Winona HRT Cost Review (2026): What You Actually Pay

Winona's program pricing is based on the hormone combination prescribed. Single-hormone estrogen programs (estradiol cream or troches) start around $99/month. Combination programs adding progesterone or testosterone run $130–$199/month depending on the specific formulation.

Shipping is included in the monthly price. Initial consultation is included. Lab coordination is part of the intake process, though the lab costs themselves may be billed separately depending on your situation.

Winona does not accept insurance for their compounded medications. The full monthly price is out-of-pocket.

The core of the Winona value proposition is customized compounded formulations. Unlike FDA-approved patches or pills that come in standard doses, Winona's compounding pharmacy prepares custom strengths and combinations — meaning the dose can be adjusted based on how you respond rather than picking from a fixed menu.

The program includes physician consultations, ongoing care messaging, and follow-up support. Winona's care model is more hands-on than simpler telehealth HRT platforms, with a more dedicated focus on perimenopause education and symptom management.

For women who are new to HRT or who haven't found relief with standard formulations, this level of support can be valuable alongside the medication customization.

Winona's pricing makes sense when standard HRT options haven't worked. If you've tried FDA-approved estradiol patches at standard doses and haven't achieved symptom relief, a compounded program with adjustable dosing can solve the problem that generic options can't.

It also makes sense if you prefer delivery forms that aren't available in FDA-approved products — sublingual drops, specific cream combinations, or non-standard hormone combinations.

If you are new to HRT and haven't tried standard formulations yet, starting with a lower-cost platform and escalating to Winona if needed is a more cost-effective approach.

Alloy Health offers FDA-approved generic HRT starting around $45/month — using the same bioidentical estradiol molecule in standard doses. If your insurance covers generic estradiol, monthly costs drop further.

Evernow offers telehealth HRT in the $60–$99/month range. Midi Health offers comprehensive perimenopause care with a broader clinical scope for women who need thyroid, mood, or metabolic support alongside hormones.

If cost is the primary consideration and you haven't tried standard HRT, start with one of these before committing to Winona's premium compounded program.