Alloy vs Inner Balance
Alloy scores higher overall (6.7 vs 6.2).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Alloy
Alloy scores 6.7/10 against 6.2 for Inner Balance, ahead on price transparency, access and reputation. Inner Balance can still be the better fit: it is best for women set on a single compounded cream who want one monthly price.
Side by side
| Alloy | Inner Balance | |
|---|---|---|
| Lowest price | Not published | $199/mo (billed monthly; a 3-month supply ships every 90 days) |
| Our score | 6.7/10 | 6.2/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Compounded bioidentical (BHRT), Vaginal estrogen |
| Medication in price | Included | Included |
| Drugs dispensed | FDA-approved | Compounded |
| Labs | Not ordered through Alloy | Not required; lab review included |
| Membership | None stated | None stated |
| Insurance | No; cash-pay, FSA and HSA cards accepted | No; its FAQ says Oestra is not covered. HSA and FSA eligible |
| 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; refund requests on monthly and quarterly plans run from 90 to 180 days after the original order |
| FDA warning letters | None found (November 7, 2026) | None found (October 26, 2026) |
| Trustpilot | 4.3/5 (4,195 reviews) | 2.8/5 (52 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women set on a single compounded cream who want one 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 | Inner Balance |
|---|---|---|
| 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
Inner Balance: a closer look
One compounded estradiol and progesterone vaginal cream (Oestra), billed monthly and shipped as a 3-month supply. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Inner Balance.
In its favour
- Unlimited clinical follow-up included
- Free shipping
- A money-back window on monthly and quarterly plans
To weigh
- $199 a month, and insurance does not cover it
- One menopause product, and it is compounded
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 Inner Balance
Best for women set on a single compounded cream who want one monthly price. Its lowest all-in plan is $199/mo (billed monthly; a 3-month supply ships every 90 days).
Check Inner Balance's priceAlloy vs Inner Balance: questions people ask
Which is better, Alloy or Inner Balance?
On our published score Alloy rates 6.7 and Inner Balance rates 6.2. Alloy is best for women who want to see each product's price up front and pay cash; Inner Balance is best for women set on a single compounded cream who want one monthly price.
Do Alloy and Inner Balance offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Inner Balance: Compounded bioidentical (BHRT), Vaginal estrogen.
Does either include the medication in the price?
Alloy: included. Inner Balance: 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.