How much does Alloy actually cost? The real monthly and annual price

How much does Alloy menopause cost per month?

The standard Alloy protocol — an estradiol patch plus micronized progesterone — works out to $74.99 a month, billed as a single $224.97 charge every three months. Before that first shipment goes out, there's a one-time consultation fee of $49.95 to get a physician's review and a prescription. Unlike a lot of telehealth competitors, there's no recurring membership fee sitting underneath the medication price — you pay for the consult once, then pay for whatever you're prescribed.

That's the genuinely good news about Alloy's pricing: it's simpler than most of the field. Where the total can move is in the details below — which protocol you're on, whether labs get added, and whether you also sign up for Alloy's newer GLP-1 program, which does carry its own separate monthly fee. For the deeper look at credentials, patient experience, and how the platform works day to day, see the full Alloy review; this page is just about the money.

What's included in that price — and what costs extra?

The $74.99/month patch price includes unlimited messaging with a board-certified, Menopause Society-certified physician for as long as your prescription is active, free shipping, and dose adjustments without an extra visit charge. Progesterone is bundled in at no additional cost when it's prescribed alongside estradiol for a woman who still has a uterus. If you need progesterone on its own, it runs separately.

• Initial consultation: $49.95 one-time — nonrefundable even if you turn out not to be a candidate for treatment
• Estradiol patch: $74.99/month, billed at $224.97 per 3-month supply
• Progesterone: included at no extra charge alongside estradiol for women with a uterus; billed separately if prescribed alone
• Oral estradiol pill (alternative to the patch): roughly $39.99/month
• Vaginal estrogen cream (for genitourinary symptoms): roughly $39.99/month
• Non-hormonal hot flash treatment (paroxetine): roughly $34.99/month
• Low-dose oral minoxidil (hair thinning): roughly $33/month
• Prescription tretinoin (skincare, unrelated to menopause protocol): roughly $30/month
• Shipping: free on every order

One thing worth flagging honestly: several older write-ups of Alloy describe required labs at an estimated $100 to $200 a year for some protocols. Checking Alloy's current product pages directly, that fee isn't itemized anywhere for the standard patch-and-progesterone protocol, and a few independent 2026 accounts of the sign-up process don't mention a separate blood-draw charge either. It's possible labs only apply to specific cases a physician flags on a case-by-case basis, or that this changed since older reviews were written. Either way, don't budget for $100-200 in labs by default — ask your Alloy provider directly whether your protocol requires any before you commit to a plan.

Also worth knowing: Alloy does not currently prescribe testosterone for women. If a testosterone add-on is part of what you're looking for, you'd need a different provider — Winona is one that offers it.

Does Alloy bill monthly or quarterly?

Quarterly, for the hormone therapy products. A 3-month supply ships at once, and your card is charged every three months rather than every one — so the $74.99/month figure on Alloy's site is an effective monthly rate, not the number that actually hits your statement. What hits your statement is $224.97 every 90 days for the patch-plus-progesterone protocol, or the quarterly equivalent for whichever combination you're prescribed.

Each active prescription is its own subscription, and canceling one does not cancel the others — you have to go into your account and cancel every product separately. Once an order has started processing, it can no longer be canceled. Refunds are limited to the first shipment of a given product, and only if you request one within 30 days of receiving it; every shipment after that is final, for regulatory reasons tied to reselling medication. If you're not sure a protocol is right for you, plan on that first quarterly box being your real trial — a second box is a real financial commitment, not just an easy opt-out.

Does Alloy take insurance, or is it cash-pay only?

Cash-pay only. Alloy does not bill insurance directly at checkout, so if a PPO plan is central to your decision, you're looking at a different platform — Midi Health is the closer match, since it bills major PPO plans in-network for HRT visits. Alloy does note that some patients pursue reimbursement from their own PPO after the fact, using an itemized receipt, but that's a manual process with no guarantee of what comes back.

HSA and FSA cards are accepted at checkout, though Alloy is upfront that they don't always process successfully — a decline is typically on the card issuer's end, not Alloy's. If your card is rejected, customer support can send an itemized receipt so you can submit for reimbursement through your plan directly. In practice, both the consult fee and the hormone medication are the kind of expense that generally qualifies as HSA/FSA-eligible, so most cardholders get there — it may just take an extra step instead of a one-tap checkout.

How much is the Alloy GLP-1 add-on?

Alloy expanded into weight management in 2025-2026 with a program called Alloy Weight Care, and it runs on a different structure from the HRT side. There's a mandatory $99-a-month membership fee, and medication is priced separately on top of it — the same dual-charge pattern that shows up at several GLP-1 telehealth competitors, even though Alloy's HRT side avoids it.

