Women's health comparison · Medical comparison
Wisp menopause review: cost, care and alternatives
Wisp is a women's telehealth brand. Its menopause consult starts at $33 a month and covers the consult, follow-ups, and care team access. If you are prescribed hormones, Wisp sends them to your local pharmacy and you pay for them there. Here is how that model compares with Sipra.
At a glance
 | Wisp | |
|---|---|---|
| Starting price | Cream from $95/mo, progesterone from $85/mo | Consult from $33/mo |
| Medication | Included in the price | Paid separately at your pharmacy |
| Delivery | Shipped to your door | Sent to your pharmacy the same day |
| States | Broad multi state coverage, checked in the intake | All 50 states |
| Insurance | Cash price, no insurance billing | Consult is cash; your plan may cover the medication |
Based on publicly available information as of 2026-10-30. Confirm current details on each company's own site.
What Wisp menopause care is
Wisp connects you with a menopause provider online. After an intake, the provider can prescribe estradiol as a patch, gel, or pill, and progesterone as micronized progesterone, Provera, or another oral option. Wisp sends the prescription to your local pharmacy the same day.
Wisp says it is trusted by more than 2 million people and shows a 4.3 company rating. It accepts HSA and FSA payment.
Wisp menopause pricing in 2026
Wisp lists the menopause consult from $33 a month. That covers the consult, follow-ups, and monthly care team access. Medication is not included: you pay for it at your pharmacy, and what you pay depends on the drug and your insurance.
Sipra prices the medication into one number. The HRT cream (Bi-Est, estradiol and estriol) starts at $95/mo, estradiol tablets with progesterone at $190/mo, the brand Dotti patch with progesterone at $390/mo, progesterone alone at $85/mo, and vaginal estradiol at $99/mo. Membership is included in each price.
With Wisp you pay twice: once for the consult, once at the pharmacy. Add both before you compare.
Where each one falls short
Wisp's real cost is the consult plus the pharmacy price, which you will not know until the prescription is filled. Medication is an added cost on top of the $33 a month.
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, so you cannot use a pharmacy benefit, and it does not offer an estradiol gel. 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.
Wisp pros and cons
What is good
- A low starting consult price, from $33 a month.
- Prescriptions go to your local pharmacy the same day, where insurance may cover them.
- Lists estradiol patch, gel, and pill options, and serves all 50 states.
What to weigh
- Medication is a separate cost at the pharmacy counter, not part of the $33.
- Your total is hard to know until the prescription is filled.
- You learn the medication cost only at the pharmacy.
sipra vs Wisp, side by side
| Wisp | |
|---|---|---|
| Billing model | One price per product, medication included | Monthly consult fee plus pharmacy cost |
| Estradiol forms | Bi-Est cream, tablets, or the brand Dotti patch | Patch, gel, or pill |
| Progesterone | From $85/mo alone, or paired with estradiol | Micronized progesterone, Provera, or other oral options |
| Vaginal estrogen | Vaginal estradiol from $99/mo | Sold separately in its menopause line |
| Where you get it | Shipped to your door | Local pharmacy pickup |
| Labs | Quarterly protocol labs at $65/mo, optional | Not listed on the consult page |
| Satisfaction policy | Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan | Verify their current policy |
| Trust check | LegitScript certified (50053943) | Verify their current standing |
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
Choose Wisp if
- Your insurance covers hormone therapy at your local pharmacy.
- You want same-day pickup instead of waiting for a shipment.
- You want an estradiol gel.
Choose sipra if
- You want one price that already includes the medication.
- You do not want a second bill at the pharmacy counter.
- You want medication shipped to your door.
Frequently asked questions
Explore your hormone therapy options
- Online evaluation by a licensed clinician
- Treatment based on your health and goals
- Clear pricing before you commit
Free tools to help you decide
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