Which online clinics offer bioidentical hormone replacement therapy?

Below are online clinics and services that commonly offer bioidentical hormone replacement therapy (BHRT). I’ve grouped them by focus and given a brief note on why people choose them. Availability and specific treatments (compounded vs. FDA‑approved products, pellet therapy, etc.) vary by state/country and clinician, so always confirm with the provider.

General BHRT / hormone‑optimization telemedicine

• Defy Medical — Telemedicine clinic well known for hormone optimization in men and women; they run labs, individualized plans, and prescribe bioidentical testosterone/estradiol/progesterone where appropriate.
• BodyLogicMD — A nationwide network of physicians specializing in BHRT for women and men; offers virtual visits and personalized BHRT protocols.
• HealthGAINS — Concierge telemedicine/clinic network focused on age‑management and BHRT (including pellet and injectable options) with follow‑up care.

Men’s testosterone (TRT) telemedicine

• Roman (Ro) — Large men's‑health telemedicine service offering testosterone replacement therapy with remote monitoring and home delivery.
• Vault Health — Specializes in men's hormone health (TRT), with at‑home lab testing, telemedicine consults, and ongoing monitoring.
• Hims — Offers online evaluation and testosterone therapy for men via telemedicine and delivery.

Gender‑affirming / trans care

• Plume — Telehealth clinic focused on gender‑affirming hormone therapy (estrogen, testosterone, related care) with specialized providers.
• Folx Health — LGBTQ+‑focused telemedicine offering gender‑affirming HRT and ongoing care; option to fill prescriptions through partnered pharmacies.

Pellet therapy / compounding networks

• BioTE — A large network that specializes in bioidentical hormone pellet therapy (requires in‑person pellet insertion; some providers offer telemedicine consults).
• SottoPelle — Clinic network focused on subcutaneous bioidentical hormone pellets; mostly in‑person insertions with some remote follow‑ups.

Functional / integrative clinics that prescribe BHRT

• Parsley Health — Membership‑based functional medicine clinic that evaluates hormones comprehensively and prescribes bioidentical hormones when appropriate.

Labs / testing (not prescribers but commonly used for BHRT workups)

• Everlywell, LetsGetChecked — At‑home hormone testing and lab kits often used to get baseline labs before/with a BHRT provider.

Safety notes (important)

• “Bioidentical” can mean FDA‑approved single‑ingredient products (e.g., estradiol, micronized progesterone, testosterone) or compounded custom formulations; compounded products are not FDA‑approved and have different safety/quality considerations.
• Ask any clinic about: required baseline labs, ongoing monitoring schedule, whether they use FDA‑approved products vs compounded preparations, prescriber credentials, and how follow‑ups and pharmacy fulfillment work.
• Laws and telemedicine prescribing rules vary by state/country; some clinics cannot prescribe certain hormones across state lines.

If you tell me whether you’re seeking care for menopause, low testosterone, gender‑affirming care, or a specific geography (U.S. state or country), I can narrow this list and highlight a few clinics that are available to you and have strong reputations.