• Compounded semaglutide: from $70/month medication — about $169/month all-in with the membership
• Compounded tirzepatide: from $100/month medication — about $199/month all-in
• Compounded liraglutide: from $115/month medication — about $214/month all-in
• Wegovy Pill (oral, brand-name semaglutide): from $149/month medication — about $248/month all-in
• Wegovy Pen (injectable, brand-name semaglutide): from $199/month medication, discounted off a $499 list price — about $298/month all-in
• Zepbound / Zepbound KwikPen (brand-name tirzepatide): from $299/month medication — about $398/month all-in

These are all starting prices tied to the lowest dose of each medication. As with every GLP-1 provider, titrating up to a higher maintenance dose typically means a higher medication charge later — the $99 membership fee itself doesn't change with dose. As of this check, Alloy is also running a promo code, STARTGLP1, for $50 off the first month of the Weight Care membership for new customers — found directly on Alloy's own product pages, not just a coupon site.

What does a full year of Alloy actually cost?

The honest annual number depends on whether you're counting a first year (with the one-time consult) or an ongoing year, and whether GLP-1 therapy is part of the picture.

• Standard HRT (patch + progesterone), year one: $49.95 consult + four quarterly charges of $224.97 = roughly $950
• Standard HRT, every year after that: four quarterly charges of $224.97 = roughly $900
• Lower-cost oral estrogen route instead of the patch: roughly $480/year in medication, plus the one-time consult in year one
• Adding GLP-1 at the cheapest tier (compounded semaglutide + $99 membership): roughly $2,028/year on top of, or instead of, HRT
• Adding GLP-1 at the top tier (Zepbound + $99 membership): roughly $4,776/year
• If labs turn out to apply to your specific protocol: confirm with your provider before assuming they're included

A genuinely competitive number, once you account for the fact that there's no standing membership fee eating into it every month, the way there is at several other telehealth platforms.

Is there an Alloy discount code?

The only code this research turned up directly on Alloy's own site is STARTGLP1, worth $50 off the first month of the Weight Care membership for new GLP-1 customers — it applies to the weight-loss program, not hormone therapy. A number of third-party coupon-aggregator sites advertise much larger discounts on Alloy, some claiming 45% to 60% off, but none of those figures show up on myalloy.com itself, and coupon-aggregator claims for prescription telehealth are frequently expired or simply invented to attract clicks. Until you can confirm one at checkout, treat anything beyond STARTGLP1 as unconfirmed rather than banking on it.

How does Alloy's price compare to Winona, Midi Health, and Fountain?

All four platforms price HRT differently enough that a straight monthly comparison can be misleading without context.

• Alloy (patch + progesterone): effective $74.99/month, billed at $224.97 per quarter, plus a one-time $49.95 consult — roughly $900-$950 in year one
• Winona (patch + progesterone): $99-$139/month depending on protocol; a testosterone add-on brings it toward the higher end plus a $25 visit fee
• Midi Health (insurance-eligible visits): $0-$30+ per-visit copay for the roughly 80% of PPO plans it's in-network with, or $250 initial / $150 follow-up for self-pay patients — can land well below or well above Alloy's annual total depending entirely on your coverage
• Fountain (all-inclusive, labs + visits + medication bundled): roughly $150 per 4-week cycle for standard HRT, working out to about $1,950/year across 13 billing cycles

The real trade-off isn't just the number. Winona is cheaper per month than Alloy but doesn't require Menopause Society certification of its physicians the way Alloy does. Midi Health can be dramatically cheaper if your PPO plan is in-network, or pricier if it isn't. Fountain folds labs into one bundled price, which is worth noting if a fully bundled, no-surprises number matters more to you than the lowest possible headline price.

Is Alloy worth the price?

For a woman who wants Menopause Society-certified physician oversight without a recurring membership fee stacked on top of her medication, yes — Alloy's pricing model is one of the more straightforward ones in this category, and $900 to $950 a year for supervised, specialist-level HRT is a reasonable number against what a lot of women pay out of pocket seeing a specialist in person.

The friction points are real and worth knowing before you check out: billing happens quarterly in $224.97 chunks rather than smaller monthly amounts, the refund window is narrow and shrinks to nothing after your first shipment, and if you add GLP-1 therapy, that program runs on its own separate $99-a-month membership with medication on top — an entirely different cost structure from the HRT side. None of that makes Alloy a bad deal; it just means the true cost isn't always obvious from the $75/month number on the homepage.