HRT › Head-to-head comparison
Winona vs Alloy
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Alloy — 8.4/10 vs 8.1/10, $450/yr cheaper
Winona
$99/mo — bioidentical HRT shipped to your door
8.1/10
Monthly
$99/mo
True Annual
$1,188/yr
Labs
✗ Extra
States
Most states
Pros
✓Bioidentical compounded hormones
✓No lab testing required
✓Fast onboarding
Cons
✗No labs included
✗Cream or pill only
VS
★ 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
Side-by-side comparison
| Feature | Winona | Alloy |
|---|---|---|
| Monthly price | $99/mo | $49/mo |
| True annual cost | $1,188/yr | $738/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | cream, pill | patch, cream, pill |
| Editorial score | 8.1/10 | 8.4/10 |
| Trustpilot | 4.4★ | 4.5★ |
| State availability | Most US states | Most US states |
Our verdict
Alloy (8.4/10) is our pick over Winona (8.1/10) for most patients. At $738/yr vs $1,188/yr, Alloy saves you $450 per year.
Winona may be a better fit if you prefer Winona's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
More HRT comparisons
Alloy vs Midi Health
$49/mo vs $0/mo · 8.4 vs 9.1 score
Alloy vs Sesame Care
$49/mo vs $16/mo · 8.4 vs 8.3 score
Alloy vs Gennev
$49/mo vs $99/mo · 8.4 vs 8 score
Alloy vs Evernow
$49/mo vs $35/mo · 8.4 vs 7.9 score
Winona vs Midi Health
$99/mo vs $0/mo · 8.1 vs 9.1 score
Winona vs Sesame Care
$99/mo vs $16/mo · 8.1 vs 8.3 score