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Questions, answered plainly.
Cost, insurance, safety, and how the process actually works. If your question is not here, call 531-217-5257.
What it costs.
A one-time $50 clinical fee covers a prescription that is good for a full year. That is the only charge from this service.
Medication is billed separately by whatever pharmacy you choose. See the full pricing breakdown.
Only after a licensed clinician approves your prescription. Submitting an intake costs nothing. If we cannot approve you, there is no charge at all.
Correct. You pay $50 once for the prescription year. There is no monthly membership, no auto-renewing plan, and no card kept on file for recurring billing. There is nothing to cancel.
When the year ends, you decide whether to renew. A renewal is the same $50 for another full year.
It may, but check before you use it. Copays commonly run $10 to $100 per month depending on your plan's formulary and deductible.
The cash price is about $13.21 per month at Cost Plus Drugs, so if your copay is higher than that, just pay cash. Estradiol cream is cheap enough that insurance is often the more expensive route.
Either way you pay the pharmacy directly. The $50 clinical fee is separate and is never billed to insurance. See the pricing breakdown.
No. The $50 clinical fee is a self-pay charge and is not submitted to insurance. Your insurance applies to the medication at the pharmacy, not to our review.
How it works.
No. This is an asynchronous service. You complete a secure online intake whenever it suits you, and a licensed clinician reviews it — typically within 1 to 2 business days. There is no appointment, no waiting room, and no video call.
Nebraska, Iowa, Colorado, Illinois, Kansas, Arizona, Utah, Idaho, Montana, South Dakota, North Dakota, Kentucky, Vermont, New Hampshire, Maine, and New Mexico.
You must be physically located in one of these states at the time of your intake. If your state of residence changes, tell us before a renewal.
Any pharmacy you like. Estradiol vaginal cream is a standard FDA-approved medication carried by ordinary retail and mail-order pharmacies, so you can fill it wherever you already go, or wherever it is cheapest on your plan.
You are not charged. A licensed clinician explains why and, where possible, suggests a better path — for example an in-person evaluation, or a conversation with your OB-GYN or oncologist first.
Your intake is completed on a secure form hosted by Hushmail, a HIPAA-compliant platform operating under a signed Business Associate Agreement. No health information is collected on this website at all — the only thing this site asks for is the state you are in, which is not health information.
See our Privacy Policy and HIPAA Notice.
About vaginal estrogen.
Most patients notice improvement in dryness and discomfort within 2 to 4 weeks. Full tissue restoration typically takes 6 to 12 weeks. Results are maintained with continued use.
Local vaginal estrogen is applied directly to the vaginal tissues and has minimal systemic absorption. It treats vaginal and urinary symptoms without the full-body effects of oral HRT. Many patients use both for different symptoms.
Genitourinary syndrome of menopause: vaginal dryness, painful intercourse (dyspareunia), recurrent urinary tract infections, and urinary urgency and frequency. As estrogen levels drop, the vaginal and urinary tissues thin and lose elasticity; local estrogen restores those tissues directly.
No. We prescribe commercially available, FDA-approved vaginal estradiol only. We do not prescribe compounded vaginal estrogen through this service.
When this is not right for you.
Not through our online service. Patients with current or recent estrogen-sensitive cancer require in-person specialty care with oncology coordination. Please discuss local estrogen options with your oncologist.
We do not prescribe if you have a current or recent history of breast cancer, estrogen-sensitive cancer, active thromboembolic disease, or undiagnosed vaginal bleeding without OB-GYN clearance first.
Vaginal estrogen therapy is also generally not used during pregnancy or breastfeeding. Tell us if you are pregnant, could be pregnant, trying to conceive, or breastfeeding.
Vaginal estrogen has much lower systemic absorption than oral or transdermal estrogen, but absorption is not zero. Tell us about any history of estrogen-sensitive cancer or other conditions affected by estrogen so your clinician can weigh it.
No. Treatment is never guaranteed. Prescriptions are issued only when clinically appropriate, at the discretion of the reviewing licensed clinician. If we cannot approve you, you are not charged.
Still have a question? Call us.
Reach us at 531-217-5257 or Info@midwestmindandbodyhealthcare.com. Please do not include health information in email.