Short answer: Lemonaid Health is a nationwide telehealth service (owned by 23andMe) with a $25 consult + per-condition medication plan. Bidwell Health is a small APRN-owned practice in 12 states charging $45 flat per visit. Lemonaid has a broader catalog — mental health, birth control, acne — and bundles medication delivery through their pharmacy. Bidwell is deeper on its narrower set (UTI, BV, yeast, ED, hair loss, bridge refills) and is cheaper when you let your own pharmacy price the medication. Both are legitimate.
Lemonaid Health is a nationwide telehealth service acquired by 23andMe in 2020 and now operating as part of the 23andMe group. It offers asynchronous visits with licensed physicians and nurse practitioners for a broad set of conditions: ED, hair loss, UTIs, acne, anxiety, depression, birth control, migraines, sinus infections, cold sores, and a handful of others. The consult price is a flat $25 in most cases, with medication billed separately — either shipped from their in-house pharmacy or sent to your local pharmacy.
Lemonaid is not a flat-fee-only service. Different conditions have different medication pricing tiers: ED sildenafil is often $30/month through their pharmacy, for example. Mental health care may include longer-term follow-ups and is one of their biggest differentiators. It's not a bridge-refill clinic for general chronic meds — they focus on conditions they actively treat end-to-end.
Bidwell Health is a small Florida-based APRN-owned telehealth practice founded by Bidwell Cranage, APRN, FNP-C, with Ashley Cranage, APRN, FNP-C, as a second provider. We're licensed in 12 states. Every visit is a flat $45 one-time fee — no subscription, no membership, no auto-renewal. We treat UTIs, BV, yeast infections, ED, hair loss, and prescription bridge refills for stable non-controlled chronic medications.
Bidwell is not nationwide and is not a mental health provider. We can do a bridge refill for an SSRI a patient is already stable on, but we don't initiate or titrate antidepressants, anti-anxiety meds, or other psychiatric prescriptions. We don't do birth control, acne, or medication delivery.
Lemonaid's per-consult fee is cheaper than Bidwell's, but the total often evens out or tips depending on whether you use Lemonaid's bundled pharmacy or fill at a retail pharmacy with GoodRx.
| Lemonaid | Bidwell Health | |
|---|---|---|
| Medical consult fee | $25 typical | $45 flat per visit |
| ED medication (monthly) | ~$30/mo sildenafil via Lemonaid pharmacy | ~$4–$20/mo with GoodRx at retail pharmacy |
| UTI medication | Sent to your pharmacy — typical antibiotic | Sent to your pharmacy — typical antibiotic |
| Anxiety/depression consult | ~$95 initial + med costs | Not offered (bridge refills only) |
| Birth-control consult | Available; per-condition pricing | Not offered |
| Bridge refill for chronic meds | Not offered broadly | $45 flat for 90-day supply |
| Medication delivery | Optional via in-house pharmacy | No — prescription to your pharmacy |
| Insurance accepted? | No for consult (cash-pay); yes at pharmacy | No — cash pay |
| FSA / HSA eligible? | Yes | Yes — $45 visit qualifies |
Lemonaid pricing reflects publicly reported rates as of April 2026 (Lemonaid consultation cost, Lemonaid services and costs). Pricing varies by state, formulation, and promotions.
Lemonaid has a clean ED flow: $25 consult, $30/month for a sildenafil or tadalafil supply through their in-house pharmacy. If you want the medication shipped and don't want to mess with GoodRx at the pharmacy counter, it's convenient. Total first-month cost is ~$55.
Bidwell's $45 visit covers a 3- to 6-month supply of generic sildenafil (filled at a pharmacy of your choice with GoodRx). Sildenafil 20mg is often $4–$20 per month at Costco or with GoodRx. Six months of sildenafil could cost under $90 total with Bidwell ($45 visit + ~$30 medication), versus ~$180 with Lemonaid over the same six months. For ED where you're willing to go to a pharmacy, Bidwell is meaningfully cheaper over time.
Lemonaid UTI: $25 consult, prescription sent to your local pharmacy. Single-visit cheapest option if a UTI is all you need.
