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

How much does Alloy menopause cost per month?

Alloy's estradiol patch is $100 a month, billed as a single $300 charge every three months, and micronized progesterone is priced as its own line from $23 a month — about $123 a month for the standard patch-plus-progesterone protocol. Before that first shipment goes out, there's a one-time consultation fee of $49 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 $100/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 a separate product line, from $23 a month, whether it's prescribed alongside estradiol or on its own.

• Initial consultation: $49 one-time — nonrefundable even if you turn out not to be a candidate for treatment
• Estradiol patch: $100/month, billed at $300 per 3-month supply
• Micronized progesterone: from $23/month, priced separately — needed alongside estrogen if you still have a uterus; women post-hysterectomy skip it
• Estradiol gel or Evamist spray (transdermal alternatives to the patch): $69.99/month
• Oral estradiol pill (alternative to the patch): from $39.99/month
• Vaginal estrogen cream (for genitourinary symptoms): $119.97 per 3-month supply, about $40/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

Alloy does not require or arrange labs or bloodwork before or during standard HRT care — it prescribes based on symptoms and health history instead, which mirrors The Menopause Society's position that hormone levels fluctuate too much hour to hour to reliably guide HRT dosing. Older write-ups of Alloy describing a separate $100-200/year lab fee reflect an earlier version of the platform; if you specifically want lab-monitored dosing, look at a provider that builds labs into its protocol instead.

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 $100/month patch figure on Alloy's site is an effective monthly rate, not the number that actually hits your statement. What hits your statement is $300 every 90 days for the patch, plus the quarterly equivalent of whatever else 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 consult + four quarterly patch charges of $300 + about $276 of progesterone = roughly $1,525
• Standard HRT, every year after that: roughly $1,475 ($1,200 for the patch plus about $276 of progesterone); the patch alone is $1,200
• 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): $100/month for the patch, billed at $300 per quarter, plus progesterone from $23/month and a one-time $49 consult — roughly $1,525 in year one
• Winona (patch + progesterone): $188/month à la carte ($149 patch plus a $39 progesterone capsule), or $89/month for its combined estrogen-progesterone cream; no consult 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, visits + medication bundled; routine labs not included): 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 can be cheaper per month than Alloy if a cream or a single product fits, but its patch-plus-progesterone pairing costs more, and it 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 visits and medication into one bundled price (routine labs aren't part of it), which is worth noting if a single, 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 $1,200 to $1,525 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 $300 chunks for the patch 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 per-month numbers on the product grid.