Compounded bioidentical (BHRT) Cost in 2026: Every Price, Compared

Custom-mixed hormone creams or troches. Not FDA-approved as finished products. Depending on the program and plan you pick, it costs anywhere from $46 to $199 a month. This guide lays out every published price, what each one includes, and the cheapest way to get compounded BHRT in your situation.

By Julian Caraulani, reviewed by Dr. A. Goher, MBBS · prices checked

#1 PickWinona9.2/10 · From $39/moVisit →

Quick Answer: What You Pay for Compounded bioidentical (BHRT) Online

Compounded bioidentical (BHRT): from $46/month all in at Musely, up to $199/month, across the 4 programs that publish a price. The median is $96.50/month. Every price is read on the program's own site, with required charges added, and tracked in the HRT Watchdog Price Index (checked October 26, 2026).

Lowest: $46/moMedian: $96.50/moHighest: $199/moPrograms: 4

Compounded bioidentical (BHRT) Price at a Glance

Prices for compounded BHRT run from $46 to $199 per month in 2026. The numbers that matter are the lowest price, the typical price and the highest.

$46Lowest / mo
$96.50Median / mo
$199Highest / mo
4Programs priced

Prices are each program's lowest published all-in monthly price as of October 26, 2026, per our methodology.

Every Way to Pay for Compounded bioidentical (BHRT) in 2026

Every plan the programs publish for compounded BHRT, cheapest first. The right one depends on whether you will prepay and what you want included.

Program and planMonthly costBillingWhat it includes
Ivim Health
Estradiol tablet
$29/mo
plus add-ons
monthly, starting priceRequires the $74.99/month membership source, 2026-10-26
Musely
The Estrogen Cream
$46/moauto-refill, 2-month supplyCompounded estradiol and estriol source, 2026-10-26
Winona
Estrogen body cream with progesterone
$89/moauto-refillCompounded in Winona's own pharmacy source, 2026-10-26
Inner Balance
Oestra, after 6 months
$99.50/mo
plus add-ons
90-day supplyOnly after the first 6 months at $199 source, 2026-10-26
Ivim Health
Membership + estradiol tablet
$104/momonthly$74.99 membership plus estradiol from $29 source, 2026-10-26
Inner Balance
Oestra, first 6 months
$199/mo90-day supply every 90 daysDoctor visits and follow-up source, 2026-10-26

Best Price for Compounded bioidentical (BHRT) by Situation

Work down this list and stop at the first line that applies to you: it is the cheapest way to get compounded BHRT for your situation.

  1. 1

    Price matters most → from $46/month

    Musely leads at $46/month (auto-refill, 2-month supply). The full ranked ladder is below.

    Cheapest compounded BHRT, fully ranked →
  2. 2

    You don't want to prepay → $104/month at Ivim Health

    The lowest all-in price billed month to month (Membership + estradiol tablet) rather than as a prepaid plan, so you can stop without losing money already paid.

    Ivim Health review →

Compounded bioidentical (BHRT) Prices: 4 Tracked Programs, Cheapest First

The lowest all-in monthly price for compounded BHRT on each program's own site, checked October 26, 2026.

#ProviderMonthly priceMeds included?Consultation feeTypeScoreVisit
1Musely
The Estrogen Cream · auto-refill, 2-month supply
$46/mosource, 2026-10-26Yes$20 one-time doctor visit fee per new treatmentFDA-approved + compounded8.9Visit
2WinonaPick
Estrogen body cream with progesterone · auto-refill
$89/mosource, 2026-10-26YesFree initial visit (online intake)FDA-approved + compounded9.2Visit
3Ivim HealthFDA letter
Membership + estradiol tablet · monthly
$104/mosource, 2026-10-26YesIncluded in the membershipCompounded7.0Visit
4Inner Balance
Oestra, first 6 months · 90-day supply every 90 days
$199/mosource, 2026-10-26YesIncludedCompounded6.5Visit
Not ranked here, and why (3)

See the full ladder with fee checks on Cheapest Compounded bioidentical (BHRT) Online, and our methodology.

What Hidden Costs Do Compounded bioidentical (BHRT) Programs Have?

Across the 7 programs we track, 1 quote a separate consultation fee, 4 a membership fee, 1 a lab charge, and 2 bill the medication outside the headline price. The advertised monthly price rarely tells the full story. Here is what each program's own site says:

Consultation fees

1 of 7
Musely: $20 one-time doctor visit fee per new treatment

Membership fees

4 of 7
Hone Health: $155/month (Premium); LifeMD Women's Health: $79/month program fee; Ivim Health: $74.99/month, required; Sesame: $59/month

Lab work

1 of 7
Hone Health: Quarterly labs included with Premium; $65 initial lab test

Medication billed separately

2 of 7
LifeMD Women's Health and Sesame: the headline is a membership or visit fee, and the medication is billed on top.

Plans with required add-ons

2 of 7
Ivim Health and Inner Balance publish a plan price that leaves out a required charge. We list it with the add-on, but never as the "from" price.

Not stated on their site

3 of 7
Musely, LifeMD Women's Health and Ivim Health leave at least one of consultation, membership, labs or cancellation terms off their pages. Ask before you pay.

Pro tip: ask for the total monthly cost, month to month, with everything required included, before you sign up. The advertised price is often the longest prepaid plan. Every row on our price page shows the billing term its price requires.

How We Verify Compounded bioidentical (BHRT) Prices

Every price on this page is read from the program's own pricing page, linked next to the price with the date we read it, and snapshotted into the HRT Watchdog Price Index. The full dataset is open on our data page. Our reviews score price, transparency, care, access and reputation; see our methodology. We earn a commission when you sign up through some links, which plays no part in the order; see our affiliate disclosure.

Compounded bioidentical (BHRT) Cost: Frequently Asked Questions

How much does compounded BHRT cost per month?

From $46 a month all in (Musely, auto-refill, 2-month supply), up to $199 across the 4 programs that publish a price.

What is a typical price for compounded BHRT?

The middle of the programs we track is about $104 a month (Ivim Health). Prices differ mostly on whether medication, labs and the clinician are included.

Does insurance cover compounded BHRT?

The telehealth programs here are almost all self-pay. Some medication can be billed to insurance at your own pharmacy; the membership or visit fee usually cannot. Each review says what a program accepts.

What is usually extra on top of the price?

Labs, a membership fee and shipping are the usual extras. Our prices add every required charge we can find before ranking; where a program does not publish one, the plan line says so.

Where do these prices come from?

From each program's own pricing page, linked next to the price with the date we read it. We never estimate a price a program does not publish.

Get Compounded bioidentical (BHRT) at the Best Price

Start with the cheapest program, or compare every compounded BHRT program by all-in cost.

Disclaimer: HRT Watchdog is for information only and is not medical advice. Hormone therapy has benefits and risks; talk to a licensed clinician about whether it is right for you. Prices change often; confirm the current price at checkout.