Hormone therapy for menopause, prescribed online in Alabama

Is online hormone therapy available in Alabama?

Yes. Pallas serves Alabama and all 50 states plus Washington, D.C.. Every clinician who treats Alabama patients holds an active license from the Alabama Board of Medical Examiners, and partner pharmacies ship to every Alabama ZIP code. Alabama allows asynchronous care, so no video visit is required.

What hormone therapy is

Through perimenopause and menopause the ovaries make less estrogen, and the drop is what drives hot flashes, night sweats, broken sleep, mood swings, and vaginal dryness for many women. Hormone therapy is prescription estradiol or estriol — through the skin as a cream or a patch, or applied locally as a vaginal cream — usually paired with progesterone for women who have a uterus, prescribed to help manage those symptoms.

For women who still have a uterus, systemic estrogen is generally prescribed together with a progestogen to protect the uterine lining. Pallas prescribes progesterone — in the Biest cream, which combines it with estrogen, and as capsules — and your clinician decides which plan, if any, fits your history. The estradiol vaginal cream is a local preparation and is typically considered without one.

Forms, safety, and risks are on the hormone therapy program page.

Alabama pricing at a glance

• Biest + progesterone cream$269 every 12 weeks · charged once a clinician prescribes
• Progesterone capsules$129 every 12 weeks · charged once a clinician prescribes
• Estradiol patch$399 every 12 weeks · charged once a clinician prescribes
• Estradiol vaginal cream$229 every 12 weeks · charged once a clinician prescribes

• US-licensed clinician review — prescribed only when clinically appropriate
• Ongoing check-ins and care-team messaging in the Pallas app or patient portal
• Free shipping to any Alabama address (2–3 business days)
• Nothing charged until a clinician prescribes
• Cancel anytime, self-serve

How it works in Alabama

1. 1

   Complete the online intake

   About five minutes — your symptoms, health history, and the form you'd prefer. Nothing is charged at checkout.

2. 2

   A clinician licensed in Alabama reviews it

   By secure message in most cases — no video visit required unless your history calls for one. The clinician decides which form, if any, is appropriate.

3. 3

   If prescribed, your first 12-week supply ships

   Your first term is charged only once a clinician prescribes, and a US-licensed pharmacy ships it free to your Alabama address (2–3 business days).

Telehealth rules for hormone therapy in Alabama

Prescribing for a resident of Alabama requires a clinician licensed there, and every Pallas clinician who treats Alabama patients holds an active license from the Alabama Board of Medical Examiners. Estradiol, estriol, and progesterone are not controlled substances, so the controlled-substance telemedicine rules don't apply; Alabama allows the provider-patient relationship to be established through asynchronous telehealth, so your review and follow-up can happen by secure message. Your prescription is filled by a US-licensed pharmacy, and some forms are compounded per-patient under FDCA §503A.

Nurse practitioner prescribing in Alabama: Prescriptive authority exists only under a written collaborative practice agreement with an Alabama physician; the collaborating physician must remain available for consultation and must be on site for at least 10 percent of scheduled hours for a nurse practitioner with under two years (4,000 hours) of collaborative practice experience (Ala. Code §§34-21-81, 34-21-86; Ala. Admin. Code r. 610-X-5-.09; verified 2026-08-31).

Also from Pallas: estriol face cream

A separate prescription cream for the face, not a form of hormone therapy: estriol, tretinoin, and niacinamide in one compounded cream, prescribed for the drier, thinner, less elastic skin that comes as estrogen falls. It has its own short intake. From $69.