Hormone therapy for menopause, prescribed online in Rhode Island
Rhode Island 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. Rhode Island requires one live video visit to establish care; everything after that is online. 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 Providence, Warwick, Cranston, and everywhere else in Rhode Island.
Is online hormone therapy available in Rhode Island?
Yes. Pallas serves Rhode Island and all 50 states plus Washington, D.C.. Every clinician who treats Rhode Island patients holds an active license from the Rhode Island Board of Medical Licensure and Discipline, and partner pharmacies ship to every Rhode Island ZIP code. Rhode Island requires one live video visit to start care.
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.
Rhode Island 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 Rhode Island 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 Rhode Island
Complete the online intake
About five minutes — your symptoms, health history, and the form you'd prefer. Nothing is charged at checkout.
One live video visit, as Rhode Island requires
You book it after checkout. The clinician decides which form, if any, is appropriate, and everything after that first visit is by secure message.
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 Rhode Island address (2–3 business days). Not prescribed? Full refund.
Telehealth rules for hormone therapy in Rhode Island
Prescribing for a resident of Rhode Island requires a clinician licensed there, and every Pallas clinician who treats Rhode Island patients holds an active license from the Rhode Island Board of Medical Licensure and Discipline. Estradiol and estriol are not controlled substances, so the controlled-substance telemedicine rules don't apply; Rhode Island does require one live video visit to establish the provider-patient relationship before a first prescription, and ongoing care continues 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 Rhode Island: Independent prescriptive authority under sole Board of Nursing authority; no collaborative agreement or physician supervision (R.I. Gen. Laws §5-34-3; §5-34-49; 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 Rhode Island reviews it — after the one live video visit Rhode Island requires — 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.
Yes — Rhode Island requires one live video visit to establish the provider-patient relationship. After that first visit, ongoing care continues by secure message.
Hormone therapy through Pallas in Rhode Island 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 Rhode Island address. Pallas is cash-pay and not billed to insurance, and the price is the same in every Rhode Island ZIP code.
Several telehealth services offer hormone therapy to Rhode Island residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in Rhode Island, 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 Rhode Island 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 Rhode Island. 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 Rhode Island intake