Nycole Cox
APRN · LocumTele
Licensed in AK, AZ, CA, CO, FL, GA, IA, IL, KS, KY, MD, ME, MI, MO, NM, NY, OH, OR, TN, TX, VA, WA
Optimal Balance Daily Tablet
Women's healthPrescription onlyFDA-approved
$199/month
Billed monthly
Fewer hot flashes. Better sleep.
- Online visit included
- Discreet shipping included
- Ongoing provider messaging
You start with a short medical intake. A licensed provider from LocumTele reviews it and decides whether treatment is appropriate for you.
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Your plan renews automatically at the price and interval shown until you cancel, and you can cancel any time before your next refill from your account.
Prescription only. Completing an order is not a prescription and does not guarantee one.
FDA-approved generic medication, dispensed by a state-licensed pharmacy. Prescription required.
Clinical entity: LocumTele. A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate for you.
Important safety information
Hormone therapy can raise the risk of blood clots, stroke, heart attack and certain cancers. Use the lowest effective amount for the shortest time your provider recommends.
Do not use if: Unexplained vaginal bleeding; History of breast cancer or a hormone-sensitive cancer; History of blood clots, stroke or heart attack; Liver disease; You are pregnant.
Common side effects: Headache, Breast tenderness, Spotting or bleeding, Bloating, Nausea.
Read full safety information- Oversight
- Provider monitored
- Plan
- Set by your provider
- Cycle
- Monthly
- Format
- Oral tablet
- Included
- Visit, messaging, shipping
What this is
One small daily prescription tablet that replaces the hormone your body makes less of during perimenopause and menopause. Your provider reviews your history first and adds anything else your plan needs.
Who it may be appropriate for
Women in perimenopause or menopause who want relief without a clinic visit.
Key risks
- Blood clots, stroke and heart attack
- Breast cancer
- Endometrial cancer if you have a uterus and take this alone
- Gallbladder disease
Who should not use it
- Unexplained vaginal bleeding
- History of breast cancer or a hormone-sensitive cancer
- History of blood clots, stroke or heart attack
- Liver disease
- You are pregnant
Common side effects
- Headache
- Breast tenderness
- Spotting or bleeding
- Bloating
- Nausea
When to seek care
- Chest pain or shortness of breath
- Sudden severe headache or vision changes
- Pain or swelling in one leg
- A breast lump
- Unusual vaginal bleeding
Interactions
Some seizure, antifungal and HIV medicines and St John's wort can change how this works. Tell your provider about everything you take.
Your care, step by step.
Intake
Answer a short online health intake on your own time. Individual results vary.
Provider review
A licensed provider reviews your answers and decides whether treatment is appropriate. Individual results vary.
Check-ins and adjustments
Your provider checks in and adjusts your plan as you go. Individual results vary.
Generic vs provider-guided.
Going it alone
- No review of your health history
- No one to ask when questions come up
- Guesswork when things change
With a licensed provider
- Your intake reviewed before any prescription
- Ongoing messaging with your care team
- A plan adjusted to how you respond
Real providers. Real care.
Ianina Metcalf
FNP · LocumTele
Licensed in AL, AR, AZ, CA, CO, CT, DE, FL, IA, IL, IN, KS, KY, MA, ME, MI, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, TN, TX, UT, VA, VT, WA, WV, WY
Michael Gype
PA · LocumTele
Licensed in AZ, CA, CO, CT, FL, GA, IL, LA, MA, NJ, NV, NY, OH, PA, SC, TN, TX, UT, WA
Rachel Velasquez
NP · LocumTele
Licensed in IN, KY, MD, OH, PA, VA, WV
About Optimal Balance Daily Tablet
Who prescribes it?
A licensed nurse practitioner or physician assistant from LocumTele, licensed in your state, reviews your intake and decides whether a prescription is appropriate. If prescribed, your medication is dispensed by VSDH, a state-licensed pharmacy, and shipped to you discreetly.
When will it ship?
If a licensed provider approves treatment, your prescription goes to VSDH, a state-licensed pharmacy, which prepares it and ships it discreetly with tracking.
What is it?
One small daily prescription tablet that replaces the hormone your body makes less of during perimenopause and menopause. Your provider reviews your history first and adds anything else your plan needs.
Who is it for?
Women in perimenopause or menopause who want relief without a clinic visit.
Do I need a prescription?
Yes. This is a prescription product and is only available if a licensed provider determines it is appropriate for you.
How is my plan decided?
Your licensed provider sets your plan based on your intake and adjusts it at check-ins.
What's included?
Daily tablet, Provider review of your health history, Plan adjustments as symptoms change, Discreet delivery. Shipping is included.
How do billing and renewal work?
$199 billed monthly. Your plan renews automatically at the price and interval shown until you cancel, and you can cancel any time before your next refill from your account.
What if I'm not approved?
No charge until a licensed provider approves treatment. Not approved = not charged, and nothing ships.
Care that fits into real life.
Simple steps, plain language, and a licensed provider who decides what's right for you.
- 01
Complete your online visit
Answer a short health intake from home. No waiting room.
- 02
A licensed provider reviews it
A licensed provider from LocumTele reviews your intake within 24 to 48 hours and decides whether treatment is appropriate.
- 03
If approved, it ships to you
Your prescription is dispensed by VSDH, a state-licensed pharmacy, and shipped discreetly. No charge unless you're approved.
- 04
Ongoing care
Check-ins and messaging with your provider, with no new visit fee.
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A short online visit, reviewed by a licensed provider, and a plan built around your goals.