ClearedRx vs Alloy: Online Menopause Care Reviewed

Reviewed by ClearedRx Medical Network
Last updated May 7, 2026

The TL;DR comparison table

All prices and policies are from each company's public site as of May 2026.

Pricing showdown: the consult fee changes the math

Both services are cash-pay, so this is a clean apples-to-apples comparison. The biggest structural difference is Alloy's $25 one-time consult fee. ClearedRx doesn't charge one.

Alloy: what you really pay

Alloy's pricing, from myalloy.com:

• Initial consult: $25 once (with a menopause-specialist MD)
• Monthly HRT subscription: $49–$99 depending on the regimen
• Free shipping
• Refills are automatic, included in the subscription
• No insurance

Year-one math at Alloy's mid-tier ($75/mo): $25 consult + $900 in meds = $925. The low end ($49/mo): $25 + $588 = $613. The consult fee is the cleanest difference.

ClearedRx: what you really pay

Every tier is on one public page:

• No consult fee
• Progesterone-only: $19/mo (less than a Netflix subscription)
• Combination products: $49–$89/mo
• Half off your first order ($9.50–$44.50 for month one)
• Free shipping
• Unlimited messages with the doctor who wrote your prescription

Year-one math at our mid-tier ($69/mo with first month half-price): ~$793. Low-end ($19/mo with first month half-price): ~$219. For a wider market breakdown across telehealth, brand-name pharmacies, and compounded options, see our HRT cost comparison guide. The full process from intake to first shipment is on the how it works page, and the complete menu is at treatments.

The doctor experience, fairly

Both services use MDs — that's the similarity. The relationship feels different.

Alloy: same doctor every time

Alloy was built on the idea that menopause care is better when the same MD knows your case. Here's how that works:

• Your intake goes to one specific doctor on Alloy's women's-health panel
• That doctor handles your dose changes, refills, and ongoing care
• Over time, she knows what you've tried, what worked, what didn't — without re-explaining
• The MD panel is curated for menopause and women's health specifically

If you want to feel "seen" by one doctor — especially if your symptoms are layered or you've been through the HRT-adjustment rodeo before — that continuity is genuinely valuable. It's the closest telehealth gets to having a regular gynecologist for menopause.

ClearedRx: a network of MDs, your full chart

ClearedRx routes each intake to the next available board-certified MD. Here's how that works:

• 3-minute intake online
• An MD reviews your full chart within 24 hours and writes the prescription
• For follow-ups (yearly check-ins, dose tweaks), any MD in the network can read your full history — the chart is the memory, not one doctor's head
• Unlimited messaging with the doctor who prescribed your current treatment

The trade-off: you don't get the same name on every visit, but you do get speed and a lower price. For most menopause cases — where the prescribing decisions are already spelled out in NAMS guidelines — the chart is what matters most.

"The MD-only model is real and worth paying for. The question is whether you're paying for the panel — or for the named-provider continuity. Those are two different products." — ClearedRx Medical Network

Treatment depth: how the hormone gets in

Both services carry the main HRT routes. Both prescribe through-the-skin estradiol, oral micronized progesterone, vaginal estrogen, and topical creams. The depth is similar.

Two formulary differences worth knowing:

• 3-in-1 body cream. Our combination cream puts estradiol, progesterone, and testosterone in one application — a one-prescription solution that's uncommon in telehealth menopause. Alloy can prescribe testosterone when needed, but usually as a separate script.
• Vaginal ring. Both carry the vaginal estradiol ring (lasts 3 months) for dryness, painful sex, and bladder symptoms.

The clinical reasoning is the same either way: through-the-skin is preferred if you have clotting risk, oral is fine for low-risk patients, and vaginal-only is the right call for isolated dryness. More detail in the HRT types explained guide and the is HRT safe evidence review.

Where Alloy actually wins

Alloy has real advantages over us in three places. We're not pretending otherwise:

• The same doctor, every visit. If you want one ongoing clinical relationship, Alloy delivers that. Our network model is chart-based, not relationship-based.
• A women's-health specialty panel. Alloy curates its doctors specifically for menopause. Our MDs are board-certified and credentialed — but not always women's-health subspecialists.
• Brand cred in menopause media. Alloy has strong recognition with menopause journalists, podcasters, and patient communities. The brand carries real weight in this niche.

Where ClearedRx wins

• Lower entry price. $19/mo for progesterone-only — the lowest entry tier in telehealth menopause. Alloy starts at $49.
• No consult fee. Alloy charges $25 once. We bake the doctor review into the monthly.
• Faster review. 24 hours after intake (published) vs. several business days at Alloy.
• Half off your first order. Month one runs $9.50–$44.50.
• Prices visible before the quiz. Every tier on our public pricing page.
• 3-in-1 body cream as one prescription instead of three.

Who should choose Alloy

Alloy is the right pick if any of this sounds like you:

• You strongly want one named MD you can return to — not a network of doctors.
• You're fine paying a $25 consult fee once for that continuity.
• The women's-health specialty panel is a real trust signal for you.
• Your case is layered (multiple symptoms, history with HRT, complicated perimenopause) and you want one doctor to hold the whole picture.
• You don't mind waiting several business days for the first prescription.

Who should choose ClearedRx

ClearedRx is the right pick if any of this sounds like you:

• You want a board-certified MD reviewing your case, but you don't need the same name every time.
• You'd rather skip the $25 consult fee.
• Your symptoms are disrupting your day right now, and 24 hours feels better than next week.
• You're starting with progesterone-only or a low-dose regimen, and the $19 entry tier matters.
• You want to see the price before you start the intake.
• You want the 3-in-1 body cream as one product instead of three separate scripts.

The bottom line

Already seen a menopause specialist and just need a steady refill provider with a flat monthly bill? ClearedRx is the cleaner fit. Never had a menopause-specific conversation and want one named MD to walk through it with you? Alloy's model genuinely serves that. For the clinical guidance both services work within, see ACOG's menopause practice guidance and the NAMS Hormone Therapy Position Statement.

Frequently asked questions