What Kind of HRT Does Midi Offer?
Disclosure: The HRT Index may earn a commission if you book through a button labeled “Sponsored link.” That never changes our verification, our FDA-approved-vs-compounded labels, or our conclusions.
If you’re asking “what kind of HRT does Midi offer?”, here’s the complete, publicly documented answer up front: Midi Health prescribes estrogen as a pill, patch, gel, cream, or vaginal product; progesterone as a pill; and testosterone as a cream in 25 states (as of June 2026). Its standard hormones are FDA-approved and can be billed through insurance. Its separate “Custom Rx” line is compounded and paid out of pocket.
HRT — hormone replacement therapy — is medication that replaces the estrogen (and often progesterone) your body stops making in menopause. Midi works two ways. There’s a standard track of FDA-approved hormones that can run through your insurance, and a separate cash-pay “Custom Rx” trackof compounded hormones shipped to your door. Which one you land on depends on your symptoms, your state, and a clinician’s call — and you won’t know the exact prescription until after your first visit.
Midi may be a strong fit if you…
- want FDA-approved hormones billed through insurance
- prefer a specific route (patch, gel, pill, or vaginal estrogen)
- want clinician-guided testosterone in a state where Midi offers it
Midi may be the wrong fit if you…
- have Medicaid or Medi-Cal (Midi can’t treat you, even self-pay)
- want one flat, predictable price before you book
- want testosterone pellets (Midi doesn’t do them)
What kind of HRT does Midi offer, at a glance?
This is the table we wish Midi published in one place. It combines Midi’s standard hormones and its compounded Custom Rx line, with the FDA status and how each is paid. “Systemic” means whole-body (it travels through your bloodstream). “Local” means it mostly works where you apply it.
| Hormone | Route Midi offers | Systemic or local | FDA-approved or compounded | How it’s paid |
|---|---|---|---|---|
| Estrogen (estradiol) | Oral pill | Systemic | FDA-approved | Pharmacy benefit or retail cash price |
| Estrogen (estradiol) | Skin patch | Systemic | FDA-approved | Pharmacy benefit or retail cash price |
| Estrogen (estradiol) | Gel | Systemic | FDA-approved product, or a compounded Custom Rx gel | Insurance (FDA-approved) or cash (Custom Rx) |
| Estrogen (estradiol) | Cream | Systemic | Compounded Custom Rx | Cash (out of pocket) |
| Estrogen (estradiol) | Vaginal (formulation, including a vaginal ring) | Local — though some rings are systemic | FDA-approved | Pharmacy benefit or retail cash price |
| Progesterone | Oral pill (micronized) | Systemic | FDA-approved product, or a compounded Custom Rx capsule | Insurance (FDA-approved) or cash (Custom Rx) |
| Testosterone (for women) | Cream | Systemic | Compounded; not FDA-approved | Cash (out of pocket) |
| DHEA / estradiol | External vulvar cream | Applied externally | Compounded; not FDA-approved | Cash (out of pocket) |
Bottom line: Midi covers an unusually full set of routes — pill, patch, gel, cream, and vaginal — plus a separate compounded testosterone program. And it’s one of the few menopause-focused telehealth services that bills FDA-approved hormones through insurance instead of charging cash for everything.
The right provider isn’t the same for every woman
The right online HRT provider depends on your symptoms, age, whether you have a uterus, your route preference, your risk history, your insurance situation, and your state. Because a general answer can’t resolve those for you, use The HRT Index’s Find My HRT Path tool to match your situation to the right provider — it takes 60 seconds and doesn’t ask for your email.
What we actually verified
We confirmed:Midi’s hormone routes; its self-pay visit prices ($250 first / $150 follow-up); four Custom Rx starting prices plus one listed DHEA/estradiol price; Midi’s current insurance, Medicaid, and Medicare language; Midi’s two different testosterone state lists; and the FDA’s February 12, 2026 boxed-warning changes.
