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Editorial reviews. Affiliate fees from some providers don't affect rankings. Disclosure

Annual cost ranges by treatment type

Visual at-a-glance comparison of annual treatment costs. Uninsured (red) vs insured (green) ranges. Median values shown as horizontal lines. Hover bars for detail.

UninsuredInsured (typical)

HRT (FDA-approved)

Uninsured: $540/yr · Insured: $120/yr

Generic estradiol patch + oral progesterone tier 1 for most plans. Cash-pay reasonable too.

HRT (compounded)

Uninsured: $1,020/yr · Insured: $1,020/yr

Insurance rarely covers compounded. Premium for customization.

GLP-1 (Wegovy/Zepbound)

Uninsured: $14,400/yr · Insured: $900/yr

Massive gap insured vs uninsured. Prior auth often required.

GLP-1 (compounded)

Uninsured: $4,200/yr · Insured: $4,200/yr

Cash-pay only. FDA shortage list ending narrows compounding window.

PCOS (metformin + spironolactone)

Uninsured: $420/yr · Insured: $60/yr

Both generics tier 1. Cheap even cash-pay.

Fertility (IUI prep)

Uninsured: $3,000/yr · Insured: $1,200/yr

Highly variable by state mandate. IVF cycle separate ($15-25k per).

Thyroid (levothyroxine)

Uninsured: $300/yr · Insured: $60/yr

Cheap generic. Annual labs add $50-200.

Non-hormonal vasomotor (fezolinetant/SSRI)

Uninsured: $3,600/yr · Insured: $600/yr

Fezolinetant (Veozah) ~$550/mo cash. SSRIs generic <$15/mo.

Plan around the costs

  • Budget planner

    Mix-and-match treatments to see total annual estimate.

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  • Insurance coverage matrix

    Check whether your insurer covers specific treatments.

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  • Cost-per-outcome

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Methodology

Ranges derived from reviewed brand directory + insurance formulary tier data. Insured values assume PPO with tier 2 copay; HMO + high-deductible plans may differ. Lab costs, consult fees, and one-time procedures excluded — focus is recurring medication cost.