An independent guide to cash-pay care. Every price is dated and sourced.

How we check
Wellchosen Health

Alloy review: cost, pharmacy and complaints

Alloy Women's Health does not post prices publicly: you see them after an intake, though the site advertised 25% off a first order of estradiol pills or Evamist when we checked on Oct 17 2026 [1]. A search of FDA's warning letter database found no letter to Alloy [2], and we rate it clean on a provisional basis.

Updated Oct 17, 2026By the Wellchosen Health editorial team

Medical review: pending. A licensed clinician has not yet reviewed this page.

Alloy Women's Health is a cash-pay US telehealth company that prescribes menopause hormone therapy, skin creams and weight-loss drugs.

Our verdict

Clean

Wide menu of estradiol forms, HSA and FSA accepted, and no FDA letter found. Prices are hidden until intake.

FDA record
No letter to Alloy found in a full-text FDA database search on Oct 17 2026 (the only match was an unrelated company).
BBB
Not checked. bbb.org blocks automated access.
Best for
Women paying cash who want several estradiol options, including the Evamist spray
Watch out
Provisional verdict: the BBB rating was not checked. Prices are not public. Alloy also sells compounded GLP-1s, a category that has drawn FDA letters to other telehealth firms.

We may earn a commission if you sign up through some links on this page. It never changes a verdict. How we make money

See Alloy prices

Price from
Not public; 25% off first estradiol pill or Evamist order (Oct 17 2026) [1]
What it sells
Estradiol pill, patch, gel and Evamist spray; vaginal cream; Rx face and eye creams; GLP-1s [1]
Payment
Cash pay; HSA and FSA accepted [1]
FDA letter
None found, Oct 17 2026 [2]
BBB
Not checked

Alloy prices: what we could and could not see

Alloy shows prices only after you complete an intake. On Oct 17 2026 its home page offered 25% off a first order of the estradiol pill or Evamist [1]. Because we could not see the base prices, this review is marked as incomplete. Use the retail numbers below to judge any quote.

Retail benchmarks for the estradiol forms Alloy lists
FormRetail coupon priceWhat is includedCheckedSource
Generic estradiol 1 mg, 90 tablets$22.71Medication onlyOct 16 2026GoodRx [3]
Generic estradiol patch 0.05 mg/day, 4 patches$29.83Medication onlyOct 16 2026GoodRx [3]
Generic estradiol gel (Divigel generic)$38.29Medication only; quantity not stated by sourceOct 17 2026GoodRx [4]
Estradiol vaginal cream 0.01%, 42.5 g$36.74Medication onlyOct 17 2026GoodRx [5]
Alloy's total will include its own clinical fee. Ask for the monthly total and the cancellation steps.

What Alloy prescribes

Alloy lists estradiol as a pill, patch and gel, the Evamist estradiol spray, estradiol vaginal cream, and its "M4" prescription face and eye creams [1]. It also sells brand and compounded GLP-1s (semaglutide, tirzepatide and liraglutide), oral minoxidil and spironolactone [1].

About the compounded GLP-1s

Compounded semaglutide and tirzepatide are not FDA-approved [6], and FDA does not verify their safety, effectiveness or quality before they are marketed [14]. FDA has told telehealth companies not to call compounded drugs generic or the same as an approved drug [7]. Read our compounded semaglutide explainer before choosing one.

Hormone label update

FDA approved the first revised menopausal hormone therapy labels on Feb 12 2026, for 6 products [8]. The change follows the Nov 10 2025 announcement that boxed warning language on cardiovascular disease, breast cancer and probable dementia would come off, with the endometrial cancer boxed warning kept on systemic estrogen-alone products [9].

Record with FDA and consumers

A full-text search of FDA's warning letter database for "Alloy" on Oct 17 2026 returned only an unrelated company [2]. Alloy is not in our FDA warning letter tracker. We did not check BBB because bbb.org blocks automated access. The rating is provisional for that reason.

Who Alloy suits

  • Suits: cash payers using HSA or FSA funds [1].
  • Suits: women who want a non-pill option such as the Evamist spray or estradiol gel [1].
  • Not a fit: you want to see the price before an intake. Evernow posts a $35 starting membership [10].
  • Not a fit: you want insurance billing. Midi is in network with most PPO plans [11].

