Both are built around midlife and menopausal women rather than the general market, and both treat GLP-1 therapy as one part of a hormonal picture rather than a standalone product. If weight gain arrived alongside perimenopause, either is a better fit than a general platform.
The difference is structural: Midi charges no membership but bills for visits, while Alloy charges a membership that includes unlimited physician messaging.
Midi Health
Menopause-specialist care with no-membership GLP-1 pricing
Alloy Women's Health
Menopause-specialist weight care with brand and compounded from $70
Where they actually differ
| Midi Health | Alloy Women's Health | |
|---|---|---|
| Membership fee | None | $99/mo |
| Compounded semaglutide | From $164 per 4-week supply (sublingual) | From $70/mo |
| Realistic monthly floor | $164 medication, plus visits if uncovered | About $169 all in |
| Visit fees | $250 initial, $150 follow-up if not covered | Included in membership |
| Insurance | In-network with most PPO plans for visits | Not stated |
| Brand-name options | Sent to your pharmacy of choice | Zepbound from $299, Wegovy pen $199, Wegovy/Foundayo pill $149 |
| Needle-free option | Sublingual GLP-1 and GLP-1/GIP | Daily oral GLP-1, plus Wegovy and Foundayo pills |
| Shipping | Included in medication price | Free delivery included |
Fees and policies side by side
| Midi Health | Alloy Women's Health | |
|---|---|---|
| Medication type | Compounded and brand-name | Compounded and brand-name |
| Membership fee | None. Midi states there are no membership fees and you pay only for care and medication. | $99/mo, with $50 off the first month for new customers using code STARTGLP1. |
| Insurance | Midi is in-network with most PPO plans for visits. Coverage varies, and deductibles, coinsurance and copays may still apply. | Not stated on the weight page. |
| HSA / FSA | Not stated on the pages we reviewed. | Not stated on the weight page. |
| Cancellation | Not stated on the pages we reviewed. | Not stated on the weight page. |
| Refunds | Not stated on the pages we reviewed. | Not stated on the weight page. |
| Pharmacy fulfillment | Compounded medication is shipped to the patient with shipping included in the price. Brand-name prescriptions go to your pharmacy of choice. | Free delivery directly to your door. Alloy does not publicly name its compounding pharmacies. |
Drawn from each company's own published pages as of August 3, 2026. Where a company does not publish something, it says so rather than showing an estimate.
Choose Midi Health if…
You have a PPO plan Midi is in-network with — that makes the visit fees largely disappear and leaves you paying medication only, with no membership. Also the better sublingual option.
Choose Alloy Women's Health if…
You want everything bundled with unlimited physician messaging and no per-visit charges, or you want the widest medication menu — Alloy spans compounded semaglutide, tirzepatide and liraglutide plus four brand-name options in one programme.
Bottom line
Close on total cost. Midi wins if your PPO covers the visits; Alloy wins on medication choice and predictability of billing.
Frequently asked questions
Do I need to be menopausal to use either?
Both are oriented to midlife and menopausal women, and their clinicians specialise in that transition. Neither is restricted to it, but that specialisation is the reason to choose them over a cheaper general platform.
Which is cheaper?
Roughly comparable at around $164–$169 a month at entry, but the shape differs. Alloy's is predictable; Midi's depends on whether your insurance covers the visits.
Can either manage HRT alongside a GLP-1?
Yes — that is the main argument for both. Managing hormone therapy and weight treatment in one practice is what a general GLP-1 platform cannot offer.
Other comparisons
- CoreAge Rx vs Trimi — Which $99 flat-price GLP-1 program should I pick?
- LillyDirect vs Amazon Pharmacy — Where should I fill a Zepbound prescription?
- Trimi vs TrimRx — Trimi or TrimRx — which is which, and which is cheaper?
- NovoCare Pharmacy vs Trimi — Is compounded semaglutide still worth it versus buying the real thing?
- Klinic vs DevotedDoc — Who will actually fight my insurance denial?
Medical disclaimer
This comparison is general information, not medical advice. GLP-1 medications are prescription drugs with serious potential risks and are not right for everyone. Talk to a licensed healthcare professional about your own medical history before starting, stopping, or changing treatment. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. Pricing changes frequently — verify current rates directly. We may earn a commission from some links on this page; see our affiliate disclosure.
Date reviewed: August 3, 2026