Does Alloy accept insurance?

No. Alloy does not bill commercial or Medicare insurance directly. Patients pay the subscription cash-pay and may submit receipts to an HSA/FSA for eligible reimbursement.

What is the difference between the $49 and $99 Alloy tiers?

The $49/mo tier is symptom evaluation and consultation only. The $99/mo tier adds a prescribed FDA-approved HRT medication with monthly shipment.

Does Alloy prescribe compounded HRT?

Alloys public materials emphasize FDA-approved bioidentical formulations (estradiol patch, micronized progesterone) rather than compounded pellets or troches — consistent with NAMS 2022 guidance.

Can I cancel Alloy anytime?

Alloy allows month-to-month cancellation via the account dashboard. Confirm current cancellation policies before enrolling.

Cost & insurance review · Updated July 2026

How much does Alloy cost?

Medically reviewed by Editorial Medical Review, MD, NAMS-CMP

Quick answer

$49-$99/mo. Alloy Womens Health charges $49/month for perimenopause symptom evaluation only, or $99/month inclusive of HRT prescription and unlimited async clinician messaging, per the published Alloy pricing page. Optional add-ons (labs, testosterone therapy, vaginal estrogen) are billed separately. Insurance is not accepted directly.

Price ranges by tier

What each pricing tier includes, sourced from manufacturer pricing pages, Cost Plus Drugs, KFF, LillyDirect, and NovoCare.

Alloy Symptom Evaluation

$49/mo

Perimenopause and menopause symptom review
Async clinician messaging
No prescription included

Alloy with HRT prescription

$99/mo

FDA-approved HRT prescription
Unlimited async messaging
Medication shipped monthly

Optional labs add-on

$50-$200 one-time

Baseline hormone panel
Thyroid and lipid workup

Testosterone therapy add-on

Extra monthly fee

Off-label testosterone for HSDD/libido
Additional clinician oversight

Factors that affect cost

Whether you subscribe to evaluation-only or the full HRT bundle
Add-on services (labs, testosterone, vaginal estrogen)
Duration of subscription (some promos discount first month)
State (occasional state-based add-ons for licensure)

Insurance context

Alloy does not bill commercial insurance or Medicare directly. Patients pay a monthly subscription cash-pay. Submit itemized receipts to an HSA/FSA for eligible reimbursement. Alloys published pricing pages remain the source of truth; verify current terms before enrolling.

Financial help options

HSA/FSA reimbursement: Submit itemized subscription and medication receipts to your HSA/FSA for eligible reimbursement.
Direct pharmacy alternative ↗: Cost Plus Drugs generic HRT ($33/mo) via a separate prescribing clinician may cost less than Alloys $99/mo bundle.
Compare with Evernow / Midi Health: Evernow ($49/mo) and Midi Health cash-pay ($150-$300 initial) offer alternative pricing models.

Related brands

Editorial cross-links only — no affiliate CTAs. Follow each link for our full brand review, formulary, and clinician model.

Frequently asked questions

Does Alloy accept insurance?: No. Alloy does not bill commercial or Medicare insurance directly. Patients pay the subscription cash-pay and may submit receipts to an HSA/FSA for eligible reimbursement.
What is the difference between the $49 and $99 Alloy tiers?: The $49/mo tier is symptom evaluation and consultation only. The $99/mo tier adds a prescribed FDA-approved HRT medication with monthly shipment.
Does Alloy prescribe compounded HRT?: Alloys public materials emphasize FDA-approved bioidentical formulations (estradiol patch, micronized progesterone) rather than compounded pellets or troches — consistent with NAMS 2022 guidance.
Can I cancel Alloy anytime?: Alloy allows month-to-month cancellation via the account dashboard. Confirm current cancellation policies before enrolling.

Sources

Every pricing figure is sourced from public manufacturer pages, Cost Plus Drugs, KFF, or FDA data. External links open in a new tab.