Do you mean gender‑affirming HRT (trans care), menopausal HRT, or testosterone replacement for men? Also which country are you in? Prices vary a lot by medication, monitoring needs, and whether you use insurance. Quick, general answer (U.S. examples and typical ranges) Typical out‑of‑pocket: about $20–$300 per month total in many cases. Low end (~$20–$60/mo): generic oral hormones or topical gels + a low monthly clinic subscription. Mid range (~$60–$150/mo): trans or menopausal regimens using patches or branded meds, plus clinic fees and routine labs. High end (~$150–$300+/mo): injectable therapies, compounded formulations, branded medications, or frequent lab monitoring. One‑time/initial costs: first telemedicine consult or intake and baseline labs can be $0–$200+; some clinics include labs or bill insurance. Why costs vary Medication type: oral estradiol or generic spironolactone is cheap; estradiol patches, branded estradiol, or compounded injections are pricier. Route (pills vs patches vs injections) and dose. Need for antiandrogens (spironolactone) or progesterone. Lab monitoring frequency and whether insurance covers meds/labs. Clinic subscription or follow‑up fees and shipping. Named online clinics (U.S.) — what they offer and why people pick them Plume — Focused on gender‑affirming care, offers telemedicine, lab monitoring, and ongoing support; transparent subscription + pharmacy pricing. Folx Health — Specializes in trans care with integrated behavioral health options and insurance‑friendly billing for many plans. Agender Health — Telehealth for trans and nonbinary patients, known for flexible care plans and pharmacy access. Hims / Hers — Broad telehealth platform: Hims focuses more on men’s TRT and sexual health; Hers covers menopausal HRT and some trans care. Easy sign‑up and competitive prices for common meds. Lemonaid Health — Low‑cost telemedicine and generic meds for common hormone needs (often used for menopausal estrogen or testosterone therapy). Maven Clinic / Tia / Gennev — Good options for menopause care and perimenopause/HRT support; focus on women’s health and often offer membership services. What I recommend next If you tell me: (1) which type of HRT you mean, (2) your country (or state), and (3) whether you have insurance, I can give a more precise monthly price estimate and 1–2 provider picks with current typical costs and next‑step actions (labs, prescriptions, or insurance billing).
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