Please note: This review reflects information we gathered on the date it was researched and may now be out of date. Providers frequently change their pricing, plans, medications, and policies. Any ratings, reviews, and customer feedback are gathered from publicly available online sources and may have since changed or no longer be accurate. Always do your own research and confirm the latest details directly with the provider before making any decision.
Alloy Review
A women's health platform that treats weight as part of the menopause picture rather than in isolation — with menopause-specialised physicians, brand-name options as well as compounded, and a $70 headline price that is really about $169 once the service fee is added.
Alloy Women's Health
Menopause-Specialised CareAlloy is a women's health telehealth platform offering GLP-1 weight treatment alongside menopause hormone therapy, skincare, sexual health and hair care. It is aimed squarely at women in perimenopause and menopause — a group for whom weight change, hormonal shifts, sleep and mood are genuinely entangled, and for whom a generic two-minute weight-loss intake form is a poor fit.
Two things stand out. Prescribing is by board-certified physicians who specialise in menopause, with review advertised in under 12 hours — a specialism that is directly relevant rather than decorative. And Alloy carries genuine FDA-approved brand-name options — Wegovy, Zepbound and Foundayo — alongside its compounded range, which most compounding-led platforms do not. It also states plainly that compounded medications are not reviewed by the FDA for safety, effectiveness or quality.
The pricing needs care. The advertised $70 is for medication only; the Alloy Weight Care service carries a separate $99 monthly fee, putting the realistic all-in figure nearer $169/month. Both numbers are published, so this is not concealment — but $70 is the one that sticks. And Alloy is unavailable in seven jurisdictions including California.
Affiliate disclosure: GLP1Drugs.org may earn a commission if you sign up through the links on this page. It has not changed our rating, and we have led with the true all-in cost rather than the $70 headline. Details were checked on 7 August 2026.
Visit AlloyOur Top Recommended Provider: CoreAge Rx
After reviewing dozens of GLP-1 telehealth providers, CoreAge Rx is the one we recommend most. CoreAge Rx is one of our partners — read on for why we recommend them:
Flat-Rate Pricing
Same cost at every dose level — no price jumps as you titrate up.
Verified Pharmacies
US-licensed physicians and NABP-verified 503A compounding pharmacies you can trust.
Everything Included
Medication, supplies, free shipping, and ongoing clinical support — no hidden fees.
Active Community of Members
Ask questions, share progress, and get answers from other patients on the same journey — alongside ongoing clinical support from your care team.
$70
Medication Only
+$99
Monthly Service Fee
~$169
Realistic All-In
7
Jurisdictions Excluded
Not available in AL, AR, CA, NV, LA, MS or DC. Compounded medication is not FDA-approved; brand-name options are priced separately. Cash-pay.
What You Actually Pay
Both figures are published by Alloy. Only one of them is in the headline. Checked 7 August 2026.
| Component | Cost | What it covers |
|---|---|---|
| Compounded semaglutide | From $70.00 / month | The medication itself. Not FDA-approved. |
| Alloy Weight Care | $99 / month | Unlimited physician messaging, wellness check-ins, side-effect management, dose adjustments, long-term planning |
| Realistic total | ~$169 / month | A $50 first-month discount was advertised for new customers |
| Brand-name options | Priced separately | Wegovy, Zepbound and Foundayo — genuinely FDA-approved |
At around $169 all in, Alloy is not competing with the $99 flat-rate platforms on price and is not trying to. What you are buying is a menopause-specialised physician who will actually engage with you between appointments. Whether that is worth roughly $70 a month more than a bare medication subscription depends entirely on whether you need it — and for a lot of women in midlife, it genuinely is.
