#7 of 15 on our score
Alloy review
Last reviewed: · by Julian Caraulani, reviewed by Dr. A. Goher, MBBS
FDA-approved estradiol and progesterone priced per product, plus a required one-time $49 doctor consult.
The Verdict
Is Alloy legit, and is it worth it? In our review, Alloy scores 6.7/10, #7 of 15. It does not publish an all-in price. Availability: All 50 states plus DC, per its own site (2026-11-07). Best for women who want to see each product's price up front and pay cash. The main trade-off to weigh: a $49 one-time consult is required on top of the product price.
Quick Facts
Pros
- Every hormone product priced on its site
- Sold in all 50 states and DC
- FDA-approved estradiol
Cons
- 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
Women who want to see each product's price up front and pay cash.
Reviewed by Dr. A. Goher, MBBS
Ready to choose? See how Alloy compares.
Cross-check Alloy's 6.7/10 against the other 14 programs we track side by side, or skip ahead and start your consultation.
How It Works
Online consultation
Complete a health questionnaire; a licensed clinician reviews it and decides whether to prescribe. Consultation: $49 one-time consult, required for hormone treatment; includes doctor messaging.
Labs and plan
Labs: Not ordered through Alloy. If you are prescribed treatment, you choose a plan (6 published).
Delivery and support
Medication ships to your door from a pharmacy. Cancellation: Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable.
Treatments Available
This program dispenses FDA-approved products. Your clinician decides what is right for you.
Pricing Details
| Plan | Per month |
|---|---|
Progesterone pill Plus the required $49 one-time consult: about $325 for the first 12 months at this price; free delivery source, 2026-11-07 | $23 plus add-ons |
Estradiol pill FDA-approved; plus the required $49 one-time consult: about $529 for the first 12 months at this price; free delivery source, 2026-11-07 | $39.99 plus add-ons |
Estradiol vaginal cream Plus the required $49 one-time consult: about $529 for the first 12 months at this price source, 2026-11-07 | $39.99 plus add-ons |
Estradiol gel Plus the required $49 one-time consult: about $889 for the first 12 months at this price source, 2026-11-07 | $69.99 plus add-ons |
Evamist spray Plus the required $49 one-time consult: about $889 for the first 12 months at this price source, 2026-11-07 | $69.99 plus add-ons |
Estradiol patch Plus the required $49 one-time consult: about $1,249 for the first 12 months at this price source, 2026-11-07 | $100 plus add-ons |
- Treatments
- Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen
- Medication in price
- Included
- Drugs dispensed
- FDA-approved
- Labs
- Not ordered through Alloy
- Consult fee
- $49 one-time consult, required for hormone treatment; includes doctor messaging
- Membership
- None stated
- Insurance
- No; cash-pay, FSA and HSA cards accepted
- States
- All 50 states plus DC, per its own site (2026-11-07)
- Cancellation
- Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable
- Est. first year
- About $325 on the lowest listed price, including the required $49 one-time fee

See Alloy's current prices on its site.
Consultation: $49 one-time consult, required for hormone treatment; includes doctor messaging · Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable
Is Alloy Legit?
Alloy is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on November 7, 2026. On Trustpilot it scores 4.3/5 from 4,195 reviews. Our score is 6.7/10.
- No FDA warning letter found (searched November 7, 2026)
- Medication type on file: FDA-approved
- No all-in price published
- States its cancellation terms
Read the full check: Is Alloy legit? →
It dispenses FDA-approved medication. As with any online program, confirm a licensed clinician reviews your intake and that the pharmacy is licensed.
What Real Customers Say About Alloy
On Trustpilot, Alloy scores 4.3/5 from 4,195 reviews.
We treat recurring complaints as the useful signal, not the average score: a pattern you can check before you pay is worth more than a star rating. Where the theme is price, note that we re-read Alloy's published prices on its own site and date every one on this page.
Read the reviews →How We Reviewed Alloy
We score every program on the same five criteria, from what its own site publishes: the real all-in price, transparency, care, access and reputation. Commission is not a criterion.
Overall 6.7/10 · prices checked n/a · pricing basis: lowest published all-in plan. How each criterion is scored.
What we could not verify
- Prices above the starting strength
- A search result showed $74.99 for the patch; its own page reads $100
Our Verdict
Alloy scores 6.7/10 in our evaluation, #7 of 15. Its strongest point: every hormone product priced on its site. Best for women who want to see each product's price up front and pay cash.
See how Alloy compares to all programs · Take the quiz to find your match
Start your intake with Alloy
Prices are on its site. Consultation: $49 one-time consult, required for hormone treatment; includes doctor messaging.
Start your intakeFrequently Asked Questions
Is Alloy legit?
Alloy is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on November 7, 2026. On Trustpilot it scores 4.3/5 from 4,195 reviews. Our score is 6.7/10.
How much does Alloy cost?
Alloy does not publish an all-in monthly price; you see it after the consultation.
Is the medication included in Alloy's price?
Yes, the headline price includes the medication.
Does Alloy use FDA-approved or compounded medication?
FDA-approved. Compounded drugs are mixed by a pharmacy and are not FDA-approved as finished products.
Does Alloy take insurance?
No; cash-pay, FSA and HSA cards accepted.