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Winona Review
*This provider offers compounded medications that are not FDA-approved.
Winona is a telehealth platform specializing in bioidentical hormone replacement therapy for women in perimenopause and menopause. They offer a notably wide range of delivery formats — creams, patches, capsules, tablets, and vaginal applications — giving women flexibility in how they receive their hormones. Winona offers both FDA-approved formulations and compounded options prepared by licensed pharmacies. Their model bundles physician consultations and messaging into the medication cost, so there are no separate consultation fees. *Some medications offered by this provider are compounded and not FDA-approved.*
What We Like
- ✓Free initial physician consultation with no upfront fees
- ✓Wide variety of hormone delivery methods to suit different preferences
- ✓Unlimited physician messaging included with treatment
- ✓Both FDA-approved and compounded formulations available
- ✓HSA/FSA accepted, making costs more manageable
- ✓Medications shipped directly to your door
Points to Consider
- ✗Compounded formulations are not FDA-approved
- ✗Does not accept insurance — cash-pay only
- ✗Monthly costs can reach $238/mo for certain formulations like patches
- ✗Compounded creams may have different consistency or absorption compared to commercial products
Key Highlights
- One of the most popular direct-to-consumer menopause HRT platforms
- Offers both plant-derived compounded hormones and FDA-approved medications
- Most women pay between $89 and $238/mo depending on their treatment plan
- Free consultation model lowers the barrier to getting started
Pricing Overview
Oral Tablets/Capsules
Oral progesterone or estradiol in tablet or capsule form. Most affordable entry point for HRT through Winona.
From ~$45/mo
Compounded Creams
Compounded estrogen, progesterone, or combination creams. Applied topically. *Compounded medications are not FDA-approved.*
From ~$89/mo
Transdermal Patches
Estradiol patches applied to the skin for steady hormone delivery. May include both compounded and FDA-approved options.
From ~$126/mo
Combination Plans
Multi-medication plans combining estrogen and progesterone in various delivery formats tailored to your needs.
$150 - $238/mo
*Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality.
How It Works
Complete Your Health Questionnaire
Answer detailed questions about your menopause symptoms, health history, and treatment preferences through a secure online form.
Free Physician Review
A licensed physician in your state reviews your information and determines whether HRT may be appropriate for you. No consultation fee.
Personalized Treatment Plan
Your physician creates a customized plan with recommended hormone formulations and delivery methods based on your specific symptoms and goals.
Medication Delivery and Ongoing Care
Medications ship directly to your door. Message your physician anytime with questions. Adjust your treatment as symptoms evolve.
The Bottom Line
Winona is a compelling option for women who want flexibility in how they receive bioidentical hormones, with multiple delivery formats and a free consultation model. The inclusion of both compounded and FDA-approved options gives women and their providers more choices. Keep in mind that compounded medications are not FDA-approved, and the cash-pay model means costs come entirely out of pocket — though HSA/FSA eligibility helps. For women who value variety in formulation and delivery, Winona is a strong contender.