Den Health
Women's health

Perimenopause care. Without the gatekeeping.

Hot flashes. Sleep loss. Mood shifts. Brain fog. HRT can help. Cost and dismissive providers shouldn't be the reason you go without.

Check eligibility3-minute intake · no payment
Megan R.Priya N.Jordan A.Devon K.+1k
506+ patients on Den Health
22 states · last 30 days
Megan R.Megan R. from NY started ketamine therapy
A person who could be a hormone replacement (hrt) patient
Women's health · Cash-pay
Hormone replacement (HRT)~34% less
From$99/ month
Typical market: $150–$250 / month
Check eligibility · 3 min
The status quo

The current path is slow, expensive, and confusing.

PROBLEM · 01

Most OB-GYNs aren't trained in modern HRT.

Decades of overcaution after the 2002 WHI study mean many women are still told to wait it out. That isn't the current evidence.

PROBLEM · 02

Specialty menopause clinics run $200 to $300 a month.

Add membership fees and lab markups. You're often paying more for access than for medication.

PROBLEM · 03

Insurance coverage is inconsistent at best.

Compounded estradiol, progesterone, and testosterone for women are often paid entirely out of pocket.

How we compare

What you get vs. the alternatives.

Price
Den HealthFrom $99 / month
In-clinic / telehealth$150–$250 / month
DIY / supplementsLow, but inconsistent
Cash-pay, no insurance games
Den Health
In-clinic / telehealth
DIY / supplements
Licensed clinician review where required
Den Health
In-clinic / telehealthYes (and slow)
DIY / supplements
Pharmacy-fulfilled medication where supported
Den Health
In-clinic / telehealthYes
DIY / supplements
Continuity of care
Den Health
In-clinic / telehealthInconsistent
DIY / supplements
No upsells, no surprise charges
Den Health
In-clinic / telehealth
DIY / supplementsN/A
Introductory pricing

Roughly 34% below market.

Our long-term thesis is that automated pharmacy operations and a focused clinical workflow deliver the same quality of care at a meaningfully lower price. The number to the right is what we're targeting.

Cash-pay pricing. No membership games.
One transparent monthly price. Cancel anytime, without a phone gauntlet.
Clinicians who actually treat menopause
Our clinicians are trained in current menopause guidelines.
Estradiol, progesterone, testosterone where appropriate
Standard FDA-approved options. Compounded preparations where clinically appropriate.
Labs included, not upsold
Where relevant, hormone and metabolic labs are part of the program, not a separate $200 line item.
Hormone replacement (HRT)~34% less
Target price
From$99/ month
Typical market: $150–$250 / month
  • One flat monthly price, cash-pay only
  • Licensed clinician review where required
  • Cancel anytime, no membership lock-in
  • Discreet pharmacy fulfillment where supported
Check eligibility · 3 min

No payment to start. Treatment is subject to clinician review.

How it works

A path that feels like real care.

No call trees. No surprise charges. No 30-day-supply-of-melatonin upsells.

  1. 01
    Complete a 4-minute intake
    Symptoms, history, and what you've tried.
  2. 02
    Licensed clinician review
    A clinician trained in menopause care reviews your information.
  3. 03
    Treatment plan if clinically appropriate
    Review the proposed plan, pricing, and any labs needed before anything ships.
  4. 04
    Discreet delivery
    Medication ships from a licensed pharmacy on a cadence that makes sense.
Behind the price

Where your money actually goes.

Most healthcare invoices are a black box. Here's where the typical month's cost actually lives, and how we keep ours below market.

Cost lineTypicalDen
  • Medication cost
    Sourced through licensed wholesalers.
    $38
    $33
  • Clinical visit
    Asynchronous + scheduled follow-ups.
    $30
    $24
  • Pharmacy fulfillment
    Automated dosing & dispensing.
    $18
    $9
  • Payments & billing
    Cash-pay, no insurance overhead.
    $12
    $3
  • Brand & customer acquisition
    We don't run prime-time TV.
    $30
    $12
  • Margin & corporate
    Lean by design.
    $23
    $9
  • Total target
    $150–$250
    $99
The evidence

What we'd lean on, cited honestly.

