PepScribe
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Women's hormone health

Menopause hormone therapy. Bioidentical hormones, prescribed online.

Starting from

$89/mo

No membership fee.

Take the free assessment

Free online visit. You only pay when prescribed.

Bioidentical estradiol, progesterone, BIEST, DHEA, and T3 for perimenopause and menopause. A US-licensed clinician reviews your symptoms and your labs online and builds your plan.

  • Clinician-led, US-licensed
  • Labs reviewed where indicated
  • Compounded in the USA by licensed 503A pharmacies
  • Free online visit, no consult fee

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.

The hormones we prescribe

Bioidentical hormones, matched to what your body is missing

Bioidentical hormone therapy is not one medication. Your clinician chooses from several hormones, alone or in combination, based on your symptoms and your labs. Each is structurally identical to a hormone your body already makes, and each is compounded in the USA by a licensed 503A pharmacy under your individual prescription.

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What it is

Bioidentical hormone therapy, reviewed by a clinician online

Hormone replacement therapy replaces hormones your body produces less of through the menopausal transition. The protocols here are bioidentical, meaning the estradiol, progesterone, bi-estrogen blend, DHEA, and T3 thyroid support are structurally identical to the hormones your body already makes. Your clinician decides which of these, alone or in combination, fits your symptoms and your labs.

You complete an online assessment, a US-licensed clinician reviews your history and, where indicated, lab work, and writes your prescription. The clinician remains your prescriber of record and the person you message with questions.

Every dose is compounded in the USA by licensed 503A pharmacies under your individual prescription. No hidden overseas supply chain. Your formulation is prepared specifically for you, in the form your clinician selects.

How it works

From assessment to a plan built around you

01

You tell us the whole picture

A focused online assessment captures your symptoms, your cycle history, your medical history, and your goals. Hot flashes, broken sleep, mood changes, and brain fog are clinical signals, and your clinician reviews each one.

02

A clinician reviews, with labs where indicated

A US-licensed clinician evaluates your intake. Where it informs the decision, lab work such as TSH, free T3 and T4, estradiol, progesterone, and DHEA-S is reviewed before anything is prescribed. The hormones chosen reflect what your body is missing.

03

Your formulation is compounded for you

If a bioidentical plan fits, the clinician writes the prescription and a licensed 503A pharmacy in the USA compounds your specific formulation. Your clinician sets the form and dose, and adjusts over time through async messaging and follow-up.

Our standard

Compounded in the USA. Nothing less.

Every dose is prepared by a licensed 503A pharmacy inside the United States, under a prescription written by a clinician who has reviewed your history. No hidden overseas supply chain.

Compounded in the USA

Your hormones are prepared inside the United States by a licensed 503A pharmacy under your individual prescription. No hidden overseas supply chain, ever.

Clinician prescribed

A US-licensed clinician reviews your intake, discusses the trade-offs and the medical evidence, and is your prescriber of record. Never sold off a shelf.

Labs where indicated

Where it informs the decision, your clinician reviews TSH, free T3 and T4, estradiol, progesterone, and DHEA-S, so your plan reflects what your body needs.

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Who it's for

For women in perimenopause or menopause, with a clinician who reviews the whole picture.

A licensed clinician reviews your intake and your labs. The online visit is free. You only pay if a clinician prescribes, and you're never charged for medication you weren't prescribed.

  • You are in perimenopause or menopause and noticing hot flashes, night sweats, or disrupted sleep
  • Mood changes, brain fog, or a lower libido have crept in alongside the hormonal shift
  • Body composition has changed in ways that diet and routine no longer explain
  • You have thyroid-type symptoms such as fatigue or cold intolerance and want labs reviewed
  • You have been hurried through past appointments and want a clinician who reviews the full picture

Your clinician reviews your history for contraindications including a personal history of hormone-sensitive cancers, blood clots, or cardiovascular disease, and prescribes only when the evidence supports it. Not everyone qualifies.

PepScribe-branded vial of compounded bioidentical estradiol and progesterone hormone therapy

What you receive

One plan. Everything included.

A flat monthly price covers your compounded medication, the clinical care, and shipping. Your clinician sets the exact form and dose during your consult and adjusts it over time.

  • Bioidentical hormone formulation prescribed for you, US-licensed
  • Compounded in the USA by a licensed 503A pharmacy
  • Lab review where indicated, including thyroid and hormone panels
  • Flat monthly pricing, medication included
  • Async messaging with your care team and dose adjustments over time
  • Cancel or pause anytime

Starting from

$89/mo

No membership fee.

Take the free assessment

Free online visit. You only pay when prescribed.

  • Cancel anytime
  • No insurance needed
  • Discreet shipping
  • HSA/FSA eligible

Compounded bioidentical hormones are not FDA-approved and have not been shown by the FDA to be safer or more effective than FDA-approved hormone therapies. Your clinician will discuss the trade-offs and the medical evidence with you. All prescriptions require approval by a licensed healthcare provider, and individual results may vary.

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.

HRT questions

Things people ask before they sign up.

If something is not here, reach out, we'd rather answer it plainly than have you guess.

What if I am not approved for hormone therapy?

The online visit is free, so there is nothing to refund. You are never charged for a medication you were not prescribed. A clinician may decide it is not the right fit for you, and that is part of responsible care.

Is bioidentical hormone therapy FDA-approved?

Compounded bioidentical hormones are not FDA-approved and have not been shown by the FDA to be safer or more effective than FDA-approved hormone therapies. They are prepared by a licensed 503A pharmacy in the USA under your clinician's prescription for patients with a documented clinical need. Your clinician will discuss the trade-offs and the medical evidence with you.

What hormones are part of the program?

The protocols are bioidentical only. Depending on your symptoms and labs, a clinician may prescribe estradiol, progesterone, a bi-estrogen blend known as BIEST, DHEA, or T3 thyroid support, alone or in combination. Your clinician decides which of these fits your history and reviews relevant lab work before prescribing.

Will my labs be reviewed before anything is prescribed?

Where it informs the decision, yes. Your clinician may review TSH, free T3 and T4, estradiol, progesterone, and DHEA-S so your plan reflects what your body is missing.

How do I get bioidentical HRT prescribed online?

It is a fully online process. You start with a free assessment, and a US-licensed clinician reviews your intake, your symptoms, and any indicated lab work. If a bioidentical hormone plan fits your history, the clinician writes the prescription and your formulation is compounded in the USA by a licensed 503A pharmacy under that prescription. Your clinician remains your prescriber of record and the person you message with questions.

Can compounded hormones help with hot flashes, sleep, and brain fog during menopause?

Hot flashes, night sweats, disrupted sleep, mood changes, and brain fog are recognized parts of the hormonal picture of perimenopause and menopause, and they are exactly the symptoms a clinician evaluates. No specific result is promised. A clinician reviews your symptoms and labs and decides whether a bioidentical plan is appropriate. Your clinician will discuss what the evidence does and does not support for your situation.

How much does the HRT program cost?

The online visit is free. If a clinician prescribes, hormone therapy plans start from $89/mo, and you see the exact plan price before you pay anything. One price includes the medication, clinician care, and shipping. Plans are HSA and FSA eligible.

Who prescribes the hormones, and do I need an in-person visit?

A US-licensed clinician reviews your intake and is the prescriber of record. The review is asynchronous, so you complete the online assessment and the clinician evaluates it, reviews indicated labs, and messages you. There is no in-person visit.

Start your menopause care online.

Take the free assessment. A US-licensed clinician reviews your symptoms and your labs and builds your bioidentical plan. The online visit is free, and you only pay if you're prescribed.