Sorry to reply to this post so long after it was first started but through issues getting topicals I looked at overseas pharmacies (real ones that require prescriptions) and found one that had what I was using (Until the insurance company changed its formularies) Anyway if your have a real prescription there are some places that offer oestrogel at a reasonable price and if my blood tests are any indication its as good as the US version Estrogel. I also must admit I enjoy not having to deal with "Are you sure this is for YOU?" when dealing with the local pharmacy.