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Alloy vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Alloy and Twentyeight 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

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 73.3/100), leading on value, reputation. Alloy comes out ahead on trust & safety, experience, product range.

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
75

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionAlloyTwentyeight Health
Overall Score73.3/10075/100 ✓
Trust & Safety30%78/100 ✓76/100
Value25%68/10080/100 ✓
Experience20%74/100 ✓72/100
Product Range15%75/100 ✓72/100
Reputation10%68/10070/100 ✓

At a Glance

Founded20212018
HeadquartersNew York, NYBrooklyn, NY
Publicly tradedNoNo
Treatment categories24
Treatments listed57
Starting price$23/mo$15/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.

CategoryAlloyTwentyeight Health
Women's Health—$15–$19.99
Complete Care Membership

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 →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Alloy vs Twentyeight Health — FAQ

Is Alloy better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 73.3/100), leading on value, reputation. Alloy comes out ahead on trust & safety, experience, product range.

Is Alloy or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $23/mo for Alloy). 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 Twentyeight Health both offer?

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Both platforms treat Women's Health. Alloy covers 2 treatment categories total and Twentyeight Health covers 4.

Still deciding?

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