Vaginal Estrogen Care 3 Month Package $370 | Paid Upfront

Initial Hormone Consultation $180

Your consultation fee will be credited towards your 3 month package when you enroll within 30 days. If you decide not to move forward with the 3 month package, the consultation fee is non-refundable.

This option is designed for patients who prefer FDA-approved vaginal estrogen therapies filled at retail pharmacies, including those who wish to use insurance when possible.

This is a structured medical care program for evaluation, treatment planning, and ongoing management of vaginal and urinary symptoms related to estrogen deficiency. Prescribing is based on medical necessity and clinical appropriateness following medical evaluation.

Includes:

• Initial medical consultation (in person or online)

• Direct messaging for non-urgent, prescription-related questions

• Prescription sent to your chosen retail pharmacy

• Authorization of up to 3 months of refills

Medication cost is not included and is billed directly through your pharmacy.

⚠️ Important Insurance Information

• Wellness by NP | Renew You does not bill Medicare, Medicaid, or private insurance plans.

• We do not submit prior authorizations or appeal insurance denials.

• Insurance coverage for vaginal estrogen varies by plan and may be denied.

• Patients are responsible for all pharmacy charges, copays, or cash pricing.

This practice does not generate insurance-coded documentation for medication coverage, and insurance approval or reimbursement for FDA-approved vaginal estrogen is not guaranteed. Some patients prefer compounded therapy for consistency and convenience.

Continuing Retail Pharmacy Therapy After 3 Months: $195 per 3-month refill

Ongoing prescriptions through a retail pharmacy require continued medical oversight.

Includes:

• Brief symptom review and provider approval

• Prescription authorization

• Direct messaging for non-urgent, prescription-related questions

• Refill coordination for 3 additional months

Medication costs continue to be paid by the patient through their pharmacy and insurance (if applicable).

Vaginal estrogen care is provided as a medical care program, not medication access. Program structure and billing differ slightly depending on whether treatment involves compounded vaginal estrogen or FDA-approved vaginal estrogen filled at a retail pharmacy.

General Program Terms

• Vaginal estrogen care is offered in structured 3-month medical care programs to allow for appropriate evaluation, treatment initiation, and assessment of response.

• This is a 3-month medical care commitment and is not intended as a one-month trial.

• Medical consultation, treatment planning, and clinical oversight fees are non-refundable once services have been rendered.

• Continuation beyond the initial 3-month period is optional and requires a separate purchase.

Compounded Vaginal Estrogen

• Compounded vaginal estrogen is prepared specifically for the patient and coordinated through a licensed U.S. compounding pharmacy.

• Once compounded medication has been dispensed or shipped, program fees are non-refundable, as compounded prescriptions cannot be returned or reused.

• If cancellation occurs before compounded medication fulfillment, a partial refund may be considered at the provider’s discretion, less the cost of services already rendered.

FDA-Approved Vaginal Estrogen (Retail Pharmacy)

• FDA-approved vaginal estrogen prescriptions are sent to the patient’s chosen retail pharmacy.

• Medication costs are billed directly by the pharmacy and are subject to the pharmacy’s own dispensing and return policies.

• Insurance coverage, copays, and pricing are determined solely by the patient’s insurer and pharmacy and are not controlled by this practice.