What's Included
Compounded Semaglutide
Advertised from $70.00 for a one-month supply — compounded, and Alloy states plainly that compounded medications are not reviewed by the FDA for safety, effectiveness or quality
Compounded Tirzepatide and Liraglutide
Both offered alongside semaglutide, giving an unusually wide compounded range including the older liraglutide
Brand-Name Options
Wegovy, Zepbound and Foundayo — genuinely FDA-approved medications, which most compounding-led platforms do not carry
Alloy Weight Care Service
A $99 monthly service fee covering unlimited messaging with your physician, wellness check-ins, side-effect management, dose adjustments and long-term planning
Menopause-Specialised Physicians
Board-certified physicians specialising in menopause, with review completed in under 12 hours — the clinical angle that distinguishes Alloy
Wider Women's Health Range
Menopause hormone therapy, skincare including tretinoin, sexual health and hair treatments — this is a women's health platform, not a GLP-1 storefront
Pros & Cons
Pros
- ✓Prescribing by board-certified menopause-specialised physicians, which is a genuinely relevant specialism for midlife weight change
- ✓Offers FDA-approved brand-name Wegovy, Zepbound and Foundayo, not just compounded copies
- ✓An unusually broad compounded range including liraglutide alongside semaglutide and tirzepatide
- ✓States plainly that compounded medications are not reviewed by the FDA for safety, effectiveness or quality
- ✓Physician review completed in under 12 hours
- ✓The $99 service fee genuinely buys something — unlimited physician messaging, dose adjustments and side-effect management, not just order processing
- ✓Treats weight in the context of menopause rather than in isolation, which matters when hormonal change is driving the problem
- ✓Free delivery, and a $50 first-month discount was running for new customers
Cons
- ✕The advertised $70 is medication only — the Alloy Weight Care service adds $99/month on top, so the realistic all-in figure is around $169
- ✕Not available in Alabama, Arkansas, California, Nevada, Louisiana, Mississippi or Washington DC
- ✕Excluding California removes the largest state in the country from an already reduced footprint
- ✕No insurance route, and we found no mention of HSA or FSA acceptance
- ✕The compounding pharmacy is not named
- ✕Cancellation and refund terms were not published on the pages we checked
- ✕Compounded medication is not FDA-approved and has not been through the trials the category's marketing relies on
How It Works
Check Your State First
Alloy is not available in AL, AR, CA, NV, LA, MS or DC. Confirm before anything else — this is a wider exclusion list than most.
Online Intake
Complete Alloy's medical questionnaire. Because the clinicians specialise in menopause, expect questions about hormonal symptoms alongside weight history.
Physician Review
A board-certified, menopause-specialised physician reviews your intake, with Alloy advertising completion in under 12 hours.
Choose Compounded Or Brand
Compounded semaglutide, tirzepatide or liraglutide, or brand-name Wegovy, Zepbound or Foundayo. This choice matters more than the price difference suggests.
Ongoing Care
The $99/month Weight Care service covers unlimited physician messaging, check-ins, dose adjustments and side-effect management for as long as you stay on it.
Eligibility, Limitations & Alternatives
Eligibility and limitations
- ✕Not available in AL, AR, CA, NV, LA, MS or DC
- —Cash-pay; no insurance, and no HSA/FSA acceptance found
- —Compounding pharmacy not named; cancellation and refund terms not published
- ✕Not for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2
- ✕Not in pregnancy, when trying to conceive, or while breastfeeding
- —Hormone therapy has separate contraindications, including hormone-sensitive cancer history
Alternatives worth pricing
- •Midi Health — menopause care in-network with most major PPO plans in all 50 states
- •Amazon One Medical — FDA-approved medication from $149 cash, $25 insured, all 50 states
- •Winona — compounded menopause hormone therapy from $39/month with no membership fee
- •Our overall provider rankings — if the menopause angle is not what you need
Our Verdict
4.0 / 5 — a genuinely differentiated proposition: menopause-specialised physicians, brand-name options alongside compounded, and honest FDA disclosure. Marked down because the $70 headline is really about $169 all in, seven jurisdictions including California are excluded, and refund terms are unpublished.
Most GLP-1 platforms treat weight as a standalone problem with a pharmaceutical answer. Alloy does not, and for women in perimenopause or menopause that is a real distinction rather than positioning. Board-certified menopause-specialised physicians reviewing within 12 hours, unlimited messaging between appointments, and hormone therapy available under the same clinician means the question 'is this weight change hormonal?' actually gets asked. It also carries FDA-approved Wegovy, Zepbound and Foundayo rather than only compounded copies, and it states the compounding disclosure plainly.
The reservations are practical. A $70 headline attached to a service that costs roughly $169 a month all in is the pricing pattern we flag most often on this site, even when — as here — both numbers are published. Seven excluded jurisdictions is a lot, and losing California is a serious gap. No HSA or FSA acceptance surfaced, the compounding pharmacy is unnamed, and cancellation and refund terms are not published, which matters more than usual when there is a recurring service fee separate from the medication. Budget on $169, ask for the refund terms in writing, and if the menopause specialism is not what you need, cheaper flat-rate platforms will serve you better.
Check Alloy PricingFrequently Asked Questions
What does Alloy actually cost?
This is the thing to get straight before signing up, because the headline is medication-only. Checked on 7 August 2026, Alloy advertised compounded semaglutide starting at $70.00 for a one-month supply. Separately, the Alloy Weight Care service carries a $99 monthly fee, covering unlimited messaging with your physician, wellness check-ins, side-effect management, dose adjustments and long-term planning. So the realistic all-in figure is closer to $169/month than $70. A $50 first-month discount for new customers was running under the code STARTGLP1. None of this is hidden — both figures are published — but the $70 is what you will remember and the $169 is what you will pay, so budget accordingly. Brand-name Wegovy, Zepbound and Foundayo are priced separately.
Is the $99 service fee worth it?
