Menopause & HRT, online care

$149/month ongoing · free doctor consultation included

Alloy’s $49 gets you a doctor call. The hormones are another bill.

Evernow also advertises $35 a month only when you prepay $420 for the year. BetterBuy Rx charges no membership fee and locks your published treatment price at booking.

Skip Alloy. Start My HRT Consult See both prices

Provider approval required. A licensed provider reviews every request and prescribes only when clinically appropriate, we never sell prescription medication directly.

HRT refills $149/mo, everything includedGet started

Two numbers, both real

The first month is the expensive one. Then it isn’t.

Month one carries a comprehensive evaluation and a costlier initial fill. From month two, the published price is $149/mo. Both numbers are locked at booking.

Start here

HRT, first month

$399/mo

Comprehensive evaluation with a licensed provider, your history, symptoms, and goals, plus your personalized protocol and first month of medication shipped. Most of this price is the medication itself.

Full evaluation + treatment plan
First month of medication included
Free shipping from a U.S. pharmacy

What the price covers

You pay: $399/mo

Covers the provider visit and your medication for the period, prescribed only if a licensed provider decides it is appropriate for you.

The price you see here is the price at booking. No membership fee is required, and a free call with the care team is always available first if you want help choosing.

Free doctor consultation included · no membership required

Get started

The ongoing price

Same protocol. Lighter visit. Lower price.

Every month after

$149/mo

Once your protocol is set: ongoing provider oversight, your medication, and shipping, all inside one published monthly price. Refill months carry less work than month one, so the published price is lower.

Ongoing provider oversight + adjustments
Medication + shipping included
Cancel anytime

What the price covers

You pay: $149/mo

Covers the provider visit and your medication for the period, prescribed only if a licensed provider decides it is appropriate for you.

The price you see here is the price at booking. No membership fee is required, and a free call with the care team is always available first if you want help choosing.

Free doctor consultation included · no membership required

Get started

Product photographs are the care portal's own renders, shown for illustration. Your medication arrives in licensed U.S. pharmacy packaging, and protocols may include estradiol, progesterone, or other prescription options in the forms that fit your case, patches, creams, or oral. Your provider decides with you; the published price is the same either way.

What matters most to you?

Pick a priority. The matching number shows up with its whole published price, nothing hidden.

1 of 4 priorities explored

Your match

HRT, first month

$399/mo all-in

Hormone therapy is the most effective treatment for many vasomotor symptoms. The first visit decides, with you, whether it fits your case, and in which form and dose.

A licensed provider reviews your health history and makes the final call.

Start online visit

The receipt

One number a month. Nothing riding on top.

Every month has one published price: $399 for the comprehensive first month, $149/mo after. The booking link carries the price with it, so the number on this page is the number you are charged. No membership fee, no processing surcharge.

We could hide the first month by averaging it into a subscription. We’d rather publish both numbers once and lock them at booking, so you can compare freely.

Ongoing monthly price

$149

visit, medication, and shipping

Added at checkout

the published price is the charge

What the price covers

You pay: $149/mo

Covers the provider visit and your medication for the period, prescribed only if a licensed provider decides it is appropriate for you.

The price you see here is the price at booking. No membership fee is required, and a free call with the care team is always available first if you want help choosing.

A woman stretching outdoors in morning light

Why women start

Perimenopause isn’t “just part of it.”

Hot flashes, night sweats, sleep disruption, mood changes, brain fog, hormone therapy is the most effective treatment for many menopausal symptoms, and for decades it’s been harder to get than it should be. A licensed provider reviews your history and decides, with you, whether it’s appropriate, and which form and dose fit your case.

Not everyone is a candidate, and this page won’t pretend otherwise, see the safety section below.

How it works

Both prices stay put the whole way.

Online visit

Your history, symptoms, and goals, completed online. Or book a free call with the care team first if you have questions.

Protocol built

A licensed provider decides with you whether hormone therapy is appropriate, and in which form, patches, creams, or oral.

Medication ships

Your prescription ships free from a licensed U.S. pharmacy, with both published prices locked at booking.

Reviewed, then re-reviewed

Dose, form, and whether to continue are revisited as your symptoms and health change, that ongoing oversight is what the monthly price covers.

Read this part

An honest conversation, not a checkout flow.

Known risks

Depending on the regimen and your history, hormone therapy can carry increased risks of blood clots, stroke, and gallbladder disease, and estrogen-alone therapy raises endometrial cancer risk unless paired with a progestogen. Your provider walks through what applies to you.

Individual, not universal

Risk depends on age, time since menopause, dose, route, and personal and family history. Women with certain histories, including some cancers and clotting disorders, may not be candidates. The visit exists to find that out honestly.

Reviewed, then re-reviewed

Hormone therapy isn’t set-and-forget. Your provider revisits dose, form, and whether to continue as your symptoms and health change, that ongoing oversight is what the $149/mo covers.

Source: FDA. Menopause: Medicines to Help You. Full safety information with FDA label sources: is here. Seek medical care immediately for signs of a blood clot, stroke, chest pain, or unusual vaginal bleeding.

Do you qualify?

A quick, honest read before you book.

This may be a fit if

Women with perimenopausal or menopausal symptoms, hot flashes, night sweats, sleep disruption, mood changes, brain fog
Women whose symptoms interfere with daily life and who want a provider-managed plan
Women switching from another menopause provider who want published pricing

This is not for you if

You have a history of certain cancers or clotting disorders, some histories rule hormone therapy out
You have unexplained vaginal bleeding, that needs evaluation first
You want a specific hormone regimen regardless of what a provider recommends

None of this is a diagnosis. Candidacy depends on age, time since menopause, and your personal and family history. A licensed provider decides with you, and a free call with the care team is always available first.

Fair questions

Asked and answered.

Why is the first month so much more expensive?

Two reasons: the comprehensive first evaluation, and a first fill that costs the pharmacy more than ongoing refills do. We could hide that by averaging it into a subscription, we’d rather publish $399 once and $149/mo thereafter, and lock both at booking.

What forms of HRT do you offer?

Protocols are built by your provider and can include estradiol and progesterone in patches, creams, or oral forms, among other prescription options. There’s no “standard kit”, the visit determines what, if anything, is appropriate.

Am I a candidate for hormone therapy?

That’s exactly what the visit decides. Age, time since your last period, symptoms, and your personal and family history all matter. If hormone therapy isn’t appropriate for you, the provider will say so and discuss alternatives , you’re paying for a medical judgment, not a yes.

Do you take insurance?

This program is cash-pay, that’s what lets one flat number cover the visit, medication, and shipping. Many members find the $149/mo refill price competitive with typical copay-plus-visit-fee arrangements; compare against your own plan.

Is there a membership fee?

No. Included with your free Gold membership. You pay for the visit and the medication, nothing else. No monthly fee, ever. Treatments and medications are priced separately, at the prices published on this page, and signup and payment happen inside your BetterBuy Rx care portal.

Can I switch from another menopause provider?

Yes, bring your current protocol to the online visit and your provider can continue or adjust it as appropriate. No transfer fee, no membership to cancel on our side, ever.

Relief shouldn’t require a subscription.

Start the online visit. A licensed provider decides with you whether hormone therapy is right, and the price is already on this page.

Get started See every price →