Which online clinics offer bioidentical hormone replacement therapy?

Short answer: yes — several telemedicine clinics and physician networks provide bioidentical hormone replacement therapy (BHRT) by online consults and prescription. Which is best depends on whether you want menopause care, male TRT, pellet therapy, or gender-affirming care, and on your state’s telemedicine rules.

Reputable online clinics to consider (what they do and why people choose them)

• Defy Medical (defymedical.com)

  • Specializes in HRT/BHRT for men and women, offers comprehensive lab testing, individualized protocols, compounding options and pellet therapy referrals; known for experience in hormone optimization and remote monitoring.

• BodyLogicMD (bodylogicmd.com)

  • A nationwide physician network focused on hormone replacement and integrative women’s health; offers telemedicine visits, individualized BHRT plans, and works with established compounding pharmacies.

• BioTE (biote.com)

  • Focused on pellet-based BHRT (BioTE pellet therapy). They operate a network of certified providers and many offer initial telemedicine consultations with in‑person pellet placement. Good if you’re specifically interested in pellet therapy.

• Hims & Hers (hims.com / hers.com)

  • Consumer-friendly telehealth platform. Hims (men) and Hers (women) offer testosterone replacement and estrogen/menopause treatments via online consults and partnerships with licensed pharmacies. Convenient, widely used, and straightforward for routine TRT/HRT.

• Ro / Roman (getroman.com)

  • Well-known telehealth provider for men’s health; offers testosterone replacement therapy (injections/gel) with remote monitoring and lab coordination. Good for straightforward TRT programs.

• Plume (plume.us)

  • Telemedicine specializing in gender-affirming hormone therapy (estradiol, testosterone, etc.). Focused, experienced clinicians and remote follow-up; appropriate for trans and nonbinary patients seeking HRT.

What to watch for / questions to ask a clinic

• Are prescriptions for FDA-approved bioidentical hormones (e.g., estradiol, testosterone) or compounded preparations? (Compounded BHRT is not FDA‑regulated the same way as manufactured products.)
• Do they require baseline labs and regular monitoring (hormone levels, lipids, liver, PSA for men, breast screening, bone density if appropriate)?
• Are providers board‑certified (family medicine, endocrinology, OB/GYN, urology) with experience in HRT?
• Which compounding pharmacies do they use? (Look for PCAB‑accredited pharmacies.)
• Does your state allow remote prescribing for the specific treatment you want? (Pellet insertion usually requires an in‑person visit.)

If you want, tell me: (a) whether this is for a woman, man, or gender‑affirming care; (b) whether you prefer pellets, injections, gels/patches, or don’t care; and (c) your U.S. state — and I’ll suggest the best-fit services and next steps.