ClearedRx vs Hims for Menopause: 2026 Comparison

Reviewed by ClearedRx Medical Network
Last updated May 7, 2026

The TL;DR comparison table

All prices and policies are pulled from each company's public site as of May 2026. Where Hers's pricing is range-based or hidden behind the quiz, we list the figure customers report most often.

Pricing showdown: where your dollars actually go

Neither company takes insurance. That's not a flaw — it's the only reason the price stays flat. So the real question isn't "which is cheaper?" It's what you're getting for the monthly fee.

What you pay at Hers

A Hers menopause subscription runs around $49 a month for oral estradiol — about the cost of a Costco bulk box plus dinner out. Reviews and refills are included. You won't see add-on visit fees. The price you see is the price you pay.

The catch: Hers doesn't show menopause pricing on the public page. You take the quiz first, then see your number. Not a scam — just a marketing choice that means committing before you know the bill.

"Hers doesn't list its menopause HRT pricing on the public marketing page — you complete the quiz first, then see your number." — observed on forhers.com/menopause, May 2026

What you pay at ClearedRx

ClearedRx posts every tier on one pricing page, no quiz required. Progesterone-only is $19 a month — less than a Netflix subscription. Combination products (patches, pills, creams) run $49–$89. The first order is half off. Shipping is free, every time. And you can message the prescribing doctor for dose tweaks as often as you need, included.

For a wider look at what HRT really costs across telehealth, brand-name pharmacies, and compounded options, see our HRT cost comparison guide.

The doctor experience, fairly

Both services use licensed US doctors. Both screen for the same reasons HRT might not be right for you (clotting history, breast cancer history, certain heart conditions). The differences are tone and breadth.

Hers: the everything-store model

Hims is the biggest direct-to-consumer telehealth brand in the country, and Hers inherits all of it — a polished app, big customer service team, and a long product list that covers mental health, skin, sexual health, and hair loss alongside menopause. If you want one login that handles five things, Hers is a sensible home base.

The trade-off: menopause is one aisle in a big-box store. The intake is competent but generic. And the formulary leans toward what scales for a mass market — which, for HRT, means mostly oral estradiol.

ClearedRx: the specialty shop

ClearedRx only treats one thing — menopause and perimenopause. The intake is built for it. The doctors review against current NAMS guidelines. And the formulary covers every route a menopause-trained doctor would normally consider: patches, gels, pills, vaginal cream, vaginal ring, and a 3-in-1 body cream. The 24-hour review window is a promise we publish — if you submit tonight, you're reviewed by tomorrow.

What you give up: we don't treat anything else. If you want one telehealth login that also handles your acne and your sleep meds, ClearedRx is the wrong tool.

Treatment depth: how the hormone gets in matters

This is the biggest practical difference between the two services. How HRT enters your body — through a pill, a patch, a gel, a cream, or vaginally — changes both how safe it is for you and how well it relieves symptoms.

Here's why: oral estradiol goes through your liver first, which bumps up clotting factors a little. Through-the-skin estradiol — patches, gels, body cream — skips that liver pass entirely, and long-term studies haven't found a meaningful increase in blood clot risk. The 2022 NAMS Hormone Therapy Position Statement spells this out clearly. For more on how route affects safety, see our is HRT safe evidence review and the breakdown of every HRT type.

What Hers carries

Hers leans heavily on oral estradiol. A few patch and topical options have come and gone, but the lineup you can get without leaving the platform is much shorter than at a menopause-only provider. If you need vaginal estrogen for dryness or painful sex, you'll usually have to look elsewhere.

What ClearedRx carries

The full ClearedRx formulary:

• Estradiol patches (twice-weekly, through the skin)
• Estradiol gel (once a day, through the skin)
• Oral estradiol tablets (for low-risk patients who prefer a pill)
• Micronized progesterone tablets (progesterone broken into tiny particles your body absorbs better — taken at night for sleep and to protect the uterine lining)
• 3-in-1 body cream (estradiol + progesterone + testosterone in one topical)
• Vaginal estradiol cream (for vaginal dryness, painful sex, and bladder changes)
• Vaginal estradiol ring (low-dose, lasts 3 months)

That range lets your doctor match the regimen to your specific risk profile and symptoms — instead of putting everyone on oral estradiol because that's the only thing on the shelf.

Where Hims actually wins

An honest comparison names the trade-offs. Hims has real advantages over ClearedRx in three spots:

• One login, many problems. If you also want telehealth for skin, mental health, sexual health, or weight, Hims's product range is genuinely useful. We only do menopause.
• Brand recognition. Hims is a publicly traded company you've seen on TV. For some women, that visibility is its own trust signal.
• Customer service muscle. Hims has poured money into chat support — they answer non-medical questions fast.

Where ClearedRx wins

• Seven HRT routes vs. mostly one. If you need a patch, a gel, a vaginal product, or a combination cream, ClearedRx has it. Hers usually doesn't.
• A 24-hour doctor review, in writing. Hers doesn't publish a timeline. We commit to 24 hours.
• Pricing you can see without taking a quiz. Every tier is on our pricing page. Hers makes you take the quiz first.
• The lowest published entry price. $19/mo for progesterone-only — about the cost of two coffees.
• Half off your first order. Month one runs $9.50–$44.50.
• Plain packaging. No brand on the box. Your mailman doesn't need to know.

Who should choose Hims (Hers)

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

• You want one telehealth login that also handles your skin, your mental health, or other stuff.
• You're fine with oral estradiol and don't need a patch, gel, vaginal cream, or combination topical.
• You like the comfort of a name you've heard a hundred times.
• You're not in a rush — a few extra days for the first prescription is fine.

Who should choose ClearedRx

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

• You want a doctor who only treats menopause — not a generalist running a menopause aisle.
• You need something other than oral estradiol — a patch, gel, body cream, vaginal cream, or ring.
• You want to know what you'll pay before you start.
• You want the lowest entry price out there for monotherapy: $19/mo.
• You'd like a doctor reviewing your case in 24 hours — not next week.
• You have specific concerns (clotting history, family history of breast cancer, perimenopause symptoms) that need a careful intake.

The bottom line

Both services will safely prescribe HRT for the right patient. The pick usually comes down to whether you want a generalist or a specialist — and whether the route you need (patch, vaginal, combination cream) is even on the menu. Our how it works page walks through the ClearedRx process, and the clinical reasoning lives in the HRT types explained guide.

The most important thing is starting a real conversation with a doctor. Skipping treatment isn't a neutral choice — untreated menopause symptoms hit your heart, bones, sleep, and daily quality of life. ACOG's menopause practice guidance spells out the case.

Frequently asked questions