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Ranked #41 for women · Grade B−

Alloy review

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.

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Semaglutide
From $169/mo all-in ($70 medication + $99 membership)
Tirzepatide
From $199/mo all-in ($100 medication + $99 membership)
Coverage
Not disclosed; compounded excluded in 6 states and DC
Brand-name
Yes

The Luna Fit scorecard

Alloy scored on our six women's-health factors. See the methodology.

PCOS & hormonal suitability88/100
Clinical oversight & labs84/100
Price transparency78/100
Nationwide access70/100
Ongoing support93/100
Cancellation fairness76/100

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
  • Weight care and menopausal hormone therapy are handled by one practice, so nobody has to coordinate between two
  • The $99 membership buys unlimited messaging with that clinician, dose adjustments and side-effect management rather than being a bare access fee

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
  • No LegitScript or PCAB accreditation published, and the compounding pharmacy is not named
  • No scheduled lab or monitoring programme is committed to in writing
  • Refunds apply only to the first shipment of each product, and cancellations need five business days' notice

The bottom line

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. 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.

Ranked #41 of 54 providers we reviewed for women — see our #1 pick, CoreAge Rx, for comparison. Nationwide access is where Alloy scores lowest, at 70/100. If that is your sticking point, start with the alternatives to Alloy we rank for women.

Compare with other providers

All 53 other providers we've reviewed for women, in our overall ranking order. One of those comparisons is written out in full: Alloy vs CoreAge Rx for women, 11 points apart on the Luna Fit Score. Directly below Alloy sits Synergy Rx at #42 with 76/100 — see our ranked shortlist of Synergy Rx alternatives if that is the band you are shopping in.

Pricing, states and verification reflect Alloy's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on Alloy's site. Not medical advice; see our disclosure.

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