Winona vs Alloy
Side-by-side HRT telehealth comparison · Verified July 6, 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 | ~$1,068 | ~$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 | 48 states [Reported] | All 50 states + DC; compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026] |
| Trustpilot | 4.7/5 · ~6,000 reviews | 4.4/5 · ~3,600 reviews |
| Visit Winona | Visit Alloy |
Winona first-year math: Estrogen Body Cream with Progesterone at $89/mo × 12 = $1,068, all-inclusive (consults, follow-ups, shipping included). Cheapest-entry route: estrogen tablets $54/mo × 12 = $648.
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
- Site blocks bots (HTTP 500 on homepage) — automated re-verification impossible without patchright [Verified July 2026]
- No corporate disclosure: founders and HQ not surfaced anywhere [Verified July 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 July 6, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.