The clinical thinking behind hormone replacement (hrt). Not marketing. The actual literature we'd build on.

  • Note 01

    Modern HRT is broadly safe within 10 years of menopause for most women.

    Current NAMS and Endocrine Society guidance walk back the 2002 WHI overcaution. For most healthy women starting near menopause, benefits typically outweigh risks.

    Source: NAMS Position Statement, 2022

  • Note 02

    Transdermal estradiol has a lower clot risk than oral.

    Where bioidentical estradiol is indicated, the transdermal route avoids first-pass liver effects and is generally preferred for cardiovascular safety.

    Source: Endocrine Society Clinical Practice Guideline

  • Note 03

    Testosterone for women is under-prescribed.

    Low-dose testosterone has growing evidence for hypoactive sexual desire disorder in postmenopausal women. Few US providers prescribe it.

    Source: ISSWSH 2021 Position Statement

Where we serve patients

Patients in 41 states.

Den Health serves hormone replacement (hrt) patients across the US. We add new states as we expand. Submit an intake to confirm availability in yours.

  • CA
    138 patients
  • NY
    113 patients
  • TX
    105 patients
  • FL
    96 patients
  • WA
    74 patients
  • CO
    69 patients
  • MA
    63 patients
  • IL
    56 patients
  • NC
    52 patients
  • AZ
    45 patients
  • GA
    42 patients
  • NJ
    38 patients
Top 12 states · Hormone replacement (HRT) patients · last 30 days
Cancel anytime
One click, online. No phone gauntlet, no retention call.
Transparent pricing
One flat monthly price. No copays, no membership fees stacked on top.
Private by default
Your information is protected under HIPAA. We never sell patient data.
Clinician supervised
If services launch, a licensed clinician would review your information first.
What people are saying

Real reasons, in their own words.

“I'd been paying $300 a session at a ketamine clinic. The math never worked. Hearing someone is finally building this at a real price made me sign up the same day.”
Megan R.
Megan R.
Brooklyn, NY · Ketamine therapy patient
“My OB told me to ride out perimenopause. I'm not riding anything out. Give me a clinician who knows modern HRT and a price that isn't predatory.”
Priya N.
Priya N.
Austin, TX · HRT patient
“I've been on three different telehealth platforms for anxiety. Different prescriber every time, six-minute visits, refill gaps. Just give me one clinician and a flat price.”
Jordan A.
Jordan A.
Seattle, WA · Anxiety & depression support patient
Real people, real programs

Built for real people

Patients on the hormone replacement (hrt) program. Real people, real prescriptions, in supported states.

  • Megan R.
    Megan R.
    Brooklyn, NY · Ketamine therapy
  • Priya N.
    Priya N.
    Austin, TX · HRT
  • Jordan A.
    Jordan A.
    Seattle, WA · Anxiety & depression support
  • Devon K.
    Devon K.
    Denver, CO · Longevity
  • Alex T.
    Alex T.
    Chicago, IL · Sleep
  • Sam B.
    Sam B.
    Miami, FL · Sleep
A note from the team

We're building the company we wish our parents had.

Healthcare is one of the few industries where the price you pay has almost nothing to do with what something costs to make. We're operators and clinicians who got tired of explaining that to our families.

Den Health is the company we wanted to build. A vertically integrated cash-pay pharmacy. Automation where it makes sense. Clinicians where it matters. The difference goes to patients.

Five programs today. Cash-pay only. One price per month. Roughly 30% below the market we replace.

L. TanA. Mendez, MDS. Patel, PharmD
The Den Health founding team
Engineering · Clinical · Pharmacy
Common questions

Honest answers.

Anything else you want to know? You can ask in the intake. We read every response.

  • For most healthy women within 10 years of menopause, current guidelines (NAMS 2022, Endocrine Society) support HRT as a reasonable option for symptom management. Risk depends on individual factors. A clinician reviews yours in detail.

See if you're a fit, in three minutes.

No payment. No spam. Honest answers help us build the program that's worth shipping.

Check eligibilitySee all programs

Submitting an intake does not establish a clinician-patient relationship until a licensed clinician reviews your information.