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Alloy vs Fem Excel: Which Is Better?

Head-to-head comparison of Alloy and Fem Excel based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Alloy scores higher overall in our independent evaluation (73.3/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

73
Alloy
Good

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

Visit Alloy
64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel

Score Breakdown

DimensionAlloyFem Excel
Overall Score73.3/100 ✓63.9/100
Trust & Safety30%78/100 ✓66/100
Value25%68/100 ✓60/100
Experience20%74/100 ✓72/100
Product Range15%75/100 ✓55/100
Reputation10%68/100 ✓64/100

At a Glance

Founded2021—
HeadquartersNew York, NYCharlotte, NC
Publicly tradedNoNo
Treatment categories22
Treatments listed55
Starting price$23/mo$108/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryAlloyFem Excel
Hormone Therapy$23
Progesterone
$114–$149
Testosterone for Women (compounded)
Women's Health—$108–$123
PCOS Support (metformin / spironolactone)

Alloy

+Cash-pay model with published starting prices across most hormone formats (pill, patch, spray/gel, vaginal cream)
+Chief Medical Advisor is a well-credentialed OB-GYN and menopause specialist, reinforcing clinical positioning
+Strong Trustpilot performance (4.3/5, 3,982 reviews) with recurring praise for consultation thoroughness
−Reviewers describe pricing as high relative to comparable HRT options, and quarterly billing can obscure the effective monthly cost
−Reports of formulation or dispensed-quantity inconsistency between refills of the same product
−Some patients describe feeling locked into a multi-month billing cycle before being able to transfer a prescription to an outside pharmacy
Read the full Alloy review →

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel review →

Alloy vs Fem Excel — FAQ

Is Alloy better than Fem Excel?

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Alloy scores higher overall in our independent evaluation (73.3/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

Is Alloy or Fem Excel cheaper?

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Alloy has the lower starting price (from $23/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Alloy and Fem Excel both offer?

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Both platforms treat Hormone Therapy, Women's Health. Alloy covers 2 treatment categories total and Fem Excel covers 2.

Still deciding?

Alloy alternativesFem Excel alternativesTake the Match Quiz