More than most membership fees in this category, which are frequently just order processing dressed up. Alloy's covers unlimited messaging with a board-certified physician who specialises in menopause, wellness check-ins, active side-effect management, dose adjustments and longer-term planning. If you are navigating perimenopause or menopause alongside weight change — where hormonal shifts, sleep disruption, mood and body composition all interact — that specialism is genuinely relevant clinical value rather than a badge. If you simply want a monthly vial of semaglutide at the lowest price, you are paying $99 a month for support you may not use, and cheaper flat-rate platforms exist.
Where is it not available?
Alloy states it is not available in Alabama, Arkansas, California, Nevada, Louisiana, Mississippi or Washington DC. That is seven jurisdictions, and the inclusion of California is significant — it removes the most populous state in the country. Confirm your own state before starting an intake rather than discovering the exclusion at checkout.
Is the medication FDA-approved?
It depends which you choose, and Alloy is refreshingly clear about the distinction. Its compounded semaglutide, tirzepatide and liraglutide are not FDA-approved — the site states directly that 'unlike FDA-approved drugs, compounded medications are not reviewed by the FDA for safety, effectiveness, or quality'. That is the correct disclosure and more than several platforms manage. Alloy also offers genuine FDA-approved branded medication: Wegovy, Zepbound and Foundayo. If approval matters to you, those are the ones to ask about — and worth comparing against other brand-name routes before assuming they are unaffordable.
Why does menopause specialisation matter for weight?
Because the two are genuinely entangled and most GLP-1 platforms ignore it. The menopausal transition is associated with changes in body composition and fat distribution, and with sleep disruption and mood changes that make weight management harder — none of which a generic two-minute intake form will surface. A clinician who treats menopause routinely is more likely to ask the right questions, to consider whether hormone therapy belongs in the picture alongside or instead of a GLP-1, and to interpret symptoms correctly rather than attributing everything to the medication. Alloy also carries menopause hormone therapy, so both options sit under one clinician.
Does it take insurance, HSA or FSA?
We found no mention of insurance coverage, HSA or FSA acceptance on the pages we reviewed, so treat this as cash-pay. That is a gap worth noting given that several competitors do accept HSA and FSA payment, which can reduce the effective cost meaningfully when you are paying around $169 a month all in. Ask directly before assuming, and if you have coverage that might extend to a branded GLP-1, price that route first.
Can I cancel, and what about refunds?
Cancellation and refund terms were not published on the pages we checked, which is a genuine gap for a service charging a recurring $99 monthly fee on top of medication. Ask for both in writing before you start, and specifically ask what happens to the service fee if you pause or stop the medication. Federal rules generally prevent returning dispensed prescription medication whatever the provider, so the meaningful question is about the recurring service charge rather than the drug itself.
Who should not use these medications?
GLP-1 receptor agonists are contraindicated in anyone with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2, and in anyone who has had a serious allergic reaction to the medication. They should not be used in pregnancy, while trying to conceive, or while breastfeeding — and note that delayed gastric emptying can reduce the reliability of oral contraceptives. Common side effects are nausea, vomiting, diarrhoea and constipation. Serious risks include pancreatitis, gallbladder disease and kidney injury. Menopause hormone therapy, which Alloy also offers, carries its own separate contraindications including a history of hormone-sensitive cancer. This page is information, not medical advice.
Considering Alloy?
Check your state is not one of the seven excluded, budget on roughly $169 a month rather than $70, and ask for the cancellation and refund terms in writing before the first charge.
Visit AlloyCompare Other GLP-1 Providers
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Read Review →Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting or changing any treatment. Compounded medications are not FDA-approved, are not evaluated by the FDA for safety, effectiveness or quality, and are not equivalent to the branded drug beyond sharing an active ingredient. GLP-1 medications commonly cause nausea, vomiting, diarrhoea and constipation, and carry risks including pancreatitis, gallbladder disease and kidney injury; they are contraindicated in people with a personal or family history of medullary thyroid carcinoma or MEN 2, and should not be used in pregnancy, when trying to conceive, or while breastfeeding. Delayed gastric emptying can reduce the reliability of oral contraceptives. Menopause hormone therapy carries separate contraindications, including a history of hormone-sensitive cancer. Prescribing is subject to physician approval and is not guaranteed. Individual results vary and no outcome is promised.
Date reviewed: 7 August 2026. Pricing, the separate service fee, medication range, prescriber credentials, state exclusions and FDA disclosure wording were taken from Alloy's own site on that date and may change. We found no published cancellation or refund policy, no named compounding pharmacy, and no statement on HSA or FSA acceptance, and have said so rather than inferring them. Confirm your own all-in monthly cost and the refund terms directly with the provider before purchasing.
Affiliate Disclosure: This site may receive compensation from affiliate partners. This does not influence our editorial content or review ratings.