HRT › Head-to-head comparison
Alloy vs Gennev
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Alloy — 8.4/10 vs 8/10, $650/yr cheaper
★ Our Pick
Alloy
$49/mo — affordable HRT with strong women's community
8.4/10
Monthly
$49/mo
True Annual
$738/yr
Labs
✗ Extra
States
Most states
Pros
✓Lowest cash-pay price
✓Strong women's community
✓Multiple delivery options
Cons
✗Labs not included
VS
Gennev
OB/GYN-led menopause care with education focus
8/10
Monthly
$99/mo
True Annual
$1,388/yr
Labs
✗ Extra
States
Most states
Pros
✓OB/GYN led care
✓Menopause-specialist clinicians
✓Education-first approach
Cons
✗Labs not included
✗Higher than budget options
Side-by-side comparison
| Feature | Alloy | Gennev |
|---|---|---|
| Monthly price | $49/mo | $99/mo |
| True annual cost | $738/yr | $1,388/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | patch, cream, pill | patch, cream, pill |
| Editorial score | 8.4/10 | 8/10 |
| Trustpilot | 4.5★ | 4.3★ |
| State availability | Most US states | Most US states |
Our verdict
Alloy (8.4/10) is our pick over Gennev (8/10) for most patients. At $738/yr vs $1,388/yr, Alloy saves you $650 per year.
Gennev may be a better fit if you prefer Gennev's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
More HRT comparisons
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$49/mo vs $99/mo · 8.4 vs 8.1 score
Alloy vs Evernow
$49/mo vs $35/mo · 8.4 vs 7.9 score
Gennev vs Midi Health
$99/mo vs $0/mo · 8 vs 9.1 score
Gennev vs Sesame Care
$99/mo vs $16/mo · 8 vs 8.3 score