Alloy vs Sesame
Alloy scores higher overall (6.7 vs 6.6).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Alloy
Alloy scores 6.7/10 against 6.6 for Sesame, ahead on price transparency. Sesame can still be the better fit: it is best for women with good pharmacy coverage who only need the prescribing visit.
Side by side
| Alloy | Sesame | |
|---|---|---|
| Lowest price | Not published | Not published |
| Our score | 6.7/10 | 6.6/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT) |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved | FDA-approved + compounded |
| Labs | Not ordered through Alloy | Basic labs mentioned |
| Membership | None stated | $59/month |
| Insurance | No; cash-pay, FSA and HSA cards accepted | No (superbills for HSA/FSA) |
| 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 | No refund for the first month after the first visit |
| Trustpilot | 4.3/5 (4,195 reviews) | 4.6/5 (4,596 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women with good pharmacy coverage who only need the prescribing visit. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Sesame |
|---|---|---|
| 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 |
Alloy: a closer look
FDA-approved estradiol and progesterone priced per product, plus a required one-time $49 doctor consult.
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
Sesame: a closer look
A low monthly menopause subscription with video visits; medication bought at your pharmacy.
In its favour
- Low monthly subscription
- Video visits
- Mostly FDA-approved prescriptions
To weigh
- Medication is extra
- Doesn't bill insurance
- Provider availability varies by area
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 Sesame
Best for women with good pharmacy coverage who only need the prescribing visit.
Check Sesame's priceAlloy vs Sesame: questions people ask
Which is better, Alloy or Sesame?
On our published score Alloy rates 6.7 and Sesame rates 6.6. Alloy is best for women who want to see each product's price up front and pay cash; Sesame is best for women with good pharmacy coverage who only need the prescribing visit.
Do Alloy and Sesame offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Sesame: Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT).
Does either include the medication in the price?
Alloy: included. Sesame: 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. Compare other programs.