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Provider Guide7 min read

Winona Cost Per Month (2026): Prices by Treatment

Winona costs about $39/month for progesterone up to about $149 for the estrogen patch. No insurance billing, but HSA/FSA works. Prices, bundles and yearly math.

Updated October 19, 2026

Medically reviewed · How we review

Key takeaways

  • Winona prices each treatment separately. Listed starting prices: progesterone capsules about $39/month, estradiol tablets about $54, estrogen body cream (with or without progesterone) about $89, vaginal estrogen cream about $89 and the estrogen patch about $149.
  • Each subscription includes the physician review, unlimited messaging and follow-ups, and free shipping. There is no video visit.
  • Winona does not bill insurance, but you can pay with an HSA or FSA card and submit receipts to your insurer for possible out-of-network reimbursement, depending on your plan.
  • A year of a common estrogen-plus-progesterone plan runs from about $1,068 (body cream with progesterone) to about $2,256 (patch plus progesterone capsules) at listed prices.

Winona's prices, treatment by treatment

The short answerWinona is self-pay and priced per treatment. At listed starting prices, progesterone capsules are about $39/month, estradiol tablets about $54, the estrogen body cream about $89 (also about $89 in the version with progesterone), vaginal estrogen cream about $89 and the estrogen patch about $149. Every subscription includes the physician's review, unlimited messaging and follow-ups, and free shipping. Winona does not take insurance, but HSA and FSA cards work.
TreatmentListed fromPer year at that price
Progesterone capsules$39/mo$468
Estradiol tablets$54/mo$648
Estrogen body cream$89/mo$1,068
Estrogen body cream with progesterone$89/mo$1,068
Vaginal estrogen cream$89/mo$1,068
Estrogen patch$149/mo$1,788
Blossom arousal cream (non-HRT)$79 per order-

The $39 and $89 figures match what we have tracked since launch; the $54, $149 and $79 figures come from Winona's product pages as shown in search results and from third-party reviews, because Winona's site could not be loaded directly. "From" means the lowest dose or plan, so a higher dose can cost more, and promotions change. Your checkout is the final word.

Compare every provider's prices in one place in how much HRT costs online.

Trustpilot summary

Winona holds a 4.6 out of 5 across 8,678 reviews on its public Trustpilot profile. Of the 30 reviews we transcribed verbatim (reviews dated Jul 10, 2026 to Oct 7, 2026), 26 5-star, 2 4-star and 2 3-star: 93% rate it 4 or 5 stars and 0% rate it 1 or 2 stars. Reviewer names are shortened to first name and initial; every captured review, including the lowest-rated, is shown below. How we collect customer reviews

5 star
26 (87%)
4 star
2 (7%)
3 star
2 (7%)
2 star
0 (0%)
1 star
0 (0%)
Winona logo

Winona reviews on

Trustpilot
(8,678 reviews)

All 30 reviews we captured, including every 3-star one.

Sort
Oct 7, 2026

Confident care and medications

“The comunication between doctors and patients is wonderful. The doctors are very emphatic.”

L

Lourdes P.

PR

Oct 7, 2026

Everything has been as expected

“Everything has been as expected! Feeling like my old self again!”

J

Jodi S.

US

Oct 7, 2026

I was suffering through the change and...

“I was suffering through the change and having hot flashes all day, every day, along with all of the other side effects. As soon as I started my regimen, I have been symptom free and living my best life.”

T

Traci M.

US

Oct 7, 2026

Easy to get in touch and get help from...

“Easy to get in touch and get help from Winona Doctor.”

D

Donna

US

Oct 7, 2026

You've been prompt in your replies and...

“You've been prompt in your replies and I feel I've been listened to regarding my personalized plan.”

A

Anne

US

Oct 7, 2026

They were very responsive the process...

“They were very responsive the process was very smooth. Every communication I sent was responded promptly.”

R

Ria K.

US

Oct 6, 2026

I've found my fountain of youth

“I've found my fountain of youth. Just kidding, but kinda yes lol. My irritation, anxiety, memory, and my night sweats are finally under control. There's really no reason to suffer anymore!”

L

Lynn O.

US

Oct 6, 2026

I have recommended Winona to all of my...

“I have recommended Winona to all of my perimenopausal friends! The questionnaires are easy to navigate, and my Dr. is fantastic. She responds to me same day with any questions or concerns I have. Where else can you get that?!”

J

Jill J.

US

Oct 1, 2026

Almost 3 months now with Winona

“Almost 3 months now with Winona, so far so good!”

T

Tracey J.

US

Oct 1, 2026

Very quick and easy

“Very quick and easy. Answered all my questions. Service is amazing.”

c

customer

US

Oct 1, 2026

Fast and friendly customer service and...

