Pallas
Hormone therapy program

Hormone therapy for menopause, prescribed online in Louisiana

Louisiana 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 Louisiana — 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 New Orleans, Baton Rouge, Shreveport, and everywhere else in Louisiana.

Is online hormone therapy available in Louisiana?

Yes. Pallas serves Louisiana and all 50 states plus Washington, D.C.. Every clinician who treats Louisiana patients holds an active license from the Louisiana State Board of Medical Examiners, and partner pharmacies ship to every Louisiana ZIP code. Louisiana 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.

Louisiana 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 Louisiana 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 Louisiana

  1. Complete the online intake

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

  2. A clinician licensed in Louisiana 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. 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 Louisiana address (2–3 business days). Not prescribed? Full refund.

Telehealth rules for hormone therapy in Louisiana

Prescribing for a resident of Louisiana requires a clinician licensed there, and every Pallas clinician who treats Louisiana patients holds an active license from the Louisiana State Board of Medical Examiners. Estradiol and estriol are not controlled substances, so the controlled-substance telemedicine rules don't apply; Louisiana 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 Louisiana: Collaborative practice agreement plus LSBN prescriptive-authority approval (La. R.S. 37:913; LAC 46:XLVII.4513; verified 2026-08-10).

Frequently asked questions

Complete a short online intake about your symptoms, health history, and the form you'd prefer. A clinician licensed in Louisiana 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. Louisiana 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 Louisiana 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 Louisiana address. Pallas is cash-pay and not billed to insurance, and the price is the same in every Louisiana ZIP code.

Several telehealth services offer hormone therapy to Louisiana residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in Louisiana, 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 Louisiana 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 Louisiana. 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 Louisiana intake