Alloy vs Gala Health
Gala Health scores higher overall (8.5 vs 6.7).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Gala Health
Gala Health scores 8.5/10 against 6.7 for Alloy, ahead on price, clinical care and reputation. Alloy can still be the better fit: it is best for women who want to see each product's price up front and pay cash.
Side by side
| Alloy | Gala Health | |
|---|---|---|
| Lowest price | Not published | $69/mo (monthly subscription) |
| Our score | 6.7/10 | 8.5/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options |
| Medication in price | Included | Included |
| Drugs dispensed | FDA-approved | FDA-approved |
| Labs | Not ordered through Alloy | Ordered only when clinically useful; cost not stated |
| Membership | None stated | None; one monthly price |
| Insurance | No; cash-pay, FSA and HSA cards accepted | No (cash pay) |
| States | All 50 states plus DC, per its own site (2026-11-07) | Not confirmed: no state list found on its own site (2026-10-29) |
| Cancellation | Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable | Cancel anytime with 72 hours' notice before billing; no refunds after cancelling |
| FDA warning letters | None found (November 7, 2026) | None found (October 26, 2026) |
| Trustpilot | 4.3/5 (4,195 reviews) | 4.6/5 (4,269 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women who want FDA-approved hormones at one simple, low monthly price. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Gala Health |
|---|---|---|
| Estrogen (patch, gel or pill) | No all-in price published | $69/mo (monthly subscription) source, 2026-11-07 |
| 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
Gala Health: a closer look
One flat monthly price with FDA-approved estrogen, progesterone and the medication included. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Gala Health.
In its favour
- Medication, review and shipping included in one price
- FDA-approved estradiol and progesterone
- Non-hormonal options too
To weigh
- No refund once you cancel
- Needs 72 hours' notice before the billing date
- Per-medication prices not broken out; $69 is a 'from' price
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 Gala Health
Best for women who want FDA-approved hormones at one simple, low monthly price. Its lowest all-in plan is $69/mo (monthly subscription).
Check Gala Health's priceAlloy vs Gala Health: questions people ask
Which is better, Alloy or Gala Health?
On our published score Alloy rates 6.7 and Gala Health rates 8.5. Alloy is best for women who want to see each product's price up front and pay cash; Gala Health is best for women who want FDA-approved hormones at one simple, low monthly price.
Do Alloy and Gala Health offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Gala Health: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options.
Does either include the medication in the price?
Alloy: included. Gala Health: included.
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.