Alloy vs Winona
Winona scores higher overall (9.2 vs 6.7).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Winona
Winona scores 9.2/10 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 | Winona | |
|---|---|---|
| Lowest price | Not published | $39/mo (auto-refill, 30 or 90-day supply) |
| Our score | 6.7/10 | 9.2/10 |
| 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 | Not required |
| Membership | None stated | None |
| Insurance | No; cash-pay, FSA and HSA cards accepted | No |
| States | All 50 states plus DC, per its own site (2026-11-07) | 37 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 | Cancel or pause anytime; refunds only within 24 hours of an order |
| Trustpilot | 4.3/5 (4,195 reviews) | 4.6/5 (9,054 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women who want to see every price up front and pay only for the medication. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Winona |
|---|---|---|
| Estrogen (patch, gel or pill) | No all-in price published | $54/mo (auto-refill, 30 or 90-day supply) source, 2026-11-07 |
| Progesterone | No all-in price published | $39/mo (auto-refill, 30 or 90-day supply) source, 2026-11-07 |
| Vaginal estrogen | No all-in price published | $89/mo (refilled on request) source, 2026-11-07 |
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
Winona: a closer look
Per-product pricing with the doctor included: estrogen pills, patches, progesterone and compounded creams.
In its favour
- Every product priced on the site, doctor included
- No membership fee
- FDA-approved and compounded options
To weigh
- Not available in 13 states or DC
- No video visits; replies take 24 to 48 hours
- Combining products stacks the 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 Winona
Best for women who want to see every price up front and pay only for the medication. Its lowest all-in plan is $39/mo (auto-refill, 30 or 90-day supply).
Check Winona's priceAlloy vs Winona: questions people ask
Which is better, Alloy or Winona?
On our published score Alloy rates 6.7 and Winona rates 9.2. Alloy is best for women who want to see each product's price up front and pay cash; Winona is best for women who want to see every price up front and pay only for the medication.
Do Alloy and Winona offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Winona: Estrogen (patch, gel or pill), Progesterone, Compounded bioidentical (BHRT), Vaginal estrogen.
Does either include the medication in the price?
Alloy: included. Winona: 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. Compare other programs.