HomeWinona
75
Good

Winona

Women-focused telehealth delivering personalized bioidentical hormone replacement therapy for menopause, with in-house compounding pharmacies across 33 states.

Austin, TXFounded 202014-50 employees
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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: 11 products across creams, pills, patches, and specialty items
+Low-friction experience: 5-minute intake, no office visits, unlimited doctor messaging

What to watch

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 33 US states and Puerto Rico — unavailable in 17 states
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 33 states and potential insurance partnerships represent clear growth vectors. The company appears bootstrapped with no disclosed funding rounds.

Last researched: 2026-03-30

Pricing

TreatmentCategoryPrice/moIncludesNotes
Estrogen Tablets (Estradiol)Women's Health$54
Consults Lab work Shipping
20% off for new customers
No subscription needed
Progesterone CapsulesWomen's Health$39
Consults Lab work Shipping
No subscription needed
Estrogen + Progesterone Combo CreamWomen's Health$89
Consults Lab work Shipping
No subscription needed
Estrogen Patch (FDA-approved)Women's Health$149
Consults Lab work Shipping
No subscription needed
Estriol Face Cream with TretinoinWomen's Health$50
Consults Lab work Shipping
No subscription needed
Sildenafil Arousal CreamWomen's Health$79
Consults Lab work Shipping
No subscription needed
Minoxidil Hair SerumWomen's Health$50
Consults Lab work Shipping
No subscription needed
DHEA CapsulesWomen's Health$9
Consults Lab work Shipping
No subscription needed

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