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Head-to-head for women

Alloy vs Trimi

Alloy and Trimi 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

Trimi

Higher score

Ranked #8 for women · Grade B

Best for: Cost-conscious women who want nationwide access to both molecules — including tirzepatide for insulin-resistant PCOS — at the lowest sticker price, and who don't need brand-name or oral routes.

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The verdict for women

Higher Luna Fit Score: Trimi

Trimi edges out Alloy on the Luna Fit Score, 84 to 82 (B vs B−). Cost-conscious women who want nationwide access to both molecules — including tirzepatide for insulin-resistant PCOS — at the lowest sticker price, and who don't need brand-name or oral routes. The reasoning behind that number is in what we found reviewing Trimi.

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 Trimi
PCOS & hormonal suitability8884
Alloy
Trimi
Clinical oversight & labs8478
Alloy
Trimi
Price transparency7892
Alloy
Trimi
Nationwide access7090
Alloy
Trimi
Ongoing support9380
Alloy
Trimi
Cancellation fairness7680
Alloy
Trimi

Price, access & features

DetailAlloyTrimi
Luna Fit Score82/100 · B−84/100 · B
Overall rank#41#8
SemaglutideFrom $169/mo all-in ($70 medication + $99 membership)$129/mo
TirzepatideFrom $199/mo all-in ($100 medication + $99 membership)$229/mo
CoverageNot disclosed; compounded excluded in 6 states and DCAll 50 states
Brand-name accessYesCompounded only
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

Trimi

Ranked #8 · Grade B

What we like

  • Among the lowest published prices we track on both semaglutide and tirzepatide
  • Both molecules on one membership — tirzepatide matters where insulin resistance drives PCOS weight
  • Nationwide across all 50 states with free shipping

The caveats

  • Compounded only — no FDA-approved Ozempic/Wegovy or Mounjaro/Zepbound
  • Injectable only — no oral or sublingual route for the needle-averse
  • Dispensing pharmacy isn't publicly named, so the third-party oversight signal is thinner

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 Trimi 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. Trimi is also written up against CoreAge Rx, 9 points apart — see Trimi vs CoreAge Rx for women.

Or browse the full comparison hub.