2025 Cost Estimates – Out of Pocket hormones

  • Drospirenone PO 4 mg tablets- $213.38 / 28 count
    • Typical: One tablet daily
  • Estradiol PO 2mg tablets
    • Min: 1 tablet daily #30 $10.53
    • Typical: 2-3 tablets daily #60 $16.05 / #90 $21.58
    • Max: 4 tablets daily #120 $27.10
  • Estradiol Transdermal 0.1 mg / 24h patches
    • Highly variable, especially since some patches are weekly and some are twice weekly, and patients have highly variable transdermal absorption based on obesity and other factors. Personally, I hate using the TD formulations because of all of this and patients hate having to wear 4 patches!
    • Min: 0.1 mg / 24h #4 $59.11
    • Typical: 2-3 x 0.1 mg / 24h #8 $113.22 / #12 $167.33
    • Max: 4 x 0.1 mg / 24h #16 $221.44
  • Estradiol Cypionate SC/IM 5 mg/mL suspension – 5ml vial (25mg total)
    • Min: 40 mg q7d  #7 vials / 175mg / $331(5ml vial) / $1575 for 7 vials
    • Typical < 18 yo: 60 mg q7d #10 vials / $2249
    • Typical >= 18 yo: 80 mg q7d #13 vials / $2923
    • Max: 120 mg q7d #20 vials / $4475
  • Estradiol Valerate SC/IM 20 mg/mL suspension- 5ml vial (100mg total)
    • Min: 0.1 mL (2 mg) q7d- #1 vial / $145.78
    • Usual: 0.1 mL (2 mg) to 0.2 mL (4 mg) q7d #1 vial / $145.78
    • Max: 0.3 mL (6 mg) q7d #1 vial / $145.78
  • Estradiol Valerate SC/IM 40 mg/mL suspension – 5 ml vial (200mg total)
    • We hate prescribing this because it’s so concentrated that it’s hard to dose properly.
    • Min: 0.05 mL (2 mg) q7d #1 vial / $177.07
    • Usual: 0.05 mL (2 mg) to 0.15 mL (4 mg) q7d – #1 vial / $177.07
    • Max: 0.2 mL (8 mg) q7d – #1 vial / $177.07
  • Progesterone Micronized PO 100 mg capsules
    • Min: 1 tablet daily #30 / $12.50
    • Typical / Max: 2 tablets daily #60 / $22.00
  • Progesterone Micronized PO 200 mg capsules
    • Typical / Max: 1 tablet daily #30 / $24.35
  • Spironolactone PO 100 mg tablets
    • Min: 1 tablet daily #30 / $19.59
    • Typical: 2 tablets daily #60 / $34.18
    • Max: 3 tablets daily #90 / $48.77
  • Testosterone Cypionate SC/IM 200 mg/mL suspension (1ml single dose vial)
    • Min: 0.1 mL (2 mg) q7d #4 vials / $63.15
    • Usual: 0.1 mL (2 mg) to 0.2 mL (4 mg) q7d –  #4 vials / $63.15
    • Max: 0.3 mL (6 mg) q7d –  #4 vials / $63.15
  • Testosterone Topical 1% gel –
    • Usually packet form, but may come in pump
    • Min: 12.5-25 mg qam #30 packets (2.5 grams (25mg) each) / $296.00
    • Usual: 50mg qam #30 packets (5 grams (50mg) each) / $141.85
    • Max: 100mg qam #60 packets (50mg each)  $278.69
  • Testosterone Topical 1.62% gel – 1 unit contains 60 pumps 20.25mg each
    • Usually pump form (1 pump = 20.25 mg), but may come in packets
    • Min: 20.25mg qam 1 unit 60 doses $90.00
    • Usual: 40.5 – 60.75mg qam 1 units/ $90 / 2 units /$180
    • Max: 103.25mg qam 3 units / $270
  • Testosterone Topical 2% gel
    • Pump only (1 pump = 30 mg) 1 unit / 90 mls / 60 doses 30mg each
    • Min: 30 mg qam #30 #1 unit  / $290
    • Usual: 60mg qam #2 units / $575
    • Max: 90-120mg qam #3 units / $860