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Effecty vs Winona: Which Is Better?

Head-to-head comparison of Effecty and Winona based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Winona scores higher overall in our independent evaluation (74.5/100 vs 66.8/100), leading on trust & safety, experience, reputation. Effecty comes out ahead on value, product range.

67

New York-based cash-pay telehealth brand selling compounded GLP-1s, longevity injectables (NAD+, sermorelin, glutathione) and estradiol HRT with no membership fee and published tiered pricing.

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75
Winona
Good

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

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Score Breakdown

DimensionEffectyWinona
Overall Score66.8/10074.5/100 ✓
Trust & Safety30%60/10070/100 ✓
Value25%76/100 ✓75/100
Experience20%72/10085/100 ✓
Product Range15%66/100 ✓65/100
Reputation10%55/10080/100 ✓

At a Glance

Founded20242020
HeadquartersNew York, NYAustin, TX
Publicly tradedNoNo
Treatment categories45
Treatments listed912
Starting price$55/mo$9/mo

Pricing Where They Compete

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.

CategoryEffectyWinona
Hormone Therapy$55–$180
Estradiol (tablet, cream or patch) + Progesterone
—
Women's Health—$9
DHEA Capsules

Effecty

+No membership fee, and prices are published per product and don't change with dose (semaglutide $130–$170/mo, tirzepatide $190–$235/mo)
+Card is held, not charged, until a prescription is written; shipping is free and expedited
+4.6/5 on Trustpilot across ~1,300 reviews, most citing fast support responses
−Only operating since November 2024; BBB rating is B with three closed complaints
−Visits are chat-only, and the compounding pharmacies are not named on the site
−Lowest advertised prices require 12-month prepayment; month-to-month runs 25–30% higher
Read the full Effecty review →

Winona

+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
−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)
Read the full Winona review →

Effecty vs Winona — FAQ

Is Effecty better than Winona?

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Winona scores higher overall in our independent evaluation (74.5/100 vs 66.8/100), leading on trust & safety, experience, reputation. Effecty comes out ahead on value, product range.

Is Effecty or Winona cheaper?

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Winona has the lower starting price (from $9/mo vs $55/mo for Effecty). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Effecty and Winona both offer?

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Both platforms treat Hormone Therapy, Women's Health. Effecty covers 4 treatment categories total and Winona covers 5.

Still deciding?