What does HRT cost per month through an online clinic?

Short answer: it varies a lot. Expect roughly $20–$600+ per month depending on the type of HRT (pills vs patches vs gels vs injections), whether you use generics or brand-name products, whether labs and telehealth visits are included, and whether insurance covers any of it.

Typical cost components

• Initial telehealth visit or intake: often $0–$150 (some clinics include this in a membership).
• Ongoing membership or follow-up visit fees: $0–$150/month (some clinics charge a monthly subscription that covers care coordination, labs, and messaging).
• Medications: huge range
  • Generic oral estradiol or testosterone injections (generic): about $10–$80/month.
  • Spironolactone or other anti-androgens (generic): about $4–$50/month.
  • Branded gels/patches (AndroGel, EstroGel, Vivelle-Dot, etc.): $150–$600+/month without insurance.
  • Some injected formulations (generic testosterone) are lower cost per month than branded topical products.
• Labs and shipping: initial labs $50–200 (sometimes included), ongoing labs a few times per year $0–200.

Common price examples by use case (very approximate):

• Transfeminine on oral estradiol + generic spironolactone: $20–$120/month (generics) plus any membership fee.
• Transmasculine on generic testosterone injections: $20–$100/month plus supplies; testosterone gel (brand) $200–$500+/month.
• Menopausal HRT (generic estradiol pill): $10–$50/month; estradiol patch: $50–$200+/month.

Online clinics and what they typically offer (consider checking current site pricing)

• Plume — transgender-focused; offers coordinated care, labs, and counseling; membership plus med costs. Good if you want a specialist, ongoing support, and community resources.
• Folx Health — inclusive trans and queer care; offers subscription plans and can help with care navigation/financial aid. Good for people seeking trans-specific services and insurance help.
• Hers (Hims & Hers) — consumer-friendly telehealth for men and women; often lower-cost generics and straightforward pricing for routine prescriptions (good for basic HRT for menopause or male testosterone).
• Maven Clinic — women’s and family health including menopause; good if you want comprehensive women’s-health-focused care and employer benefit integration.
• Nurx — offers telemedicine for some women’s health and, in some regions, HRT/menopause care; often convenient and competitive pricing.

Ways to keep costs down

• Ask for generic equivalents.
• Use GoodRx or singleCare coupons or a mail-order pharmacy for lower prices.
• See if the telemedicine provider bills insurance for visits or can prescribe so you can submit to your insurer.
• Check for patient assistance or sliding-scale programs from the clinic.
• Compare whether the clinic’s membership fee includes labs and follow-ups (sometimes saves money).

If you want a tailored estimate, tell me:

• Are you asking about gender-affirming HRT (trans) or menopausal HRT?
• What formulation do you expect (pills, patch, gel, injections)?
• Do you have US-based insurance, or are you paying cash?