ClearedRx vs Evernow: Menopause Treatment Compared

Reviewed by ClearedRx Medical Network
Last updated May 7, 2026

The TL;DR comparison table

All prices and policies are from each company's public site as of May 2026.

Pricing showdown: flat fee vs. per-regimen tiers

The pricing structures are different in a way that really matters for your bill — read this before you sign up.

Evernow: what you really pay

Evernow's subscription model is essentially one flat tier:

• Monthly subscription: ~$59/mo, no matter what regimen you're on
• No insurance
• Free shipping
• Includes the prescriber consult, medication, and follow-ups

The simplicity is the feature: one price, no decisions. The trade-off: you pay the same whether you're on a single hormone or three. That's fine if you're on combination HRT. It's a quiet markup if you're on monotherapy.

ClearedRx: what you really pay

Our pricing changes with the regimen:

• Progesterone-only: $19/mo
• Combination products (patch, pill, cream): $49–$89/mo
• Half off your first order ($9.50–$44.50 for month one)
• Free shipping, with unlimited messaging follow-ups included

If you're on monotherapy, we're much cheaper ($19 vs. $59). If you're on a mid-tier combination ($59–$69), they're close. If you're on a higher-tier combination ($79–$89), we're a touch more — but our 50%-off first order and broader formulary often make up the difference. For more market context, see our HRT cost comparison guide.

"If you're on progesterone-only, you'd be paying triple at Evernow's flat rate. The flat fee is great if you're on combination — and a markup if you're not." — ClearedRx Medical Network

The doctor experience, fairly

Evernow: the perimenopause community

Evernow built a brand around perimenopause — the 4–10 year stretch before menopause where most women first notice symptoms (irregular periods, sleep changes, mood shifts, the early hot flashes). Here's how it works:

• Online intake routes to a clinical team mixing NPs and MDs
• Strong educational library focused on perimenopause specifically
• A patient community of women going through the same transition
• Subscription includes ongoing follow-ups

If you're in active perimenopause, want a brand built squarely around that transition, and the flat fee works for you, Evernow's setup is genuinely useful. The community-and-content layer is part of the product.

ClearedRx: MDs and a broader menu

ClearedRx is built around the prescribing decision and the range of options:

• 3-minute structured intake
• Board-certified MD reviews within 24 hours
• Full HRT menu — patch, gel, pill, body cream, vaginal cream and ring
• Per-regimen pricing visible on a public pricing page
• Unlimited messaging with the doctor who prescribed your treatment

If you want a broader menu and faster MD review across the whole perimenopause-to-post-menopause arc, ClearedRx is the more flexible pick. There's less brand voice and community feel — it's a clinical service, not a content platform.

Treatment depth: how the hormone gets in

Both services carry the main HRT routes, but our published menu is broader.

Evernow's core lineup covers the most common menopause prescriptions — usually oral and through-the-skin estradiol, oral micronized progesterone, and a few vaginal estrogen options. That's enough for most cases but narrower than menopause-specialty providers with deeper formularies.

Our menu:

• Estradiol patches (twice-weekly, through the skin)
• Estradiol gel (once a day, through the skin)
• Oral estradiol tablets
• Micronized progesterone tablets (taken at night for sleep and to protect the uterine lining)
• 3-in-1 body cream (estradiol + progesterone + testosterone)
• Vaginal estradiol cream
• Vaginal estradiol ring (lasts 3 months)

Route matters more than most people realize. Through-the-skin is preferred if you have clotting risk. Vaginal-only is the right call if dryness or painful sex is your only symptom. A combination cream makes sense if you'd rather apply one product instead of three. The full clinical reasoning is in the HRT types explained guide and the is HRT safe evidence review.

Where Evernow actually wins

Evernow has real advantages over us in three places. We're not pretending otherwise:

• Perimenopause-specific branding. If you're in active perimenopause and want a service built squarely around that transition — not just "menopause and perimenopause" lumped together — Evernow's brand voice is stronger.
• Education and community. Their patient content library and community around perimenopause is more developed than what most prescribing services offer. If you want a content-plus-care experience, that's Evernow's lane.
• Flat-rate predictability. One price, regardless of regimen, makes budgeting easy. For combination patients, that flat rate is often the cheaper option compared to per-regimen tiers elsewhere.

Where ClearedRx wins

• Lower entry tier. $19/mo for progesterone-only vs. Evernow's flat ~$59. That's $480 a year — about a month's worth of groceries — for the same monotherapy.
• Board-certified MDs prescribing. Evernow's network mixes MDs and NPs. We're MD-direct.
• Broader menu. Patches, gels, pills, body cream, vaginal cream, and ring vs. Evernow's narrower core lineup.
• 24-hour MD review (published). Faster than Evernow's typical multi-day timeline.
• Pricing visible before the quiz. Every per-regimen tier on our public pricing page.
• Half off your first order. Lowers the on-ramp.

Who should choose Evernow

Evernow is the right pick if any of this sounds like you:

• You're in active perimenopause and you want a brand built specifically around that transition.
• You're on a mid-tier combination regimen where Evernow's flat ~$59 is competitive.
• You want a content-and-community layer alongside your prescription.
• You're comfortable with NP-led care plus MD supervision.
• You don't need a less-common route (vaginal ring, combination through-the-skin cream).

Who should choose ClearedRx

ClearedRx is the right pick if any of this sounds like you:

• You're on monotherapy (progesterone-only or estradiol-only) and the $19 entry tier matters.
• You want a board-certified MD reviewing your case directly.
• You'd rather have a 24-hour review window than wait several business days.
• You need a route Evernow doesn't carry (vaginal ring, 3-in-1 body cream).
• You want to see per-regimen pricing before you start the intake.
• You'd rather have a clean prescribing service than a content-and-community layer.

The bottom line

Both services prescribe within current evidence-based menopause guidance. The decision mostly comes down to your regimen. On monotherapy, our $19 tier saves you several hundred dollars a year versus Evernow's flat rate. On a higher-tier combination, Evernow's flat fee becomes the cheaper option — and if you want that perimenopause community and content layer, it's worth it. The full ClearedRx process is on the how it works page. Clinical guidance: NAMS Hormone Therapy Position Statement and ACOG menopause practice guidance. For more on perimenopause, see our perimenopause vs menopause guide.

Frequently asked questions