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Fem Excel vs Josie: Which Is Better?

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

Our Verdict

Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 57.6/100), leading on trust & safety, experience, reputation. Josie comes out ahead on value, product range. Josie has the lower entry price (from $90/mo vs $108/mo), so the better value depends on which treatment you need.

64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel
58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie

Score Breakdown

DimensionFem ExcelJosie
Overall Score63.9/100 ✓57.6/100
Trust & Safety30%66/100 ✓50/100
Value25%60/10070/100 ✓
Experience20%72/100 ✓58/100
Product Range15%55/10060/100 ✓
Reputation10%64/100 ✓45/100

At a Glance

Founded——
HeadquartersCharlotte, NC—
Publicly tradedNoNo
Treatment categories23
Treatments listed57
Starting price$108/mo$90/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.

CategoryFem ExcelJosie
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
—
Hormone Therapy$114–$149
Testosterone for Women (compounded)
$90–$100
Estradiol Patch or Cream (HRT)

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel review →

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Fem Excel vs Josie — FAQ

Is Fem Excel better than Josie?

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Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 57.6/100), leading on trust & safety, experience, reputation. Josie comes out ahead on value, product range. Josie has the lower entry price (from $90/mo vs $108/mo), so the better value depends on which treatment you need.

Is Fem Excel or Josie cheaper?

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Josie has the lower starting price (from $90/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fem Excel and Josie both offer?

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Both platforms treat Women's Health, Hormone Therapy. Fem Excel covers 2 treatment categories total and Josie covers 3.

Still deciding?

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