Alloy makes menopause hormone therapy unusually easy to access: a short online intake, a treatment plan from a menopause-trained doctor within hours, and medication delivered free with clear prices. It does not take insurance, so it suits women who value speed and simplicity over billing through their plan.
What we like
- Menopause-specialized doctors, with Dr. Sharon Malone as chief medical advisor
- Treatment plans typically provided within 12 hours of a short online intake
- Clear, published prices with hormone options from about $40 per month
- Broad menu covering hormones, vaginal health, skin, hair and weight
- Free delivery and ongoing care included, with HSA/FSA accepted
Keep in mind
- Does not accept insurance
- Skincare and sexual health products add up quickly
- Some compounded medications are not available in every state
- No physical exams, so you still need in-person screening
For many women, the hardest part of treating menopause symptoms is simply finding a doctor who will prescribe hormone therapy and explain it clearly. Alloy was founded by two friends in their 40s, Anne and Monica, who ran into exactly that wall. Their answer is a direct-to-consumer telehealth service staffed by doctors who specialize in menopause and midlife care.
Alloy's chief medical advisor is Dr. Sharon Malone, a well-known OB-GYN and menopause specialist. The platform prescribes FDA-approved hormone therapy and a growing list of products for vaginal health, skin, hair, gut health and weight. We looked at how it works, what it costs and how it compares with insurance-based options.
How Alloy works
You start with an online medical intake that the company says takes about five to ten minutes. It covers your symptoms, menstrual history, health conditions, medications and family history. A board-certified, menopause-trained doctor reviews it and provides a treatment plan, which Alloy says usually arrives in under 12 hours.
If medication is prescribed, it ships to your door free of charge. Ongoing care is included, so you can message the team with questions, report side effects or ask to adjust your dose. That continuity matters because many women need a few tweaks before landing on the right type and strength of hormone therapy.
What Alloy prescribes
Hormone therapy
Options include an estradiol pill, Evamist estradiol spray, estradiol gel and estradiol patch, with progesterone for women who still have a uterus. A low-dose birth control pill is available for perimenopausal women who also need contraception, and paroxetine is offered as a non-hormonal option for hot flashes.
Vaginal and sexual health
Estradiol vaginal cream treats dryness and discomfort caused by falling estrogen. O-Mazing is a prescription topical cream containing sildenafil and pentoxifylline, aimed at arousal.
Skin and hair
The M4 line uses estriol in prescription face, eye and body treatments, alongside tretinoin, hyperpigmentation and rosacea creams. Low-dose oral minoxidil and oral spironolactone address midlife hair thinning.
Weight and gut health
Alloy Weight Care offers branded and compounded GLP-1 medications with a monthly program fee, and Alloy Synbiotic is a non-prescription gut health supplement.
See Alloy's current range
Prices
Alloy publishes its prices clearly. At the time of our research, hormone therapy for a one-month supply started at about $39.99 for the estradiol pill, $69.99 for Evamist or estradiol gel and $100 for the patch. Progesterone started around $23 a month and paroxetine was about $34.99.
Three-month supplies of estradiol vaginal cream were about $119.97 and O-Mazing about $89.97, with a combined sexual health bundle at about $168.97. The M4 Face Cream was about $150 for three months, and skincare sets ran up to about $335. Weight Care costs $99 a month on top of the medication price.
Alloy is cash-pay only, but accepts HSA and FSA cards. The site says the doctors' plans come with free delivery and ongoing care; check at sign-up whether any separate consultation fee applies to you.
Alloy versus insurance-based menopause care
The main trade-off is speed versus insurance. Alloy's flat prices and same-day plans are hard to beat for convenience. Insurance-based virtual clinics such as Midi Health may cost less per visit if your plan covers them, and your insurance may cover generic estradiol at a pharmacy for less than Alloy's price. On the other hand, Alloy has no deductibles, prior authorizations or surprise bills.
A sensible approach is to price both. If you have good coverage and do not mind scheduling a video visit, an in-network clinic may be cheaper. If you want answers quickly, value predictable pricing or have high-deductible insurance, Alloy is a strong option.
Who Alloy suits
Alloy suits women in perimenopause or postmenopause who have symptoms such as hot flashes, night sweats, sleep problems, vaginal dryness or mood changes and want evidence-based treatment without a long wait. It is also appealing for those interested in estriol skincare or midlife hair treatments from the same provider.
It is not ideal for women who need complex care, such as those with a history of breast cancer, blood clots or stroke, who should be managed closely with their own specialists. And as with all telehealth, it does not replace mammograms, pelvic exams or bone density scans.
Preparing for your intake
Because Alloy's doctors rely on what you tell them, a little preparation leads to a better plan. Before starting the intake, note the symptoms that bother you most and how often they happen, along with the date of your last period. If you are still having periods, mention whether they have become irregular, heavier or lighter.
Have a list of current medications and supplements ready, and be candid about your personal and family history of breast cancer, blood clots, stroke, heart disease and liver problems. These factors affect whether hormone therapy is appropriate and which form is safest; for example, transdermal estrogen such as a patch or gel is often preferred for women with certain risk factors.
Finally, think about what you want from treatment. Some women mainly want relief from hot flashes, while others care most about sleep, mood or vaginal comfort. Being clear about your priorities helps the doctor choose between systemic hormones, local vaginal estrogen or non-hormonal options.
Our verdict
Alloy has made menopause hormone therapy about as straightforward as it can be: specialist doctors, fast plans, transparent prices and free delivery. The lack of insurance billing is the main drawback, and extras like M4 skincare can push monthly spending up. For women who want clear answers and quick access to FDA-approved treatment, it is one of the best services we reviewed.
Alloy products at a glance
| Product | What it is | Price |
|---|---|---|
| Estradiol pill, gel, spray or patch | FDA-approved estrogen therapy for hot flashes, night sweats and other menopause symptoms. | from about $39.99 per month |
| Progesterone | Prescribed alongside estrogen for women with a uterus. | from about $23 per month |
| Estradiol Vaginal Cream | Local estrogen for vaginal dryness and discomfort. | about $119.97 for three months |
| M4 Face Cream Rx | A prescription estriol moisturizer aimed at midlife skin hydration and elasticity. | about $150 for three months |
| Alloy Synbiotic | A non-prescription gut health supplement. | about $74.97 for three months |
Prices as listed on the brand's site at the time of our research and may change. Check the store for current pricing.
Alloy FAQs
Is Alloy legit?
Yes. Alloy is a US menopause telehealth company that prescribes FDA-approved medications through board-certified doctors, with OB-GYN Dr. Sharon Malone as chief medical advisor. It is also LegitScript approved.
Does Alloy take insurance?
No. Alloy is cash-pay only, though it accepts HSA and FSA cards. Prices are published on its site.
How fast can I get a prescription from Alloy?
Alloy says its doctors usually provide a treatment plan within 12 hours of completing the online intake, and medication ships free to your door.
Is hormone therapy safe?
For many healthy women under 60 or within about ten years of menopause, current guidance suggests the benefits of hormone therapy often outweigh the risks. Your individual risk depends on your history, so discuss it with a doctor.
Is Alloy available in every state?
Alloy serves patients across the US, but some compounded medications are not available in certain states, including California. Availability is confirmed during intake.
Women in perimenopause or menopause who want fast, cash-pay access to hormone therapy
Disclosure: InhouseHeal may earn a commission if you buy through links on this page. Our score is based on research of the brand's products, evidence, pricing and policies. How we review.
