Really?
Why?
I am not from the States, so I am always reluctant to answer stuff like this.
I just wanted to understand why, though.
If the lady in question has been prescribed it, and how much to take, I don't understand where the obstacle would be.
You say she is menopausal, so she would have seen someone about this, and was given cream rather than patch.
Tbh, for stuff like this, I would always get it legitimately and from a pharmacy in my own country.
In whichever way it is administered, estrogen for menopause is easily accessible.
Maybe you should better explain what the problem is.
Are drugs that are prescribed so much more expensive to get from a regular pharmacy than via alternative ways?