Alloy vs Hone Health
Hone Health scores higher overall (7.1 vs 6.7).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Hone Health
Hone Health scores 7.1/10 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 | Hone Health | |
|---|---|---|
| Lowest price | Not published | $213/mo (monthly, month to month) |
| Our score | 6.7/10 | 7.1/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT), Vaginal estrogen |
| Medication in price | Included | Included |
| Drugs dispensed | FDA-approved | FDA-approved + compounded |
| Labs | Not ordered through Alloy | Regular lab testing with Premium, every 6 months with Basic; $65 initial lab test |
| Membership | None stated | $155/month (Premium) or $25/month (Basic) |
| Insurance | No; cash-pay, FSA and HSA cards accepted | No (HSA/FSA accepted) |
| States | All 50 states plus DC, per its own site (2026-11-07) | 33 states, per its own site (2026-10-29) |
| Cancellation | Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable | "No commitments. Cancel anytime." Its terms say the account closes at the end of the current billing period |
| FDA warning letters | None found (November 7, 2026) | None found (October 26, 2026) |
| Trustpilot | 4.3/5 (4,195 reviews) | 4.8/5 (12,506 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women who want lab-guided care and ongoing doctor access, and are willing to pay for it. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Hone Health |
|---|---|---|
| Estrogen (patch, gel or pill) | No all-in price published | $213/mo (monthly, month to month) 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
Hone Health: a closer look
A membership with lab testing and physician consults; medication is billed on top. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Hone Health.
In its favour
- Lab testing included in the membership
- Telehealth physician consults
- Widest menu, including testosterone cream for women
To weigh
- Medication is billed on top of the membership
- Membership is charged even in months without medication
- Only 33 states
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 Hone Health
Best for women who want lab-guided care and ongoing doctor access, and are willing to pay for it. Its lowest all-in plan is $213/mo (monthly, month to month).
Check Hone Health's priceAlloy vs Hone Health: questions people ask
Which is better, Alloy or Hone Health?
On our published score Alloy rates 6.7 and Hone Health rates 7.1. Alloy is best for women who want to see each product's price up front and pay cash; Hone Health is best for women who want lab-guided care and ongoing doctor access, and are willing to pay for it.
Do Alloy and Hone Health offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Hone Health: Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT), Vaginal estrogen.
Does either include the medication in the price?
Alloy: included. Hone 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.