Semaglutide programs that also treat menopause, scored

Every row here comes from the full compounded semaglutide lineup, with the same score and the same place relative to the others. What got a program onto this page is one fact from its own pages: it also writes prescriptions for menopause hormone therapy. That means estradiol, progesterone, or both.

Nothing else about the list changes. The Care & cost score still grades the semaglutide plan alone, so Bayan Health sits first at 79 because of its GLP-1 care and pricing, not because of its hormone offer. A program that treats hot flashes well but hides its pharmacy still loses points for the pharmacy.

A possible practical benefit is coordinated review of both prescriptions; confirm whether the same clinician actually handles them. Semaglutide slows how fast your stomach empties, and the Wegovy label warns it may change how well other pills you swallow are absorbed. A prescriber who also writes your estradiol tablet knows to watch for that.

Menus can include estradiol, progesterone or both, in different approved or compounded formulations. The route, indication and clinical risks differ. Ask which product would be appropriate before comparing programs that list that treatment.

For someone with a uterus using systemic estrogen, a progestogen is often needed to reduce endometrial risk. Low-dose vaginal and other preparations have different considerations; ask about the actual product rather than treating every estrogen prescription alike. If a program offers estradiol but no progesterone, ask how it would protect the uterine lining for you.

Two caveats keep this list honest. A hormone row means the program prescribes it, not that it accepts every patient. And the hormone visit may be a separate consult with its own fee, even inside one company.

• Price (35). Only the semaglutide price counts. A cheap estradiol add-on can't raise a program's price points, and a costly one can't lower them.
• Care (25). The five care checks describe the GLP-1 plan. Read the review to learn whether the same clinician manages the hormone side, or whether it's a separate service.
• Pharmacy (25). The named pharmacy is the one that fills the semaglutide. A compounded hormone cream may come from a different pharmacy, so ask about both labels.
• Clarity (15). Visible price, cancellation terms and a state list, scored for the GLP-1 plan. How we score lists every sub-check.

Start with the price. Semaglutide on this list starts at $129 to $297 a month, fees folded in, with $260 as the middle figure.

Then request a current hormone-care quote for the prescribed formulation. It should distinguish the medication from clinical visits, monitoring, shipping and membership. A menu entry or an older starting amount cannot establish the renewal total.

Ask for one itemized total rather than simply adding advertised figures. Two plans may share a membership, while an additional hormone appointment may introduce a separate charge. The lowest-priced menu item may not be the product the clinician recommends.

Expect the real figure to move. Semaglutide plans often price each dose step separately, and estradiol plus progesterone are two prescriptions, not one. A program may also bundle hormones into a membership, which our sum can't see.

An FDA-approved estradiol or progesterone product filled at your own pharmacy is another route to discuss. Compare its actual cash or insurance charge with the complete compounded-product quote; do not assume that a compounded cream is necessary or that one route is always less expensive.

1. Is the hormone consult included, or billed as a separate visit?
2. Will the same clinician manage my semaglutide and my estradiol?
3. Is the estradiol you'd prescribe an FDA-approved product or a compounded one?
4. Which pharmacy fills each prescription, and can I use my own for the hormones?
5. If I still have a uterus, how will progesterone be handled?
6. What labs do you want before prescribing hormones, and who pays for them?