Alloy review
Midlife-focused weight care with physician messaging and both compounded and FDA-approved brand options. Add the required $99 monthly care fee: compounded semaglutide starts at $169 all-in and tirzepatide at $199. These are starting figures, not a published maintenance-dose ladder. Compounds are unavailable in six states and DC.
- Six-factor Editors' Rating
- Source-based review
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
Alloy at a glance
- Semaglutide
- From $169/mo all-in ($70 medication + $99 Weight Care)
- Tirzepatide
- From $199/mo all-in ($100 medication + $99 Weight Care)
- Coverage
- Compounds unavailable in AL, AR, CA, NV, LA, MS and DC; confirm brand availability separately
- Brand-name
- Yes
How we scored Alloy
Each score comes out of Alloy's published pricing, disclosures and oversight, and the six combine into the 73/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.
Cost is unpredictable, premium, or hides behind a plan commitment.
Reasonable oversight, though some program details aren't fully public.
The headline rate obscures a plan requirement or a hidden step-up.
Workable around a household, though it isn't built around one.
Standard support — enough to stay on track, not high-touch.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Primary source
- The company's own site
Alloy pairs midlife weight care with menopause-specialized physicians. Its required $99 monthly care fee comes on top of medication, making the published compounded starting totals $169 for semaglutide and $199 for tirzepatide. It also offers branded medication, priced separately. The compound exclusion list and separate cancellation deadlines are important before enrolling.
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $169 | One-month supply, starting price with required care$70 starting medication price plus mandatory $99/month Weight Care. Higher-dose total not published; no flat-dose claim. STARTGLP1 reduces the first care month only, not the ongoing total. |
| Compounded tirzepatide | $199 | One-month supply, starting price with required care$100 starting medication price plus mandatory $99/month Weight Care. Confirm the quote for your prescribed dose. |
| Brand tirzepatide | $398 | Zepbound or KwikPen, starting dose with careStarting medication price $299 plus $99 Weight Care. Dose-specific ongoing quote needed. |
| Brand semaglutide | $298 | Wegovy pen, advertised starting price with careHomepage shows $199 beside $499 for medication; $99 care is additional. The lower advertised figure is not established as the unrestricted ongoing price. |
| Brand semaglutide | $248 | Wegovy pill, starting dose with careStarting medication price $149 plus $99 Weight Care; confirm the price as dose changes. |
| Brand orforglipron | $248 | Foundayo, starting dose with careStarting medication price $149 plus $99 Weight Care, subject to individual prescribing and dose. |
Swipe the table to see plan details →
GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Alloy's public disclosures at last review and change often; confirm the current number on Alloy's own site.
What we like
- Care is designed around midlife and menopause rather than a generic weight questionnaire
- Names physicians and publishes the required care fee alongside medication prices
- Unlimited physician messaging and treatment adjustment inside Weight Care
- Compounded and FDA-approved brand choices, with free delivery
The caveats
- The $99 monthly care charge is mandatory and separate from medication
- Starting medication figures do not establish the maintenance-dose bill
- Compounded options excluded in AL, AR, CA, NV, LA, MS and DC
- Membership and shipment cancellation have different notice periods
- A menopause focus does not establish suitability during pregnancy or breastfeeding
Alloy starts with menopause care, then adds the weight prescription
Alloy is worth considering if your weight questions sit alongside perimenopause or menopause symptoms and you would prefer one practice to discuss both. Weight Care belongs to a broader women’s health service offering hormone therapy, sexual-health treatment and other midlife care. The useful distinction is the clinical setting: weight management is one part of the practice, rather than the only product in the window.
That makes it a close fit for the questions in our perimenopause and appetite guide. It does not make a GLP-1 appropriate for every woman whose body has changed. You still need a prescription decision, and hormone treatment and weight treatment should each have a clinical reason. Paying for a menopause specialist is worthwhile only if the appointment addresses the problems you actually want help with.
The medication price is only one part of the bill
Alloy separates its $99 monthly Weight Care fee from the medication. Compounded semaglutide starts at $70 for a one-month supply, bringing the starting total to $169; compounded tirzepatide starts at $100, bringing that total to $199. Those are starting prices, not a promise that the same amount buys every dose. Ask for the ongoing total at your prescribed dose before agreeing to treatment.
The difference matters when comparing an all-inclusive program with Alloy. A competing $199 package and a $100 Alloy medication card are not comparable until the care fee is added. A first-month discount on that fee also leaves the medication bill in place. Judge the recurring amount you can afford, then treat any introductory saving as a temporary reduction.
