Provider review
Winona Review: Every Price Is a Floor, and the Month Is 28 Days
Winona charges $54 to $149 a month with no membership, no platform fee, no consultation fee and no shipping — the medication price is the whole bill. Two things sit under it. Payment runs every 28 days rather than monthly, so the $89 cream is thirteen charges and $1,157 a year. And seven of the nine hormone prices carry a "from", with no dose ladder published anywhere on the site.
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The money verdict
I would buy here if I already knew my dose. Winona has the cleanest fee structure in this category — nothing is bolted on, and cancellation really is one click in account settings — but it is also the only company on this site that publishes the least a treatment could cost and nothing at all about the most. Walk in without a dose and you are agreeing to a number you cannot see until after the intake.
Worth it if
- You want hormone therapy and estradiol is the line you care about — Winona prices it as a tablet, a patch, a body cream and a vaginal cream.
- You already know your dose and want the medication price to be the whole bill: no membership, no consult fee, no shipping charge.
- You would rather not be made to do blood or saliva testing before a prescription.
- You want to cancel from account settings rather than by phone.
Look elsewhere if
- You live in one of the thirteen states, or Washington, D.C., that Winona's own list leaves off.
- You want a quote rather than a floor: seven of the nine hormone prices say "from", and no dose ladder is published anywhere.
- You need more than a day to change your mind — the refund window is 24 hours, and a compounded prescription cannot be returned after it.
- You are counting twelve payments a year: billing runs every 28 days, so the $89 cream is thirteen charges.
$9/cycle
Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont, Washington, D.C., West Virginia
Every 4 weeks (13×/yr)
At a glance
$9/cycle
Advertised
$9/cycle
Walk-away
$117
Year at this price
What DHEA capsules costs
Winona charges one rate: $9/cycle to start and the same after. It does not rise once the first cycle ends.
Ready to check Winona’s current price?
Prices may change.
Best for: You want hormone therapy and estradiol is the line you care about — Winona prices it as a tablet, a patch, a body cream and a vaginal cream. Skip it if: You live in one of the thirteen states, or Washington, D.C., that Winona's own list leaves off.
What’s included
- The medication itself — Winona's pricing article states "you'll only ever pay for the medication itself without any other hidden fees"
- Unlimited access to a Winona physician, with no per-visit charge — every product page lists "Free, unlimited access to a dedicated doctor"
- Free shipping on every order, with no minimum
- 24/7 messaging and community events
- No blood or saliva test as a precondition — Winona states it doesn’t require hormone testing before prescribing
- NOT insurance. Winona doesn’t bill any insurer, though HSA and FSA cards are accepted at checkout and receipts are provided for reimbursement claims
Pricing, per compound
Everything Winona sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.
| Provider | Advertised | Walk-away | Year at this price |
|---|---|---|---|
DHEA capsules — sold only as a 3-month supply | $9.00/cycle | $9.00/cycle | $117.00 $9.00 × 13 four-week cycles |
Progesterone capsules Advertised "From $39 per month", the cheapest hormone row on this review. Billed every 28 days, so $507 a year rather than $468. | $39.00/cycle | $39.00/cycle | $507.00 $39.00 × 13 four-week cycles |
Estriol face cream with tretinoin — sold only as a 3-month supply | $50.00/cycle | $50.00/cycle | $650.00 $50.00 × 13 four-week cycles |
Estrogen tablets — estradiol Advertised "From $54 per month", a published floor. Billed every 28 days, so $702 a year rather than $648. | $54.00/cycle | $54.00/cycle | $702.00 $54.00 × 13 four-week cycles |
Estrogen + progesterone body cream — compounded Advertised "From $89 per month" — the same published floor as the single-hormone cream, which is the useful fact here: Winona charges no more for the combined preparation than for estrogen alone. Billed every 28 days, so 13 charges a year. | $89.00/cycle | $89.00/cycle | $1,157.00 $89.00 × 13 four-week cycles |
Estrogen body cream — compounded estradiol + estriol Advertised "From $89 per month" — a published floor, not a quote: Winona sets the dose after an intake and prints no ladder. Nothing to prepay and no membership, so the same figure is what one cycle costs a patient who then stops. Billed every 28 days per Winona's FAQ, so a year is 13 charges of $89 — $1,157, not the $1,068 that "per month" implies. | $89.00/cycle | $89.00/cycle | $1,157.00 $89.00 × 13 four-week cycles |
