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Alloy vs Midi Health: Which Is Better?

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

Our Verdict

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 73.3/100), leading on value, reputation. Alloy comes out ahead on product range. Alloy has the lower entry price (from $23/mo vs $50/mo), so the better value depends on which treatment you need.

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

Midi Health

Good

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

Visit Midi Health

Score Breakdown

Dimension	Alloy	Midi Health
Overall Score	73.3/100	74.8/100 ✓
Trust & Safety30%	78/100	78/100
Value25%	68/100	72/100 ✓
Experience20%	74/100	74/100
Product Range15%	75/100 ✓	72/100
Reputation10%	68/100	78/100 ✓

At a Glance

Founded	2021	2021
Headquarters	New York, NY	Menlo Park, CA
Publicly traded	No	No
Treatment categories	2	3
Treatments listed	5	3
Starting price	$23/mo	$50/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.

Category	Alloy	Midi Health
Hormone Therapy	$23 Progesterone	$50–$250 Menopause & Perimenopause Care (HRT, non-hormonal)
Women's Health	—	—

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 →

Midi Health

+In-network with most major commercial PPO plans, which third-party reviewers put at roughly $50 out of pocket per visit

+Clinicians trained specifically in menopause care, prescribing both FDA-approved HRT and non-hormonal options and ordering labs and imaging

+No membership fee; self-pay is per visit ($250 first, $150 follow-up), which is cheaper than a monthly plan for patients on a stable regimen

−Billing is the dominant complaint: BBB logs 64 complaints in three years, mostly surprise balances after insurance confirmations

−Medicare, Medicaid and Medi-Cal are not accepted, excluding many women in the core menopause age group

−Compounded GLP-1 pricing is published only as a 'from $164 per 4-week supply' floor; dose-level prices require a visit

Read the full Midi Health review →

Alloy vs Midi Health — FAQ

Is Alloy better than Midi Health?

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Is Alloy or Midi Health cheaper?

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Alloy has the lower starting price (from $23/mo vs $50/mo for Midi Health). 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 Midi Health both offer?

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Both platforms treat Hormone Therapy, Women's Health. Alloy covers 2 treatment categories total and Midi Health covers 3.

Still deciding?

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