2025 President-Elect The Menopause Society

Dr. Cheryl Kinney
Center for Female Health and Hormone Disorders
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Dr. Cheryl Kinney
Center for Female Health and Hormone Disorders

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filler@godaddy.com

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  • About Us
  • Services & Fees
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  • For Patients
    • Patient Handouts
    • Cost Savings
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Cost Savings Options

Dr. Kinney makes recommendations for medications and testing based on what is BEST or optimal for your health.  What is and isn't covered is between you and your insurance company and can change at any time - so there is no way that Dr. Kinney and her staff can know all of the particulars of your coverage.   

Dr. Kinney, however,  will gladly take cost into consideration if requested.  


 The information below should help you save on drugs and testing even if you have insurance coverage.   In addition, your pharmacist can typically give you information on savings cards, coupons and cash pricing. Cash is sometimes the cheapest option!


Why don’t we recommend Canadian pharmacies? Two words - counterfeit medication!  There are so many fraudulent pharmacies on the web.  You can’t guarantee what’s real and what is fake. It's tempting, but don't do it! 

Drugs, Savings Cards and Pharmacies

Cooper Specialty Pharmacy

Local pharmacy with discounted pricing for covered and not covered drugs.  Great cash pricing!  817-419-2822

Cooper Specialty Pharmacy


MED Savers Pharmacy

Austin pharmacy with discounted pricing on compounded drugs.  Great cash pricing!  512.465.9292          

MED Savers


Super Value Plus Pharmacy

Euless pharmacy with discounted pricing for generic drugs.  Great cash pricing! 817.283.5308 

Super Saver Pharmacy


The HRT Club

Estrogen patches, pills, creams, and gels for about $15/month!

https://thehrtclub.com


BLINK Pharmacy

BlinkRX can provide you with the lowest prescription price while providing free home delivery.  844.926.2480  

BLINK HEALTH


Cost Plus Drug Company

Local pharmacy with URAC-accredited facilities delivering to all 50 States.   Pricing lower by cutting our the "middle man".   Started by investor Mark Cuban.  Great cash pricing!  

https://costplusdrugs.com


Kroger Pharmacy Club List

Discounted pricing of a particular medication

 at various Kroger pharmacies in your area.  

https://www.krogersc.com/static/files/

KrogerRx-Program-Drugs.pdf

Walmart $4 List

Discounted pricing of a various medications.

Walmart Rx Program

GoodRx website and mobil app

 GoodRx lets you know the pricing of a particular medication at various pharmacies in your area.  Send the coupon from the website or app to your phone, or print it to show your pharmacist.

https://www.goodrx.com

Synthroid

Thyroid medication - Brand name

$75/three months through Synthroid Delivers Program         

Call 1-844-438-7968

Order online - SynthroidDeliversProgram.com

Premarin tablets

Estrogen tablets for relief of menopause symptoms

Femring - estrogen ring

Cooper Specialty Pharmacy -                   817-419-2822 - $150/each device

Transition Pharmacy -                                   844-364-7671 ~ $180/each device

For treatment of migraine headaches

$0 with savings card

Vist UBRELVY.com/savings

Bijuva tablets - Estrogen & progesterone tablets

For relief of menopause symptoms $75 /month Super Value Pharmacy 817-282-5308

Divigel

Topical estrogen gel for relief of menopause symptoms

Cash $45/month or $120/3 months at PHIL.

www.phil.us

Estrogel 0.06%

Topical estrogen gel for relief of menopause symptoms

Join the Estrogel Savings Program

Intrarosa

Non-estrogen inserts into the vaginal for relief of vaginal dryness and sexual pain.

$85 per month with Costco membership

Premarin Vaginal Cream

Estrogen cream for relief of vaginal dryness and sexual pain.

Estrace Vaginal Cream

Estrogen cream for relief of vaginal dryness and sexual pain. GoodRx coupon at Kroger $29

Osphena

Oral medication for vaginal dryness -

Osphena CoPay Savings Card - https://osphena.com/savings

If you wish to fill your prescription at a local retail pharmacy: Simply present your Osphena ® prescription and an Osphena ® CoPay Savings Card to your pharmacist. 

If you do not have prescription insurance or your insurance does not cover Osphena ®, you could pay only $75 for 30 tablets or $190 for 90 tablets.