Safety

Systemic estrogen-alone products keep a boxed warning for endometrial cancer [9]. Read your Medication Guide and ask what symptoms to report. For an emergency, call 911.

Alternatives

How we get paid

Wellchosen Health may be paid when readers join a listed provider. Payment does not affect verdicts. Read how we make money.

Other menopause telehealth options (clean, provisional)

  1. Midi Health

    Clean
    Price
    $250 first self-pay visit, $150 return visit, no membership fee (checked Oct 17 2026) [11]
    What you get
    Insurance-first menopause telehealth; in network with most PPO plans [11]
    FDA record
    Letter search not completed
    BBB
    Not checked
    Note
    Medicare is self-pay only; Medicaid not accepted [11]

    Visit Midi Health

  2. Evernow

    Clean
    Price
    Membership from $35 a month (checked Oct 17 2026) [10]
    What you get
    Menopause telehealth with estradiol, progesterone and vaginal estrogen [12]
    FDA record
    No letter found in FDA database search (Oct 17 2026)
    BBB
    Not checked
    Note
    Some insurers accepted for video visits [10]

    Visit Evernow

  3. Gennev

    Clean
    Price
    Not posted publicly (checked Oct 17 2026)
    What you get
    Doctor and dietitian visits; takes some insurance [13]
    FDA record
    Letter search not completed
    BBB
    Not checked
    Note
    Sends prescriptions to your own pharmacy [13]

    Visit Gennev

See the side-by-side on our online HRT page and the price ranges in the HRT cost guide.

See Alloy prices

Questions people ask

How much does Alloy cost?

Alloy did not show prices publicly on Oct 17 2026; they appear after an intake. Its home page offered 25% off a first order of the estradiol pill or Evamist [1].

Does Alloy take insurance?

Alloy is cash pay and accepts HSA and FSA funds, per its site checked Oct 17 2026 [1].

What does Alloy prescribe for menopause?

Alloy lists estradiol pill, patch and gel, the Evamist spray, estradiol vaginal cream and prescription face and eye creams [1].

Does Alloy sell compounded semaglutide or tirzepatide?

Yes. On Oct 17 2026 Alloy listed brand and compounded GLP-1s, including semaglutide, tirzepatide and liraglutide [1]. Compounded versions are not FDA-approved [7].

Has Alloy received an FDA warning letter?

A full-text search of FDA's warning letter database for "Alloy" on Oct 17 2026 found only an unrelated company [2].

Is Alloy legit?

We rate Alloy clean on a provisional basis: no FDA letter found on Oct 17 2026, but its BBB rating was not checked and its prices are not public.

Sources

14 cited
  1. Alloy home page. Alloy Women's Health, Oct 17, 2026.
  2. Warning letters database. U.S. Food and Drug Administration, Oct 17, 2026.
  3. Estradiol prices and coupons. GoodRx, Oct 16, 2026.
  4. Divigel (estradiol gel) prices. GoodRx, Oct 17, 2026.
  5. Estrace (estradiol vaginal cream) prices. GoodRx, Oct 17, 2026.
  6. FDA intends to take action against non-FDA-approved GLP-1 drugs. U.S. Food and Drug Administration, Feb 6, 2026.
  7. Telehealth companies: what to know when promoting compounded drugs. U.S. Food and Drug Administration, Jun 15, 2026.
  8. FDA approves labeling changes for menopausal hormone therapy products. U.S. Food and Drug Administration, Feb 12, 2026.
  9. Fact sheet: FDA initiates removal of black box warnings from menopausal hormone replacement therapy products. U.S. Department of Health and Human Services, Nov 10, 2025.
  10. How it works. Evernow, Oct 17, 2026.
  11. Pricing and insurance. Midi Health, Oct 17, 2026.
  12. Evernow home page. Evernow, Oct 17, 2026.
  13. Gennev home page. Gennev, Oct 17, 2026.
  14. Compounding and the FDA: questions and answers. U.S. Food and Drug Administration, 2025-09-16 (accessed 2026-10-17).

This page is general information, not medical advice. Talk with a licensed clinician about your own care.

See Alloy pricesWe may earn a commission