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Fem Excel vs TeleDirectMD: Which Is Better?

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

Our Verdict

TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 63.9/100), leading on trust & safety, value. Fem Excel comes out ahead on experience, product range, reputation.

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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

TeleDirectMD is a solo-physician virtual practice offering $79 flat-fee video visits for urgent care, sexual health, skin, women's health and chronic-medication refills in 44 states plus DC.

Visit TeleDirectMD

Score Breakdown

DimensionFem ExcelTeleDirectMD
Overall Score63.9/10066.5/100 ✓
Trust & Safety30%66/10070/100 ✓
Value25%60/10076/100 ✓
Experience20%72/100 ✓66/100
Product Range15%55/100 ✓54/100
Reputation10%64/100 ✓52/100

At a Glance

Founded——
HeadquartersCharlotte, NC—
Publicly tradedNoNo
Treatment categories25
Treatments listed55
Starting price$108/mo$79/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 ExcelTeleDirectMD
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
$79
Birth Control Refill Visit

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 →

TeleDirectMD

+One all-in $79 cash price per visit, published up front and HSA/FSA eligible
+Every visit is a live video consult with a named, board-certified physician, never a mid-level provider or a questionnaire-only review
+Fast access: visits typically start within 1–2 hours of booking, 7 days a week, and prescriptions go to the patient's own pharmacy
−A single physician handles all visits, which limits capacity and continuity of care
−No GLP-1, weight-loss or controlled-substance prescribing
−Not available in AR, MA, NM, NY, OR or RI
Read the full TeleDirectMD review →

Fem Excel vs TeleDirectMD — FAQ

Is Fem Excel better than TeleDirectMD?

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TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 63.9/100), leading on trust & safety, value. Fem Excel comes out ahead on experience, product range, reputation.

Is Fem Excel or TeleDirectMD cheaper?

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TeleDirectMD has the lower starting price (from $79/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 TeleDirectMD both offer?

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Both platforms treat Women's Health. Fem Excel covers 2 treatment categories total and TeleDirectMD covers 5.

Still deciding?