Nurx menopause review: cost, care and alternatives

At a glance

		Nurx
Starting price	Cream from $95/mo, progesterone from $85/mo	Solstice from $95/mo
What is offered	Cream, tablets, patch, progesterone, vaginal estradiol	Estradiol, progesterone, optional vaginal estrogen
What the price covers	Medication, with membership included	Footnote: prescriptions, labs, and OTC not included
States	Broad multi state coverage, checked in the intake	Not offered in every state
Insurance	Cash price, no insurance billing	No insurance needed, HSA and FSA eligible

Based on publicly available information as of 2026-10-30. Confirm current details on each company's own site.

What Nurx Solstice is

Nurx is an online women's health service that now offers menopause care. Its hormone therapy is called Solstice. It pairs bioidentical estradiol with daily micronized progesterone for people with a uterus, and adds topical vaginal estrogen as an option for dryness and discomfort.

You take a short quiz, a licensed clinician reviews it, usually within 24 hours, and the care team handles refills and dose changes by message. Nurx says more than 2 million women have trusted it and shows a 4.7 rating on its page. Its pitch is personalization: you and the clinician can change the ratio of estrogen to progesterone instead of staying on a fixed dose.

Nurx HRT pricing in 2026

Nurx lists Solstice starting at $95 a month and says the care is HSA and FSA eligible. A footnote on the same page says prescription costs, lab work, and OTC products are not included, and that the offer applies to new members who joined on or after February 18, 2026. Ask what the $95 covers before you pay, and whether your estradiol is a pill, a patch, or a cream, because the page does not say.

Sipra prices each hormone product on its own. The HRT cream (Bi-Est, estradiol and estriol) starts at $95/mo, estradiol tablets with progesterone at $190/mo, the brand Dotti estradiol patch with progesterone at $390/mo, progesterone alone at $85/mo, and vaginal estradiol at $99/mo. Membership is included in each price.

Compare the price of the exact product you would take, not the lowest number on the page.

Where each one falls short

Nurx does not serve every state, the footnote leaves medication and lab costs open, and the page does not name the estradiol form you would receive. If you need a specific form, such as a patch, ask before you start.

Sipra's HRT cream is compounded. Compounded medications are not FDA-approved and are not the same as, or equivalent to, any branded product. Sipra does not bill insurance, and testosterone for women is Coming Soon. Sipra backs longer plans with the Sipra Promise, which refunds medication not yet sent to the pharmacy on 6 and 12 month plans if you stop partway through. Sipra is LegitScript certified, certificate 50053943.

Nurx pros and cons

sipra vs Nurx, side by side

		Nurx
Price shown	Each product priced on its own page	One system from $95/mo
Estradiol forms	Bi-Est cream, tablets, or the brand Dotti patch	Bioidentical estradiol, form not named
Progesterone	From $85/mo alone, or paired with estradiol	Daily capsules included if needed
Vaginal estrogen	Vaginal estradiol from $99/mo	Optional add-on
Labs	Quarterly protocol labs at $65/mo, optional	Not included, per its footnote
States	Broad multi state coverage, checked in the intake	Not every state
Satisfaction policy	Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan	Satisfaction guarantee, terms apply
Trust check	LegitScript certified (50053943)	LegitScript certified, per its page

As of 2026-10-30. Sipra's HRT cream is compounded and is not FDA-approved. It is not the same as, or equivalent to, any branded medication. A clinician decides what is appropriate for you. Individual results vary.

Who should choose which