Head-to-head for women
Alloy vs Enhance MD
Alloy and Enhance MD both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.
Alloy
Ranked #41 for women · Grade B−
Luna Fit
Best for: Women in perimenopause or menopause who want the clinician managing their weight to be the same one who understands their hormones — and who can absorb a membership fee on top of the drug price.
Visit AlloyEnhance MD
Higher scoreRanked #2 for women · Grade A−
Luna Fit
Best for: Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes.
Visit Enhance MDThe verdict for women
Enhance MD edges out Alloy on the Luna Fit Score, 92 to 82 (A− vs B−). Women who want fully transparent tiered pricing — including a microdose entry and a combo option — plus recurring metabolic lab work, and who don't need brand-name or oral routes. The reasoning behind that number is in the Enhance MD scorecard.
Alloy is still a genuine option — the only program on this board built for midlife first: your prescriber is a Menopause Society–certified physician, and weight care sits alongside a full hormone-therapy line rather than being sold in isolation. Weigh the six women's-health factors below against your own priorities; what we found reviewing Alloy goes through each of them, and if neither of these two is the one, the Alloy alternatives, scored on the same six factors widens the field.
Side-by-side on the six factors
Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.
Price, access & features
| Detail | Alloy | Enhance MD |
|---|---|---|
| Luna Fit Score | 82/100 · B− | 92/100 · A− |
| Overall rank | #41 | #2 |
| Semaglutide | From $169/mo all-in ($70 medication + $99 membership) | $212/mo |
| Tirzepatide | From $199/mo all-in ($100 medication + $99 membership) | $280/mo |
| Coverage | Not disclosed; compounded excluded in 6 states and DC | All 50 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
Luna Fit
Alloy
Ranked #41 · Grade B−
What we like
- Prescribers hold the Menopause Society Certified Practitioner credential — the only board entry where that is true of named clinicians
- The widest formulary here: compounded semaglutide, tirzepatide and liraglutide, plus brand Wegovy, Zepbound and the Wegovy and Foundayo pills
- Oral routes are FDA-approved brand pills, not a compounded workaround, for women who will not inject
The caveats
- The $99/mo membership is charged on top of every medication price, so the headline figure is not what you pay
- Every price is quoted 'starting at' with no published dose table — the rate can move as you titrate
- Compounded medication is unavailable in six states and DC, and the overall coverage footprint is not published anywhere on the site
Luna Fit
Enhance MD
Ranked #2 · Grade A−
What we like
- Unusually transparent tiered pricing — semaglutide $212/mo (first month $112), tirzepatide $280/mo, microdose $169/mo, and a combo option at $322/mo
- Dose-flat billing, so a titration up doesn't quietly raise your monthly cost
- Six-month metabolic lab testing with provider oversight — a real clinical loop, not a prescription-only handoff
The caveats
- Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
- No brand-name path and no oral or sublingual route for the needle-averse
- Licensed in all 50 states, though their own FAQ lists product as launched in 40 plus DC so far — worth confirming your state before you start
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.
More head-to-heads
Neither Alloy nor Enhance MD is only worth comparing with the other. Alloy is also written up against CoreAge Rx, 11 points apart on the Luna Fit Score — see Alloy vs CoreAge Rx for women. Enhance MD is also written up against CoreAge Rx, 1 point apart — see the Enhance MD–CoreAge Rx head-to-head.
- Alloy vs CoreAge Rx
- Alloy vs yourEra
- Alloy vs Sesame Care
- Enhance MD vs HealthRX
- Enhance MD vs Strut Health
- Enhance MD vs MadeMed
Or browse the full comparison hub.