Alloy vs Evernow
Alloy scores higher overall (6.7 vs 6.1).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Alloy
Alloy scores 6.7/10 against 6.1 for Evernow, ahead on price transparency and reputation. Evernow can still be the better fit: it is best for women with a pharmacy plan who want ongoing messaging access to a menopause provider.
Side by side
| Alloy | Evernow | |
|---|---|---|
| Lowest price | Not published | Not published |
| Our score | 6.7/10 | 6.1/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved | Not stated |
| Labs | Not ordered through Alloy | Only for select medications; offered case by case |
| Membership | None stated | $35 to $49/month by term |
| Insurance | No; cash-pay, FSA and HSA cards accepted | Yes for video visits (United Healthcare, Aetna, Anthem, Blue Cross Blue Shield); not Medicare or Medicaid; membership fees not covered |
| States | All 50 states plus DC, per its own site (2026-11-07) | All 50 states plus DC, per its own site (2026-11-07) |
| Cancellation | Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable | Not stated |
| FDA warning letters | None found (November 7, 2026) | None found (November 7, 2026) |
| Trustpilot | 4.3/5 (4,195 reviews) | 2/5 (15 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women with a pharmacy plan who want ongoing messaging access to a menopause provider. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Evernow |
|---|---|---|
| Estrogen (patch, gel or pill) | No all-in price published | No all-in price published |
| Progesterone | No all-in price published | No all-in price published |
| Vaginal estrogen | No all-in price published | No all-in price published |
Alloy: a closer look
FDA-approved estradiol and progesterone priced per product, plus a required one-time $49 doctor consult. We searched the FDA warning-letter database on November 7, 2026 and found no letter naming Alloy.
In its favour
- Every hormone product priced on its site
- Sold in all 50 states and DC
- FDA-approved estradiol
To weigh
- A $49 one-time consult is required on top of the product price
- Does not bill insurance
- Medication ships and bills every 3 months
- Starting prices can vary by product strength
Evernow: a closer look
A menopause membership from $35 a month on a 12-month plan, or a single video visit; medication is paid separately. We searched the FDA warning-letter database on November 7, 2026 and found no letter naming Evernow.
In its favour
- Membership price published by term
- All 50 states and DC
- Takes insurance for video visits
To weigh
- Medication is paid separately and not priced on its site
- Lowest membership price needs 12 months paid up front
- Medicare and Medicaid are not covered
Which should you choose?
Choose Alloy
Best for women who want to see each product's price up front and pay cash.
Check Alloy's priceChoose Evernow
Best for women with a pharmacy plan who want ongoing messaging access to a menopause provider.
Check Evernow's priceAlloy vs Evernow: questions people ask
Which is better, Alloy or Evernow?
On our published score Alloy rates 6.7 and Evernow rates 6.1. Alloy is best for women who want to see each product's price up front and pay cash; Evernow is best for women with a pharmacy plan who want ongoing messaging access to a menopause provider.
Do Alloy and Evernow offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Evernow: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options.
Does either include the medication in the price?
Alloy: included. Evernow: extra.
HRT Watchdog is for information only and is not medical advice. Hormone therapy has benefits and risks; talk to a licensed clinician about whether it is right for you. Partner links may earn us a commission; our score never depends on it. Compare other programs.