
Our personalized bioidentical HRT helps balance estrogen, progesterone, and testosterone levels with one simple cream, tailored to your symptoms and stage of life.




Josie Balance Cream is a bioidentical vaginal hormone cream with Estradiol and Progesterone — designed for effective absorption with just two pumps a day. Each 3-month supply is $299, billed quarterly with free express shipping. Compounded by Belmar Pharmacy, a trusted name in women's hormone care.

Hormone shifts during perimenopause and menopause can disrupt sleep, mood, energy, and more. Josie Balance Cream supports your body through personalized bioidentical hormone therapy — tailored to your symptoms and stage.
Estrogen fluctuations can lead to water retention, bloating, and slower metabolism. Josie Balance Cream supports hormonal balance that may help reduce inflammation and ease weight changes tied to perimenopause.
Your monthly fee includes medical oversight, medication, shipping, and support - everything you need for a successful journey. There are no hidden fees. Fees are paid monthly in advance.
Lower estrogen and progesterone can disrupt your circadian rhythm and adrenal function. Josie Balance Cream supports a steadier hormone pattern, which may promote more restful sleep and balanced energy.
Decreased estrogen levels often cause dryness, discomfort, and low libido. Our vaginal cream delivers bioidentical hormones directly where they’re needed — gently supporting comfort and intimacy.

Take our 3-minute quiz to help us understand your symptoms and see if Josie Balance Cream is a good fit for your needs.


If eligible, your treatment ships to your door — no office visit needed.


Our care team checks in with you regularly and helps adjust your treatment as your needs evolve.
What's in it (2 pumps):


Your care with Josie is overseen by a trusted team of licensed, U.S.-based medical professionals who review every patient case for safety and appropriateness.
All treatment plans are supervised by our nationwide physician leadership team, including:
These physicians guide clinical protocols, oversee patient evaluations, and support the licensed providers involved in your care. This ensures every plan is reviewed through a medical lens, while still allowing for a personalized, patient-first experience.
Josie combines modern telehealth with real physician oversight so women can access hormone support with confidence, clarity, and continuity of care.
.jpg)



Josie Balance Cream Really Works!
"It's been about a month with Josie Balance Cream, and I'm already noticing changes. My hot flashes aren't as intense, and I feel more balanced than I have in a long time. Thank you!"


Trust This Company
"The relief from my hot flashes is amazing! no more vaginal dryness, a bump in energy and mood! I'm thrilled to have found Josie Balance Cream and excited about the long-term benefits. Plus, the patient support has been excellent!"


I am so happy!
“I am so happy I found Josie Balance Cream. I felt more energy, clarity and motivation in just a few days after starting. It’s been 90 days now and I feel vibrant and balanced."
Not independently verified. No compensation provided. Individual results vary. Results not guaranteed.
Josie helps women of all ages reclaim their energy, libido, sleep, and clarity. Every story is different, but the results speak for themselves.

Most women are left juggling symptoms, prescriptions, and providers. Josie simplifies it all with one personalized, bioidentical HRT delivered to your door, supported by a care team that stays with you.

Bioidentical HRT uses hormones that are identical to those your body naturally makes. Josie’s treatment supports balanced levels of estrogen, progesterone, and testosterone to help relieve symptoms and restore hormonal wellbeing.
Josie is an all-in-one solution. You get a personalized prescription cream based on your symptoms, plus ongoing care from hormone-trained clinicians. No labs, no guesswork, and no waiting rooms.
Each dose includes bioidentical estradiol and progesterone in Ellage™ Base, a vaginal delivery cream designed for safe and effective absorption. This method avoids the risks of oral estrogen and does not require bloodwork.
No. Because Josie uses a topical vaginal cream, lab work is not required. We base your treatment on your symptoms, which is the standard of care supported by menopause experts.
Josie Balance Cream is compounded by Belmar Pharmacy, a trusted leader in hormone health and compounding pharmacy care.
Your care is supervised by Dr. Ana Lisa Carr, MD, a licensed physician specializing in hormone health. You’ll be supported by our team of licensed nurse practitioners and physicians throughout your treatment.
The Join Josie team is led by OBGYNs, physicians, and midlife care providers who specialize in helping women reverse menopause weight gain.
Josie Balance Cream is a personalized, prescription hormone therapy used once daily. Each dose contains estradiol (3mg) and progesterone (100mg) in a vaginal Ellage™ base, designed for safe and effective absorption. You use two pumps, once per day as directed by your clinician.
Our treatment supports common symptoms like hot flashes, low libido, poor sleep, brain fog, mood swings, vaginal dryness, bloating, and fatigue. Your plan is tailored to your specific stage and needs.
Most women notice symptom relief in 4 to 8 weeks. Some feel better sooner. Every body is different, and your care team adjusts your plan as you go.
Josie Balance Cream is $299 for a 3-month supply. You’re billed quarterly and can cancel anytime. We don’t auto-bill — patients fill out a simple refill form each cycle. There is no membership fee and no hidden costs.
We use express shipping. Most orders arrive within 1 to 3 business days, depending on when you place your refill.
Start with our 3-minute quiz. If you're a candidate for HRT, you'll be matched with a clinician who reviews your symptoms and prescribes your personalized Josie Balance Cream. Your prescription ships directly to your door.