Menopause Medications Price Checker (2025)

Get the relief you need—without breaking the bank.

Menopause medications—whether hormonal, non-hormonal, or over-the-counter—can cost anywhere from $20 to $600+ per month. But here's what most doctors won't tell you: your insurance copay is often MORE expensive than using a coupon.

We've built this comprehensive guide to help you find the lowest prices on every type of menopause medication and supplement. Whether you're on hormone replacement therapy (HRT), taking Veozah for hot flashes, or using OTC supplements like Estroven, we'll show you exactly where to find savings.

Quick Navigation - Jump to Your Savings:

💊 By Medication Type:

• HRT Medications (estrogen, progesterone, combination)
• Non-Hormonal Prescriptions (Veozah, Paxil, Gabapentin)
• OTC Supplements (Estroven, Black Cohosh)
• Vaginal Estrogen Products (Vagifem, Yuvafem, Estrace)
• Testosterone for Women

💰 By Savings Strategy:

• Manufacturer Copay Cards (pay $0-25/month)
• Patient Assistance Programs (free/low-cost for uninsured)
• FSA/HSA Eligibility Guide (what qualifies?)
• Discount Pharmacy Programs (no insurance needed)
• Telemedicine Options (all-inclusive pricing)

Why this tool matters:

• Compare prices across 5+ discount sites in seconds
• Many coupons beat insurance copays by 50-80%
• Find manufacturer savings programs worth $500+/year
• Check FSA/HSA eligibility before you buy
• No signup required, completely free to use

💡 Pro Tip: Scroll down to find your specific medication, or use Ctrl+F (Cmd+F on Mac) to search this page for your medication name.

Non-Hormonal Menopause Medications

Can't or don't want to take hormones? These FDA-approved alternatives can help.

Veozah (Fezolinetant) - Hot Flashes & Night Sweats

What it is: First FDA-approved non-hormonal prescription for hot flashes
Average retail price: $550-650/month
With coupons: $300-400/month
With manufacturer savings: $0-25/month for eligible patients

Where to find coupons:

• Veozah Manufacturer Savings Program - Most insured patients pay $0
• GoodRx Veozah Prices
• SingleCare Veozah Coupons

Important: Veozah requires liver function monitoring. Your first 3 months may include blood test costs (~$30-50 each).

Paxil (Paroxetine) - Low-Dose for Hot Flashes

What it is: SSRI antidepressant, FDA-approved at low doses for vasomotor symptoms
Average cost: $10-40/month with coupons
Generic available: Yes (paroxetine)

Where to find coupons:

• GoodRx Paroxetine
• Most major pharmacies have $4-10 generic programs

Gabapentin - Off-Label for Hot Flashes

What it is: Nerve pain medication used off-label for menopause
Average cost: $10-30/month with coupons
Prescription required: Yes

Where to find coupons:

• GoodRx Gabapentin

Over-the-Counter Menopause Supplements

These don't require prescriptions but can still add up quickly.

Estroven Complete Menopause Relief

What it is: Black cohosh + soy isoflavones supplement
Retail price: $25-35/month
Where to save:

• Estroven with Amazon Subscribe & Save (15% off)
• Costco/Sam's Club bulk pricing
• Manufacturer coupons on Estroven.com

FSA/HSA Eligible? ❌ No, unless prescribed by doctor

Remifemin (Black Cohosh Extract)

What it is: Standardized black cohosh for hot flashes
Retail price: $15-25/month
Where to save:

• Amazon Subscribe & Save
• iHerb discount codes (up to 20% off first order)

FSA/HSA Eligible? ❌ No, unless prescribed

Red Clover Supplements

Retail price: $12-20/month
Where to save: Generic store brands work just as well

Vaginal Estrogen Products (Local HRT)

For vaginal dryness, painful sex, and urinary symptoms. Often covered separately from systemic HRT.

Vagifem (Estradiol Vaginal Tablets)

Average price: $250-350/month without insurance
With coupons: $80-150/month

Where to save:

• GoodRx Vagifem

Yuvafem (Generic Vagifem)

Average price: $80-120/month
Much cheaper alternative to brand-name

Where to save:

• GoodRx Yuvafem

Estrace Vaginal Cream

Average price: $100-200/tube
Generic version: Yes, much cheaper

Where to save:

• GoodRx Estradiol Cream

Testosterone for Women

Often overlooked but critical for energy, libido, and muscle maintenance during menopause.

