Alloy Review: Cost, Care Model and Who It's For
Alloy scores 6.6/10 on our rubric. Best for: FDA-approved estradiol at a low cash price. The catch: Billed quarterly, and the patch price conflicts on Alloy's own page ($100 vs $74.99). Price checked Oct 7, 2026 on Alloy's site.
By CalcMyPeptide Editorial · Published · Prices checked · How we rank
Verdict
6.6/10 CalcMyPeptide rubric score, not patient ratings- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 8.6
- Support and cancellation (10%)
- 0.0
Clinical gate: pass. Licensed prescriber stated, and an evaluation before prescribing is described.
- Best for: FDA-approved estradiol at a low cash price.
- Not for: anyone put off by this catch: Billed quarterly, and the patch price conflicts on Alloy's own page ($100 vs $74.99).
- Patient sentiment: Trustpilot 4.3/5 from 4,007 reviews (as of 2026-10-07).
How much does Alloy cost?
Every price Alloy publishes, as listed on its own pages:
| Item | Price | Unit | Checked |
|---|---|---|---|
| Doctor consult (includes unlimited doctor messaging) | $49 | one-time | Prices checked Oct 7, 2026 · source |
| Estradiol pill | $39.99 | per month (shipped and billed every 3 months) | Prices checked Oct 7, 2026 · source |
| Estradiol patchPage source also contains '$74.99 per month' for the patch; conflicting | $100 | per month (shipped and billed every 3 months) | Prices checked Oct 7, 2026 · source |
No ongoing membership; $49 one-time consult. Progesterone, if needed, is priced separately (not captured). Billed per 3-month supply.
First charge, first 90 days and 12-month cost for each Alloy plan we could price:
| 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 |
| 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.
Quick facts
| What they offer | FDA-approved estradiol: pill, gel, patch, vaginal cream, Evamist spray; Progesterone; GLP-1 weight care |
|---|---|
| Prescribers | Board-certified, menopause-trained medical doctors (Menopause Society/ACOG protocols). |
| Labs | Not required on the pages read. |
| Insurance / HSA | Does not accept insurance. HSA/FSA accepted. |
| Commitment | 3-month supplies. |
| Cancellation and refunds | Not stated on the pages read. |
| States | All 50 states + DC. |
| Pharmacy and delivery | Free shipping to your door. |
| Trustpilot | 4.3/5 from 4,007 reviews (as of 2026-10-07) |
Is Alloy legit? What we checked
We read Alloy's own pricing, FAQ, terms and policy pages on Oct 7, 2026 and its Trustpilot profile. We did not sign up, take an intake, buy medication or test the service, and we have not yet run public-record checks (FDA warning letters to its pharmacy, OIG exclusions, prescriber license lookups) for this version of the review. Where the provider's own pages disagree with each other, we say so instead of picking one.
Pros, cons and the catch
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
The catch: Billed quarterly, and the patch price conflicts on Alloy's own page ($100 vs $74.99).
How the score was worked out
Each line is a yes/no fact from Alloy's own pages; anything not published counts as no. Weights and the full rubric are on the methodology page.
- yesCore recurring or visit price is published on the provider’s own site (Cost transparency and value)
- yesAn all-in monthly figure can be worked out from published prices (Cost transparency and value)
- yesLab costs are published, included, or labs are not required (Cost transparency and value)
- yesThe lowest advertised price does not need a commitment longer than 3 months (Cost transparency and value)
- yesAn evaluation before prescribing is described (labs for testosterone/enclomiphene; clinician intake for HRT) (Clinical process and monitoring)
- noA follow-up or lab-monitoring schedule is published (Clinical process and monitoring)
- noThe dispensing pharmacy or pharmacy type is disclosed (Disclosure)
- yesThe prescriber’s credential type is stated (MD, DO, NP, board certification) (Disclosure)
- noCancellation or refund terms are published (Disclosure)
- yesInsurance or HSA/FSA can be used (Access)
- yesMore than one medication form is offered (Access)
- yesBroad availability is published (all 50 states, an exclusions-only list, or 40+ states) (Access)
- noA month-to-month or cancel-anytime option exists (Support and cancellation)
- noA refund path is published (for example, a refund if not approved) (Support and cancellation)
- 8.6Patient sentiment: Trustpilot 4.3/5 from 4,007 reviews (as of 2026-10-07). (Patient sentiment)
Alternatives to consider
FAQ
How much does Alloy cost?
No ongoing membership; $49 one-time consult. Progesterone, if needed, is priced separately (not captured). Billed per 3-month supply. Prices checked Oct 7, 2026 on Alloy's own pages; see the itemized table on this page.
Does Alloy take insurance?
Does not accept insurance. HSA/FSA accepted.
Can I cancel Alloy?
3-month supplies. Not stated on the pages read.
Does Alloy require labs?
Not required on the pages read.
Where is Alloy available?
All 50 states + DC.
Changelog
- Oct 7, 2026: review published; all prices and terms checked on Alloy's own pages.
Sources
Provider facts come from each provider's own pages, read Oct 7, 2026. Regulatory lines link to the primary source.