We did not test firsthand: appointment wait times, support response, the checkout flow, your specific copay, or pharmacy stock. We did not attend a Midi visit. Where a number can only be confirmed during your visit or at checkout, we say so instead of guessing.
Does Midi offer FDA-approved or compounded HRT?
Both — and the difference matters more than the route.Midi’s standard menu uses FDA-approved hormones that insurance can cover. Its separate “Custom Rx” line is compounded, which means a pharmacy prepares it to order; compounded drugs are not FDA-approved, so they’re mainly cash-pay. Two creams or two gels can have different FDA status, so the exact product name matters more than whether it’s a “cream.”
- FDA-approved
- The U.S. Food and Drug Administration reviewed that exact product for safety, quality, and effectiveness before it went on sale. These are the estradiol pills and patches, oral progesterone, and vaginal estrogen products your pharmacist fills and your insurance can cover.
- Compounded
- A drug prepared by a compounder to meet a specific patient need. The FDA does notreview compounded drugs for safety, effectiveness, or quality before they’re sold, and the FDA has said it has no evidence that compounded “bioidentical” hormones are any safer or more effective than the FDA-approved kind (source: FDA, Compounding and the FDA).
One more word: bioidentical. It only means the hormone is chemically identical to what your body makes. It does nottell you whether a product is FDA-approved or compounded — both can be bioidentical. “Midi uses bioidentical hormones” is true, but it doesn’t answer the question you care about. The product name does.
The two Midi tracks, plainly:
- Standard track (FDA-approved, insurance-billed): Your clinician sends a prescription to your regular pharmacy. Your drug plan sets your cost.
- Custom Rx track (compounded, cash-pay):Midi’s compounding pharmacy ships it to you. You pay Midi directly, and the prices are published (listed below).
Questions to ask before you accept any prescription:What’s the exact product name? Is it FDA-approved or compounded? Which pharmacy fills it? Will my insurance cover it? And is there an FDA-approved option that fits me just as well? You’re not being difficult. You’re being smart.
Not sure which route or provider fits you? Get your personalized HRT path →
What estrogen does Midi offer?
Midi offers estrogen five ways: an oral pill, a skin patch, a gel, a cream, and vaginal products. The pill, patch, and standard vaginal products are FDA-approved and can be billed through insurance. The gel comes in both an FDA-approved version (insurance) and a compounded Custom Rx version (starts at $60 for 30 days, cash). The cream is compounded Custom Rx (starts at $45 for 30 days, cash).
Estradiol is the main form of estrogen your body loses in menopause, and it’s the hormone behind most relief from hot flashes, night sweats, poor sleep, and vaginal dryness (source: The Menopause Society).
Does Midi offer estrogen pills?
Yes. An oral estradiol pill is on Midi’s published route list and is FDA-approved. Pills are simple, but they pass through the liver first, which is linked to a higher clot risk than estrogen you absorb through the skin — so a clinician weighs your history before choosing one.
Does Midi offer the estrogen patch?
Yes. The estradiol patch is a small adhesive patch you change once or twice a week, depending on the product. It’s FDA-approved, billed through insurance, and a common starting point because, going through the skin, it may carry a lower blood-clot risk than oral estrogen (source: The Menopause Society). FDA-approved estradiol patches are bioidentical — a “natural” and pharmaceutical option that’s one and the same thing here.
Does Midi offer estrogen gel or cream?
Yes, and here’s where the two tracks split. Midi can prescribe an FDA-approved estradiol gel through your insurance. It also sells a compounded Custom Rx estradiol gel that starts at $60 for a 30-day supply and a compounded Custom Rx estradiol cream that starts at $45 for a 30-day supply, both cash-pay and shipped to you (source: Midi store pages, checked June 2026). Midi describes the cream as the thicker, more moisturizing option of the two; some women prefer a lotion-like texture.
Does Midi offer vaginal estrogen or a vaginal ring?
