaire or messages. That’s a review window, not a guaranteed prescription or delivery time.
How does ongoing Wisp care work?
Wisp’s current page describes monthly Care Team access. Confirm how messages, treatment changes, and refills are authorized, and what care charges recur. The public starting rate does not establish the initial charge, billing interval, minimum term, or renewal terms.
Can I cancel Pandia anytime?
Pandia’s plans auto-renew and require 30 days’ notice before your next billing date, and a $150 minimum applies — if your payments haven’t reached $150, Pandia charges the difference.
Which is better if I have a uterus?
The brand isn’t the deciding factor. If you have a uterus and take systemic estrogen, a clinician will generally add a progestogen to protect your uterine lining — both providers can prescribe that, so it comes down to state, cost, and care model.
Which is better for vaginal dryness?
Both offer local vaginal estrogen options. Pandia names a fuller list; Wisp offers a separate vaginal estradiol cream and a non-hormonal moisturizer. Confirm the exact product either way.

The final verdict: Pandia Health vs Wisp

Pandia may fit if you live in a prescribing state and want its ongoing managed care and pharmacy service. Wisp may fit if you prefer intake-led menopause care and local-pharmacy choice. Before paying, confirm current state eligibility, the complete charge due today, billing interval, minimum term, renewal and cancellation rules, and the pharmacy price for your exact prescription.

Your situationBest starting fit
I want ongoing messaging and home deliveryPandia, if it’s in my state
I need access anywhere in the U.S.Wisp
I want the lowest complete costCompare the same period, all care charges, and the exact medication quotes
I want the clearest named FDA-approved medication listPandia
I want a pharmacy that can bill my insurancePandia
I need the visit itself billed to insuranceNeither → Midi
I specifically want testosteroneNeither → a provider that prescribes it
I want a known total that includes medicationNeither → Hers (medication included)
I’m not sure whether systemic or vaginal care fitsFind My HRT Path
I have a complex history or need an examAn in-person clinician

You’re not overreacting by taking your symptoms seriously — that’s exactly the right instinct. Whether hormone therapy is right for you is a decision for you and a clinician. What’s in your control today is simple: confirm the handful of details we flagged, and you’ll walk into your consult certain instead of guessing.

We earn no commission from either link.

Still not sure which HRT program is right for you?

Take our free 60-second matching quiz. Tell us your symptoms, what you have tried, age, state, and health history and we’ll suggest cash-pay online care — and flag whether an in-person clinician is the better first step.

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About this comparison

About this comparison ▼

Created by The HRT Index Editorial Team.This page is editorial research and has not been medically reviewed by a clinician. We reviewed each provider’s current pricing, menopause pages, telemedicine and cancellation terms, help articles, state lists, insurance language, and medication menus, and checked medical and regulatory points against the FDA and The Menopause Society. Public reviews were used only for service and communication themes, never to support a medical claim.

Last verified: . We re-check pricing and state availability for top providers monthly and the full roster quarterly. Prices, states, and policies change — always confirm the current details on each provider’s site before you pay. See our medical review policy.

Sources ▼
  • Pandia Health — menopause membership and pricing; telemedicine-consent terms ($419.88/year, auto-renewal, $150 minimum, 1–2 business-day review); state-availability FAQ; accepted-insurance FAQ. Verified July 21, 2026.
  • Wisp (Hello Wisp) — menopause consult page (the earlier price/access wording is superseded by the October 3, 2026 check: starting at $33/month and monthly Care Team access; medication categories and local-pharmacy fulfillment retain the earlier check date); how-it-works and terms (up-to-$25 no-treatment charge); estriol face cream product page. Verified July 21, 2026.
  • U.S. FDA — guidance on compounded hormone products; menopause/hormone-therapy consumer information.
  • The Menopause Society — hormone therapy patient education (systemic vs. local therapy; progestogen with a uterus).
  • Trustpilot — Wisp (4.0/5, 11,317 reviews) and Pandia Health (4.9/5, 483 reviews), viewed July 21, 2026.
  • Better Business Bureau — Wisp profile (not accredited; D− rating; 14 unanswered complaints), viewed July 21, 2026.