At a glance
Get 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.
Skip if
Women who want video consults, insurance billing, testosterone, or live in a compounded-exclusion state and want compounded formulas.
How we verified Alloy
Last pass July 6, 2026 · Method: Direct fetch of myalloy.com homepage + /solutions pricing page; consult fee and progesterone bundling cross-referenced via search of myalloy.com/drconsult and third-party reviews.
Confirmed on official sources
- Per-product pricing (pill $39.99, patch $74.99, gel $69.99, spray $69.99, vaginal cream $119.97/3-mo, progesterone from $23)
- Named clinician credentials (MD, FACOG, MSCP)
- <12-hour treatment plan; 24/7 messaging
- HSA/FSA eligibility; free shipping
- Compounded-med state exclusions (AL, AR, CA, NV, LA, MS, DC)
Still resting on third-party reports
- $49 consult fee (official page surfaced via search, not fetched directly)
- Trustpilot 4.4/~3,600 reviews and BBB A rating (third-party)
- Cancellation policy terms
We verify against the provider's own public pages without signing up. When a provider blocks crawlers or hides pricing behind intake, we say so — not disclosed is a finding, and it feeds the Transparency Grade. Full methodology: editorial policy.
Quick facts
Monthly cost
From $40/mo
Consult fee
$49 one-time [Reported]
States
All 50 states + DC; compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026]
Insurance
Not accepted — cash pay
Shipping
Free [Verified July 2026]
Cancellation
Not published
Where it wins
- Every product priced pre-intake — estradiol pill $39.99/mo, patch $74.99/mo, gel $69.99/mo, Evamist spray $69.99/mo [Verified July 2026]
- Progesterone from $23/mo — and no extra charge when prescribed alongside estradiol [Reported]
- Named menopause-specialist doctors with MD, FACOG, MSCP credentials [Verified July 2026]
- Treatment plan in under 12 hours; 24/7 messaging with your doctor [Verified July 2026]
- FDA-approved core formulary (pill, patch, gel, spray, vaginal cream) plus non-hormonal paroxetine
- HSA/FSA eligible; free shipping [Verified July 2026]
Where it lags
- No insurance — pure cash pay
- Consult fee rose from $35 to $49 [Reported — myalloy.com/drconsult via search]
- Prescriptions bill as 3-month supplies — the $74.99/mo patch is a ~$225 charge per refill
- No testosterone — Alloy says it's not set up for controlled-substance monitoring yet [Reported — Alloy FAQ]
- Compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026 — solutions page footnote]
- Chat-only — no video visits
The math
First-year cost & how Alloy compares
$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].
| Provider | Entry | Year-1 est. | Score | Transparency |
|---|---|---|---|---|
| Alloy (reviewed) | $40/mo | $530 | 8.9/10 | A |
| Winona | $54/mo | $1,068 | 8.4/10 | B |
| Evernow | $49/mo | $588 | 7.2/10 | D |
| Midi Health | Insurance | $700 | 8.8/10 | C |
Year-1 totals are our documented estimates from pricing as of July 6, 2026; each provider's assumption set is on its review page. Insurance, HSA/FSA, and promo pricing excluded. “—” means no defensible estimate exists yet. Full price breakdown: what HRT really costs.
Formulary
Medications & formats
Pricing
Alloy pricing tiers
Estradiol pill
$39.99
Cheapest systemic estrogen entry, per month
Estradiol patch
$74.99
Per month, billed as 3-month supplies (~$225/refill)
Estradiol gel / Evamist spray
$69.99
Per month, transdermal alternatives
Micronized progesterone
$23
Per month; $0 when co-prescribed with estradiol [Reported]
Safety & legitimacy
The trust signals on Alloy
Six signals we check on every HRTreview. “Not disclosed” is itself a finding — it feeds the Transparency Grade.
Prescriber type
Board-certified doctors specializing in menopause; named clinicians carry MD, FACOG, MSCP credentials [Verified July 2026]
Lab work
Not required — no lab panel mentioned on pages reviewed [Verified July 2026 — absence noted]
HIPAA disclosure
Not independently assessed this pass — check the privacy policy before intake
Support channels
Not catalogued this pass
Cancellation
Not published — a finding
Medication status
Mix of FDA-approved and compounded options
Numbers current as of July 6, 2026
Prices change — confirm on Alloy's site before signing up.
Verdict
8.9/10The #1 pick on the axis this site exists to measure: verified prices and real transparency. Alloy publishes every number, names every doctor, and turns plans around in 12 hours. If you don't need insurance billing or testosterone, start here.
Real customer feedback
What reviewers say about Alloy
Third-party signals only — we never write or source testimonials. “Not surfaced” means no public base was found in our verification pass.
BBB
A
Not accredited
3 complaints in past year; accreditation status not confirmed this pass [Reported — Innerbody]
Not surfaced
No substantive threads found
Provider claim
None disclosed
Our reading
Trustpilot 4.4/5 across ~3,600 reviews (78% 5-star), BBB A. Complaint theme: subscription management friction. Reviews are HRT-specific — no platform-rating inflation to discount.
Change log — what we've corrected on this review
- May 12, 2026Initial verification: $35 consult, price 75/mo entry.
- July 6, 2026Consult fee corrected $35 → $49. Entry price corrected to $39.99/mo (estradiol pill, verified on /solutions). Added compounded-med state exclusions, 3-month billing reality, Trustpilot/BBB data. Promoted to #1: only full-pricing-pre-intake provider in the set (Transparency A).
This review is educational, not medical advice. Talk to a licensed clinician before starting, stopping, or changing hormone therapy.