Bidwell UTI: $45 flat, same prescription-to-pharmacy workflow, plus BV and yeast at the same flat price. Slightly more expensive per-UTI than Lemonaid, but identical medication cost. Bidwell is still cheap in absolute terms and includes our bridge-refill, ED, and hair-loss services at the same $45 flat if you need more than one thing.
Lemonaid offers finasteride at a $25 consult plus monthly medication through their pharmacy. Good for auto-refill.
Bidwell prescribes finasteride or minoxidil at a $45 visit, filled at a pharmacy of your choice. Generic finasteride 1mg is often $10–$20/month at Costco or Walmart with GoodRx. Comparable overall — Lemonaid wins on shipping convenience, Bidwell wins on long-term cost if you self-fill.
This is a meaningful Lemonaid advantage. They treat anxiety and depression with SSRIs and related medications through licensed prescribers with ongoing follow-up care. The initial consult is higher (~$95) and follow-ups are required, but it's a legitimate remote mental-health care path.
We are not a mental health service. We can bridge-refill an SSRI like sertraline or escitalopram that you're stable on from a previous prescriber, but we don't initiate or titrate psychiatric medications. If you're starting mental health care, Lemonaid (or a dedicated mental-health telehealth service) is the right path.
Available with standard pricing. Bidwell does not offer contraception.
This is Bidwell's clearest advantage over Lemonaid. Bidwell's $45 flat bridge refill is built to cover a 90-day prescription for a stable chronic medication you already take — blood pressure, diabetes, thyroid, SSRIs, statins, inhalers, birth control (if you're already on it from another provider). Lemonaid is structured around their catalog of actively-treated conditions and doesn't position itself as a general bridge-refill service.
Both services are async-first. Lemonaid typically turns consults around within 24 hours; medication shipping from their in-house pharmacy takes a few days, or they send to your local pharmacy for same-day pickup. Bidwell turnaround is 15 minutes to a few hours for uncomplicated bridge refills during business hours, with the prescription sent directly to your pharmacy for same-day pickup. If you need the medication today, both services work — Bidwell is typically faster when everything goes to your pharmacy.
Lemonaid uses a network of licensed U.S. physicians and nurse practitioners. Providers are legitimate and board-certified; you don't typically pick your provider.
Two named APRNs, both publicly listed at providers.html with license numbers and state authorizations. Same person reviews your intake and signs your script. Small practice vs large network — different, not better or worse.
Lemonaid operates in all 50 states (with some condition-specific state restrictions).
Bidwell Health is licensed in 12 states:
If you live outside these 12 states, Lemonaid is a practical alternative for most services.
Both platforms are HIPAA-compliant. Lemonaid, as part of the 23andMe group, has a mature privacy program (though note that 23andMe's genetic data and Lemonaid's medical data are separate systems). Bidwell Health uses HIPAA-compliant Supabase and Stripe infrastructure with signed Business Associate Agreements. Your protected health information is held to the same federal standard at both services.
Pick Lemonaid if:
Pick Bidwell Health if:
Yes. Lemonaid has operated since 2013, uses licensed U.S. prescribers, and is HIPAA-compliant. It's part of the 23andMe group as of 2020.
Lemonaid does not accept insurance for the medical consultation fee. Insurance can apply to medication at a retail pharmacy when Lemonaid sends the prescription there.
Generally, no. Lemonaid focuses on specific conditions they actively treat. Stand-alone refills for chronic medications unrelated to those conditions are not their core model.
Yes — if you live in one of our 12 states. Bring a photo of your pill bottle or most recent Lemonaid prescription, and we can issue a new prescription for the same medication if clinically appropriate.
No. We can do a 90-day bridge refill of an SSRI (sertraline, escitalopram, fluoxetine) or SNRI you're already stable on from a previous prescriber, but we do not initiate or titrate mental health medications.
Florida, New York, Virginia, Washington, Arizona, Colorado, Connecticut, Iowa, Maryland, Montana, New Mexico, and Utah. We're expanding over time; state list at states.html.
Yes for the visit. Medication is a separate pharmacy charge you control. For generics with GoodRx, most bridge-refill medications are $4–$15 for 90 days.
Similar. Lemonaid consults typically turn around within 24 hours; in-house pharmacy shipping takes a few days. Bidwell turnaround is usually 15 minutes to a few hours during business hours with the prescription sent to your pharmacy for same-day pickup.