Hormone therapy for menopause, prescribed online in North Carolina

Is online hormone therapy available in North Carolina?

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

North Carolina 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 North Carolina address (2–3 business days)
• Nothing charged until a clinician prescribes
• Cancel anytime, self-serve

How it works in North Carolina

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 North Carolina 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 North Carolina address (2–3 business days).

Telehealth rules for hormone therapy in North Carolina

Prescribing for a resident of North Carolina requires a clinician licensed there, and every Pallas clinician who treats North Carolina patients holds an active license from the North Carolina Medical Board. Estradiol, estriol, and progesterone are not controlled substances, so the controlled-substance telemedicine rules don't apply; North Carolina 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 North Carolina: Collaborative practice agreement; approval granted jointly by the Board of Nursing and Medical Board (21 NCAC 36 .0801; verified 2026-09-28).

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.