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Best Fem Excel Alternatives

Fem Excel scores 63.9/100 in our independent evaluation, but it isn't the right fit for everyone. The most common reasons people look elsewhere: mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping; and medications are billed every two months, doubling each charge. Here are the 8 brands that compete with it most directly, ranked by category overlap and overall score.

Read our full Fem Excel review for the complete score breakdown.

#1
75
Good
Midi Health

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

  • ▸Higher overall score (74.8/100 vs 63.9/100)
  • ▸Stronger trust & safety score (78 vs 66)
  • ▸Better value score (72 vs 60)
#2
75
Good
Joi + Blokes

Combined men's and women's hormone-health telehealth brand offering TRT, BHRT, GLP-1 weight loss, peptide/longevity add-ons, and sexual-health treatment with no membership or consult fees.

  • ▸Higher overall score (74.6/100 vs 63.9/100)
  • ▸Better value score (78 vs 60)
  • ▸Lower starting price ($59/mo vs $108/mo)
#3
75
Good
Winona

Women-focused telehealth delivering personalized bioidentical hormone replacement therapy for menopause, with in-house compounding pharmacies across 33 states.

  • ▸Higher overall score (74.5/100 vs 63.9/100)
  • ▸Better value score (75 vs 60)
  • ▸Lower starting price ($9/mo vs $108/mo)
#4
73
Good
AgelessRx

AgelessRx is an Ann Arbor-based longevity telehealth company that prescribes rapamycin, metformin, low-dose naltrexone and NAD+, and also sells compounded and branded GLP-1s.

  • ▸Higher overall score (73.4/100 vs 63.9/100)
  • ▸Stronger trust & safety score (72 vs 66)
  • ▸Better value score (74 vs 60)
#5
73
Good
Alloy

Cash-pay menopause and perimenopause telehealth platform prescribing hormone therapy across multiple formats plus adjacent GLP-1, skincare, and sexual-wellness treatment.

  • ▸Higher overall score (73.3/100 vs 63.9/100)
  • ▸Stronger trust & safety score (78 vs 66)
  • ▸Better value score (68 vs 60)
#6
73
Good
Pandia Health

Doctor-founded women's telehealth service with its own San Jose pharmacy, delivering birth control from $15/pack and offering menopause care memberships from $34.99/mo.

  • ▸Higher overall score (72.7/100 vs 63.9/100)
  • ▸Stronger trust & safety score (78 vs 66)
  • ▸Better value score (74 vs 60)
#7
71
Good
Healthspan

Healthspan is a Santa Monica-based longevity clinic built around clinician-guided rapamycin protocols, with add-on hormone, metabolic and brand-name GLP-1 care under a $99/mo membership.

  • ▸Higher overall score (71.3/100 vs 63.9/100)
  • ▸Stronger trust & safety score (72 vs 66)
  • ▸Better value score (68 vs 60)
#8
71
Good
Precision Telemed

Precision Telemed is a family-owned Tampa telehealth practice offering video-visit-based compounded GLP-1s, TRT, women's HRT, NAD+ and peptides at flat all-dose prices.

  • ▸Higher overall score (70.9/100 vs 63.9/100)
  • ▸Better value score (78 vs 60)
  • ▸Lower starting price ($50/mo vs $108/mo)

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