Yes. Midi lists vaginal estrogen formulations, including a vaginal ring, for the dryness, irritation, and painful sex that come from thinning vaginal tissue — what clinicians call GSM (genitourinary syndrome of menopause), which can also include recurrent UTIs (source: The Menopause Society). Most vaginal estrogen is low-dose and local. Watch the product: some vaginal rings are low-dose and local, while others release enough estrogen to act systemically — very different risk profiles. Ask your clinician which type they’re prescribing.
See our full guide to vaginal estrogen options →
What about during the 2026 patch shortage?
If you’ve struggled to fill an estradiol patch this year, you’re not imagining it — there’s been a real shortage in parts of the U.S. Midi lists options here: switching you to a different FDA-approved patch or gel, or moving you to its compounded Custom Rx gel or cream (source: Midi help center, checked June 2026). Having both tracks gives a clinician more ways to reduce the risk of a gap in your care — though no provider can promise a specific product will always be in stock.
Does Midi offer progesterone?
Yes. Midi prescribes oral micronized progesterone — a pill — in both an FDA-approved version (billed through insurance) and a compounded Custom Rx version that starts at $35 for a 30-day supply (cash, and made vegan and peanut-free). If you have a uterus and use systemic estrogen, progesterone protects your uterine lining.
Here’s the why, in plain terms. Estrogen on its own can thicken the lining of the uterus over time, which raises the risk of uterine (endometrial) cancer. A progestogen — the umbrella term for progesterone and progestins — keeps that lining stable. So when systemic estrogen is prescribed to someone with a uterus, a clinician generally adds endometrial protection; the exact drug and schedule are individualized. Low-dose local vaginal estrogen is a different category, and women without a uterus typically don’t need a progestogen.
For more on when progesterone is needed, see our dedicated guide →
Midi’s standard option is FDA-approved oral micronized progesterone (the same bioidentical category that includes Prometrium and its generics), billed through insurance. Its compounded Custom Rx progesterone starts at $35 for a 30-day supply, ships to your door, and is made vegan and peanut-free — which can matter, since some commercial capsules, including Prometrium, contain peanut oil.
What to confirm:the exact product and dose, whether it’s FDA-approved or compounded, your nightly schedule, and whether your plan’s formulary covers the standard version before you choose cash.
Does Midi prescribe testosterone for women?
Yes — in 25 states, as a compounded cream, after lab work and usually more than one visit. Midi’s testosterone cream starts at $100 for a 90-day supply (cash). There is no FDA-approved testosterone product for women in the U.S., so it’s prescribed off-label, and testosterone is a Schedule III controlled substance — which is why a prescription and lab monitoring are required.
Some older reviews say Midi won’t prescribe testosterone. That’s out of date — Midi ran a pilot earlier, then launched its women’s testosterone program in late 2025 and has been expanding it (source: CNBC and Midi’s announcement, October 2025).
Where Midi prescribes testosterone (checked June 2026)
AZ, CA, CO, DC, DE, FL, IA, IL, IN, KS, MA, MD, ME, NC, NJ, NM, NV, NY, OH, OR, PA, TX, UT, VA, and WA (24 states plus Washington, D.C.). One note: Midi’s store page lists these 25 jurisdictions but Midi’s help-center article has listed a shorter set. Confirm your state when you book.
What the process looks like
Midi’s testosterone cream uses micronized testosterone (USP) applied to the inner thigh. Midi says a clinician orders baseline and follow-up labs, that many women notice a change in 2 to 6 weeks, and that a clinician may stop treatment after 8 weeks if there’s no benefit (source: Midi testosterone page). These are Midi’s program expectations, not guarantees.
The part most pages skip — and you should hear it
The largest international expert consensus on testosterone for women — endorsed by more than ten medical societies, including The Menopause Society and the Endocrine Society — concluded that the onlyevidence-based reason to use testosterone in women is low sexual desire that causes distress (HSDD) in postmenopausal women after a careful assessment. The same consensus found insufficient evidence for using testosterone to improve energy, mood, or thinking, and no proven effect on general well-being. It also stated that compounded “bioidentical” testosterone can’t be recommended for HSDD because the efficacy and safety evidence isn’t there — except where no approved equivalent exists (source: Global Consensus Position Statement on Testosterone Therapy for Women). Midi’s testosterone is compounded, and Midi markets it for libido, energy, focus, and strength; the libido use is the supported one, and the broader claims are Midi’s, not established science. The lab monitoring matters, and you should go in clear-eyed.