“Fast and friendly customer service and support! I'm feeling like myself again, no more hot flashes, body aches and brain fog!”

C

Chris

US

Sep 30, 2026

I love that it was easy going online...

“I love that it was easy going online expressing what my concerns or questions were and getting to try a product delivered to me. I gave it some time and I don't know that it helped with my sleep or my activity level so I will probably try something different but it was worth a try.”

C

Cherie B.

US

Sep 30, 2026

Everything works as it should!

“Everything works as it should!”

S

Stacy B.

US

Sep 30, 2026

The entire process has been easy

“The entire process has been easy! The support I got from the Winona team was great! The Dr. was easy to work with and she suggested things for me I did not even think of! I would Suggest this app to everyone!”

A

Annie S.

US

Sep 30, 2026

Winona saved my life!

“The hormone replacement therapy is a God send. The meds were so easy to get and I couldn't be happier. I love the service and have recommended it to everyone I know.”

V

Veronica O.

US

Sep 30, 2026

I feel like I'm back to my old self

“I feel like I'm back to my old self. So happy I started treatment with Winona.”

L

Lamista M.

US

Sep 30, 2026

I'm starting my second round of HRT and...

“I'm starting my second round of HRT and have noticed a great improvement in my health and well-being.”

M

Mandy S.

US

Sep 28, 2026

Highly Recommend

“No waiting. No pressure to buy more supplements or products. Supportive. Emails and questions are answered within an hour. Very happy with Winona!”

B

Barbara H.

US

Sep 28, 2026

I was able to get my prescriptions...

“I was able to get my prescriptions without any issues the Doctor that prescribed them is very helpful and I think I am feeling better,”

M

Maria T.

US

Aug 26, 2026

Legit

“Legit. doctors, easy to use would recommend”

S

Sheila B.

US

Aug 26, 2026

Great response time and attention to detail

“Great response time and attention to detail. Doctors are responsive.”

M

Melissa M.

US

Aug 26, 2026

The meds really help

“The meds really help”

K

Kathryn J.

US

Aug 19, 2026

Helpful

“Helpful, efficient, great results. Quick answers to questions.”

A

Ann I.

US

Aug 8, 2026

Easy to use website and I'm starting to...

“Easy to use website and I'm starting to feel better. My libido is back! I referred my sister in law.”

M

Marcy L.

US

Jul 23, 2026

Easy to work with and helped me quickly...

“Easy to work with and helped me quickly when other doctors weren't listening to my symptoms and would only prescribe based on blood work, I have high fluctuations so bloodwork is always inaccurate and that was just delaying my treatment. I feel like a totally new person now”

J

Jessica N.

US

Jul 10, 2026

I needed help and Winona did that for me.

“I was having extreme menopausal symptoms and was so hesitant to try HRT but now i have my life back. The process was easy. Everyone including the doctor, was great. One minor adjustment with meds and i am free to live again. I would recommend ten times over. God bless”

V

Vickie S.

US

Oct 7, 2026

Overall pleased with the service

“Overall pleased with the service. My one complaint is that meds are reordered and charged without a notice it is about to happen.”

A

Alecia E.

US

Oct 6, 2026

Immediate response from Doctors

“Immediate response from Doctors”

T

Trenny D.

US

Oct 7, 2026

Closer to a 4 star rating but I'm still...

“Closer to a 4 star rating but I'm still in the beginning stages. The dr has been very responsive and we may still have to make adjustments but I can definitely notice it helping. I love the fact that I don't have to block out large amounts of time to set in a drs office.”

K

Kim R.

US

Oct 6, 2026

High price and ZERO improvement.

“High price and ZERO improvement.”

N

Nicole N.

US

1 / 30

Reviews are individual experiences quoted verbatim from public Trustpilot profiles, names shortened; any weight-loss result mentioned is one person’s and is not typical - results vary. Trustpilot is a trademark of Trustpilot A/S and is not affiliated with this site.

What a typical Winona plan costs per month

Most women with a uterus who take systemic estrogen also need progesterone to protect the uterine lining, so the realistic number is usually a combination:

  • Estrogen body cream with progesterone - one product, about $89/month. The cheapest systemic combination on Winona's list.
  • Estradiol tablets + progesterone capsules - about $54 + $39 = $93/month, if each is billed at its listed price.
  • Estrogen patch + progesterone capsules - about $149 + $39 = $188/month.
  • Progesterone alone - about $39/month, which some clinicians use on its own, for example for certain perimenopause situations.
  • Vaginal estrogen cream alone - about $89/month for dryness and urinary symptoms.

