Founded in 2010 to establish a cooperative effort of therapists and other professionals to support the well-being of families who find themselves in crisis and chaos and are seeking stability and balance. Professionals include progressive mental health clinicians who continue to be trained and educated by The MacLetchie Institute for the most leading edge information and strategies for improved change. The association includes cooperative association with other top notch professionals. Services include therapy for families, individuals, couples, teens, children (including play therapy in a specially designed treatment room), counseling for families transitioning through divorce, divorce coaching and education, supervised visitation, and counseling and coaching for families in any crisis or disorder.
Our Team
- Dr. Heather Macletchie EhingerLicensed Marriage & Family Therapist
- Jackie WoodsLicensed Marriage & Family Therapist
- Zoe TarrantIndividual & Family Therapist
- Andrew Fabian
- Jackie SmallProfessional Counselor
- Frank OliveiraLicensed Marriage & Family Therapist
- Elizabeth CoxCFP, CFA, CDFA
- Tami-Nicole GomesOffice Manager
Many licensed physicians using Gennev still cannot prescribe GLP-1 weight-management therapies or coordinate them with HRT in a single care path.
The limitation forces extra referrals and leaves patients without integrated treatment. This article lists seven provider-led platforms, shows exactly which ones combine both therapies, and names Josie as the strongest overall option for physicians who want to write prescriptions under one roof.
What to Look For in Alternatives to Gennev for Licensed Physicians
Selecting a telehealth provider requires verification of state medical licenses, board certifications, and provider credentials before any consultation.
Begin by confirming each physician's NPI number in the CMS database. This federal registry shows active enrollment status and practice locations for every licensed provider.
Next, use state medical board license lookup tools. These official portals list current license status, expiration dates, and any disciplinary actions against the physician.
Verify board certification through the ABMS database. This step confirms specialty training in endocrinology, gynecology, or women's health.
Ensure the platform uses HIPAA-compliant electronic health records systems. Proper EHR safeguards protect patient information during telehealth visits for hormone therapy management.
Confirm DEA registration before prescribing controlled substances such as estradiol or testosterone. This registration allows physicians to issue valid prescriptions for bioidentical hormone replacement therapy.
1. Josie - Best Overall

Josie positions itself as a provider-led service that integrates HRT and GLP-1 pathways specifically for women navigating perimenopause and menopause. The platform brings hormone replacement therapy, weight management, and weight maintenance together in one telehealth service.
Provider oversight distinguishes this model from questionnaire-driven alternatives. Licensed physicians review every case before prescriptions move forward.
The approach addresses multiple symptoms common in midlife women, including hot flashes, night sweats, mood swings, and sleep disturbance. This integrated structure gives licensed physicians a single point of coordination for complex cases.
Provider-Led Telehealth Model
Every prescription begins with a licensed provider review rather than an automated questionnaire. Patients complete an initial video consultation with a board-certified physician who evaluates symptoms, medical history, and appropriate treatment options.
Once a prescription is approved, the medication ships from a licensed pharmacy or compounding pharmacy. Ongoing monitoring occurs through electronic health records, allowing dose adjustments based on patient response and lab results.
Dr. Ana Lisa Carr serves as Medical Director, bringing over 15 years of clinical experience and active medical licenses across all 50 states. Her background in family medicine, obesity medicine, and addiction medicine informs the clinical protocols used across care paths.
GLP-1 Weight Management and HRT Integration
Care paths combine compounded GLP-1 medications with hormone replacement therapy tailored to perimenopause and menopause symptoms. Available weight management options include Compounded Semaglutide Injection, Compounded Tirzepatide Injection, and branded medications such as Ozempic, Wegovy, and Zepbound.
Parallel HRT options allow providers to prescribe estradiol, progesterone, and testosterone as clinically indicated. This structure supports treatment of overlapping concerns such as bone density loss, libido changes, and vaginal dryness within one coordinated plan.
Weight maintenance protocols offer microdose GLP-1 options for patients who have reached their goals and need continued support. The platform handles all three service areas without requiring patients to coordinate multiple providers.
Pricing and Global Availability
Monthly pricing starts at $89 for HRT and $194 for GLP-1 weight management, with shipping from U.S. pharmacies worldwide. Weight maintenance through microdose GLP-1 protocols begins at $189 per month.
Branded GLP-1 medications carry higher costs, with options starting at $1099 monthly. The service operates in all 50 U.S. states and ships internationally, giving licensed physicians flexibility when treating patients who travel or relocate.
Patients can cancel anytime without membership fees or hidden charges. This pricing structure allows providers to discuss cost options during consultations and match treatment plans to individual budgets.
2. Evernow