Progesterone body cream — compounded Advertised "From $89 per month", a published floor. Note that this is $50 a cycle dearer than the progesterone capsule below for the same hormone — the delivery method, not the drug, is what moves the price. Billed every 28 days, so 13 charges a year. | $89.00/cycle | $89.00/cycle | $1,157.00 $89.00 × 13 four-week cycles |
Vaginal estrogen cream — compounded estradiol Advertised "From $89 per month", a published floor. Billed every 28 days, so 13 charges a year rather than 12. | $89.00/cycle | $89.00/cycle | $1,157.00 $89.00 × 13 four-week cycles |
Estrogen patch — estradiol transdermal Advertised "From $149 per month" — a published floor, and the dearest thing Winona sells. It’s also the only delivery method Winona's own treatments page doesn’t label "Compounded" — body cream, vaginal cream and pills all carry that label and the patch carries only "Plant-derived". At 13 charges a year that’s $1,937, against $1,157 for the cream carrying the same hormone. | $149.00/cycle | $149.00/cycle | $1,937.00 $149.00 × 13 four-week cycles |
The year at this dose — 12 payments, or 13 where a seller bills every four weeks. Several charge more as you move to a higher dose; where they publish that, the row says so.
Every figure above was read on bywinona.com, one product at a time. Check the current price before you buy.
See Winona’s pricesHow this compares
On our estradiol board, Winona is $54 and the cheapest we have priced is Alloy — pill at $39.99.
See every estradiol price we have checked →
Pros and cons
Pros
- There’s no prepay tier to be caught by.
- You can cancel any time.
- No membership fee, no platform fee, no consultation fee and no shipping charge.
- No FDA warning letter.
- Block rates are printed as block rates.
- Every product has its own page with the price on it, and there are twelve of them.
2 more
- The states it serves are enumerated by name on a public page, and the site carries a separate page for each one — so you can check before starting an intake rather than after.
- HSA and FSA cards are accepted at checkout, and Winona will supply receipts for an out-of-network reimbursement claim.
Cons
- The refund window is 24 hours.
- "Per month" means 28 days.
- Seven of the nine hormone prices are floors, not quotes.
- The only way to learn the price you would actually pay is to complete a medical intake and accept the Terms.
- The Terms and the help center disagree about whether there’s a subscription fee.
- The coverage page contradicts itself.
2 more
- Delivery method costs more than the drug. Progesterone is $39 a cycle as a capsule and $89 as a cream; the estrogen patch is $149 against $54 for the tablet carrying the same hormone. None of those gaps is explained on any product page.
- No insurance is billed at all, and CareCredit is refused as a payment method — so apart from HSA and FSA funds, everything here is out of pocket.
Where else Winona appears
Boards this company appears on
How we verified this
What we checked
- Every price read off bywinona.com — 9 products, checked one at a time
- The billing cycle taken from the company's own terms, not assumed from the price
- States, inclusions and cancellation terms read on the company's own pages
- Screened against the FDA's live warning-letter index
What to double-check before you buy
- DHEA capsules: Converted, not copied, and a published floor like every other "from" row here.
- Estriol face cream with tretinoin: Converted, not copied, and the only Winona hormone product quoted at a flat price rather than "from": "$150 per 3-month supply".
- Prices may change. Confirm before you buy.
Key terms
Show definitions
- Walk-away price
- What one cycle costs at the ongoing rate with no commitment — what you actually pay if you stop after month one.
- Year at this price
- The walk-away price multiplied by however many times a year it's actually billed. It's the year at this dose only — several sellers charge more as you move up, and most don't publish the ladder.
- Four-weekly billing
- A cycle that repeats every 4 weeks rather than on the calendar month, so it bills 13 times a year, not 12. A stated shipping interval is not a billing interval.
- Compounded
- Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.
Bottom line
Budget thirteen charges a year rather than twelve: $1,157 on the $89 creams, $1,937 on the $149 patch. And decide inside 24 hours — that is the whole refund window, after which a compounded prescription "cannot be refunded, returned, or re-dispensed".
Visit WinonaFrequently asked questions
What does Winona actually cost?
