If you've been dealing with hot flashes, vaginal dryness, or other menopause symptoms, you may have heard that Premarin (Conjugated Estrogens) can help. But before you can start treatment, you need a prescription — and that means finding the right doctor.

This guide walks you through which types of doctors prescribe Premarin, how to find one near you (even if you don't have a referral), and what to expect at your first appointment.

What Type of Doctor Prescribes Premarin?

Premarin is a hormone replacement therapy (HRT) medication, so several types of doctors can prescribe it. Here are the most common:

• OB/GYN (Obstetrician-Gynecologist) — The most common prescriber of Premarin. OB/GYNs specialize in women's health, including menopause management. If you're experiencing menopausal symptoms, an OB/GYN is usually the best place to start.
• Primary Care / Family Medicine — Your regular doctor can also prescribe Premarin. Many primary care physicians are comfortable managing straightforward menopause symptoms, especially if you have an established relationship.
• Internal Medicine — Internists who focus on adult health can prescribe Premarin, particularly if your symptoms overlap with other health concerns they're already managing.
• Endocrinologist — These hormone specialists may be involved if your case is complex, such as early menopause or conditions affecting your ovaries or adrenal glands.
• Urogynecologist — If your primary symptoms involve urinary issues or vaginal atrophy, a urogynecologist can prescribe Premarin Vaginal Cream and manage related conditions.

In most cases, an OB/GYN or your primary care doctor is the fastest path to a Premarin prescription.

How to Find a Provider Near You

Once you know what kind of doctor to look for, here are several ways to find one:

1. Use Your Insurance Provider Directory

If you have health insurance, start with your plan's online provider directory. This ensures the doctor you choose is in-network, which keeps your costs lower. Most insurance websites let you filter by specialty (look for "OB/GYN" or "Family Medicine") and location.

2. Search on Zocdoc

Zocdoc is a free tool that lets you search for doctors by specialty, insurance plan, and location. You can read patient reviews, see available appointment times, and book online — often within a few days. Search for an OB/GYN or family medicine doctor and mention menopause in your reason for the visit.

3. Ask for a Referral

If you already have a primary care doctor, ask them for a referral to an OB/GYN or menopause specialist. Some insurance plans (especially HMOs) require a referral before you can see a specialist. Your doctor may also be willing to prescribe Premarin themselves.

4. Try Telehealth

If you live in a rural area or prefer the convenience of a virtual visit, telehealth is a great option. Several platforms connect you with doctors who can evaluate your symptoms, order lab work, and prescribe Premarin — all from home. Premarin is not a controlled substance, so it can be prescribed via telehealth in all 50 states.

Popular telehealth options for menopause care include Midi Health, Evernow, and general platforms like MDLIVE and Teladoc.

5. Look for a Menopause Specialist

The North American Menopause Society (NAMS) certifies practitioners as NAMS Certified Menopause Practitioners (NCMP). You can search their directory at menopause.org to find a provider with specific expertise in menopause management, including HRT like Premarin.

What to Expect at Your Appointment

Here's what typically happens when you visit a doctor about Premarin:

Before the Visit

• Write down your symptoms — hot flashes, night sweats, vaginal dryness, mood changes, etc.
• Note how long they've been happening and how severe they are
• Bring a list of all medications and supplements you currently take
• Know your family history, especially regarding breast cancer, blood clots, stroke, and heart disease

During the Visit

Your doctor will likely:

• Ask about your symptoms and menstrual history
• Review your medical history and family history
• Discuss the benefits and risks of hormone therapy (including Premarin's side effects)
• Possibly order blood work to check hormone levels
• Perform a physical exam if needed

If your doctor determines that Premarin is appropriate for you, they'll write a prescription. They'll choose the right form — oral tablets or vaginal cream — and the lowest effective dose for your symptoms.

Questions to Ask Your Doctor

• Is Premarin the best option for my specific symptoms?
• What dose should I start with?
• Do I need to take a progestin along with it? (You do if you still have a uterus.)
• How long should I take it?
• What are the drug interactions I should know about?
• Are there alternatives if Premarin doesn't work for me?

After You Get Your Prescription

Once you have your prescription, you'll need to fill it at a pharmacy. Here are a few things to keep in mind:

Finding It in Stock

Premarin is generally available at most pharmacies, but some locations may occasionally be out of stock. If you're having trouble, use Medfinder to check pharmacy stock near you without calling around.

Saving Money

Premarin can be expensive — brand-name tablets cost around $215 to $285 for a 30-day supply without insurance. Here are ways to lower your cost:

• Pfizer Premarin Savings Card: Eligible patients with commercial insurance can pay as little as $25–$30 per month for tablets
• Generic Conjugated Estrogens: The first generic was approved in November 2025 by Ingenus Pharmaceuticals and is expected to be significantly cheaper
• Pfizer RxPathways: Free or discounted Premarin for uninsured or underinsured patients — apply at pfizerrxpathways.com or call 1-844-989-7284

For more tips, check out our full guide on how to save money on Premarin.

Follow-Up

Your doctor will likely want to see you again in 4–12 weeks to check how you're responding to treatment. They may adjust your dose or switch your formulation depending on how you feel.

Final Thoughts

Finding a doctor who can prescribe Premarin doesn't have to be complicated. Start with your OB/GYN or primary care doctor. If you don't have one, use tools like Zocdoc, your insurance directory, or telehealth to connect with a provider quickly.

The most important step is simply making that first appointment. Menopause symptoms are treatable, and you don't have to suffer through them alone.

Once you have your prescription, Medfinder can help you find it in stock near you.