Last checked November 2026 against 23 sources · Editorial policy
Winona review: online HRT prices, creams and states
Winona is a cash-pay online HRT service: no visit fee, a doctor reviews your intake, and medicines ship to you. Estrogen tablets start at $54 a month, patches at $149 and progesterone capsules at $39. Its estrogen and progesterone body creams, from $89 a month, are compounded in its own pharmacies and aren't FDA-approved. It doesn't take insurance and serves only part of the US.
Winona HRT starts at $54 a month with no visit fee and no insurance. Which products are FDA-approved, which are compounded, which states it serves, Trustpilot score.
Winona HRT: expectation vs reality
What people often expect
“Winona's bioidentical hormones are all FDA-approved and custom-made, so they're safer than regular HRT”
What the evidence shows
Only Winona's estrogen tablets, progesterone capsules and estrogen patches are FDA-approved. Its body and vaginal creams are made in two 503A compounding pharmacies that Winona owns, regulated by state boards rather than the FDA. The National Academies found no rigorous evidence that compounded bioidentical hormones are safe or effective, and FDA-approved estradiol and progesterone are bioidentical too.
Winona review: prices, compounded creams and states
Winona HRT prices
Winona lists estrogen tablets from $54 a month, the estrogen patch from $149, progesterone capsules from $39, and compounded estrogen, progesterone or combined body cream from $89. Vaginal estrogen cream is $89 a month and DHEA $27 for 3 months. There's no visit or membership fee, and follow-ups with a clinician are free and unlimited. For comparison, 30 generic estradiol 1 mg tablets cost $6.76 at one low-cost online pharmacy.
Learn more →Winona and insurance, HSA and FSA
Winona doesn't work with insurance and can't bill your plan, so you pay the full list price. You can submit HSA or FSA receipts for reimbursement, but CareCredit isn't accepted. Billing is a subscription: a 30-day supply is charged every 28 days and a 90-day supply every 84 days, until you pause or cancel. Refunds are possible only within the 24-hour window before the pharmacy processes an order.
Winona's compounded creams vs FDA-approved HRT
Winona's tablets, capsules and patches are standard FDA-approved products. Its creams are compounded in its own pharmacies in El Dorado Hills, California and Twin Falls, Idaho. Compounding uses FDA-approved ingredients, but the finished cream isn't reviewed by the FDA, and the National Academies concluded that widespread use of compounded bioidentical hormones is a public health concern. If you want a cream or gel, FDA-approved estradiol gels exist.
Learn more →Which states Winona serves
Winona lists the states it serves on its FAQ page, plus Puerto Rico. It isn't available in Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia or Washington, D.C. Winona also prescribes HRT only to women aged 35 to 59; outside that range or those states, services such as Midi, Evernow and Alloy cover all 50 states.
What Winona doesn't prescribe: testosterone, GLP-1s, pellets
Winona doesn't prescribe testosterone, GLP-1 weight-loss drugs or hormone pellets. Instead of testosterone, it offers prescription DHEA for low libido. It has no non-hormonal hot flash medicine such as Veozah or paroxetine on its list: its non-hormonal products are a sildenafil arousal cream, a minoxidil hair serum and an estriol face cream. If you can't take hormones, Evernow and Alloy prescribe non-hormonal options.
Learn more →Winona reviews on Trustpilot
As of November 1, 2026, Winona scored 4.6 on Trustpilot from 8,986 reviews. Trustpilot shows that Winona invites customers to review, positive or negative, and that it replied to 100% of negative reviews, sometimes with AI assistance. Winona says 80% of women feel significant or complete relief within three months; that's the company's own figure, not an independent measure. Trustpilot itself says it doesn't fact-check reviews.
Is Winona worth it?
Winona suits women aged 35 to 59 in a covered state who'd rather pay a monthly price than deal with insurance and visits, and who choose its FDA-approved tablets, capsules or patch. It's poor value if your insurance covers generic HRT or a service like Midi is in-network for you, and its compounded creams carry the evidence gaps above. Its patch, at $149 a month, costs more than Alloy's at $100.
Learn more →Winona by the numbers
$54
$89
4.6
35–59
Prices were checked on Winona's website on November 1, 2026 and match those listed in September 2026.
Winona vs other online menopause clinics
Midi Health
Learn more →Good for
In-network with most PPO plans; available in all 50 states. Self-pay first visit $250, follow-up $150.Watch
No Medicare or Medicaid; prescriptions billed separately. Trustpilot 4.1 from 1,795 reviews.Alloy
Learn more →Good for
Cash pricing with FDA-approved estradiol: pill from $39.99 a month, gel $69.99, patch $100, after a $49 one-time consult fee. All 50 states and D.C.Watch
No insurance; its GLP-1 program adds a $99 monthly fee.Evernow
Learn more →Good for
Insurance for video visits with four national insurers; prescribes Veozah and paroxetine. Membership from $35 a month on a 12-month plan.Watch
No Medicare or Medicaid; some medicines are cash-only through partner pharmacies.Your own doctor
Learn more →Good for
Usually covered by insurance and can send generic estradiol and progesterone anywhere, including low-cost pharmacies.Watch
Waits can be long and some doctors have limited menopause training.
