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75
Good
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Winona

Women-focused telehealth delivering personalized bioidentical hormone replacement therapy for menopause, with in-house compounding pharmacies, serving 37 states.

Austin, TXFounded 202014-50 employeesReviewed Sep 19, 2026Prices checked Oct 9, 2026
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Our Verdict

Winona scores 74.5/100 in our independent evaluation — good overall, standing out most for experience and reputation. Plans start at $9/mo.

What we like

+Vertically integrated: in-house compounding pharmacies, proprietary EHR, employed physicians
+Strong patient satisfaction: 4.6/5 Trustpilot with 6,000+ reviews, 80% report symptom relief in 3 months
+Accessible pricing: $54-$149/mo for core HRT with free consultations and shipping
+Wide product range for a menopause specialist: 12 products across creams, pills, patches, and specialty items
+Low-friction experience: 5-minute intake, no office visits, unlimited doctor messaging

What to watch

−Billing runs every 28 days on monthly supplies, which is 13 charges a year rather than 12
−Six of the hormone products and DHEA are advertised as a 'from' price, with dose-level pricing visible only after an intake, so the figures here are floors rather than what most patients pay
−No insurance billing — entirely out-of-pocket (though HSA/FSA accepted)
−No blood work or lab testing required before or during treatment — a clinical concern
−Limited to 37 US states and Puerto Rico — unavailable in 13 states and DC
−Compounded formulations are not individually FDA-approved
−No returns on prescription products once dispensed

Full Review

Winona has carved out a defensible niche in the underserved menopause care market, scaling to 100,000+ patients since its 2020 founding with a vertically integrated model that controls the pharmacy, physician network, and technology stack. The company's Trustpilot rating of 4.6/5 across 6,000+ reviews is notably strong for telehealth, and its price points ($54-$149/month for core HRT) are competitive with peers like Evernow and Alloy. The lack of required blood work is a clinical gap that differentiates it from premium competitors but keeps the onboarding friction low. Geographic expansion beyond its current 37 states and potential insurance partnerships represent clear growth vectors. The company appears bootstrapped with no disclosed funding rounds.

Last researched: Sep 19, 2026 · Prices checked: Oct 9, 2026

Pricing

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

TreatmentCategoryPrice/moIncludesNotes
Estrogen Tablets (Estradiol, FDA-approved)Women's Health$54
● Consults○ Lab work● Shipping
An FDA-approved finished medicine, not a compounded preparation. Price is a floor, shown on the site as 'from'
Subscription required
Progesterone Capsules (FDA-approved)Women's Health$39
● Consults○ Lab work● Shipping
An FDA-approved finished medicine, not a compounded preparation. Price is a floor, shown on the site as 'from'
Subscription required
Estrogen Body Cream (with Progesterone)Women's Health$89
● Consults○ Lab work● Shipping
Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Estrogen Patch (FDA-approved)Women's Health$149
● Consults○ Lab work● Shipping
An FDA-approved finished medicine, not a compounded preparation. Price is a floor, shown on the site as 'from'
Subscription required
Estriol Face Cream with TretinoinDermatology$50
● Consults○ Lab work● Shipping
Billed as $150 per three-month supply. Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Sildenafil Arousal Cream (per order, not monthly)Sexual Health$79
● Consults○ Lab work● Shipping
Sold per order as an as-needed product, not on a monthly cycle. Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Minoxidil Hair Serum (7%)Hair Loss$50
● Consults○ Lab work● Shipping
Billed as $150 per three-month supply. Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
DHEA CapsulesWomen's Health$9
● Consults○ Lab work● Shipping
Billed as $27 per three-month supply. Oral DHEA is a supplement rather than an FDA-approved drug; only intravaginal DHEA is approved
Subscription required
Deep Sleep (ramelteon, magnesium glycinate, DHHB)Mental Health$119
● Consults○ Lab work● Shipping
$119 for one month or $269 for three. Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Vaginal Estrogen CreamWomen's Health$89
● Consults○ Lab work● Shipping
Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Progesterone Body CreamWomen's Health$89
● Consults○ Lab work● Shipping
Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required
Estrogen Body CreamWomen's Health$89
● Consults○ Lab work● Shipping
Compounded by a state-licensed pharmacy; the active ingredients are FDA-approved but the finished medicine is not
Subscription required

Where Winona medication comes from

Winona says it 'owns and operates two licensed pharmacies' (503A) that compound its HRT creams, but does not give their names or locations.

Winona says it uses its own pharmacy but doesn't publish its name.

See every pharmacy behind the telehealth brands we track →

Score Breakdown

70
Trust & Safety (30%)
75
Value (25%)
85
Experience (20%)
65
Product Range (15%)
80
Reputation (10%)
Trust & Safety70/100
Value75/100
Experience85/100
Product Range65/100
Reputation80/100

Winona — Frequently Asked Questions

Is Winona legit?

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We rate Winona's trust & safety at 70/100 (good), based on FDA compliance, licensing, and pricing transparency. Its overall score across all five of our scoring dimensions is 74.5/100 — see the full breakdown above.

How much does Winona cost?

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Winona's plans start at $9/mo. Exact pricing varies by treatment — see the pricing table above for a breakdown by product. Prices were last verified 2026-09-19.

Does Winona require a subscription?

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Yes — every Winona plan we track requires an ongoing subscription.

What does Winona treat?

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Winona offers treatment in: Women's Health, Hormone Therapy, Dermatology, Hair Loss, Sexual Health.