The cheapest hormone product is the progesterone capsule at $39 a cycle and the dearest is the estrogen patch at $149; the creams sit at $89 and the estrogen tablet at $54. DHEA is quoted as $27 for a three-month supply, which is $9.00 a cycle. But two things sit between those figures and your bill. Every one of them except the estriol face cream is advertised as "from", meaning it’s the floor of a range Winona doesn’t publish — the dose is set after a medical intake. And the cycle is 28 days rather than a calendar month, so whatever your figure turns out to be, you pay it thirteen times a year. Read off bywinona.com on August 9, 2026.
Why does a year cost more than twelve times the monthly price?
Because Winona doesn’t bill monthly, and says so in its own FAQ: "Payment and prescription for a 30-day supply are automatically processed every 28 days, while those for a 90-day supply are processed every 84 days." Twenty-eight days is thirteen charges a year, not twelve. On the $89 cream that’s $1,157 rather than $1,068 — an extra $89 that no per-month figure on the site will ever show you. It also makes the three-month products divide cleanly: 84 days is exactly three 28-day cycles, which is why the $27 DHEA supply is $9.00 a cycle with no rounding.
What does "from $89" actually mean?
It means the dose, not the term — and that distinction is the reason the number is trustworthy as far as it goes. It’s not a prepay block divided out: Winona prints block rates as blocks everywhere else on the same catalog page, including on the one product it sells both ways, where it writes "$119 per 1-month supply or $269 per 3-month supply" instead of the $90-a-month badge that was available to it. What "from" covers is the prescription. Winona's pricing article says "the final cost of your treatment program depends on what your Winona doctor determines your body needs", and its Terms say the fee "may be increased or decreased if your prescription changes, such as by a dosage increase or frequency of refills". No dose ladder is published anywhere, so the honest reading is that $89 is the least this can cost and the site doesn’t tell you the most.
Is there a membership fee, a consultation fee or a shipping charge?
Not according to the help center, which is unusually direct about it: "you'll only ever pay for the medication itself without any other hidden fees", with free virtual visits, free follow-ups, free messaging and free shipping, and "no long-term agreement or subscription fee associated with a Winona account". That’s why the advertised and charged figures on this review are the same number — there’s nothing bolted on to walk away from. The one wrinkle worth knowing is that Winona's Terms take a different line, defining a "Subscription Fee" that "may include the Services platform fee, amounts collected on behalf of the Medical Practice or Physicians for medical consultations" and shipping and handling. No amount is published for any of that, and nothing has been added to the prices here, but the two documents don’t say the same thing.
Does Winona prescribe GLP-1s?
No, and this was checked rather than taken on trust: we read all 154 of Winona's non-blog pages on August 9, 2026 and searched them for semaglutide, tirzepatide and the brand names. Exactly one page mentions GLP-1s at all — the FAQ, which answers "No, Winona does not prescribe GLP-1 medications." It sells hormone therapy and nothing else, which is why it appears on this site's hormone board and on none of its GLP-1 boards.
Can I cancel, and what happens if I change my mind about an order?
Canceling the subscription is genuinely easy — the help center says there’s no long-term agreement and plans "can be canceled anytime" from account settings. Canceling a single order is much tighter. Winona's cancellation policy gives you a 24-hour window from the moment an order processes, after which "orders cannot be canceled, refunded, or returned", because a compounded preparation made for one patient can’t be re-dispensed to another. You’re emailed when an order processes, which is the notice that window starts.
Does Winona serve my state?
It names the ones it serves, which is more than most of this category does. Its /online-menopause-specialists page lists 37 states plus Puerto Rico, and the site carries a matching page for each. Thirteen states are absent from that list — Alabama, Alaska, Arkansas, Kansas, Louisiana, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont and West Virginia — and so is Washington, D.C. The awkward part is that the same page is headed "Nationwide Telehealth Care & HRT with Winona" and tells you care is available "No matter where you're located". The list is the specific claim and the heading is the loose one; trust the list.
Has the FDA written to Winona?
No. The live warning-letter index was queried on August 9, 2026 under "winona", the condensed "bywinona" and "winona wellness", and every pass returned zero rows with the returned count matching the filtered count, so nothing was hidden by paging. A warning letter discloses something a reader should know and isn’t a finding of illegal activity — this site publishes them where they exist. Here there’s nothing to publish.
Sources
Every price above was checked against Winona’s own pricing page — never a third-party aggregator:
Show every source link
- Winona — official site
Where we read every figure on this page
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.