Does Midi offer testosterone pellets?
No. Midi prescribes testosterone for women only as a topical cream, not as pellets. Midi’s stated reason is that pellets can’t be adjusted or removed once inserted, which makes side effects harder to manage. If a pellet is specifically what you want, Midi isn’t your provider.
Does Midi offer anything for vaginal and vulvar symptoms?
Yes — FDA-approved vaginal estrogen for inside the vagina, plus a separate compounded DHEA/estradiol cream ($90 for a 30-day supply) for the external vulva. They’re not interchangeable: one treats the vaginal canal, the other treats the outer tissue.
Vaginal estrogen is FDA-approved, billed through insurance, and used inside the vagina for dryness, painful sex, and recurrent UTIs (source: The Menopause Society). Midi also sells a compounded DHEA/estradiol cream at $90 for a 30-day supply that you apply once daily to the external vulva— the outer tissue, not inside. DHEA is a hormone the body can convert into estrogen and testosterone in the tissue where it’s applied. This product is compounded, so it is not FDA-approved; what Midi’s page doesn’t make fully clear is its complete state availability, so treat that as a question to confirm.
Why this distinction earns its own section: the external DHEA/estradiol cream and internal vaginal estrogen are used for different things, and Midi notes they can be used together. If you’re dealing with vaginal symptoms, name exactly where the discomfort is, so your clinician picks the right product.
See our full guide to vaginal estrogen options →
How much does Midi HRT cost?
Midi charges $250 for your first visit and $150 for follow-ups if you pay cash. With insurance, Midi says most patients pay around $50 out of pocket per visit. Medication is billed separately — FDA-approved hormones through your pharmacy and plan, and compounded Custom Rx products at the cash prices below.
The single most important thing to understand: the visit price and the medication price are two different bills. Anyone who tells you “Midi HRT costs $250” is merging them.
| What you’re paying for | Cash price | With insurance |
|---|---|---|
| First visit (30 min) | $250 | Midi says most patients pay around $50 out of pocket on average; a deductible up to $250 may apply |
| Follow-up visit (15 min) | $150 | Around $50 on average per Midi; a deductible up to $150 may apply |
| FDA-approved medication | Through your pharmacy | Set by your drug plan |
| Custom Rx (compounded) | Estradiol gel from $60 · estradiol cream from $45 · progesterone from $35 (each 30 days) · testosterone cream from $100 (90 days) · DHEA/estradiol cream $90 (30 days) | Typically not covered; a receipt is available if your plan reimburses; HSA/FSA may apply |
| Labs | Separate | Often billed to insurance |
The honest knock on Midi worth weighing carefully
Midi won’t tell you your exact medication cost before you pay, and billing surprises are the most frequently cited complaint in its public reviews. Because Midi bills FDA-approved drugs through insurance like a regular doctor’s office, your final out-of-pocket depends on your plan — and you often find out at the pharmacy, not on Midi’s site. If you want one flat, predictable number before you commit, a cash-pay provider with posted all-in pricing will feel cleaner. But if you’d rather pay less overall and don’t mind some uncertainty, the insurance route can land your FDA-approved hormones well below a cash-pay competitor’s flat fee.
Compare current HRT prices across providers: see our full Midi Health review for a detailed breakdown.
Does insurance cover Midi, and is it available in my state?
Midi is in-network with most PPO plans, and Midi says its care is available in all 50 states — but individual products aren’t. Midi can’t bill Medicaid or Medi-Cal at all. Medicare beneficiaries can use Midi as cash-pay but can’t file claims. Compounded Custom Rx products are cash, and testosterone is limited to the 25 states listed above.