Uribel

Bladder pain medication - Brand name

$25/one month           Use QR code


Radiology/Imaging Cash Pricing

Southwest Diagnostic Imaging Center

https://swdic.com

North Star Diagnostic Imaging

https://www.northstardiagnosticimaging.com

Prime Diagnostics

12

https://primemri.com

Envision Imaging

https://www.envrad.com/location/envision-imaging-of-dallas/

Touchstone Imaging

https://www.touchstoneimaging.com

Solis

https://www.solismammo.com

Preferred Imaging

https://akumin.com/preferred-imaging/

Pricing as of June 18, 2022

Prior authorizations

What to do if you need a prior authorization?

 For years, as a courtesy to her patients, Dr. Kinney sent appeals and requests on behalf of patients in an attempt to secure the medications that would be most beneficial.  In 2021, Dr. Kinney spent an average of 13 hours/week fighting for that coverage.  So that she may continue to spend all of her time on direct patient care, as of January 1, 2022, Dr. Kinney  no longer completes prior authorizations or formulary exemptions for drug coverage.   

There are steps that you, as the insured, can take on your own behalf.  Most insurance companies (at least reasonable ones) allow patients to submit an appeal for drug coverage themselves.  Contact your insurance company or HR person for details.  If you have insurance, your customer service representative (the number is found on the back of your insurance card) should be able to give you some direction on the process.  Below are some simple steps you can take on your own behalf.


Talk to the Decision-Making Person 

While it’s your health insurance company that requires pre-authorization, it’s not necessarily your health insurance company that makes the decision about whether your prior authorization request is approved or denied.  Your health plan may contract with a radiologic imaging benefits management company to process its prior authorization requests for things like magnetic resonance imaging (MRI) and computed tomography (CT) scans.  Your plan may contract with a pharmacy benefits management company to process prior authorization requests for certain prescription drugs or specialty drugs.  They make more money by denying your coverage.  :(


If you need to speak with a human in an effort to get your prior authorization request approved, the human most likely to help you is the clinical reviewer at the benefits management company.  If you’re not sure which benefits management company is handling your prior authorization request, your health plan will point you in the right direction, but don’t count on your health plan personnel to be able to make the decision about approving or denying your request. Save your breath until you speak to the person who actually makes the decision.  


Read the Clinical Guidelines First 

In some cases, you can see the clinical guidelines the reviewers base their decisions on. This is kind of like seeing the answers to a quiz before taking the quiz, only it's not cheating.  If you cannot find the guidelines online, ask your health plan or the benefits management company you’re dealing with.  If its guidelines are online, they have a fiduciary responsibility to share them with you. You're much more likely to get a speedy approval if you give the reviewer exactly the information they need to make sure you meet the guidelines for the service you're requesting.  

  

Include clinical information that shows the reviewer you’ve met the guidelines for the test, service, or drug you’re requesting. Don't assume the reviewer knows anything about your health other than what you are submitting.  If you haven't met the guidelines, submit information explaining why not.  If the guidelines say you are supposed to try and fail drug A, B,C,D, E before being approved for drug F and you didn't even try drug A, then you are wasting your time unless you can explain why you can't take A, B, C, D, and E drugs . If you have tried all of the drugs or can't take one of the drugs, make sure that's clearly explained in your prior authorization request.   


Submit Thorough and Accurate Info 

When you submit a prior authorization request, make sure the information you submit is accurate and thorough. Prior authorization requests can be denied or delayed because of seemingly mundane mistakes.  

What about using a Canadian pharmacy?

Canadian provinces require that pharmacies dispense medications pursuant to a valid prescription authorized by a Canadian practitioner. Therefore, U.S. prescriptions received by a Canadian pharmacy must be approved by a Canadian physician prior to being filled. This requires that the pharmacy receive a health history survey and an original signed prescription, which can be faxed by your doctor or mailed by you.  Original prescriptions in Texas cannot be faxed though - if sent electronically (faxed or scanned for email) - the word "VOID" will appear and the prescription will be invalid.

Based on various state regulations within the U.S. — although U.S. pharmacies are permitted to transfer prescriptions, including refills, for non-controlled drugs under certain circumstances — transferring prescriptions to foreign pharmacies may not be permitted. Even though many states have not explicitly banned transferring U.S. prescriptions to non-U.S. pharmacies, pharmacists may be reluctant to do so because in most cases it remains technically illegal under U.S. federal law to import medication for personal use. 

Keep in mind also that the WHO estimates 10%-20% of the global drug supply outside the U.S. is counterfeit.  

Based on the above, I will not send, fax or mail any prescription to a non-U.S. pharmcacy. When I write a prescription for a patient, that patient may take or send the prescription anywhere they wish.

Copyright © 2025 Dr. Cheryl Kinney Center for Female Health and Hormone Disorders - All Rights Reserved.

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