Testosterone Gel (Compounded)

Note: No FDA-approved testosterone products for women exist in the US. Most use low-dose men's products or compounded versions.

Average cost: $50-150/month
Where to save:

• Check compounding pharmacy prices (often cheaper)
• GoodRx Testosterone Gel

Oral Contraceptives for Perimenopause

Birth control pills are often prescribed during perimenopause to regulate periods and ease symptoms.

Common Options:

• Lo Loestrin Fe
• Natazia
• Generic combination pills

Where to save:

• GoodRx Birth Control Comparison
• Many are $10-15/month generic

Manufacturer Copay Cards & Patient Assistance Programs

These programs can reduce your out-of-pocket costs to $0-25/month if you have commercial insurance.

Currently Available Programs (2025):

Veozah Savings Program

• Website: Veozah.com/savings
• With commercial insurance: Most patients pay $0 copay
• Maximum benefit: Up to $1,000 per fill
• Uninsured patients: May qualify for separate patient assistance
• Requirements: Valid prescription, commercial insurance with coverage

Note on Jevantique & Fyavolv:
⚠️ These are generic HRT medications (ethinyl estradiol/norethindrone). As generic drugs, they typically do NOT have manufacturer copay programs. However, they're often very affordable:

• Fyavolv: $29-82/month with discount coupons
• Jevantique: Similar pricing as Fyavolv
• Use GoodRx, SingleCare, or other discount cards for best prices

Vivelle-Dot Savings

• Estrogen patch with occasional manufacturer offers
• Check manufacturer website periodically
• More consistent savings through discount cards

Premarin/Prempro Patient Assistance

• Pfizer's RxPathways program
• For uninsured or significantly underinsured patients
• Income requirements apply
• Apply at: PfizerRxPathways.com

Duavee Savings

• Combined estrogen/osteoporosis medication
• May have manufacturer savings available
• Check with prescriber for current programs

Climara Pro Savings

• Estrogen/progesterone patch
• Contact manufacturer for available programs

How to use manufacturer cards:

1. Visit the medication's official website
2. Download or register for savings card
3. Present card at pharmacy WITH your prescription
4. Pharmacist will apply discount automatically

Important: Most manufacturer copay cards ONLY work with commercial insurance, not:

• Medicare Part D
• Medicaid
• Tricare
• Cash-pay patients (check patient assistance instead)

How to Find & Use Manufacturer Copay Cards:

Step 1: Check if your medication has a program

• Brand-name medications are MORE likely to have copay cards
• Generic medications typically do NOT have manufacturer programs
• Visit the medication's official website (.com)
• Look for "Savings," "Copay Card," or "Patient Support" sections

Step 2: Verify eligibility Most programs require:

• ✅ Commercial/private insurance (not government)
• ✅ Insurance covers the medication (even partially)
• ✅ Valid prescription from licensed provider
• ✅ U.S. residency

Step 3: Register or download

• Some cards work immediately (no registration)
• Others require online registration with email
• Download to phone or print physical card

Step 4: Present at pharmacy

• Show card BEFORE filling prescription
• Pharmacist will process with your insurance first
• Copay card covers remaining out-of-pocket amount
• You pay only what's left after both apply

Who CANNOT Use Manufacturer Copay Cards:

❌ Medicare Part D - Federal law prohibits manufacturer assistance
❌ Medicaid - Government program exclusion
❌ Tricare - Military insurance exclusion
❌ VA Benefits - Veterans health program exclusion
❌ Cash-pay patients (insurance that doesn't cover the drug at all)

Alternative for these patients: Look for Patient Assistance Programs (PAPs) - see below

Patient Assistance Programs (PAPs) - For Uninsured/Underinsured

If you CAN'T use copay cards, these programs may provide free or low-cost medication:

The Rx Advocates

• Website: TheRxAdvocates.com
• Helps with Prempro, Premarin, and other HRT
• Monthly service fee: $80-110 (covers medication cost)
• They handle all paperwork and renewals
• For patients who can't afford out-of-pocket costs

NeedyMeds

• Website: NeedyMeds.org
• Free database of patient assistance programs
• Search by medication name
• Links directly to manufacturer programs
• Income-based eligibility

