Alloy review

What I actually think of Alloy

Alloy has the widest medicine cabinet of anyone I have reviewed. Brand Zepbound and its ready-to-use KwikPen. Brand Wegovy as a pen and as a pill. The new oral Foundayo. Compounded semaglutide, tirzepatide and liraglutide. Seven ways in, from doctors who specialise in midlife hormones rather than weight generally, and an intake you can finish at eleven at night with no appointment anywhere in it. That combination is genuinely unusual and it is why this one scores as well as it does.

The catch is a single line that appears on every product page and that people's eyes slide right past: $99 a month, on top of whatever the medicine costs. Alloy is upfront about it — it is printed on the same card as the price, not buried in terms — but the number you will remember from the page is "$70" and the number that leaves your account is $169.

The maths, done properly

Always add two numbers. The Alloy Weight Care fee is $99 and it is not optional. Then: compounded semaglutide from $70, compounded tirzepatide from $100, compounded liraglutide from $115, the Wegovy pill and Foundayo from $149, the Wegovy pen from $199, Zepbound from $299. So the honest floor is about $169 a month, and the brand routes land between roughly $250 and $400. Your first month is $50 lighter with the code STARTGLP1, which puts month one at $119 on compounded semaglutide.

Two things I would want a friend to know before she signs. First, every one of those figures is a "starting at" price and there is no dose table anywhere on the site — Wegovy is shown as $199 against a struck-through $499 with nothing at all explaining which doses land where in that range. Second, on the brand products you are billed by two companies in the same month: Alloy takes the $99, and then your prescription goes to NovoCare or LillyDirect, who send you their own link to pay for the drug.

And while I am correcting things: Alloy does not charge a $49 consultation fee. You will see that figure on comparison sites — one of ours included — and it is wrong. There is no consult fee. The $49 is what the first month of the $99 membership costs once the $50 code comes off it. I mention it because if you budgeted a $49 consultation and a $70 vial, you budgeted $119 for something that costs $169 a month from month two.

No appointment, and I checked

I walked the public funnel. Every product page shows its price and its state restrictions before you start. "Start Now" opens a plain overview — initial doctor consultation, then ongoing care, "Cancel anytime" — and one button marked Continue with Intake. That button is where I stopped, because behind it is the medical questionnaire itself and I do not fill those in.

What Alloy publishes about the far side matches what the funnel implies: no scheduled visit anywhere. Its help centre describes the flow as an intake that "an Alloy provider reviews" before deciding the next step, and the site's own timeline reads "Tell Us About Yourself (5-10 minutes) → Connect with a Doctor → Get a Plan (less than 12 hours)." Then the same physician stays yours, and messaging her is included in the $99 rather than billed per visit. For a mom, an async intake plus unlimited messaging with one named doctor is a much better shape than a cheap vial and a support inbox.

The pill is not a workaround

Alloy's needle-free options are the Wegovy pill and Foundayo — FDA-approved tablets with their own trials and their own labels, not a compounded under-the-tongue drop. That distinction matters and a lot of sites blur it. If the injection is what has stopped you for two years, this is a real route, not a workaround. The tablets do not match the highest injectable doses on average weight loss, and Alloy's own page is straight about that too.

Where it falls down

State coverage is the weakest part of the record. Alloy cannot serve weight care patients in Louisiana or Mississippi at all. In Alabama, Arkansas, California, Nevada and Washington DC it offers brand medication only — the compounded half of the menu, which is the affordable half, is unavailable. California alone makes that a lot of people.

It takes no insurance, for anything, by policy, and says so plainly. Cancelling the compounded products is a few clicks in your account; cancelling a brand product is two steps in two places — cancel the membership at Alloy, then contact Eli Lilly or NovoCare yourself to stop the refills. Miss the second and the medicine keeps arriving. And nothing can be returned, ever, for any reason.

So, would I use it?

If I were in perimenopause and wanted one doctor handling both the hormone side and the weight side, with a real choice of medicine and no appointment to schedule — yes, and happily. Alloy is the only provider here that treats those as one conversation. If the monthly number is the whole decision, the $99 fee makes it a harder sell than its "$70" headline suggests, and my cheapest-first board is the faster read. For most moms I would still start with CoreAge Rx — one flat price, no second bill — and you can weigh them side by side in this comparison.