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Alloy vs Ro

An in-depth comparison of two leading GLP-1 Providers

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7.4

Alloy

Best for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory
★★★3.7

Starting at $80/mo

Brand WegovyBrand ZepboundCompounded SemaglutideCompounded Tirzepatide
Visit Alloy
7.9

Ro

Best for broadest GLP-1 formulary including Foundayo on day-one of launch
★★★★4

Starting at $149/mo

FoundayoSemaglutideTirzepatideWegovy
Visit Ro

Side-by-Side Comparison

FeatureAlloyRo
Overall Score7.4/107.9/10
Starting Price$80/mo$149/mo
Editorial Rating3.7 ★ /54 ★ /5
Features8 features7 features
States Available00
Compounded✓ Yes
Brand Name✓ Yes✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

Alloy

Pros

  • Broadest GLP-1 formulary in our catalog: brand Wegovy + brand Zepbound + oral Wegovy + compounded semaglutide + compounded tirzepatide + compounded liraglutide
  • All consulting doctors are certified by The Menopause Society — only ~1,000 such certified practitioners exist among ~20,000 OB-GYNs in the US
  • Brand-name Wegovy starting at $199/mo and compounded liraglutide starting at $80/mo cover both ends of the price/access spectrum
  • STARTGLP1 promo code knocks $50 off the first month per the public site

Cons

  • Not available in Louisiana or Mississippi (verified) — readers in those two states should be routed elsewhere
  • Initial consultation is $49 and is separate from medication cost — readers should know there's a non-refundable upfront fee
  • Menopause-specialty framing — best fit for women in menopause/perimenopause, not the right product for men or younger women whose primary need is weight loss

Ro

Pros

  • Most comprehensive GLP-1 formulary in telehealth — compounded semaglutide, brand-name Wegovy, brand-name Zepbound, and the new oral Foundayo (orforglipron) all available on one platform
  • Among the first telehealth providers to launch Foundayo on day one of the Lilly partner rollout (April 9 2026)
  • Clinician-led plan selection — 'patients connect with a licensed provider and, if appropriate, determine which GLP-1 is the best option based on their insurance coverage, the cost, and their unique clinical needs and health goals'
  • Nationwide delivery network — Ro reports having served patients in 'nearly every single county in the United States, including 99% of primary care deserts'
  • Both cash-pay and insurance-eligible options under one roof

Cons

  • Foundayo on Ro requires a recurring membership in addition to the $149/mo cash drug price — total monthly cost is higher than the headline number
  • Specific Foundayo dose-tier pricing above the lowest dose not publicly disclosed in the launch announcement — needs intake to confirm
  • State availability and pharmacy partners not itemized publicly — requires signup intake to verify
  • Like all telehealth GLP-1 providers, Ro charges separately for the program (membership) and the medication; users sometimes confuse the bundled vs. unbundled pricing models

Our Verdict

Winner: RoScore: 7.9/10

Ro edges out Alloy with a higher overall score of 7.9/10 and is particularly strong for broadest GLP-1 formulary including Foundayo on day-one of launch. Alloy remains a solid alternative, especially if you're looking for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory.

Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.