161 listed in North Carolina · Listings last verified November 2026 · How we vet listings
We list hormone therapy providers across North Carolina, mainly in Raleigh–Durham, Charlotte and Asheville (161 in total). Hormone replacement therapy (HRT) treats menopause symptoms like hot flashes and night sweats. Listings include OB/GYN and women's health practices and clinics that focus on menopause care. Compare the listings below, then call the practice to ask about insurance and new-patient openings.
Hormone therapy for menopause in North Carolina is offered by OB/GYN and women's health practices and by clinics that focus on hormone care. The largest groups are around Raleigh and Charlotte, with more in Wilmington, Hickory and Asheville. We list providers whose own website or Google listing names hormone therapy.
Hormone replacement therapy, also called menopausal hormone therapy, replaces the estrogen your body makes less of after menopause. It's the most effective treatment for hot flashes and night sweats [1].
There are two main types [1]:
If you still have your uterus, you'll take a progestogen along with estrogen to protect against uterine cancer. If you've had a hysterectomy, estrogen alone may be used [1].
In 2026, FDA approved label changes that remove heart disease, breast cancer and dementia from the boxed warning on these products [3][4].
Hormone therapy is mainly for women with moderate to severe menopause symptoms. The Menopause Society says that for most women, the benefits outweigh the risks when therapy starts before age 60 or within 10 years of menopause [1].
Low-dose vaginal estrogen is an option for vaginal and urinary symptoms. Much less of the hormone reaches your blood [1].
HRT still has risks. These include blood clots and stroke, and a higher breast cancer risk after several years of use [1]. It may not be a good fit if you've had breast cancer, blood clots, a stroke or heart disease. Your provider will weigh your history and help you choose a type and dose.
If you can't or don't want to take hormones, non-hormone medicines are another option.
Estrogen and progesterone come in pills, patches, gels and rings, and many have generic versions. What you pay depends on your plan's drug list and the form you choose.
Commercial insurance. Each plan lists which forms it covers and at what cost. Ask your pharmacist or insurer what's on your plan's list before you fill.
Medicare. Prescription hormone therapy falls under Part D drug plans or Medicare Advantage plans with drug coverage. Each plan sets its own drug list and cost tiers. Generics are usually in the lowest-cost tier [6]. If a drug you need isn't covered, you or your provider can ask for an exception [6].
Patch supply. In September 2026, FDA said some estradiol patch brands were harder to find because demand went up. Patches are still available. Ask your pharmacist about switching to another FDA-approved patch [5].
Visit costs. Your office visit is billed like any other doctor visit. Some menopause clinics don't take insurance, so ask first.
For more, see our menopause guide and our Veozah savings guide for a non-hormone option.
Menopause
Menopause Society Certified (MSCP)
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
Menopause Society Certified (MSCP)
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Menopause
Menopause Society Certified (MSCP)
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
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Menopause
Menopause Society Certified (MSCP)
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Menopause
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Menopause
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Menopause
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Look for menopause training. Many OB/GYNs and primary care doctors prescribe HRT. Some have extra training. The Menopause Society certifies clinicians who pass its exam. Its online directory lets you search by ZIP code and telehealth [7]. Some of our listings show a "Menopause Society Certified" badge.
Ask about FDA-approved hormones. FDA-approved estradiol and progesterone are bioidentical, tested and labeled. Custom-compounded hormones, including pellets, aren't tested for safety or effectiveness and may not contain the dose prescribed [1][2]. Be cautious of clinics that sell only compounded products.
Expect a real conversation. A good provider asks about your symptoms, your health history and your family history. They should explain the risks for you, not just in general, and plan follow-up visits.
Confirm the basics yourself. Call to check insurance, new-patient openings and telehealth. We don't verify these.
For most healthy women who start before age 60 or within 10 years of menopause, The Menopause Society says the benefits outweigh the risks. Risks include blood clots, stroke and a higher breast cancer risk with longer use. Your own risk depends on your age, health and the type of HRT, so talk it through with a provider.
Mostly. In November 2025, FDA started removing heart disease, breast cancer and dementia from the boxed warning on menopausal hormone products. In February 2026, it approved the first updated labels. A warning about uterine (endometrial) cancer stays on systemic estrogen-alone products.
Some FDA-approved hormones, like estradiol and progesterone, are bioidentical. They're tested and come with a label that lists risks. Custom-compounded "bioidentical" hormones aren't tested for safety or effectiveness. The Menopause Society says they may not contain the dose on the label and aren't safer than approved products.
Medicare drug plans (Part D) and Medicare Advantage plans with drug coverage cover prescription hormone therapy, but each plan has its own drug list and costs. Generics are usually cheapest. Check your plan's list before you fill, and ask your provider to request an exception if a needed drug isn't covered.
OB/GYNs, primary care doctors, nurse practitioners and menopause specialists can all prescribe hormone therapy. If your symptoms are complex or your doctor is unsure, look for a clinician certified by The Menopause Society. They've passed an exam on menopause care.