We could not confirm whether Winona discounts two products bought together, so treat the combined figures as the upper end. The cheapest option on paper is not automatically the right one: the progesterone in a body cream and the progesterone in a capsule are not interchangeable for protecting the uterus (see Winona's products explained), and patches are often chosen because of lower clot risk. Your physician picks the route; the price follows.

Does Winona take insurance?

No. Winona does not bill insurance companies and cannot submit claims for you. Two things soften that:

  • HSA and FSA cards are accepted. Prescription hormone therapy is a qualified medical expense, so you can pay with pre-tax money.
  • Out-of-network reimbursement is possible on some plans. You can submit Winona's receipts to your insurer yourself. Whether you get anything back depends entirely on your plan's out-of-network benefits, so check before counting on it.

Are Winona's medications covered by insurance? Not through Winona. Its subscription price bundles the physician, follow-ups, medication and shipping, and Winona ships the medication itself rather than sending a prescription to your pharmacy, so there is no pharmacy claim for your drug plan to pay. If you want your insurance to cover the hormones, you would need a prescriber who sends prescriptions to a pharmacy in your network - an insurance-billed clinic such as Midi Health, or your own doctor.

The honest comparison: if your insurance covers a menopause specialist and generic estradiol and progesterone, filling those at your pharmacy can cost less than any cash subscription. What Winona sells for the price is speed and convenience: no appointment to wait for, a physician reachable by message, and medication delivered to your door.

Winona products & prices

Winona's HRT products with published prices and what each price includes.

Prescription required: a licensed clinician reviews your health history first. Prices as published in October 2026; confirm at checkout.

A year at Winona vs Gala and Midi Health

ProviderTypical estrogen + progesterone, per monthFirst yearWhat is included
WinonaAbout $89 (body cream with progesterone) to about $188 (patch + capsules)About $1,068-$2,256Physician review, unlimited messaging, shipping
GalaAbout $69 (pill) to $99 (patch); advertised from $79About $828-$1,188Clinician, check-ins, dose changes, medication, shipping
Midi HealthVisit copays, or $250 first visit / $150 follow-ups self-pay, plus pharmacy costDepends on your planVideo visits; medication through your pharmacy benefit

On cash price alone, Gala's single plan figure is usually lower than a Winona combination. Winona's case is range: it offers body creams, tablets, patches, vaginal cream and estriol, so your physician has more ways to match treatment to your history and preferences. The head-to-heads are Winona vs Gala and Winona vs Midi Health.

Is Winona worth what it costs?

Worth it if you are paying cash anyway, value never booking an appointment, and want a choice of estrogen forms with a physician on call by message. Winona's Trustpilot record (4.6 across 8,631 reviews as of Oct 4, 2026) suggests most customers think so; one reviewer, Sharon Dragovich, praised the "variety of product available to adjust route with Dr review and approval" (Oct 3, 2026). Probably not worth it if good insurance would cover your care and generic hormones, or if you want a live conversation before starting. Whichever provider you choose, HRT carries real risks - blood clots, stroke and breast-cancer considerations among them - and a licensed physician decides whether it is appropriate for you.

→ Read the full Winona review

→ Winona vs Gala: per-product pricing vs one flat plan

→ Winona vs Midi Health: cash subscription vs insurance

Prices are approximate, from Winona's listed starting prices at our last check, and change; confirm on Winona's site. This article is general information, not medical advice.

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Sources & medical references

Treatment facts on this page are grounded in regulatory guidance and peer-reviewed research. Pricing and plan details come from each provider's published information. This content is for information only and is not medical advice - always consult a licensed clinician before starting treatment.

  1. 1.FDA Approves Labeling Changes to Menopausal Hormone Therapy Products - U.S. Food & Drug Administration - February 2026
  2. 2.FDA Requests Labeling Changes to Clarify the Benefit/Risk Considerations for Menopausal Hormone Therapies - U.S. Food & Drug Administration - November 2025
  3. 3.The Women's Health Initiative Randomized Trials and Clinical Practice: A Review - Manson JE et al., JAMA - 2024;331(20):1748-1760
  4. 4.The 2022 hormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2022;29(7):767-794
  5. 5.The 2023 nonhormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2023
  6. 6.Menopause: identification and management (NG23, updated November 2024) - National Institute for Health and Care Excellence (NICE)
  7. 7.FDA Update on Estradiol Transdermal Patch Availability - U.S. Food & Drug Administration - 2026
  8. 8.Hormone Therapy for Menopause - patient FAQ - American College of Obstetricians and Gynecologists (ACOG)
  9. 9.Menopause - overview - National Institute on Aging (NIA), NIH