
Prescription only · clinician reviewed
HRT Initial Package
Labs, a live video visit, and one month of hormone medicine if prescribed.
- The $60.00 visit and $97.00 labs are charged when you send your health questions. Cancelled visits are refunded. Medication, up to $156.00, is charged only if prescribed. Shipping is added at checkout.
- Clinician review and care-team messaging included
- Lab work, a live video visit, and your cream if it is prescribed
- Your clinician may choose a different form of medicine based on your history and labs, and makes the final decision. You are not charged more than shown. If it costs more, we ask you to approve it before we charge your card or send the prescription. Refills go through a follow-up visit.
- There is no subscription to cancel.
$0 today. The visit fee and labs are charged when you send your health questions. Medication is charged only if a clinician prescribes.
Shipping is added at checkout. The visit fee and labs are charged when you send your health questions. Cancelled visits are refunded. Medication is charged only if prescribed.
Choosing a plan starts an intake, not an order. A licensed clinician reviews it and decides whether to prescribe — they may decline, and you are not charged unless they approve.
HRT Initial Package
Labs, a live video visit, and one month of hormone medicine if prescribed.
- Labs included
- Live video visit
- Cream, pill, or patch
Why start with a package
Labs first, then a decision
Labs before a hormone
The clinician decides from your blood work and history, not from a message.
Cream, pill, or patch
Ask for the form you prefer. Your clinician picks what is safe for you.
No needle kit
Nothing in the package is an injection.
Individual results vary. Your clinician decides whether it is right for you.

Before you start
What to know about HRT Initial Package
Hot flashes, poor sleep, and other menopause symptoms need a clinician and labs before any hormone. This package is that start: hormone labs, a live video visit, and one month of a cream, capsule, tablet, or patch if it is prescribed.
- 01
Hormone labs, a live video visit, and one month of medicine if prescribed.
- 02
The visit fee and labs are charged when you send your health questions. The medicine is charged only if prescribed.
- 03
You are never charged more than the amount shown at checkout without saying yes first.
Who this tends to fit
- You are in perimenopause or menopause and want a supervised start
- You can get to a Labcorp location for a blood draw
- You are not using this for gender-affirming care
Fitting the description does not mean you will be prescribed this. A clinician decides after reviewing your intake.
Buying this package does not guarantee a prescription. A licensed clinician prescribes only if it is appropriate based on your labs, history, and visit. The visit and lab fees are not refunded if you are not prescribed. Hormone therapy is not right for everyone and carries risks your clinician will discuss, including blood clots. If you still have a uterus, estrogen is usually paired with a progestogen. That second medicine is its own product.
How care works
What clinician oversight means here
Licensed clinicians, real review, and support after you start.
A licensed clinician decides
Your intake is reviewed by a clinician licensed in your state. They choose the treatment and the dose, and they can decline. Insert MD does not make that call.
Dispensed by a licensed pharmacy
Nothing ships without a prescription. Your order is prepared and sent by a licensed pharmacy, not packed by us.
Reviewed again at follow-up
Continuing is a decision, not a default. Your clinician reassesses whether the treatment still fits before you carry on.
Compounded is not FDA-approved
Several treatments here are compounded. The FDA does not review compounded medications for safety, effectiveness, or quality, and we say so on every page where it applies.
What's included
Everything to start the right way
Hormone lab panel
The markers a clinician needs before a hormone cream, drawn at a Labcorp near you.
Live video visit
One-on-one with a licensed clinician in your state who reviews your results with you, answers your questions, and builds a plan around your goals.
One hormone cream, if prescribed
Biest, estradiol, progesterone, or DHEA. One tube. Your clinician sets the dose, and it ships discreetly. This package has no needles.
Patient portal
Your visit, prescription, and messages with your care team in one place.
How it works
Five steps to your first prescription
- 01
Check out and answer your health questions
Your card is saved and nothing is charged today. The health questions come right after checkout and take about 10 minutes. The visit fee and labs are charged when you send them. Cancelled visits are refunded.
- 02
Get your labs
We send your lab order to Labcorp. You get the requisition by email and visit a Labcorp location near you.
- 03
Book your visit
When your results reach your clinician, we email you a link to book your live video visit.
- 04
Meet your clinician
Your clinician reviews your labs, history, and goals, and decides whether a hormone cream is right for you.
- 05
Start treatment
If prescribed, one cream ships to you with dosing instructions. The cream and shipping are charged then.
Precise, consistent dosing
Your prescription is prepared by a licensed pharmacy and reviewed by a clinician licensed in your state. Nothing ships until they approve.
- Compounded by a licensed pharmacy
- Dose set by a licensed clinician
- Ships ready to use — no home mixing

Good to know
You can ask for a form you prefer. Your clinician reviews it against your history and labs and makes the final choice. You pay for what is written, never more than the amount shown at checkout. If it would cost more, we ask you first and nothing is charged or sent until you approve.
Buying this package does not guarantee a prescription. A licensed clinician prescribes only if it is appropriate based on your labs, history, and visit. The visit and lab fees are not refunded if you are not prescribed. Hormone therapy is not right for everyone and carries risks your clinician will discuss, including blood clots. If you still have a uterus, estrogen is usually paired with a progestogen. That second medicine is its own product.
- Known, suspected, or past history of breast cancer
- Known or suspected estrogen- or progesterone-dependent cancer
- Undiagnosed abnormal vaginal bleeding
- Active or prior deep vein thrombosis or pulmonary embolism
- Active or recent stroke or heart attack
- Known liver impairment or disease
- Known clotting disorder such as protein C, protein S, or antithrombin deficiency
- Known or suspected pregnancy
- Migraine, particularly migraine with aura
- High triglycerides
- Gallbladder disease
- Uncontrolled hypertension
- Family history of breast or hormone-sensitive cancer
- Smoking, especially over age 35
- Baseline history and any labs the clinician requires before starting
- Age-appropriate breast and cervical screening kept up to date
- Report new or unexpected vaginal bleeding promptly
- Report leg pain or swelling, chest pain, shortness of breath, or sudden vision or speech change immediately
- Breast tenderness
- Bloating or fluid retention
- Headache
- Nausea
- Irregular spotting in the first few months
- Blood clots
- Gallbladder disease
- Elevated blood pressure
- Mood changes
Your dose, schedule, and how long you stay on treatment are set by the prescribing clinician after reviewing your intake, and may differ from any general description here. General information, not medical advice.
You pay the visit and labs only. The medicine and shipping are charged only if your clinician prescribes.
Your clinician may choose a different form based on your history and labs. You pay the price of what is written. If that is more than the amount shown at checkout, we ask you to approve it before we charge your card or send the prescription.
The form and dose are set at the visit. After that, the 3-month plan for the medicine you were prescribed is on its own card.
Ready when you are
See if HRT Initial Package is right for you
Labs, a live video visit, and medication if prescribed. $0 today. You pay less if fewer vials are prescribed.
HRT Initial Package
$313.00 · $0 today