Winona vs Alloy
Side-by-side HRT telehealth comparison · Verified August 16, 2026
The short answer
Alloy takes it: 8.9 vs 8.4, transparency grade A against B, from $40/mo (~$530 realistic first year). The edge: every SKU priced before intake, the category's transparency benchmark. Winona still makes sense for women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.
| Winona | Alloy | |
|---|---|---|
| Score | 8.4/10 | 8.9/10 |
| Transparency grade | B | A |
| Consult fee | $0, product-only pricing [Verified July 2026] | $49 one-time [Reported] |
| Monthly cost | From $54/mo | From $40/mo |
| Real first-year cost | ~$1,161 | ~$530 |
| Bloodwork | Not required [Reported] | Not required. No lab panel mentioned on pages reviewed [Verified July 2026, absence noted] |
| Formats offered | cream, oral, patch, vaginal | patch, gel, spray, oral, vaginal, cream |
| Insurance | No, cash pay | No, cash pay |
| States | 37 states plus Puerto Rico, counted off Winona's own states page. The 48-state figure this record carried until 2026-08-16 was third-party and is 11 states too generous [Verified August 2026] | All 50 states + DC; compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026] |
| Trustpilot | 4.6/5 · ~7,802 reviews | 4.3/5 · ~3,821 reviews |
| Visit Winona | Visit Alloy |
Winona first-year math: Winona bills every 28 days, not monthly, so a year holds 13.04 charges rather than 12. Estrogen Body Cream with Progesterone at $89 per cycle x 13.04 = $1,160.56, all-inclusive (consults, follow-ups, shipping included). Cheapest-entry route: estrogen tablets at $54 x 13.04 = $704.16. Every other provider on this roster is measured at 12 charges a year, so counting Winona the same way understated its year by one full charge, which is where the $1,068 this record carried until 2026-08-16 came from [Verified August 2026].
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].
Choose Winona if
Women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.
From $54/mo · Transparency B
Read full Winona review →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 →Where both fall short
The honest part
Winona
- Bills every 28 days while quoting a monthly price, which is 13.04 charges a year, not 12 [Verified August 2026]
- Founders, HQ and corporate entity still not surfaced anywhere, though the clinicians now are [Verified August 2026, absence]
- Subscription-cancellation confusion in reviews [Reported]
Alloy
- 3-month billing blocks front-load the cash outlay (~$225/refill for the patch)
- Subscription-management complaints on Trustpilot [Reported]
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 August 16, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.
Midi Health
Sesame Care