ClearedRx vs Midi Health: HRT Telehealth 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. Midi's pricing depends a lot on your insurance plan; the ranges shown are the published cash equivalents.

Pricing showdown: where the math gets sneaky

Midi's sticker price and your actual all-in cost are not the same number. Worth reading before you sign up.

Midi Health: what you really pay

Midi's published pricing splits the bill into two parts — medication and visits:

• Medications: $25–$70 a month, like most telehealth menopause providers.
• Video visits: $50–$295 per visit, depending on the visit type and whether insurance kicks in.
• In-person visits: $99–$300 per visit, where Midi has clinics.
• Insurance: Most major commercial plans, plus Medicare in some states.

If your plan is in-network and your deductible is already met, Midi can be the cheapest HRT option around — a $20–$40 copay plus a $10 generic. That's a great outcome. We're not pretending otherwise.

"Insurance acceptance is a feature when your deductible is met. It's a four-figure surprise when it isn't." — observed across telehealth menopause patient forums, 2026

ClearedRx: what you really pay

ClearedRx posts every tier on one page, no quiz required:

• Progesterone-only: $19/mo (cheaper than a Netflix subscription)
• Combination products (patch, pill, cream): $49–$89/mo
• First order: Half off ($9.50–$44.50 for month one)
• Visit fees: None — built into the monthly
• Shipping: Always free
• Follow-ups: Unlimited messaging with your doctor, included

The trade-off is honest: you can't use your insurance here. But for women without coverage, with high deductibles, or in plans that don't cover telehealth menopause care, ClearedRx's flat fee is usually the lower all-in number. For more on what telehealth HRT really costs across the whole market, see our HRT cost comparison guide.

The doctor experience, fairly

This is where the two services feel most different. Both are menopause-focused. The clinical model isn't the same.

Midi Health: the clinic feel

Midi is built like a virtual menopause clinic. What that looks like:

• An hour-long video visit to start, with a real conversation
• Nurse practitioners (NPs) leading care, with MDs supervising — and you usually see the same NP each time
• Built-in follow-ups, typically every 3 months
• One visit can cover everything — perimenopause, menopause, thyroid, mood, sleep — instead of treating each symptom in isolation
• In-person visits in some cities

If you're juggling fatigue, mood swings, irregular cycles, sleep trouble, and low libido all at once, Midi's longer visits often produce a more thoughtful plan. The clinical relationship is the product.

ClearedRx: the prescriber flow

ClearedRx is built around one decision — the prescription:

• A 3-minute intake covering your history and symptoms
• A board-certified MD reviews within 24 hours
• Treatment plan and prescription back to you same-day or next-day
• Unlimited messaging with your doctor for dose tweaks
• Automatic refills, with a check-in once a year

For most menopause cases — clear symptoms, no red flags, a textbook HRT decision — NAMS guidelines already spell out what to prescribe. An hour-long visit isn't required to get there. The streamlined model gets you to a prescription faster without skipping the safety screen.

Treatment depth: how the hormone gets in

Both services carry the major HRT routes. The selection is comparable.

Midi prescribes: oral estradiol, through-the-skin estradiol (patches and gels), oral micronized progesterone, vaginal estrogen products, and testosterone when needed. Midi's formulary fits the clinic model — their NPs can prescribe across the spectrum.

ClearedRx prescribes a similar list (full menu): estradiol patches, estradiol gel, oral estradiol tablets, micronized progesterone tablets, a 3-in-1 body cream (estradiol + progesterone + testosterone), vaginal estradiol cream, and the vaginal estradiol ring.

The reasoning is the same either way. Through-the-skin estradiol is preferred if you have a clotting history or migraines with aura. Oral is fine for low-risk patients. Vaginal-only is the right call if you only have dryness or painful sex, with no other symptoms. The clinical reasoning lives in the HRT types explained guide and the is HRT safe evidence review.

Where Midi Health actually wins

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

• Insurance. If your plan is in-network with Midi and your deductible's already met, they can be the cheapest long-term option. ClearedRx is cash-pay only.
• Longer visits. Hour-long visits and 3-month check-ins produce a deeper picture if you've got several things going on at once. The prescribing decision is better when the clinician knows your full story.
• Perimenopause-specific care. If you're still cycling, still thinking about contraception, and the standard "are you in menopause?" intake doesn't quite fit, Midi's model handles that better. We treat perimenopause too, but our workflow is more linear.

Where ClearedRx wins

• Speed. 24 hours to a prescription vs. days or weeks waiting for a Midi visit slot. When you're sweating through your shirt at meetings, that gap matters.
• Predictable monthly cost. No visit fees. No deductibles. No copay surprises. The published price is the whole bill.
• Board-certified MDs. Midi's care is mostly NP-led with MD oversight. Our prescribers are MDs. Both are licensed and competent — the seniority is different.
• Pricing you can see before the quiz. Every tier is on our public page. Midi's actual price depends on your insurance, your deductible, and how many visits you'll need.
• The lowest entry tier on the market. $19/mo for progesterone-only.
• Plain packaging. No branding on the box.

Who should choose Midi Health

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

• Your insurance is in-network with Midi and your deductible is met (or close to it).
• You're in active perimenopause with several symptoms layered on (mood, sleep, thyroid, cycle changes) and you want a longer, real conversation.
• You'd rather have one named clinician you see again than the fastest possible prescription.
• You're comfortable with NP-led care plus MD supervision.
• You don't mind scheduling video visits and waiting days or weeks for the first one.

Who should choose ClearedRx

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

• You're uninsured, have a high deductible, or have a plan that excludes telehealth menopause — so "takes insurance" doesn't help you anyway.
• You want a board-certified MD reviewing your case from the start.
• Your symptoms are clear, your case is straightforward, and you'd like HRT in 24 hours instead of three weeks.
• You want one flat monthly bill — not medication + visit + copay + deductible math.
• You want to see the price before you sign up.
• You'd rather message your doctor about a dose tweak than schedule a video visit.

The bottom line

The decision that matters most is whether your insurance actually covers Midi's visit fees in your specific plan year. If yes, Midi is hard to beat on long-term cost. If your deductible is high — or you're paying cash either way — the math usually favors ClearedRx, and you'll have a prescription tomorrow instead of next month. Our how it works page walks through the ClearedRx process in three steps.

The most important step is starting a real conversation with a doctor. For the clinical case for treating menopause early, see ACOG's menopause practice guidance.

Frequently asked questions