#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

Monthly cost
Not published
Consultation fee
$49 one-time consult, required for hormone treatment; includes doctor messaging
States available
All 50 states plus DC, per its own site (2026-11-07)
Medication type
FDA-approved
Insurance
No; cash-pay, FSA and HSA cards accepted
Medication in price
Included

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
Best For

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

01

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.

02

Labs and plan

Labs: Not ordered through Alloy. If you are prescribed treatment, you choose a plan (6 published).

03

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

Estrogen (patch, gel or pill)ProgesteroneVaginal estrogen

This program dispenses FDA-approved products. Your clinician decides what is right for you.

Pricing Details

PlanPer 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
Alloy's price section on its own page, showing $39.99, read on November 7, 2026
Seller page, read on . Shows $39.99, cropped to the price section. Source

Compare every program's price.

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

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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.

Price 30%3.0
Transparency 25%10.0
Care 20%6.0
Access 15%8.0
Reputation 10%8.6

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

6.7/10

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.

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Start your intake with Alloy

Prices are on its site. Consultation: $49 one-time consult, required for hormone treatment; includes doctor messaging.

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Frequently 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.

How Alloy Compares to Other Programs