Hormone therapy for menopause, prescribed online in West Virginia

Is online hormone therapy available in West Virginia?

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

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

How it works in West Virginia

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

   One live video visit, as West Virginia 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.

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 West Virginia address (2–3 business days).

Telehealth rules for hormone therapy in West Virginia

Prescribing for a resident of West Virginia requires a clinician licensed there, and every Pallas clinician who treats West Virginia patients holds an active license from the West Virginia Board of Medicine. Estradiol, estriol, and progesterone are not controlled substances, so the controlled-substance telemedicine rules don't apply; West Virginia 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 West Virginia: Prescriptive authority requires a written collaborative agreement with a West Virginia-licensed physician verified with the Board of Nursing; the agreement may be dropped only on separate board approval after three years of documented collaborative practice with granted prescriptive authority (W. Va. Code §30-7-15a; §30-7-15b; verified 2026-09-07).

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.