Hormone therapy for menopause, prescribed online in California
California women can be prescribed hormone therapy for the symptoms of perimenopause and menopause — estradiol as a clear olive-oil topical, a cream, or a patch, or estriol as a vaginal cream — through a short online intake reviewed by a US-licensed clinician, when it’s clinically appropriate. Care is 100% online and asynchronous in California — no video visit is required. Each form is a 12-week supply at $199 to $269 per 12-week supply, charged once a clinician prescribes and renewing every 12 weeks until you cancel. It ships free from a US-licensed pharmacy to Los Angeles, San Diego, San Jose, and everywhere else in California.
Is online hormone therapy available in California?
Yes. Pallas serves California and all 50 states plus Washington, D.C. Every clinician who treats California patients holds an active license from the Medical Board of California, and partner pharmacies ship to every California ZIP code. California 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 — taken through the skin as a clear topical, a cream, or a patch, or applied locally as a vaginal cream — prescribed to help manage those symptoms when a clinician determines it's appropriate for you.
Pallas plans are estrogen-only. For women who still have a uterus, systemic estrogen — the clear topical, cream, or patch — is generally prescribed together with a progestogen to protect the uterine lining, and Pallas doesn't currently prescribe progesterone; your clinician may decide an estrogen-only plan isn't the right fit and explain what to ask your own doctor for instead. Vaginal estriol cream is a local preparation and is typically considered without one.
Forms, safety, and risks are on the hormone therapy program page.
California pricing at a glance
One price per 12-week supply · clinician care included
- Estradiol clear topical$199 every 12 weeks · charged once a clinician prescribes
- Estradiol cream$269 every 12 weeks · charged once a clinician prescribes
- Estradiol patch$269 every 12 weeks · charged once a clinician prescribes
- Estriol vaginal cream$249 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 California address (2–3 business days)
- Full refund if a clinician decides treatment isn't right for you
- Cancel anytime, self-serve
How it works in California
Complete the online intake
About five minutes — your symptoms, health history, and the form you'd prefer. Nothing is charged at checkout.
A clinician licensed in California 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.
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 California address (2–3 business days). Not prescribed? Full refund.
Telehealth rules for hormone therapy in California
California requires a clinician licensed in California to prescribe for a California resident, and every Pallas clinician who treats California patients holds an active license from the Medical Board of California. Estradiol and estriol are not controlled substances, so California's controlled-substance telemedicine rules don't apply; California 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 California: Standardized procedures (furnishing); independent practice available via AB 890 certification (Cal. Bus. & Prof. Code §2836.1; §2837.103–.104; verified 2026-08-24).
Frequently asked questions
Complete a short online intake about your symptoms, health history, and the form you'd prefer. A clinician licensed in California reviews it — usually by secure message, with no video visit required — and, when clinically appropriate, prescribes estradiol as a clear olive-oil topical, a cream, or a patch, or estriol as a vaginal cream; your clinician decides which form, if any, is right for you. A 12-week supply ships free from a US-licensed pharmacy, and if a clinician decides treatment isn't right for you, you're refunded in full. Some forms are compounded per-patient by a state-licensed pharmacy, and compounded hormone preparations are not FDA-approved.
No. California allows asynchronous telehealth care, so most patients complete the entire process — intake, clinician review, and ongoing check-ins — by secure message, with no video call required. A clinician may request a call if they need more information.
Hormone therapy through Pallas in California is one price per 12-week supply with clinician care included: Estradiol clear topical is $199, Estradiol cream and Estradiol patch are $269, and Estriol vaginal cream is $249 — about $66 to $90 a month — charged once a clinician prescribes and renewing every 12 weeks until you cancel. That covers your US-licensed clinician, check-ins, care-team messaging, and free shipping to any California address. Pallas is cash-pay and not billed to insurance, and the price is the same in every California ZIP code.
Several telehealth services offer hormone therapy to California residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in California, that prescriptions are filled by US-licensed pharmacies, and that it holds LegitScript Healthcare Merchant Certification — you can check any platform in LegitScript's public database. Pallas serves California and all 50 states plus Washington, D.C., and is LegitScript Healthcare Merchant Certified.
Not necessarily. A US-licensed clinician decides from your symptoms and health history whether lab work is needed before prescribing in California. If you have recent hormone-related labs, you can upload them during the intake or later from the Documents page of your Pallas portal, and your clinician can ask for labs if your history calls for them. We also ask you to keep your primary care provider informed and up to date with regular checkups.
See if hormone therapy is appropriate for you
The online intake takes about five minutes. A US-licensed clinician reviews your symptoms and history and, when appropriate, prescribes — if not, you’re refunded in full.
Start your California intake