Before you order from Winona
- Check that your state is on Winona's list and that you're between 35 and 59.
- Ask for the FDA-approved tablets, capsules or patch if you don't specifically need a cream.
- If you have a uterus, make sure your plan includes progesterone, not estrogen alone.
- Compare the monthly total with your insurance copay for generic HRT before you subscribe.
- Cancel or change an order within 24 hours: after that it can't be refunded.
When Winona isn't the right route
Urgent: Any bleeding after menopause
See a doctor in person. It needs an exam and usually an ultrasound.
More →A history of breast cancer, blood clots, stroke or liver disease
See a menopause specialist who can review your records before any HRT decision.
More →You're over 59, or your state isn't covered
Winona can't prescribe HRT for you; ask your own doctor or another telehealth service.
Urgent: Leg pain or swelling, or chest pain with breathlessness, on HRT
Leg symptoms: call a doctor now. Chest pain or breathlessness: call 911.
Winona HRT reviews: questions women ask
Is Winona legit?
Yes. Winona is a telehealth company whose state-licensed, board-certified doctors prescribe HRT after an online intake, and it runs two licensed 503A compounding pharmacies. On Trustpilot it scored 4.6 from 8,986 reviews in November 2026. The main caveat is that its creams are compounded and not FDA-approved.
How much does Winona HRT cost?
From $54 a month for estrogen tablets, $149 for the estrogen patch, $39 for progesterone capsules and $89 for each compounded cream, with no visit fee. A typical plan with estrogen and progesterone costs the sum of both products every month, with no insurance contribution.
Related →Does Winona take insurance?
No. Winona doesn't work with insurance companies and can't bill your plan. You may be able to submit HSA or FSA receipts for reimbursement. CareCredit isn't accepted. If your insurance covers generic HRT, your own doctor or an in-network telehealth service is usually cheaper.
Is Winona HRT FDA-approved?
Partly. Winona's estrogen tablets, progesterone capsules and estrogen patches are FDA-approved. Its estrogen and progesterone creams are compounded in its own 503A pharmacies, which are regulated by state boards rather than the FDA, so they aren't FDA-approved.
Related →Does Winona prescribe testosterone?
No. Winona says there's no FDA-approved testosterone for women's menopause symptoms and prescribes DHEA instead for low libido. It doesn't prescribe GLP-1 weight-loss drugs or hormone pellets either. If low desire is the main problem, the evidence supports testosterone only for diagnosed low sexual desire after menopause, which Winona doesn't treat with testosterone.
Related →What states is Winona available in?
Winona lists the states it serves, plus Puerto Rico, on its FAQ page. It isn't available in Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, West Virginia or Washington, D.C.
Can I cancel Winona?
Yes. You can cancel or pause your subscription for 30, 60 or 90 days in your account settings. An order already placed can be refunded only within its 24-hour processing window; after that it can't be cancelled, refunded or returned.
Sources
- Winona. All products and prices. Accessed November 1, 2026.
- Winona. Frequently asked questions: states, treatments, compounding, insurance, billing and refunds. Accessed November 1, 2026.
- Winona. Home page: online HRT for perimenopause and menopause, FAQ. Accessed November 1, 2026.
- US Food and Drug Administration. NASEM study on the clinical utility of treating patients with compounded "bioidentical" hormone therapy.
- Mark Cuban Cost Plus Drug Company. Hormone therapy medication prices (checked September 2026).
- Midi Health. Home page: care plans, availability, products and patient-reported results. Accessed November 1, 2026.
- Evernow. FAQ: membership prices, insurance, states, medications. Accessed November 1, 2026.
- Alloy. FAQ: insurance, availability, doctors. Accessed November 1, 2026.
- Evernow. Non-hormonal menopause treatment. Accessed November 1, 2026.
- Alloy. Menopause solutions and prices. Accessed November 1, 2026.
- Trustpilot. By Winona reviews (bywinona.com): TrustScore and review count. Accessed November 1, 2026.
- Alloy. Estradiol patch (price, consult fee, timing). Accessed November 1, 2026.
- Midi Health. Pricing & insurance (visit prices, insurance, Medicare and Medicaid, FAQ). Accessed November 1, 2026.
- NHS. Postmenopausal bleeding.
- American College of Obstetricians and Gynecologists. Committee Opinion No. 734: The role of transvaginal ultrasonography in evaluating the endometrium of women with postmenopausal bleeding. Obstet Gynecol. 2018;131(5):e124-e129.
- NHS. About hormone replacement therapy (HRT).
- NHS. Oestrogen tablets, patches, gel and spray: side effects.
- National 911 Program. 911.gov.
- Trustpilot. Midi Health reviews (joinmidi.com): TrustScore and review count. Accessed November 1, 2026.
- Alloy. Compounded semaglutide and Alloy Weight Care. Accessed November 1, 2026.
- The Menopause Society. How to find a certified menopause practitioner.
- NHS. Types of hormone replacement therapy (HRT).
- Davis SR, Baber R, Panay N, et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019;104(10):4660-4666.
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