Editorial methodology · Verified August 2026
How we choose featured partners
Only approved partners scoring 7.0 or higher can appear in featured placements. Approval must cover HRT Picks, and the provider must have a tracking link for that approved program. Our shopping lists cover approved affiliate partners, not the whole market. We leave featured slots empty when fewer partners qualify. Payment never changes a score. Previously published research remains available at its original URLs.
Two lists doing two different jobs
The rankings are methodology output. Each of the 6 platforms gets a weighted score across cost, formulary, clinical depth, patient experience and transparency, and the table is those scores in descending order. Affiliate status is not an input to that calculation and no promotional decision writes back into it.
The featured surfaces are the homepage cards, the affiliate strip and the sticky bar. They exist to make money and we say so. A reader arriving with "just tell me where to start" intent gets a short answer there; a reader who wants to argue with us gets the full score-sorted table two scrolls down. Both are on the same page, and the featured pick carries its real score in both places.
Everything on the featured surfaces also appears in the rankings at the position its score earned. A commercial placement has never moved a row in the objective table.
The floor, and exactly who it lets in
Selection runs on the live roster, so this section changes when the data does. Against today's approvals and scores, the rule produces the lists below.
6 approved partners meet the score floor
These have an approved program for HRT Picks, a matching tracking link and a score of at least 7.0. Individual placements choose from this pool.
- Winona8.4/10B$54 per 28 days
- Sesame Care7.6/10B$99 per visit
- Hone Health7.5/10C$155/mo
- Wisp7.3/10B$99 per visit
- Gala Health7.2/10C$69/mo
- MangoRx7.0/10C$99/mo
0 providers are outside the approved partner pool
These do not have a verified approved program and matching HRT Picks tracking link, so they are not eligible for a featured slot. They keep their full row, their real price and their real position in the rankings table.
The four guardrails that keep this honest
A commercial concession without constraints is just pay-for-placement with better manners. These four are the constraints, and each one is checkable from the rendered page.
1. The label says Top Pick, never number one
A featured partner is called "Our Top Pick" or "Featured Partner". The words "#1", "best" and "highest-scored" are reserved for whoever actually leads on score, and the featured surfaces render them only when the featured provider is the leader.
2. The real score is always on screen
The featured pick shows its own score, unrounded and unhidden, on every surface it appears. A promotional slot never hides the number that would let you argue with it.
3. The actual score leader is named alongside
Wherever a featured partner appears above a higher-scored provider, the higher-scored provider is named in the same block, with its score and a link to its review. A reader who wants the merit answer gets it without leaving the card.
4. The rankings table stays score-sorted
Every objective surface, the homepage table, the wing rankings, the comparison pages, sorts strictly by score descending. Commission has never moved a row and a recompute check runs against the evidence file to catch it if anyone tries.
The worked example, live
The featured-pick override is currently switched on and it pins Winona to the Top Pick slot. Winona scores 8.4/10, holds a Transparency Grade B, is priced at $54 per 28 days, and pays us a commission on a qualifying signup.
What the arrangement costs us is worth stating: the top slot on the women's wing rankings points at a provider we earn nothing from, and readers who follow the merit answer generate no revenue at all. That is the trade, and it holds because the rankings are the only asset this site has.
Every partner, every score and every price is listed on the featured partners page.
What would remove a partner
- A score that drops below 7.0 on re-verification. Eligibility is recomputed from the score at build time, so a drop takes the featured slot away without anyone having to remember.
- A corroborated billing-surprise pattern or an unanswered regulatory complaint, both of which also cap the Transparency Grade regardless of what the provider discloses.
- A published claim we can no longer verify. When a price stops being checkable, the fact drops to a reported label and the score moves with it.
The scoring rubric and the correction policy live in the editorial policy. The commercial relationships are in the affiliate disclosure. The score-sorted rankings are on the women's wing homepage and at the men's TRT rankings.
This is general information, not medical advice. A featured placement is a commercial decision about where a platform appears on this site and carries no clinical meaning. Choosing hormone therapy is a decision for you and a licensed clinician.