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Head-to-head for women

Alloy vs Sprout Health

Alloy and Sprout Health 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−

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.

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vs

Sprout Health

Higher score

Ranked #10 for women · Grade B

Best for: Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

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The verdict for women

Higher Luna Fit Score: Sprout Health

Sprout Health edges out Alloy on the Luna Fit Score, 84 to 82 (B vs B−). Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding. The reasoning behind that number is in our Sprout Health write-up for women.

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.

Alloy Sprout Health
PCOS & hormonal suitability8883
Alloy
Sprout
Clinical oversight & labs8480
Alloy
Sprout
Price transparency7889
Alloy
Sprout
Nationwide access7082
Alloy
Sprout
Ongoing support9385
Alloy
Sprout
Cancellation fairness7683
Alloy
Sprout

Price, access & features

DetailAlloySprout Health
Luna Fit Score82/100 · B−84/100 · B
Overall rank#41#10
SemaglutideFrom $169/mo all-in ($70 medication + $99 membership)$149/mo
TirzepatideFrom $199/mo all-in ($100 medication + $99 membership)$199/mo
CoverageNot disclosed; compounded excluded in 6 states and DCNot disclosed
Brand-name accessYesYes
Oral / sublingualYesInjection only

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

Sprout Health

Ranked #10 · Grade B

What we like

  • LegitScript-certified with a listed address and contact line
  • Both compounded ($149 semaglutide / $199 tirzepatide) and a genuine brand-name Wegovy/Zepbound route
  • Low-friction intake — no labs and often no telehealth visit required

The caveats

  • Compounded semaglutide and tirzepatide are not FDA-approved
  • No oral or sublingual route — injectable only
  • Thin transparency — no named medical director, and state availability is quiz-gated

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 Sprout Health 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. Sprout Health is also written up against CoreAge Rx, 9 points apart — see the Sprout Health–CoreAge Rx head-to-head.

Or browse the full comparison hub.