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Head-to-head for women

Alloy vs Good Girl Rx

Alloy and Good Girl Rx 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

Higher score

Ranked #43 for women · Grade B−

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 Alloy
vs

Good Girl Rx

Ranked #60 for women · Grade C

Best for: Women who want injectable, microdose, sublingual and brand-name routes on one account and are reading the safety page as carefully as the price page.

FDA warning letterFebruary 2026Read it ↗Visit Good Girl Rx

The verdict for women

Higher Luna Fit Score: Alloy

Alloy edges out Good Girl Rx on the Luna Fit Score, 82 to 76 (B− vs C). 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. The reasoning behind that number is in what we found reviewing Alloy.

Good Girl Rx is still a genuine option — a women-first brand with the clearest contraception guidance we found anywhere in this ranking — and an FDA warning letter for how it labeled its compounded products, which is the reason it does not rank higher. Weigh the six women's-health factors below against your own priorities; what we found reviewing Good Girl Rx goes through each of them, and if neither of these two is the one, our ranked shortlist of Good Girl Rx alternatives 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.

Alloy Good Girl Rx
PCOS & hormonal suitability8885
Alloy
Good
Clinical oversight & labs8468
Alloy
Good
Price transparency7874
Alloy
Good
Nationwide access7092
Alloy
Good
Ongoing support9378
Alloy
Good
Cancellation fairness7655
Alloy
Good

Price, access & features

DetailAlloyGood Girl Rx
Luna Fit Score82/100 · B−76/100 · C
Overall rank#43#60
SemaglutideFrom $169/mo all-in ($70 medication + $99 membership)$179/mo month-to-month (from $134/mo on a 12-month prepay)
TirzepatideFrom $199/mo all-in ($100 medication + $99 membership)$329/mo month-to-month (from $235/mo on a 12-month prepay)
CoverageNot disclosed; compounded excluded in 6 states and DCAll 50 states
Brand-name accessYesYes
Oral / sublingualYesYes

Alloy

Ranked #43 · Grade B−

What we like

  • Prescribers hold the Menopause Society Certified Practitioner credential — the only ranking 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

Good Girl Rx

Ranked #60 · Grade C

What we like

  • The best contraception guidance in the ranking: a two-month semaglutide washout before a planned pregnancy, and a warning that tirzepatide can blunt oral contraceptives for four weeks after starting AND after every dose increase
  • Four routes for each molecule — injection, microdose, sublingual dissolving tablet and brand — so a switch does not mean changing provider
  • Publishes a full per-plan price table for every product rather than one headline figure

The caveats

  • Every advertised 'from' price is a 12-month plan paid upfront, and dispensed prescriptions are final sale — a year's commitment with no way back
  • The microdose one-month rate is HIGHER than the standard injection one-month rate; the microdose discount exists only on prepay
  • Prices are described as an 'average monthly cost', so the flat-looking tiers may not be flat

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 Good Girl Rx 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. Good Girl Rx is also written up against CoreAge Rx, 17 points apart — see how Good Girl Rx and CoreAge Rx compare on the Luna Fit Score.

Or browse the full comparison hub.