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One fee. One year. No subscription.
$50 covers the clinical review and a prescription that is good for a full year. Your medication is billed separately by your own pharmacy, where insurance usually applies.
$50. That is the entire fee.
There is exactly one charge from this service. It covers a licensed clinician reviewing your intake and, if appropriate, issuing your prescription for the year.
| Included in the $50 | Not included |
|---|---|
| Clinical review of your intake by a licensed nurse practitioner | The medication itself — billed by your pharmacy |
| Your prescription, good for a full year, if approved | Any pharmacy dispensing or shipping fees |
| Electronic transmission to the pharmacy you choose | Lab work, if your clinician determines it is needed |
| A written explanation if we cannot approve you | Care for conditions outside this service |
You are not charged until your prescription is approved. Submitting an intake costs you nothing. If a licensed clinician determines that vaginal estrogen is not appropriate for you, there is no charge at all — you are told why, and where possible, what to do instead.
$50 to us. The medication to your pharmacy.
Two payments, to two different places. That is the whole picture — there is nothing else, and nothing recurring from us.
| What | Paid to | Paying cash | Using insurance |
|---|---|---|---|
| Clinical review and prescription, good for a year | Us, one time | $50 | $50 |
| Estradiol cream | Your pharmacy | about $13.21/mo cash price at Cost Plus Drugs |
your copay commonly $10–$100/mo |
Use your insurance only if it beats the cash price. Estradiol cream is genuinely cheap, so a copay above roughly $13 a month costs you more than just paying cash. Compare your copay to the $13.21 Cost Plus price and use whichever is lower.
You pay the pharmacy directly either way, and it makes no difference to us — we do not mark up medication, do not sell it to you, and never bill your insurance for the $50 clinical fee.
Pharmacy pricing varies by plan, pharmacy, and location, and a deductible you have not met can change the picture entirely. The figures above are estimates gathered from published pricing, not quotes, and are not a guarantee of what you will pay.
Subscription telehealth costs far more per year.
Alloy, Winona, and comparable menopause telehealth services charge $40–$90 per month on recurring subscriptions, totaling $480–$1,000+ per year. Those plans typically bundle the medication into a membership you have to keep paying and remember to cancel.
You pay $50 once. They charge that much, or more, every month.
You pay one $50 fee, fill your prescription wherever it is cheapest, and use insurance only if it beats the cash price.
Pricing verified against major direct-to-consumer telehealth providers as of 2026. Competitor pricing changes; check their current rates.
Renew only if you want to.
Nothing renews automatically. We do not keep a card on file for recurring billing, and there is no membership to cancel.
Your year ends
Your prescription is good for a full year. When it runs out, nothing happens automatically and you are not charged.
You decide
If you want to continue, you complete a brief renewal intake so your clinician can confirm the treatment is still appropriate.
Same $50
A renewal is the same one-time $50 clinical fee for another full year. There is no price increase for continuing.
Start your intake. It costs nothing to find out.
You are not charged until your prescription is approved. Available to adults 18+ in 16 states.