What does HRT cost per month through an online clinic?

I can give realistic cost ranges, but prices vary a lot by country, the type of HRT (menopausal HRT vs gender‑affirming HRT), the medications and route (pills, patches, gels, injections), and whether you use insurance. Which country are you in and is this for menopause or for gender‑affirming care? If you tell me that I can pull more specific estimates and clinic prices.

Quick overview (U.S. examples and typical ranges)

• First telemedicine visit: often $0–$200 (many clinics waive or fold this into a membership).
• Lab work (baseline + periodic monitoring): $50–$300 if not covered by insurance.
• Monthly medication cost (without insurance): commonly $10–$200+/month depending on drug and formulation:
  • Generic oral estradiol: often $4–$30/month.
  • Estradiol patches or branded formulations: $30–$200+/month.
  • Transdermal testosterone gels: $20–$150+/month.
  • Injectable testosterone (generic): often $30–$100/month depending on dosing/frequency.
  • Spironolactone (antiandrogen): $4–$40/month.
  • Micronized progesterone or other branded hormones: $20–$80+/month.
• Total typical out‑of‑pocket (private-pay) for ongoing care: many people pay roughly $30–$150+/month once stabilized; some pay more if using branded patches/gels or if paying a subscription that includes services.

Online clinics you can consider (why they’re recommended)

• Plume (U.S.): focused on gender‑affirming care; membership model that bundles provider access, ongoing care, and medication delivery — good if you want an integrated, trans‑competent program.
• Folx Health (U.S.): trans‑led telehealth clinic that can bill some insurances and offers membership plans; good for people who want trans‑specific services plus options for insurance billing.
• Hims & Hers (U.S.): large direct‑to‑consumer telehealth platform offering menopause and some hormone services, generally affordable generics and easy refills.
• Ro / Roman (U.S.): broad telehealth platform with hormone services and mailed medication; convenient for repeat prescriptions and follow‑ups.
• GenderGP (UK / Europe): specializes in remote gender‑affirming care in the UK/Europe; often used where in‑person specialists are scarce.

What to check when comparing clinics

• Is the medication cost included in the monthly fee or billed separately?
• Are baseline and follow‑up labs included or extra?
• Are follow‑ups included, and how often are they?
• Will they bill insurance or only accept private pay?
• Do they ship to your state/country?

If you tell me your country and whether this is menopausal HRT or gender‑affirming HRT (and any preferred form—pills, patch, gel, or injections), I’ll give a tighter price estimate and look up the current pricing for a few specific clinics.