How It Is Given
Getting Started
Most Common
Cost and coverage
The consultation, the bloodwork and the medicine are three separate bills, and only the first two come from us. Knowing that in advance is what stops the surprise at the pharmacy. Quoted in writing before you commit, in Atlanta.
Where the money goes
Three separate organizations can bill a Atlanta patient over one year of treatment, and only the consultation fee is set by us. The consultation is ours. Bloodwork, where it is needed, is billed by the laboratory. The prescription is filled and billed by a pharmacy, and that is where the widest variation sits.
Within the prescription, form and brand drive almost everything. Generic estradiol tablets can be under $10 for ninety days. Generic patches run under $40 a month with coverage and over $250 without. Vaginal creams sit between twenty-five and a hundred a month, and rings can reach five hundred without insurance while costing under thirty with it.
Compounded pellets are the outlier. They are not FDA-approved, no insurer covers them, and at roughly $1,500 a year they are the most expensive route to the same hormones. More on that in insurance and coverage, patches vs pills vs creams and estradiol for the rest of it. Anyone in Atlanta weighing pellets should price the same hormones as a generic patch or tablet first, because the extra money buys delivery, not a different hormone.
Before you commit
Ask about the indication, not just the drug. Some plans cover the same molecule differently depending on why it is prescribed.
Patch, gel, tablet and vaginal preparations are often listed separately. The cheapest covered form may not be the one you assumed.
If it is, ask what documentation they want. Getting that right first time avoids a refusal and a month of delay.
Then ask the same for the brand. The difference is usually the single biggest number in this whole conversation.
All cost topics
Price bands, what plans cover, public coverage and what our fee includes.
Price by form and by brand, from generic tablets through to compounded pellets.
Learn moreWhat plans usually cover, prior authorization and what to do with a refusal.
Learn moreMedicare Part D, Medicaid variation and where public coverage stops.
Learn moreWhat the consultation fee covers and what gets billed separately.
Learn moreCommon questions
Answered the way a clinician would answer them, not the way a brochure would.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
We will tell you what the consultation costs, what bloodwork is likely to add and what the prescription usually runs to for someone with your coverage. No treatment starts before you have those numbers.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.