Alloy is one of the few platforms in menopause care where a full year can be totaled before you spend anything. The consult is $49, charged once. Every medication carries a published price. Delivery is free, there is no membership, and no labs are billed because none are run.
That makes the arithmetic on this page unusually firm. The numbers below are calculated from Alloy's own published prices rather than estimated from ranges, which is not possible on any platform that bills insurance.
The Verdict
Alloy cost, line by line
| Line item | Cost |
|---|---|
| Doctor consult | $49, one time |
| Membership or subscription | None |
| Delivery | Free |
| Insurance | Not accepted |
| HSA and FSA | Eligible |
| Labs | Not part of the standard path, and not billed |
Only two of those lines are charges. The consult is a single $49 payment covering a doctor reviewing your assessment and returning a treatment plan, and purchasing a prescription unlocks unlimited messaging with that doctor afterward. Everything else on the bill is medication.
Every menopause medication price
Prices as published by Alloy. The final column annualises each product at its listed price.
| Product | Price | Supply | 12-month cost |
|---|---|---|---|
| Estradiol pill | $39.99 | 1 month | $479.88 |
| Estradiol gel | $69.99 | 1 month | $839.88 |
| Evamist estradiol spray | $69.99 | 1 month | $839.88 |
| Estradiol patch | $100.00 | 1 month | $1,200.00 |
| Progesterone | From $23 | 1 month | From $276.00 |
| Paroxetine | $34.99 | 1 month | $419.88 |
| Low-dose birth control pill | $39.99 | 1 month | $479.88 |
| Estradiol vaginal cream | $119.97 | 3 months | $479.88 |
The spread across estradiol delivery routes is the most consequential number here. The same hormone costs $479.88 a year as a pill, $839.88 as a gel or spray, and $1,200 as a patch. Progesterone adds from $276 a year on top for anyone with a uterus, where endometrial protection is required alongside systemic estrogen.
Year one and year two, by route
Totals below include the $49 consult in year one and exclude it in year two, since it does not recur. Progesterone is included at its from-price of $23 a month for the systemic routes.
| Treatment route | Year one | Year two | Notes |
|---|---|---|---|
| Estradiol pill plus progesterone | $805 | $756 | The lowest-cost systemic route on the menu. |
| Estradiol gel plus progesterone | $1,165 | $1,116 | Transdermal delivery at the mid price point. |
| Evamist spray plus progesterone | $1,165 | $1,116 | Same price as the gel, different application. |
| Estradiol patch plus progesterone | $1,525 | $1,476 | The most expensive systemic route on the menu. |
| Vaginal estradiol cream only | $529 | $480 | Local therapy for genitourinary symptoms; not systemic treatment. |
The gap between the cheapest and most expensive systemic route is about $720 a year, close to the entire cost of the cheapest route at $805 in year one. That is worth understanding before it becomes a budget decision, because it is properly a clinical one. Oral and transdermal estradiol differ in first-pass liver metabolism and in the venous clotting signal attached to each, and our HRT side effects and risks page covers the absolute numbers behind that difference.
What the price does not include
Alloy runs no lab panel in the standard path, schedules no retest, and requires no blood draw to start. Nothing is billed for those, and nothing is measured either. If you want a thyroid panel, ferritin, fasting insulin or ApoB read alongside the hormone decision, that testing happens elsewhere and is paid for elsewhere, most often through a primary care visit that insurance covers.
Budget for it separately rather than treating the Alloy total as your annual cost of care. Our perimenopause biomarker panel guide lists what belongs on that draw and when to time each marker, and much of it is ordinary in-network lab work rather than a premium panel.
The other Alloy product lines
Alloy sells beyond menopause hormones, on the same published-price model. These lines are optional and separate from hormone therapy, but they appear in the same checkout, so they belong in a cost page.
| Line item | Price |
|---|---|
| Weight Care program fee | $99/mo before medication |
| Zepbound or Zepbound KwikPen | Starting at $299/mo |
| Wegovy pen | Starting at $199/mo |
| Wegovy pill or Foundayo pill | Starting at $149/mo |
| Compounded semaglutide | Starting at $70/mo |
| Compounded tirzepatide | Starting at $100/mo |
| Compounded liraglutide | Starting at $115/mo |
| M4 face cream / body treatment / eye cream / face serum | $150 / $195 / $90 / $159 per 3-month supply |
| Tretinoin face cream | $90 per 3-month supply |
| Low-dose oral minoxidil or oral spironolactone | $99 each per 3-month supply |
| Lash and brow serum | $175 per 3-month supply |
| O-mazing cream | $89.97 per 3-month supply |
| Alloy Synbiotic | $74.97 per 3-month supply |
Two things to watch. Weight Care carries a $99 monthly program fee before any medication, so the advertised drug price is not the full monthly cost on that line. And most of the skincare, hair and sexual-health products are sold in three-month supplies, which makes a single charge larger than a monthly framing implies even when the per-month cost is modest.