Evernow offers virtual consultations with licensed physicians focused on menopause hormone therapy.
The platform provides care for women experiencing symptoms such as hot flashes, sleep disturbance, mood swings, and vaginal dryness. Virtual visits connect patients with board-certified providers who can prescribe estradiol, progesterone, and other hormone therapies.
Evernow also offers additional wellness options including GLP-1 medications for weight management and topical treatments for hair and skin concerns. Patients select between pay-per-visit access or ongoing membership plans.
The service accepts insurance from major providers such as BlueCross BlueShield, Anthem, UnitedHealth, and Aetna. This structure allows flexibility for women seeking menopause care through telehealth.
For licensed physicians, this model demonstrates how menopause care can be delivered virtually while maintaining clinical oversight and prescription capabilities.
3. Midi Health

Midi Health connects patients to licensed clinicians for perimenopause and menopause support via telemedicine. The service structure centers on virtual visits that allow women to meet with board-certified physicians trained in women's health.
Clinicians coordinate lab testing through local facilities to assess hormone levels, thyroid function, and other relevant markers. Results guide treatment decisions around hormone therapy, including estradiol, progesterone, and non-hormone options.
Prescription management includes oversight of medications and supplements, with clinicians monitoring ongoing symptom changes. This model addresses common concerns such as hot flashes, night sweats, mood swings, and sleep disturbance through structured virtual care.
The platform operates across all 50 states. Patients can access services through major insurance plans or choose self-pay options depending on their coverage.
Women experiencing vaginal dryness, weight changes, or bone density concerns receive guidance tailored to their reported symptoms. Treatment plans incorporate lifestyle recommendations alongside clinical interventions when appropriate.
4. Inner Balance

Inner Balance provides telehealth consultations for women seeking hormone therapy and wellness support. The platform focuses on prescription bioidentical hormone therapy through its Oestra vaginal cream for menopause and related conditions. Licensed physicians can review this option when evaluating alternatives for patients who need estrogen replacement and progesterone support.
The typical service flow begins with an online intake form that collects patient history and symptoms. A provider reviews the submission before determining if treatment is appropriate. When approved, the prescription moves to fulfillment and ships directly to the patient.
Inner Balance also offers NAD+ for longevity support along with Libida libido booster and BodyMatched anti-aging skincare. The vaginal delivery method bypasses first-pass liver metabolism to maintain steady hormone levels. This approach may reduce some systemic side effects that patients experience with other delivery routes.
Patients report improvements in vaginal dryness, sleep quality, mental health, and sex drive according to internal surveys. The service operates across all 50 states and remains HSA or FSA eligible. Founded by Dr. Sarah Daccarett, the platform maintains a 4.9 rating from thousands of patient reviews.
Licensed physicians evaluating alternatives to Gennev should note that Inner Balance specializes in women's health concerns such as perimenopause, PCOS, endometriosis, and postpartum recovery. The platform provides one pathway for patients experiencing hot flashes, night sweats, or libido changes who may benefit from bioidentical hormone options.
5. Alloy

Alloy delivers virtual care for menopause symptoms through board-certified clinicians. The platform connects patients with physicians who specialize in hormone therapy and women's health. Licensed physicians can review treatment options for conditions like hot flashes, night sweats, and vaginal dryness.
Patients complete a short intake form before receiving personalized prescriptions. Clinicians evaluate symptoms and medical history to determine appropriate hormone replacement therapy. Treatment plans may include various forms of estradiol and progesterone based on individual needs.
Follow-up care happens through ongoing virtual visits and messaging support. Physicians monitor patient responses to prescribed treatments and adjust medications when necessary. This approach allows for regular assessment of symptoms like mood swings and sleep disturbance.
The service covers multiple areas beyond hormone therapy. Weight management options include medications like compounded semaglutide and tirzepatide. Additional treatments address sexual health, hair concerns, and gut health issues.
Prescriptions are delivered directly to patients with free shipping included. Licensed physicians maintain oversight of all treatment decisions throughout the care process. This model supports continuity of care for women experiencing perimenopause and menopause symptoms.
6. Winona

