Bioidentical hormone therapy · Cash-pay telehealth, US-wide
Your hormones changed.
Your care should too.
Board-certified physicians build a personalized, bioidentical hormone optimization plan around your symptoms and history — no labs required to start. Custom-compounded estradiol, estrogen, and progesterone, shipped to your door, with a care team that adjusts as you do.
What's actually going on
You know something's different.
Perimenopause and menopause show up differently for everyone — but the underlying shift is the same: estradiol (your primary estrogen) and progesterone stop following their usual rhythm. Here's what that tends to look like.
If a few of these sound familiar, it's worth getting your levels checked.
You're not the only one
Every woman here is on her own timeline — and every one of them got tired of guessing.
How it works
From symptoms to a plan, in five steps.
No waiting rooms. No guessing at a dose. Every step is reviewed by a licensed physician before anything ships.
Free online consult
A short history and symptom intake, reviewed by a physician licensed in your state — no office visit required.
Your physician builds a plan
Based on your symptoms and history — labs are optional and can be added anytime to help fine-tune your dose.
A formula built around you
Your physician prescribes custom-compounded, bioidentical hormones — dosed and balanced to you, not a one-size prescription pad.
Delivered, discreetly
Shipped from a licensed US pharmacy in plain packaging, with refills that renew automatically.
Ongoing care
Follow-up labs and dose adjustments are built in — your plan changes as your body does.
Treatment formats
Bioidentical hormones, in whatever form fits your life.
Your physician recommends a format based on your labs, your symptoms, and how you'd rather take your custom-compounded bioidentical hormone replacement therapy (BHRT) day to day.
| Format | What it is | Best for |
|---|---|---|
| Cream | A topical bioidentical hormone cream — estradiol, progesterone, or both — applied daily and absorbed through the skin. | Easy dose adjustments, steady daily absorption |
| Capsule | An oral bioidentical hormone capsule taken once daily. | Simplicity — one routine, no application |
| Patch | A transdermal estradiol patch changed twice weekly. | Consistent levels with the least daily thought |
The Complete Plan
Pay monthly
$159/mo
Cancel anytime
3-Month Plan
$119/mo
Billed $357 every 3 months
No insurance needed. Cancel any time — you're never locked into a subscription.
Start free consultWhy cash-pay
One price. No surprise bills.
No insurance paperwork. Every price for your bioidentical hormone optimization plan is shown before you commit, and nothing changes once you're on a plan.
No hidden visit fees. Your consult, labs review, and follow-ups are part of the same relationship — not billed separately.
Adjust or cancel anytime. Change your dose, your format, or stop altogether — your physician manages the change, not a call center.
| Medication | What it is | Price |
|---|---|---|
| Oral Estradiol | A daily bioidentical estradiol capsule. | $59/mo |
| Estradiol Patch | A transdermal estradiol patch changed twice weekly. | $79/mo |
| Estradiol Cream | A topical estradiol cream applied daily. | $69/mo |
| Progesterone Cream | A topical progesterone cream applied nightly. | Free with any estrogen medication · $34/mo alone |
| Estradiol + Progesterone Cream | A combined topical cream carrying both hormones in one application. | $89/mo |
| Vaginal Estradiol Cream | A low-dose vaginal cream for local relief and comfort. | $49/mo |
| Progesterone Capsule | A nightly oral progesterone capsule. | Free with any estrogen medication · $34/mo alone |
The Menopause + Weight Loss Bundle
Combine your hormone plan with BiltRx's physician-guided weight loss program (semaglutide or tirzepatide) and save every month you're on both.
$159 + $297 separately
$379/mo
Save $77/mo bundled
"I'd been told my labs were 'normal' for two years while I wasn't sleeping and couldn't finish a sentence. Six weeks into a plan built around my actual numbers, I felt like myself again."— Jenn N., BiltRx patient, age 49
Common questions
Before you start
Do I need labs before I can start?+
No — your physician can prescribe based on your symptoms and history alone. Labs are optional, not required, but many patients choose to add a hormone panel so their physician can fine-tune dosing sooner.
Is compounded HRT the same as FDA-approved HRT?+
Bioidentical hormone replacement therapy (BHRT) is prepared by a licensed compounding pharmacy to your physician's exact prescription and is not individually reviewed or approved by the FDA. It's prescribed when a customized dose, form, or hormone combination better fits your clinical needs.
How fast will I feel a difference?+
Most patients notice changes in sleep and hot flashes within a few weeks; mood and energy often take a full cycle or two. Your physician follows up to adjust your dose based on how you're responding.
Do you take insurance?+
BiltRx is cash-pay, which is what keeps pricing transparent and consults fast. Many patients use HSA or FSA funds toward their plan.
What states do you serve?+
BiltRx works with licensed physicians and pharmacies across the US. Availability of specific formulations can vary slightly by state pharmacy regulation.
Your labs will tell you more than another year of guessing.
Consults are reviewed by a physician licensed in your state. Bioidentical hormone treatment, if appropriate, is prescribed at their clinical discretion.