Winona Review 2026: Menopause HRT From $39 a Month

Winona publishes a monthly price for every product it sells, and the entry points are published in full: progesterone capsules “From $39 per month,” estrogen tablets “From $54 per month,” body and vaginal creams from $89, and the estrogen patch from $149.

“From” is doing work — Winona’s FAQ discusses cost varying by what is prescribed, so these are floors rather than quotes. There is no insurance billing: Winona says it “does not accept insurance at this time” and lists its hormone therapy as HSA and FSA eligible, so every figure below is a cash price.

Winona treats perimenopause and menopause with bioidentical hormones. Its hormone-therapy page says it prescribes “bioidentical estradiol, estriol (two types of estrogen), and progesterone in different forms, including pills, patches, and creams,” plus DHEA, which that page calls a supplement. On one hormone it is blunt: “Currently, we do not prescribe testosterone.” The treatments page lists patch, body cream, vaginal cream and pills.

Winona’s pages do not agree on FDA status

Four Winona pages put this differently, and we will not pick one for you. The hormone-replacement-therapy page states that “Winona’s estrogen patches, estrogen tablets, and progesterone capsules are FDA approved.” On that page, only the body creams are described as patient-specific compounded formulations that are “not regulated or approved by the FDA.” The 503A pharmacy page opens a sentence “Although Winona’s bioidentical HRT is not regulated by the FDA for approval,” and says its pharmacies “are not directly regulated by the FDA and therefore are not subject to FDA-approval.” The help-center article headed “Are Winona’s treatments FDA approved?” answers that “Winona’s treatments are not FDA approved, though they use FDA-approved ingredients.” And the treatments page tags the “Pills” delivery method “Compounded,” which does not sit with the hormone-therapy page’s line about tablets and capsules.

The distinction matters. A compounded preparation is mixed for an individual patient and does not carry FDA approval; the FDA does not review compounded drugs for safety, effectiveness or quality before they are marketed. An FDA-approved medicine has been through that review.

So before you pay, ask Winona in writing which specific product you are being prescribed, and whether it is compounded. The answer belongs on your prescription, not on a marketing page.

Winona’s FAQ describes its prescribers as “state-licensed and board-certified,” says they “carefully evaluate your symptoms and medical history,” and matches each patient with “a doctor licensed in their state.”

There is no phone or video appointment at any stage. The FAQ is direct: “No, we don’t offer phone or video calls with physicians.” Everything afterwards runs through a secure portal, and the homepage lists “Free, unlimited follow-ups.”

On the pharmacy side, Winona says it operates two licensed 503A compounding pharmacies, regulated at state level by the State Boards of Pharmacy, following United States Pharmacopeial Convention standards and sourcing ingredients from “FDA-inspected, regulated, and registered facilities.” Its help center adds that formulations are tested “more frequently than the recommended once per year.” Which two pharmacies these are, and where, is not published.

Winona Inc. is listed by the BBB at an Austin, Texas address with Konrad Billetz as president. The terms send disputes to binding arbitration through the American Arbitration Association, under Texas law.

Winona’s FAQ names 37 states plus Puerto Rico: Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, Wisconsin, Wyoming and Puerto Rico. The page does not say any state is excluded, and lists like this change, so check yours with Winona rather than reading anything into an absence.

Age is the tighter gate. The FAQ offers hormone therapy to “Ages 35–59 only.” The non-hormone products carry the platform’s general 18+ floor instead.

The two steps that usually slow a start are the two Winona removes. No video call, no blood draw: the FAQ cites “The Menopause Society and the American College of Obstetrics and Gynecology (ACOG),” and says Winona “does not require any type of bloodwork or hormone testing.” The homepage puts it in three words: “No lab work needed.”

An order sits through a mandatory 24-hour wait, then takes 1–2 business days to ship. Standard delivery is free by USPS Ground Advantage in 2–5 business days; USPS Priority costs $15, FedEx Ground $25, FedEx Overnight $50–$75. Refills run every 28 days on a 30-day supply or every 84 days on a 90-day supply, and you can pause for 30, 60 or 90 days or cancel at any time.

Winona bills automatically: the terms say your card is “automatically charged against the form of payment you provide to Winona, unless and until you cancel,” and you may cancel through your account page. There is no minimum term — the cancellation policy states that “There is no long-term agreement or subscription fee associated with a Winona account.”

Refunds are where the clock matters. After an order processes there is a “mandatory 24-hour waiting period” before the pharmacy begins work, and a full refund is available “within the 24-hour window only.” Once medication has been prepared, Winona’s policy is that it “cannot be refunded, returned, or re-dispensed to another patient.” The terms add: “charges are non-refundable once incurred.”

To stop a single order: treatment portal → Treatment tab → “Manage Prescription” → “Cancel Current Order”; refunds take up to seven business days. To close the account: “Your Account” → “Edit” → “Cancel Subscription.” The policy article is dated October 29, 2025. Set a reminder for about 23 hours after a first order — that is the only window in which the full amount comes back.

Trustpilot is Winona’s strongest external signal. Read on September 18, 2026, the bywinona.com profile showed a TrustScore of 4.6 out of 5 from 8,404 reviews in the “Women’s Health Clinic” category, 83% of them five-star and 3% one-star. For scale, the Trustpilot profile for Midi Health showed 4.1 out of 5 from 1,641 reviews the same day — see our Midi Health review.

Trustpilot’s own machine-written summary — a third-party reading of user reviews, not a Winona statement — says reviewers “overwhelmingly had a great experience,” while a minority describe “receiving vague answers to specific medical questions.”

The BBB profile for Winona Inc. in Austin, Texas, read the same day, shows a rating of B and “Not BBB Accredited,” with six years in business and 17 complaints on file, not broken down by year. No government action alert appears on it.

Searches of the FDA’s warning-letter records and the FTC’s press releases found no FDA or FTC action naming Winona Inc. or bywinona.com as of September 18, 2026.

Three figures in Winona’s marketing are claims, not findings — the company does not publish what sits behind them.

• The homepage hero reads “100,000+ Happy Patients,” repeated on a second page; the period and definition behind it are not published.
• The homepage says: “Within three months, 80% of women feel significant or complete symptom relief.” No study, sample size or method is named.
• The homepage badges Winona as the “#1 Physician-Recommended Treatment for Menopause,” without naming the survey, the physicians asked or the products compared.

The homepage headline that “Bioidentical HRT is proven safe and effective for addressing perimenopause & menopause symptoms” is Winona’s own characterization. Nothing here warrants that any treatment is safe or effective for you.

Compare with our Midi Health review, browse the menopause clinics hub, or read how we review.