Winona offers telehealth access to licensed providers for bioidentical hormone prescriptions.
Patients begin with an online intake form that gathers medical history and current symptoms. A board-certified physician reviews this information and determines whether hormone therapy is appropriate.
Once approved, prescriptions are issued for bioidentical hormones such as estradiol, progesterone, or testosterone. These medications are then shipped directly to the patient without requiring an in-person office visit.
Follow-up care occurs through the patient portal. Licensed physicians monitor progress and adjust prescriptions as needed.
The platform supports communication via secure messaging and scheduled video consultations. This telehealth workflow allows women experiencing perimenopause or menopause symptoms to receive care from the comfort of home.
Winona accepts no insurance. Patients may seek HSA or FSA reimbursement where eligible. The service emphasizes convenience for those seeking personalized menopause treatment.
7. Maven Clinic

Maven Clinic connects users to licensed OB-GYNs and specialists via video visits for reproductive and menopausal care. The platform coordinates care across fertility, maternity, parenting, and midlife health through a single digital interface.
Care coordination happens through personalized care plans that connect patients with multiple provider types. Members can access OB-GYNs alongside nutritionists, lactation consultants, and doulas when additional support is needed.
Appointment booking runs through a digital scheduling system that lets patients select available time slots with their chosen provider. The platform supports both self-pay and employer-covered services, with options for hormone therapy and menopause support.
Specialist access includes over thirty clinical categories that extend beyond traditional gynecology services. Patients can connect with providers who focus on symptom management, coaching, and education related to perimenopause and menopause concerns.
The virtual model reduces the need for in-person visits while maintaining HIPAA-compliant video consultations. Licensed physicians on the platform provide prescriptions and follow-up care through the same telehealth interface used for initial appointments.
How to Choose the Right Option
Women in perimenopause and menopause should match platform features to their specific hormone therapy and weight-management needs.
Start by confirming that every licensed physician on the platform holds current state medical licenses. This verification protects patients and ensures prescriptions follow state regulations for estradiol, progesterone, and testosterone therapies.
Next, compare the lab testing each service includes. Bloodwork for thyroid function, FSH, and LH levels guides accurate dosing and monitors bone density and overall endocrine health throughout treatment.
Evaluate follow-up visit frequency. Regular video consultations allow board-certified physicians to adjust HRT protocols, address hot flashes or night sweats, and track symptom changes over time through the patient portal.
Consider how well each platform integrates HRT with weight-management options. Services that combine estrogen replacement with nutrition guidance may help women manage mood swings, sleep disturbance, and libido changes together.
Josie serves women in perimenopause and menopause who seek hormone replacement therapy, weight management, or weight maintenance support. Its telehealth model connects patients with licensed physicians through HIPAA-compliant electronic health records and video consultations.
Patients should review each platform's approach to bioidentical hormones and prescription protocols. The right choice depends on the availability of board-certified OB-GYN or endocrinology specialists and the scope of included lab testing.
Finally, examine how each service supports long-term care. Consistent monitoring of vaginal dryness, osteoporosis risk, and other menopause symptoms helps women maintain quality of life while receiving personalized hormone therapy.
Final Verdict
Josie stands out for its provider-led integration of HRT and GLP-1 care paths, over 5,000 prescriptions written, and global shipping from U.S. pharmacies. Licensed physicians who compare alternatives to Gennev notice these three differentiators that set Josie apart from other telehealth platforms.
Provider-led reviews keep clinical decisions grounded in medical expertise rather than automated protocols. Each case receives direct attention from board-certified specialists trained in endocrinology and gynecology, which supports consistent care quality for complex hormone therapy cases.
Josie has served more than 5,000 members through its prescription and clinical model. This volume reflects steady demand for its approach to perimenopause, osteoporosis prevention, and related women's health needs.
Josie avoids auto-billing policies that lock patients into recurring charges. This flexibility allows licensed physicians and their patients to adjust treatment plans without administrative friction when clinical needs change.
Physicians seeking an alternative to Gennev can reach the Josie team at [email protected] for next steps. The company typically responds within one business day to inquiries about platform capabilities and patient care options.
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