Brand-name and compounded options are different choices
Alloy’s current weight menu includes Zepbound, Wegovy pens and tablets, Foundayo, and compounded semaglutide, tirzepatide and liraglutide. A broad menu gives the physician options, but it is not evidence that all these medicines are interchangeable or equally suitable for you. Ask which product is being prescribed and whether it is an FDA-approved finished medicine or a compounded preparation.
Its product pages make the compounding distinction explicit. Compounded medicines are not reviewed by FDA for safety, effectiveness or quality before marketing. If the recommended route is compounded treatment, ask why it meets your medical need and which pharmacy will dispense it. A choice of formulations is helpful; understanding the particular formulation matters more than having the longest menu.
What the care fee buys
The monthly fee includes messaging with a menopause-specialized physician, wellness check-ins, management of side effects, dose adjustments and longer-term planning. Those services are the argument for the separate fee. A clinician you can contact about nausea or a changing prescription can be more valuable than a lower headline price that leaves you without follow-up.
Alloy names medical leaders and physicians publicly, including Chief Medical Advisor Dr. Sharon Malone. That offers a clearer view of the practice than an anonymous claim about a medical team. It does not establish who your own clinician will be or guarantee a reply within a specific number of minutes. Before enrolling, ask how routine follow-up works and where urgent symptoms should be taken.
Availability depends on the medication
The compounded semaglutide and tirzepatide pages both exclude Alabama, Arkansas, California, Nevada, Louisiana, Mississippi and Washington, DC. If you live in one of those jurisdictions, do not assume the cheapest card is available simply because you can access the website. Brand-name availability needs its own confirmation during the prescription process.
The service is framed around midlife. That is useful for a mother dealing with menopause alongside family responsibilities, but it is not a postpartum or pregnancy program by default. Discuss pregnancy possibility, plans to conceive, breastfeeding and your other medicines with the treating clinician. A women’s health label does not remove medication-specific restrictions.
Cancellation has two clocks
Alloy’s terms distinguish canceling the membership from pausing a medication shipment. Membership cancellation is requested by email or through the dashboard at least seven days before the billing period ends. Shipment cancellation or pausing needs five business days before processing. Those deadlines can fall on different dates, so ask which action stops which charge.
The terms make membership and service fees nonrefundable. Medication supplied directly through a manufacturer channel is not refundable by Alloy. Save the cancellation confirmation and the next processing date; a message saying you no longer want treatment is more useful when it clearly addresses both care access and the next order.
Who should put Alloy on the shortlist
Alloy is a sensible comparison for a woman who values menopause-focused physician care and wants to discuss a branded option as well as compounded treatment. It is less compelling if your only goal is the lowest possible medication price or if the compound you want is unavailable in your state. Compare it with Allara Health and Evernow by the kind of care needed, not just the smallest number on a product tile.
The decision comes down to a clear prescription and an affordable combined bill. Get the product, dose, dispensing pharmacy, monthly care charge, medication charge and cancellation dates in writing. Alloy’s separate fee can be a reasonable way to pay for ongoing support, provided you are choosing that support deliberately and know what the next refill will cost.
The bottom line for mothers
Best for: A mother in perimenopause or menopause who values a physician familiar with midlife care and wants to discuss compounded and brand options together.
Alternatives to Alloy
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
- Visit Gala Health
One price at every dose: $249 for semaglutide or $299 for tirzepatide month to month, falling to $199 on three months and $129 or $179 on a prepaid year — a reasonable all-doses-included option, if you can live with a pharmacy the marketing never names.
- Visit RxSpan MD
RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the median price on our list, and the oral capsules cost the same or more than the injections.
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- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
Alloy, answered
- What does Alloy cost with medication included?
- The required Weight Care fee is $99/month. Adding the public starting drug prices makes compounded semaglutide from $169 and tirzepatide from $199 all-in. Ask for your dose-specific recurring quote; a first-care-month discount is not the standing price.
- Where are Alloy's compounded options available?
- Its own product pages exclude Alabama, Arkansas, California, Nevada, Louisiana, Mississippi and DC. Brand medication availability is a separate question to confirm with Alloy.
- How do I stop an Alloy subscription?
- The terms require membership cancellation at least seven days before the period ends, and shipment changes at least five business days before shipping. Confirm both deadlines; stopping the care membership and stopping a medication shipment are separate actions.
Pricing, states and verification reflect Alloy's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.