- Insurance:Midi is in-network with most major PPO plans, so visits and FDA-approved prescriptions can be covered (source: Midi pricing page, checked June 2026). Your exact cost still depends on your plan’s deductible, copay, and coinsurance, and your medication coverage is a separate question from your visit coverage — check both.
- Medicaid and Medi-Cal: Not accepted.Midi states it cannot treat Medicaid or Medi-Cal patients, even as cash-pay patients. If that’s your coverage, Midi isn’t an option.
- Medicare:Midi isn’t covered by Medicare, but a Medicare beneficiary canuse Midi as a self-pay patient. You just can’t submit any claims for Midi visits, medications, or services (source: Midi pricing page).
- “Available in all 50 states” needs an asterisk.Midi’s general care reaches all 50 states, but its productsdon’t all follow: the compounded Custom Rx estradiol gel, estradiol cream, and progesterone pages say they’re available in every state except Arizona, and testosterone is in 25 states. Check your state for the specific thing you want.
What can’t you know before a Midi visit?
Quite a bit — and an honest page should say so.Midi’s public pages don’t reveal the exact standard product or brand you’ll get, your individual dose, your final pharmacy cost, your plan-specific coverage, or a single consistent answer on a couple of details that differ between Midi’s own pages.
- Your exact standard prescription and brand. Midi documents the routes (pill, patch, gel, cream, vaginal), not a guaranteed brand-by-brand list. A clinician chooses based on your history.
- Your final cost. The visit price is set; your medication and lab costs depend on your plan and pharmacy.
- North Carolina testosterone.It’s on Midi’s store page but not its help-center list (see above). Confirm it.
- DHEA/estradiol cream’s full state availability.Midi’s page doesn’t spell it out.
- Exact Custom Rx fulfillment for some products.The gel and cream ship after you pay in Midi’s portal; for testosterone, the compounding pharmacy handles delivery. Confirm the path for your specific prescription.
None of this is a reason to avoid Midi. It’s the difference between a page that pretends to know everything and one that tells you exactly what to verify so you don’t waste $250.
What happens before Midi prescribes HRT?
Midi starts with a virtual visit where a clinician reviews your symptoms, history, and any lab needs, then builds a Care Plan. A specific prescription isn’t guaranteed, and standard versus Custom Rx products can follow different pharmacy and shipping paths.
The path: check your coverage and state, complete an intake questionnaire, meet your clinician by video (first visits are 30 minutes, follow-ups 15), complete any labs your clinician orders, and receive your prescription through the right pharmacy — your local one for FDA-approved drugs, or Midi’s compounding pharmacy for Custom Rx. Dose changes happen through your clinician, not on your own.
Worth knowing: Midi says it operates in all 50 states and that more than 230,000 women have trusted it with their care, and it holds NCQA accreditation and LegitScript certification — both real third-party signals for a telehealth company.
What real patients say
On Trustpilot, Midi held about a 4.0 out of 5across more than 1,300 reviews when we checked in June 2026 — roughly 75% five-star and 16% one-star. Trustpilot says it screens reviews but doesn’t fact-check individual claims. Plenty of patients praise fast appointments, feeling genuinely heard, and insurance being accepted; a real minority flag billing problems and rushed follow-ups.
In early 2026, the advertising industry’s self-regulation body (the National Advertising Division) challenged a Midi marketing claim about symptom relief, and Midi discontinued it — a good reminder to treat any provider’s marketing promises as claims to verify, not facts.
“Midi was so easy: I got a same-day appointment and they took my insurance.”
A single review describes one person’s experience. It isn’t evidence that a treatment is safe or effective for anyone else.
What does Midi not offer?
