Alloy vs Winona: Which Online HRT Provider Fits You? (2026)
A side-by-side of what Alloy and Winonapublish: price, first charge, a year's cost, labs, commitment and the catch. Prices checked Oct 7, 2026. Neither company reviewed or approved this comparison.
By CalcMyPeptide Editorial · Published · Prices checked · How we rank
30-second verdict
Pick Alloy for FDA-approved estradiol at a low cash price. Pick Winona for compounded bioidentical creams and pills without a lab visit. Alloy costs less over a year on published prices. Winona scores higher on our rubric (6.6 vs 8.2).
Alloy vs Winona side by side
| Factor | Alloy | Winona |
|---|---|---|
| What they offer | FDA-approved estradiol: pill, gel, patch, vaginal cream, Evamist spray; Progesterone; GLP-1 weight care | Compounded bioidentical HRT: estrogen body cream, patch, tablets, vaginal cream; progesterone capsules and cream; DHEA; Non-hormonal: sildenafil arousal cream, minoxidil serum, estriol face cream |
| Lowest-cost menopause HRT plan | Estradiol pill (shipped and billed every 3 months) | Estrogen tablets (billed every 28 days) |
| Monthly (plan price) | $39.99 | $58.66 |
| First charge | $168.97 | $54 |
| 12-month cost | $528.88 | $703.93 |
| Minimum term | 3 months | 4 weeks |
| Labs | Not required on the pages read. | Not required. Prescribed on symptoms. |
| Prescribers | Board-certified, menopause-trained medical doctors (Menopause Society/ACOG protocols). | 30+ board-certified physicians. |
| Insurance / HSA | Does not accept insurance. HSA/FSA accepted. | No insurance. HSA/FSA accepted. |
| Commitment | 3-month supplies. | Subscription. 30-day supply billed every 28 days, or 90-day supply every 84 days. |
| Cancellation and refunds | Not stated on the pages read. | Cancel or pause (up to 90 days) anytime in account. Refunds only within the 24-hour processing window. |
| States | All 50 states + DC. | AZ, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KY, ME, MD, MA, MI, MN, MO, MT, NE, NV, NH, NJ, NY, NC, OH, OK, OR, PA, SC, TN, TX, VA, WA, WI, WY + Puerto Rico. Ages 35–59 for HRT. |
| The catch | Billed quarterly, and the patch price conflicts on Alloy's own page ($100 vs $74.99). | Compounded hormones (not FDA-approved), ages 35 to 59 only. |
| Our score | 6.6/10 | 8.2/10 |
| Checked | Prices checked Oct 7, 2026 · source | Prices checked Oct 7, 2026 · source |
| Next step | Check Alloy's plans and pricing on its site → | Check Winona's plans and pricing on its site → |
Your cost with each
| Provider | Plan | Monthly | First charge | First 90 days | 12-month | Minimum term | Not included / assumptions | Checked |
|---|---|---|---|---|---|---|---|---|
| Alloy | Estradiol pill (shipped and billed every 3 months)Includes: Unlimited doctor messaging | $39.99 | $168.97 | $168.97 | $528.88 | 3 months | Progesterone, if needed (priced separately; not captured) | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets (billed every 28 days) | $58.66 | $54 | $216 | $703.93 | 4 weeks | Price is 'from'; dose can change it | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets + progesterone capsules (every 28 days) | $101.03 | $93 | $372 | $1,212.32 | 4 weeks | Prices are 'from'; dose can change them | Prices checked Oct 7, 2026 · source |
| Alloy | Estradiol patch (billed every 3 months)Includes: Unlimited doctor messaging | $100 | $349 | $349 | $1,249 | 3 months | Progesterone, if needed (priced separately; not captured) Alloy's page source also shows $74.99/mo for the patch; we use the $100/mo shown on the page. | Prices checked Oct 7, 2026 · source |
First charge = one-time fees plus the first billing block. First 90 days = cash paid on the provider's billing calendar. 12-month = one-time fees + 12 months of the plan price + scheduled extras (like follow-up labs). "not published" means the provider's own pages don't say; we never fill the gap with a guess. Full math: methodology.
If you want the lowest year-one cash cost
Alloy comes out lower on published prices. Remember care-only plans exclude medication.
If you want to use insurance
Alloy: Does not accept insurance. HSA/FSA accepted. Winona: No insurance. HSA/FSA accepted.
If you want FDA-approved medication
Alloy offers: FDA-approved estradiol: pill, gel, patch, vaginal cream, Evamist spray. Winona offers: Compounded bioidentical HRT: estrogen body cream, patch, tablets, vaginal cream; progesterone capsules and cream.
Pros and cons
Alloy
Pros
- FDA-approved products
- Low entry price
- All 50 states
- Trustpilot 4.3 (4,007 reviews)
Cons
- Patch price conflict on page ($100 vs $74.99)
- Billed quarterly
Winona
Pros
- No labs needed
- Owns its compounding pharmacies
- Trustpilot 4.6 (8,666 reviews)
Cons
- Compounded hormones (not FDA-approved)
- No testosterone or GLP-1
- Age 35–59 only
FAQ
Is Alloy or Winona cheaper?
On published prices checked Oct 7, 2026, Alloy costs less over 12 months for menopause HRT: about $528.88 vs $703.93, each on its lowest-cost plan.
Which has the higher score, Alloy or Winona?
Winona scores higher on our rubric (6.6 vs 8.2 out of 10 for Alloy and Winona). The score is a weighted checklist of what each publishes, not a test of outcomes.
Do Alloy and Winona require labs?
Alloy: Not required on the pages read. Winona: Not required. Prescribed on symptoms.
Can I switch from Alloy to Winona?
Yes, but check the minimum term and refund rules first. Alloy: Not stated on the pages read. Winona: Cancel or pause (up to 90 days) anytime in account. Refunds only within the 24-hour processing window.
Related comparisons
Sources
Provider facts come from each provider's own pages, read Oct 7, 2026. Regulatory lines link to the primary source.
- Alloy: myalloy.com, myalloy.com/faq, myalloy.com/solutions/estradiol-pill, myalloy.com/solutions/estradiol-patch
- Winona: bywinona.com/product, bywinona.com/faq, bywinona.com
- FDA (Nov 10, 2025): initiating removal of boxed warnings from menopausal HRT labels
- The Menopause Society: 2022 hormone therapy position statement