Membership provides everything you need to begin your gender-affirming hormone therapy journey or maintain your routine.

Monthly Membership


 *Membership includes issuing the prescription to your local pharmacy, but does not cover the cost of medication. Out-of-pocket cost of medication varies from $5 – 50. Insurance can cover the cost of medication, but not the cost of membership.

One-Time Letter Writing Service

We’re excited to offer a letter writing service for non-members of Plume** seeking a medical letter of support for surgery.

One-time Letter of Support


 **Letters are included for active members.