Alloy vs Evernow
Side-by-side HRT telehealth comparison · Verified July 6, 2026
The short answer
Alloy takes it: 8.9 vs 7.2, transparency grade A against D, from $40/mo (~$530 realistic first year). The edge: every SKU priced before intake — the category's transparency benchmark. Evernow still makes sense for women who mainly need vaginal estrogen plus messaging access, will fill other prescriptions at their own pharmacy, and read billing terms before subscribing.
| Alloy | Evernow | |
|---|---|---|
| Score | 8.9/10 | 7.2/10 |
| Transparency grade | A | D |
| Consult fee | $49 one-time [Reported] | Not published pre-intake |
| Monthly cost | From $40/mo | From $49/mo |
| Real first-year cost | ~$530 | ~$588 |
| Bloodwork | Not required — no lab panel mentioned on pages reviewed [Verified July 2026 — absence noted] | Not offered — providers cannot order labs or testing [Reported — Trustpilot reviewers] |
| Formats offered | patch, gel, spray, oral, vaginal, cream | patch, oral, vaginal, cream |
| Insurance | No — cash pay | No — cash pay |
| States | All 50 states + DC; compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026] | ~35 states [Reported — evernow.com/faq via search; down-verified from earlier 50-state claim] |
| Trustpilot | 4.4/5 · ~3,600 reviews | Not surfaced |
| Visit Alloy | Visit Evernow |
Alloy first-year math: $49 consult + estradiol pill at $39.99/mo × 12 ≈ $530. Patch route: $49 + $74.99 × 12 ≈ $949. Progesterone adds $0 when co-prescribed with estradiol [Reported].
Evernow first-year math: Monthly membership $49 × 12 = $588, medications billed separately at your pharmacy (vaginal estrogen cream included free). Annual-prepay route: $348/yr — the source of the $35/mo headline [Reported].
Choose Alloy if
Women without insurance who want to know the exact cost of every option before starting, with menopause-specialist doctors and fast asynchronous onboarding.
From $40/mo · Transparency A
Read full Alloy review →Choose Evernow if
Women who mainly need vaginal estrogen plus messaging access, will fill other prescriptions at their own pharmacy, and read billing terms before subscribing.
From $49/mo · Transparency D
Read full Evernow review →Where both fall short
The honest part
Alloy
- 3-month billing blocks front-load the cash outlay (~$225/refill for the patch)
- Subscription-management complaints on Trustpilot [Reported]
Evernow
- Anchor pricing: $35 advertised vs $49 actual monthly [Reported]
- Annual-billing surprise pattern in BBB complaints ($420 charge) [Reported]
- No lab capability at all [Reported]
- Visit price hidden behind intake [Verified July 2026]
Go deeper
This is general information, not medical advice. Hormone therapy is prescription treatment — whether either provider fits your health history is a decision for a licensed clinician. Facts on this page render from our provider data layer, verified July 6, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.