On price alone, the compounded options undercut the branded ones by a factor of four: $70 against $299 for the semaglutide and tirzepatide classes. That gap is the whole reason compounded GLP-1s exist as a line, and it is also why the price is the least stable number on this page. A compounded price is not a list price with a discount applied; it reflects a supply arrangement that can end. Budget for the branded figure as the ceiling if the protocol is one you intend to stay on for a year.
Insurance, HSA, and FSA
Alloy does not accept insurance for either the consult or the medication. It states that its products are HSA and FSA eligible, and that delivery is free. For anyone with an FSA balance facing a use-it-or-lose-it deadline, a three-month supply is a single dated charge that can be timed against it cleanly, which is harder to arrange through an insurance claim.
The absence of an insurance path cuts both ways, and it is the clearest structural fact about this platform. Nobody gets a surprise bill weeks later, because there is no claim to adjudicate. Nobody gets a $10 copay either.
How to keep the total down
- Settle the delivery route clinically first. The pill and patch routes differ by about $720 a year, but they also differ in first-pass liver metabolism. Price should follow the clinical choice, not lead it.
- Price-check your pharmacy before paying the consult fee. The covered price of generic estradiol and micronized progesterone decides whether Alloy is a saving or a premium for you specifically.
- Buy three-month supplies where offered. Several products are only sold that way, and it removes repeat checkout friction on the ones where both options exist.
- Confirm your state before paying. Alloy states services may not be available in every state and publishes no universal 50-state claim.
- Treat the Weight Care fee as a separate decision. The $99 monthly program fee sits on top of medication and is unrelated to hormone therapy pricing.
Frequently Asked Questions
How much does Alloy cost?
The consult is $49, charged once, with no membership or subscription. Medication is priced per product: an estradiol pill is $39.99 a month, the gel and the Evamist spray are $69.99, the patch is $100, and progesterone starts at $23. Estradiol vaginal cream is $119.97 for a three-month supply. Delivery is free. A full year on the patch plus progesterone comes to about $1,525 including the consult; on the pill route it is about $805.
Is the $49 consult fee recurring?
No. Alloy charges the consult once and runs no membership or subscription behind it. Buying a prescription unlocks unlimited messaging with the prescribing doctor, so follow-up questions do not generate a new fee. That makes year two cheaper than year one by exactly $49, since only medication recurs.
Why does the estradiol patch cost more than the pill at Alloy?
The patch costs 2.5 times the pill because the delivery system differs, not the dose. Alloy lists estradiol at $39.99 a month as a pill and $100 as a patch, a difference of $720 across a year. Route is a clinical decision before it is a budget one: the oral route is the one carrying the venous clotting signal in the evidence, which is covered in detail on our HRT side effects and risks page. Do not switch to the cheaper route to save money without raising it with the prescriber first.
Does Alloy accept insurance?
No. Alloy is cash-pay for both the consult and the medication and describes its model as easy cash-pay with no insurance headaches. HSA and FSA funds are eligible. The benefit is a single published price with no benefit check, network question, prior authorization or deductible. The cost is that good pharmacy coverage cannot make it cheaper, because there is no claim to file.
Is Alloy cheaper than filling the same prescription at my pharmacy?
Sometimes, and it depends entirely on your coverage. Generic transdermal estradiol and micronized progesterone are widely stocked and often inexpensive on a pharmacy benefit, in some cases well below Alloy's published prices. Uninsured or against a high unmet deductible, Alloy's flat price frequently wins. Call your pharmacy and ask the cash and covered price for the specific delivery form you want before you decide.
Are there hidden costs at Alloy?
The menopause line is unusually clean: consult, medication, free delivery, and nothing else. The costs that surprise people sit in the adjacent product lines. Weight Care carries a $99 monthly program fee before medication, and the skincare, hair and sexual-health products are sold in three-month supplies, so a single checkout can be larger than the monthly framing suggests. Read the supply column before buying.
What does Alloy not charge for that other platforms do?
Labs and appointments. There is no blood draw in the standard path, no lab panel, no scheduled retest and no per-visit fee, because the model has no visits. That is why the total is calculable in advance. It is also the model's main clinical limitation, since nothing measures thyroid, ferritin, fasting insulin or ApoB while the hormone decision is being made.
What is the cheapest way to use Alloy?
Choose the delivery route on clinical grounds first, then price it. If oral estradiol is appropriate for you, the pill route runs about $805 in year one against $1,525 on the patch. Buy three-month supplies where they are offered rather than repeat one-month purchases. And confirm Alloy operates in your state before paying the consult fee, since Alloy publishes no universal 50-state availability claim.