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Josie vs Winona: Which Is Better?

Head-to-head comparison of Josie 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 57.6/100), leading on trust & safety, value, experience, product range, reputation.

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
75
Winona
Good

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

Visit Winona

Score Breakdown

DimensionJosieWinona
Overall Score57.6/10074.5/100 ✓
Trust & Safety30%50/10070/100 ✓
Value25%70/10075/100 ✓
Experience20%58/10085/100 ✓
Product Range15%60/10065/100 ✓
Reputation10%45/10080/100 ✓

At a Glance

Founded—2020
Headquarters—Austin, TX
Publicly tradedNoNo
Treatment categories35
Treatments listed712
Starting price$90/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.

CategoryJosieWinona
Women's Health—$9
DHEA Capsules
Hormone Therapy$90–$100
Estradiol Patch or Cream (HRT)
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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 →

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 →

Josie vs Winona — FAQ

Is Josie better than Winona?

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Winona scores higher overall in our independent evaluation (74.5/100 vs 57.6/100), leading on trust & safety, value, experience, product range, reputation.

Is Josie or Winona cheaper?

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Winona has the lower starting price (from $9/mo vs $90/mo for Josie). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and Winona both offer?

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Both platforms treat Women's Health, Hormone Therapy. Josie covers 3 treatment categories total and Winona covers 5.

Still deciding?

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