Partnership for Prescription Assistance

• Website: PPARx.org
• Matches patients with 475+ programs
• Free medication access for qualifying patients
• Income limits apply (typically 200-500% of federal poverty level)

RxAssist

• Website: RxAssist.org
• Comprehensive PAP directory
• Includes eligibility requirements
• Direct links to applications

Pfizer Patient Assistance (for Premarin/Prempro)

• Income requirements: Varies by household size
• Application requires doctor signature
• Provides 90-day supply at a time
• Must reapply annually

Medicare-Specific Savings Options

Since Medicare patients can't use copay cards, try these:

Medicare Extra Help (Low-Income Subsidy)

• For those with limited income/resources
• Can reduce copays to $0-$4.50
• Apply at: SSA.gov/medicare/prescriptionhelp
• Or call: 1-800-772-1213

State Pharmaceutical Assistance Programs (SPAPs)

• 25+ states offer additional help
• Some have higher income limits than Extra Help
• Find your state program: Medicare.gov/spap

Choose Generic When Possible

• Generic HRT is often Tier 1 or 2 on Medicare Part D
• Much lower copays than brand names
• Same active ingredients and effectiveness

Income Guidelines for Patient Assistance (Approximate)

Most PAPs require household income below these levels:

Limits vary by manufacturer and program. Some are more generous than others.

FSA/HSA Eligibility Guide for Menopause

Not all menopause products qualify for tax-advantaged spending. Here's what does and doesn't.

✅ FSA/HSA ELIGIBLE (No Letter Required):

Prescription Medications:

• All HRT prescriptions (estrogen, progesterone, testosterone)
• Veozah and other prescription medications
• Vaginal estrogen products
• Birth control pills (when prescribed)

Over-the-Counter with Prescription:

• Supplements ONLY if your doctor writes a prescription
• Example: "Black cohosh for menopause symptoms"

Medical Devices:

• Prescription-required items
• Some cooling devices if prescribed

❌ FSA/HSA NOT ELIGIBLE (Without Letter of Medical Necessity):

Over-the-Counter Supplements:

• Estroven (unless prescribed)
• Black cohosh
• Red clover
• Maca root
• Any vitamin or supplement

Comfort Products:

• Cooling pillows
• Moisture-wicking pajamas
• Personal fans
• Most "menopause relief" products on Amazon

Note: Some items become eligible with a Letter of Medical Necessity (LMN) from your doctor. Ask your FSA administrator which items qualify.

Feminine Products (Period-Related):

Are pads/tampons FSA eligible?
✅ YES, as of 2020! The CARES Act made menstrual products FSA/HSA eligible without a prescription.

This includes:

• Pads and panty liners
• Tampons
• Menstrual cups
• Period underwear

Discount Pharmacy Programs (No Insurance Needed)

If you don't have insurance OR your copay is too high, try these:

Costco Pharmacy (No Membership Required for Prescriptions)

• Often 30-50% cheaper than CVS/Walgreens
• You DON'T need a Costco membership to use their pharmacy
• Find Costco Pharmacy

Mark Cuban Cost Plus Drugs

• CostPlusDrugs.com
• Transparent pricing: actual cost + 15% + $5 pharmacy fee
• Growing menopause medication selection

Amazon Pharmacy

• Prime members get additional discounts
• Fast shipping to your door
• Accepts GoodRx coupons

Walmart $4 Generic Program

• Many generic HRT options for $4-10/month
• No insurance needed

How to Use This Tool

Step 1: Find your medication in the tables above
Step 2: Click through to 2-3 discount sites
Step 3: Enter your ZIP code and dosage
Step 4: Compare prices across your local pharmacies
Step 5: Show the coupon code to your pharmacist

Pro Tips:

• ✅ Call ahead to confirm the price and stock
• ✅ Ask your pharmacist to run both insurance AND the coupon to see which is cheaper
• ✅ Check manufacturer copay cards FIRST—they often beat everything
• ✅ Independent pharmacies sometimes price-match
• ✅ Mail-order 90-day supplies can save 20-30%

What if my medication isn't listed?
Search directly on:

• GoodRx.com
• SingleCare.com
• RxSaver.com

Questions People Ask About Menopause Medication Costs

Why is my copay higher than the coupon price?