Midi doesn’t guarantee the product you request, doesn’t offer testosterone pellets, doesn’t sell compounded Custom Rx in Arizona, and can’t bill Medicaid or Medi-Cal. Knowing the gaps now saves you a $250 visit for something Midi can’t provide.
| Not offered | The detail |
|---|---|
| Testosterone pellets | Midi prescribes testosterone only as a topical cream |
| Care for Medicaid / Medi-Cal | Not accepted, even as cash-pay |
| Medicare-billed care | Cash-pay is allowed, but no claims can be filed |
| In-person visits or lab draws | Fully virtual; labs are ordered to a local lab |
| Custom Rx (compounded) in Arizona | The estradiol gel, cream, and progesterone pages exclude it |
| Testosterone outside its 25-state list | Join the waitlist; the program is expanding |
| A guaranteed brand or dose before your visit | A clinician decides based on your history |
When a different starting point fits you better
We’d rather lose you to the right provider than keep you on the wrong one. If one of these is you:
- You’re weighing Midi against other providers: see the head-to-head →
- Your only issue is vaginal symptoms: start here →
- You want the risks and benefits first: read this →
- Hormones may not be right for you: non-hormonal options →
- You’re not sure where to start: use the matching tool →
What changed in the FDA’s HRT warnings in 2026?
On February 12, 2026, the FDA approved label changes for the first six menopausal hormone therapy products, removing the heart-disease, breast-cancer, and dementia statements from those products’ boxed warnings. This was the first batch in a broader FDA effort, not a class-wide relabeling of every product.
In November 2025, the FDA requested labeling changes across menopausal hormone therapies to better describe the benefits and risks; the February 2026 action approvedthe first six products (source: FDA press release, February 12, 2026). More products are expected to follow. The change doesn’t mean HRT is risk-free, and it applies only when the exact product prescribed has an updated label — so verify the current label for your specific prescription. The endometrial-cancer warning for estrogen-alone products in women with a uterus stays in place.
Why it’s here: the boxed warnings kept many women away from HRT for two decades. The FDA’s 2026 materials discuss the evidence for starting therapy within 10 years of menopause, generally before age 60, for the best benefit-to-risk balance — but candidacy still depends on the product, the reason for treatment, and your medical history.
Full guide to the FDA’s 2026 HRT warning update →
Is Midi the right HRT provider for you?
Here’s the short version. Midi makes the most sense if you want FDA-approved hormones billed through insurance, you value choice of route (pill, patch, gel, or vaginal estrogen), and you live where Midi can serve you. Its compounded Custom Rx line(from $35 to $100, depending on the product) is a clear cash option if you want a topical hormone or testosterone. And it’s one of the few menopause-focused providers that runs through insurance instead of charging cash for everything.
Look elsewhere if you have Medicaid or Medi-Cal, you want one flat price before you book, or you want pellets— Midi doesn’t fit those, and we’ve pointed you to providers who do.
Does that sound like your situation? Then the next step is simply to confirm Midi takes your plan and serves your state — no payment, no commitment, just a check.
The 7 questions to ask before your Midi visit
Bring these to your consult so you walk out with answers, not assumptions:
- What exact product would you consider for my preferred route?
- Is that product FDA-approved or compounded?
- Is it systemic, internal vaginal, or external vulvar?
- Which pharmacy fills or ships it?
- What does the medication cost on top of the visit?
- Does my insurance cover it, and is prior authorization needed?
- Is it available in my state today?
Frequently asked questions
Does Midi prescribe estrogen patches?
Yes. The FDA-approved estradiol patch is one of Midi's standard, insurance-billed options. It's applied once or twice a week depending on the product, and because the hormone goes through the skin it may carry a lower clot risk than estrogen pills. The exact brand and your cost are set once a clinician evaluates you.
Does Midi prescribe estrogen pills?
Yes. An oral estradiol pill is on Midi's published route list and is FDA-approved. Pills pass through the liver first, which a clinician weighs against transdermal options based on your history.
Does Midi prescribe progesterone?
Yes. Midi offers FDA-approved oral micronized progesterone through insurance and a compounded Custom Rx version that starts at $35 for 30 days. If you have a uterus and use systemic estrogen, a progestogen is generally added to protect your uterine lining.
Does Midi prescribe testosterone for women?
