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Side-by-Side · 2026

1st Optimal vs Alloy Women's Health: Prices, Programs & Reviews

Quick Verdict

Alloy Women's Health wins on 2 of 8 measurable dimensions, including stronger editorial score (83/100), lower starting price ($49/mo). 1st Optimal stays competitive on visit model and formulation breadth.

1O

1st Optimal

Editorial score 71/100

Optimization-focused telehealth offering HRT, TRT, and peptide therapy. Comprehensive lab work upfront.

OVERALL PICK
AW

Alloy Women's Health

Editorial score 83/100

Cash-pay menopause telehealth with FDA-approved HRT delivered monthly. Co-founded by Healthline ex-CEO.

1st Optimal vs Alloy Women's Health: Full Comparison(8)

Criteria sorted editorial-curated. Winner of each dimension highlighted.

Head-to-head comparison: 1st Optimal versus Alloy Women's Health across pricing, clinical, transparency, and satisfaction criteria.
Criterion1st OptimalAlloy Women's Health
Editorial score71/10083/100
Starting price$89/mo$49/mo
Insurance acceptedNoNo
States available30 states28 states
Visit modelsync-videoasync
Time to first consult
Published outcomesNoneNone
External rating

Editorial score

1st Optimal

71/100

Alloy Women's Health

83/100

Starting price

1st Optimal

$89/mo

Alloy Women's Health

$49/mo

Insurance accepted

1st Optimal

No

Alloy Women's Health

No

States available

1st Optimal

30 states

Alloy Women's Health

28 states

Visit model

1st Optimal

sync-video

Alloy Women's Health

async

Time to first consult

1st Optimal

Alloy Women's Health

Published outcomes

1st Optimal

None

Alloy Women's Health

None

External rating

1st Optimal

Alloy Women's Health

= wins this dimension. Comparison data refreshed quarterly from editorial review + provider data.

The Bottom Line

Alloy Women's Health edges out 1st Optimal on 2 of 8 dimensions. Alloy Women's Health is the stronger pick if you weight editorial scoring, pricing transparency, and state coverage equally. 1st Optimal may still be right if you prefer its specific medication formulation or visit cadence.

Decision shortcut: take the matcher quiz to factor in your symptoms, insurance, and location.

1st Optimal Full ReviewAlloy Women's Health Full ReviewTake the Matcher