Insurance companies negotiate different prices with different pharmacies. Your copay may be based on the "list price" rather than the negotiated rate. Using a coupon bypasses insurance entirely and accesses a different pricing structure.

Action: Always ask your pharmacist to price it BOTH ways.

Can I use manufacturer copay cards with Medicare?

❌ No. Federal law prohibits manufacturer copay cards for Medicare Part D patients. However, you may qualify for:

• Medicare Extra Help program
• State pharmaceutical assistance programs
• Patient assistance programs for uninsured

Will using a coupon count toward my deductible?

❌ No. When you use a discount coupon instead of insurance, that purchase does NOT count toward your insurance deductible or out-of-pocket maximum.

However: This may still save you money! Example:

• Insurance copay: $100/month
• Coupon price: $30/month
• Even without deductible credit, you save $70

Can I combine manufacturer copay cards with insurance?

✅ YES! That's exactly how they're designed to work. The card covers your copay amount after insurance processes the claim.

Are generic versions always cheaper?

Usually, but not always. Sometimes brand-name medications have better manufacturer coupons that make them cheaper than generic. Always compare both.

How often do coupon prices change?

Prices can change monthly or even weekly. Best practice: Check prices each time you refill, especially if you're cash-paying.

Alternative Ways to Save on Menopause Treatment

Telemedicine Menopause Clinics

Many women find telemedicine services more convenient AND often more affordable than traditional care. Here's a breakdown:

All-Inclusive Pricing (Medication Included):

Fountain HRT

• Cost: $199/month (everything included)
• Includes: Virtual consults, lab work, prescriptions, home delivery
• Best for: Women who want no surprises, concierge-style care
• Coverage: All 50 states
• Accepts: HSA/FSA (not traditional insurance)
• Website: FountainLife.com

Joi Women's Wellness

• Cost: $50/month for medication access
• Includes: Hormone therapy including testosterone
• Best for: Women needing testosterone (often not covered by insurance)
• Extras: Hormonal testing ($149), topical medications
• Website: JoiWomen.com

Membership + Separate Medication Costs:

Evernow

• Cost: $35-49/month membership
• What's included: Unlimited messaging, virtual visits, care plans
• Prescriptions: Filled at your pharmacy (use insurance or coupons)
• Best for: Women who want ongoing support with flexible medication options
• Accepts: Most major insurance for prescriptions
• Website: Evernow.com

Midi Health

• Cost: $250 initial visit (uninsured), $150 follow-ups
• Prescriptions: Filled at your pharmacy
• Best for: Women 40+ who want comprehensive perimenopause/menopause care
• Accepts: Many insurance plans (check first!)
• Unique: Founded by women over 40 who get it
• Website: JoinMidi.com

PlushCare

• Cost: $19.99/month membership + $30 copay per visit (with insurance)
• Without insurance: $19.99/month + $129 per visit
• Free: First 30 days
• Prescriptions: Filled at local pharmacy
• Best for: Those with insurance, same-day appointments
• Bonus: Prescription discount card (save up to 80%)
• Website: PlushCare.com

Gennev

• Cost: Pay per appointment
• What's included: Board-certified, menopause-trained doctors
• Best for: Those who prefer pay-as-you-go
• Accepts: Insurance in many states
• Website: Gennev.com

Specialized Services:

Interlude (for vaginal/urinary symptoms)

• Focus: Vaginal dryness, painful sex, UTIs
• Medications: Estradiol cream or suppositories
• Delivery: Straight to your door
• Best for: Women primarily dealing with GSM symptoms
• Speed: Prescription within hours of assessment

Stella

• Unique: Includes 12-month app access with virtual visit
• App includes: Lifestyle plans, workout videos, meditations, recipes
• Best for: Women who want holistic support beyond medication
• Does NOT: Take insurance (provides receipts for reimbursement)

Sesame

• Model: Menopause subscription service
• Includes: Video calls, basic lab work if needed, ongoing messaging
• Prescriptions: Sent to your preferred pharmacy
• Best for: Those wanting structured subscription care

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Price accuracy: Medication prices listed are estimates based on average retail prices as of November 6, 2025. Actual prices vary by pharmacy, location, insurance, and dosage. Always verify current pricing before purchasing.