Yes, in 25 states, as a compounded cream starting at $100 for a 90-day supply. It's prescribed off-label (there's no FDA-approved testosterone for women), involves lab testing, and is a Schedule III controlled substance. The strongest evidence supports it only for low sexual desire causing distress in postmenopausal women.
Does Midi offer testosterone pellets?
No. Midi prescribes testosterone for women only as a topical cream, not as pellets.
Are Midi's hormones bioidentical?
Yes — but “bioidentical” only means the hormone matches what your body makes. It doesn’t tell you whether a product is FDA-approved or compounded, so always confirm the exact product.
Does Midi offer FDA-approved or compounded HRT?
Both. Its standard menu is FDA-approved and insurance-billed; its separate Custom Rx line is compounded and mainly cash-pay. Compounded drugs are not FDA-approved, so each product should be labeled individually.
Does Midi offer vaginal estrogen?
Yes — FDA-approved vaginal estrogen formulations, including a vaginal ring, for dryness, painful sex, and recurrent UTIs. Ask whether a ring is low-dose/local or a higher-dose systemic product, since they're different.
How much is a Midi HRT visit?
$250 for the first visit and $150 for follow-ups if you pay cash. With insurance, Midi says most patients pay around $50 out of pocket per visit. Medication, labs, and any deductible are separate.
Does insurance cover Midi?
Midi is in-network with most PPO plans, but coverage varies by plan and state, and your visit coverage and prescription coverage are checked separately. Compounded Custom Rx products are typically not covered, though a receipt is available for possible reimbursement and HSA/FSA funds may apply.
Does Midi take Medicaid, Medi-Cal, or Medicare?
Midi can't treat Medicaid or Medi-Cal patients, even as cash-pay. It isn't covered by Medicare either, but a Medicare beneficiary can use Midi as a self-pay patient — they just can't file any claims for Midi care.
Is every Midi medication available in all 50 states?
No. Midi's general care reaches all 50 states, but compounded Custom Rx hormones aren't sold in Arizona, and testosterone is limited to 25 states. Confirm your state for the specific medication you want.
Can I keep my current HRT prescription with Midi?
A Midi clinician can review your current regimen and often continue it when appropriate, but Midi's public pages don't guarantee continuing a specific brand or dose before your visit. Bring your current prescriptions and doses with you.
Are labs required before Midi prescribes HRT?
Not always. Whether you need labs depends on the treatment and your history. Testosterone, in particular, involves baseline and follow-up blood work.
How did The HRT Index verify Midi’s HRT menu?
This page is independent editorial research — not medical advice, and not medically reviewed by a clinician. We produced it under The HRT Index Verification Standard: we read every published price, separated FDA-approved options from compounded ones, verified state availability and insurance, and re-check on a fixed schedule — top providers monthly and the full roster quarterly. We did not attend a Midi consultation or obtain a prescription. Where Midi’s own pages disagreed — the testosterone state list and the Medicare policy — we showed the disagreement instead of choosing the friendlier answer.
We evaluate every provider on the same five pillars, in this order: clinical legitimacy, care quality, medication fit, price transparency, and access. We don’t assign numeric provider scores.
You can read more about how we work: our methodology, our editorial team, our affiliate disclosure, and our consumer health-data and privacy policy.
Sources
Midi Health — HRT page, pricing & insurance page, Custom Rx store pages (estradiol gel, estradiol cream, oral micronized progesterone, testosterone, DHEA/estradiol cream), Custom Rx insurance/FSA/HSA help article, HRT shortage help article, and appointment-cost help article (all checked June 2026); Midi/CNBC testosterone-program announcement (October 2025); U.S. Food & Drug Administration — menopausal hormone therapy labeling change (February 12, 2026), compounding Q&A, and testosterone information; U.S. Drug Enforcement Administration — drug scheduling; The Menopause Society — hormone therapy guidance; Global Consensus Position Statement on the Use of Testosterone Therapy for Women (2019); Trustpilot (Midi rating, checked June 2026).
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