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Clinic review · Women’s HRT & menopause

Alloy review

A menopause telehealth provider offering prescription hormone therapy and related treatments through an asynchronous consult.

By Lindy Health editorial Researched October 17, 2026 9 sources cited No commercial relationship

The verdict

Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.

Visit myalloy.com ↗
Starts at$49 one-time consult
PrescriberMD/DO
LabsNot needed
Availability50 states + DC
CancellingSelf-serve online
InsuranceCash pay

Alloy at a glance

Consult modelAsynchronous (questionnaire + messaging)
PrescriberMD/DO
LabsNot usually needed for this treatment
InsuranceCash pay only
AvailabilityAll 50 states and DC
CancellationSelf-serve online
HeadquartersNew York, NY

How much does Alloy cost?

From $49 one-time consult + estradiol pill from $39.99/mo. Seen 2026-10-17: one-time $49 doctor consultation fee, then per-product pricing: estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo, progesterone from $23/mo; ongoing messaging and delivery included. Weight Care is $99/mo plus medication.

Price transparency on our rubric: Full price published before checkout. Prices were checked on October 17, 2026 and change often; confirm at checkout.

Alloy pros and cons

Pros

  • Full per-product prices and the $49 consult fee are published before sign-up
  • Physician-only prescribing (menopause-trained, board-certified doctors)
  • Available in all 50 states and DC
  • Cancel via account dashboard or email

Cons

  • No insurance accepted (cash-pay; FSA/HSA accepted)
  • Consultation and subscription fees are non-refundable
  • Cancellation must be made 7 days before the end of the billing period
  • No live video visits; care is via intake form and messaging

How Alloy scores

Alloy scores 10.0 out of 10 on the six criteria every clinic is scored on.

Licensed states 20% 10.0
Labs included 20% n/a
Prescriber 15% 10.0
Cost transparency 15% 10.0
Cancellation 15% 10.0
Formulary breadth 15% 10.0

n/a = not applicable to this kind of provider · ? = not verifiable from published pages. How each criterion is scored.

What Alloy prescribes

  • Estradiol (oral)
  • Estradiol gel
  • Estradiol spray (Evamist)
  • Estradiol patch
  • Estradiol vaginal cream
  • Progesterone
  • Low-dose oral contraceptive
  • Paroxetine
  • Estriol face cream (M4, Rx)
  • Compounded tretinoin cream
  • Azelaic acid / tretinoin / niacinamide cream (Rx)
  • Azelaic acid / metronidazole / ivermectin cream (Rx)
  • GHK-Cu copper peptide cream (Rx)
  • Low-dose oral minoxidil
  • Spironolactone
  • Bimatoprost (generic Latisse)
  • Tirzepatide (Zepbound)
  • Semaglutide (Wegovy)
  • Oral semaglutide (Wegovy pill)
  • Orforglipron (Foundayo)
  • Compounded semaglutide
  • Compounded tirzepatide
  • Compounded liraglutide

How to cancel Alloy

Self-serve online. Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned.

Is Alloy available in my state?

All 50 states and DC. All 50 US states and DC for menopause care. Compounded GLP-1 weight care not available in AL, AR, CA, NV, LA, MS or DC.

What customers say about Alloy

PlatformRatingDetail
Trustpilot ↗4.3 / 54,061 reviews
Better Business Bureau ↗BNot accredited

Third-party ratings as shown on October 17, 2026. They are not part of our score, and review platforms can be gamed in both directions.

We found no FDA warning letters, FTC actions, state board actions or class actions against Alloy in our search on October 17, 2026. That is not proof that none exist.

Who Alloy is best for

Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.

Highest-scoring alternatives for women’s HRT & menopause: Evernow (8.7), Midi Health (8.3), Defy Medical (6.9), Joi (6.2).

Alloy FAQ

How much does Alloy cost?

Alloy starts at $49 one-time consult + estradiol pill from $39.99/mo. Seen 2026-10-17: one-time $49 doctor consultation fee, then per-product pricing: estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo, progesterone from $23/mo; ongoing messaging and delivery included. Weight Care is $99/mo plus medication.

Does Alloy take insurance?

No. Alloy is cash pay. Some patients use their own insurance at an outside pharmacy for branded medication.

Is Alloy legit?

Alloy is an operating US telehealth provider, based in New York, NY. Prescriptions are written by licensed clinicians (MD/DO). We found no regulatory actions in our search. Trustpilot rates it 4.3/5 from 4,061 reviews.

How do I cancel Alloy?

Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned.

Is Alloy available in all states?

All 50 US states and DC for menopause care. Compounded GLP-1 weight care not available in AL, AR, CA, NV, LA, MS or DC.

Who prescribes at Alloy?

Physicians (MD or DO).

Sources

Regulatory and primary sources

  1. Alloy homepage ↗ · supports: insurance, statesServed, prescriberModel, model, cons
  2. Alloy Menopause Hormone Therapy Online ↗ · supports: priceFrom, priceDetail, costPublished, medications
  3. Alloy Estradiol Products / Solutions ↗ · supports: medications, priceDetail, statesDetail, fdaBarredOffered
  4. Alloy Terms of Use ↗ · supports: cancellation, cancellationDetail, hq, cons
  5. Alloy FAQ (search snippet: all 50 states and DC) ↗ · supports: statesServed, statesDetail
  6. Alloy: Hormone Testing During Perimenopause and Menopause (search snippet) ↗ · supports: labsApplicable
  7. How is Alloy different from traditional telemedicine? (search snippet) ↗ · supports: model
  8. Alloy Health on Trustpilot ↗ · supports: ratings.trustpilot
  9. Alloy Health, Inc. BBB profile ↗ · supports: ratings.bbb, hq, notes
  10. Lindy Health clinic scoring rubric ↗ · the six criteria, their weights and the scoring tables

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