Alloy is one of the most affordable and menopause-focused telehealth services for hormone therapy, built around FDA-approved HRT and a low flat cost. This honest review covers what Alloy charges, what it prescribes, how the visit works, and where it is a poor fit.
A quick note on our angle: Menova is an independent publication. We sell no hormones, we are not your doctor, and we take no payment for placement. Menova may earn a commission if you use a clearly marked provider link, at no extra cost to you, and it does not change what we wrote or the order we ranked in. What follows is general education to help you compare, not a recommendation or medical advice.
What is Alloy?
Alloy (originally My Alloy) is a telehealth company built specifically around menopause and midlife hormone care. Rather than trying to be a full women's-health clinic, it concentrates on hormone replacement therapy and a handful of closely related concerns — vaginal health, sleep, weight, hair, and skin.
Its model is asynchronous: you complete a detailed medical questionnaire, a menopause-trained physician reviews it, and if hormone therapy is appropriate, they write a prescription. There is no scheduled video appointment by default, which some women love for the convenience and others find too hands-off.
How much does Alloy cost?
Alloy is priced to be simple and cash-friendly. You pay a one-time consultation fee of about $49.95 to have a doctor review your intake. After that, you pay for medication on a subscription basis.
Costs depend on what you are prescribed. An estradiol pill runs roughly $40 a month; a common estradiol-patch-plus-progesterone protocol is around $75 a month, typically billed as a three-month supply (roughly $224 per quarter). Alloy does not bill traditional insurance for its service, but it accepts FSA and HSA cards, and its cash prices are often lower than a copay would be elsewhere. For women paying out of pocket, Alloy is frequently one of the least expensive routes to real HRT.
What does Alloy prescribe?
Alloy prescribes mainly FDA-approved hormone therapy, which is a meaningful point in its favor. Its core options include the estradiol pill, estradiol patch, estradiol gel, and progesterone capsules, plus vaginal estrogen for genitourinary symptoms. It also offers non-hormonal and adjacent products for sleep, weight, hair, and skin.
Alloy can provide compounded formulations when medically appropriate, though compounded options are not available in every state (for example, they are restricted in several states including California and Nevada). If you specifically want to avoid compounded hormones — which are not FDA-approved and not tested the same way — Alloy's default lean toward FDA-approved products is reassuring, but it is still worth confirming exactly what you are being prescribed.
Who are Alloy's doctors?
Alloy's prescribers are board-certified physicians with specialty certification in menopause medicine from The Menopause Society. Its chief medical advisor is a well-known menopause specialist, and its clinical materials lean heavily on current evidence. Compared with services that rely mostly on nurse practitioners, Alloy's physician-led model appeals to women who specifically want an MD reviewing their case. The service also carries strong customer ratings, with a high average on Trustpilot across thousands of reviews.
Alloy pros and cons
What Alloy does well:
- Low, transparent cost — one of the more affordable paths to HRT
- Focus on FDA-approved hormone therapy, not compounded-by-default
- Menopause Society-certified physicians reviewing your case
- Simple asynchronous flow — no appointment to schedule
- FSA and HSA accepted
Where it falls short:
- No insurance billing for the service; you pay cash (plus medication)
- Asynchronous by default means no live face-to-face visit unless you seek one
- Narrower scope — it is a hormone service, not full primary care
- Compounded options are limited in some states
- Async intake can feel impersonal if you have a complicated history
Who Alloy is best for
Alloy is a good fit if you already suspect your symptoms are hormonal, you are paying out of pocket and want to keep costs low, you prefer FDA-approved hormones, and you are comfortable with a questionnaire-based process rather than a scheduled video visit.
It is a weaker fit if you want your insurance to cover the visit, if you want a real-time conversation with a clinician, or if your situation is complex — a history of breast cancer, blood clots, or other conditions that genuinely need back-and-forth discussion rather than a one-way form. In those cases, a video-based service or an in-person specialist is the safer starting point.
How to sign up for Alloy
You start by completing Alloy's symptom and medical-history questionnaire, pay the one-time consultation fee, and a menopause-certified doctor reviews your answers. If hormone therapy is appropriate, they prescribe it and your medication ships to you on a subscription. Ongoing questions are handled through messaging rather than scheduled appointments. As with any HRT program, be thorough and honest on the intake — the quality of an asynchronous review depends entirely on what you tell it.
Alternatives to Alloy
If you want insurance to cover your care, Midi Health is the stronger option. If you want ongoing clinician messaging bundled into a membership, Evernow is worth a look; if you want dietitian and coaching support alongside hormones, Gennev goes broader. We compare all of these on cost, clinician type, insurance, and treatment range on our menopause care comparison page, so you can weigh them on substance rather than marketing.
Worth reading alongside: Midi versus Alloy, the full telehealth comparison, how to get HRT online, HRT cost and insurance, and how to judge a telehealth service.
Before you book, the free 2-minute Menova self-check organizes your symptom picture, the free printable visit prep sheet is what the first consultation runs on, and the free blood test sheet covers what should be checked regardless of which service you use — no account, not a diagnosis, and your answers never leave your device.
This article is general education, not medical advice, and does not endorse any specific provider. Prices and state availability change often — verify directly with Alloy, and decide about hormone therapy with a licensed clinician who knows your full history.
Sources: Alloy — Online HRT, Alloy — Estradiol Products, Alloy — Online Menopause Treatment, and The Menopause Society.