What does HRT cost per month through an online clinic?

Short answer: it varies a lot. Expect to pay roughly $20–$500 per month out of pocket through an online clinic depending on which hormones, formulation, and services you need.

Key cost components and typical ranges

• Telemedicine/clinic fees: many clinics charge a one‑time intake fee or a monthly membership/subscription for ongoing care—commonly $0–$100/month (some are lower, some higher).
• Medications:
  • Oral estradiol (generic): ~$10–$40/month.
  • Estradiol patches: ~$30–$150/month.
  • Spironolactone (antiandrogen) generic: ~$10–$40/month.
  • Testosterone injections (generic): ~$20–$120/month (depends on dose/frequency and pharmacy).
  • Topical testosterone gels (brand name like AndroGel): can be $150–$400+/month; generics or discounted versions can be much cheaper.
• Labs and monitoring: initial labs and follow‑ups $30–$200+ one time; ongoing lab checks averaged into monthly cost ~$5–$40 when amortized.
• Shipping/pharmacy markups and any compounding: varies.

Examples of online providers (why choose them)

• Plume — focused on gender‑affirming HRT with experienced clinicians and ongoing care plans; membership model plus medication costs.
• Folx Health — specializes in trans/nonbinary care; straightforward care pathways and lab monitoring; membership + med costs.
• Gennev — focuses on menopause care and HRT for people with menopausal symptoms; convenient telehealth visits and tailored plans.
• Maven Clinic — broad women’s/men’s health telemedicine that includes menopause/HRT services; often works with employers/insurance.
• Hims and Ro — accessible, consumer-friendly platforms that offer testosterone therapy and men’s HRT options at competitive prices.
• PlushCare — general telemedicine with primary‑care clinicians who can prescribe HRT; may bill insurance if you prefer.

Money‑saving tips

• Use generics and GoodRx or singleCare coupons — often cut monthly med cost substantially.
• Check whether your insurance will cover meds, telehealth visits, or lab tests.
• For long‑term meds, mail‑order/90‑day fills may be cheaper.
• Ask the clinic what’s included (labs, follow‑ups, shipping) so you can compare total monthly cost.

If you tell me whether you mean menopausal HRT, testosterone replacement for men, or gender‑affirming HRT (and whether you have insurance), I can give a tighter price estimate and suggest the best clinics for your situation.