Alpha Hormones HRT Reviews for Women: $349 Plan, Costs & Fit

Alpha Hormones HRT reviews for women: what do the reviews actually say?

Alpha Hormones has a 4.8-star Trustpilot score from 512 reviews, with 93% five-star and 2% one-star when we checked on October 21, 2026. Most reviews praise providers who listen and take their time. But the profile mixes men's testosterone care, women's hormone care, weight loss and other services, and Alpha invites patients to review, so no single number is a women's-HRT score.

That doesn't make the reviews useless. It means you have to read them for the right thing. Reviews are good at telling you how it feels to be a patient: whether you got heard, whether the office called back, whether billing made sense. They can't tell you whether a hormone is right for your body.

Here's what each number really measures.

What each Alpha Hormones rating counts (checked October 21, 2026)

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Alpha Hormones HRT reviews for women: what do the reviews actually say?, table 1

Where you see it	The number	What it counts	Useful for	Not useful for
Trustpilot	4.8 out of 5 from 512 reviews; 93% five-star, 3% four-star, 2% one-star; 160 reviews in the last 12 months	Every Alpha service on one profile: men's, women's, weight care, primary care	How visits, staff and scheduling feel	A women's HRT success rate
Trustpilot labels	Alpha "asks customers to review." Many reviews are marked "Invited." Alpha has a paid Trustpilot subscription; the profile reported replies to 100% of negative reviews at our check.	Invitation and response context, not a separate patient sample	Spotting how the office responds when something goes wrong	Long-term results
Alpha's own website	"4.9, based on 330 reviews" from Google, shown in a widget on Alpha's homepage	Alpha's display of its Google reviews	A second view of service	Quoting as an independent check; we didn't confirm it on Google
Better Business Bureau	A+ rating; BBB accredited since June 11, 2021	How the business handles BBB matters and meets BBB's standards	Whether the business is real and responsive	Medical quality

A note on invited reviews: Trustpilot allows businesses to invite feedback and says paying businesses cannot pay to remove reviews. An invitation label does not make a review false. Some accounts describe an early visit, though, and praise for a first visit cannot tell you what month six looks like. (Trustpilot Trust Centre)

What women write about

We read through recent reviews and pulled ones that are clearly about women's hormone care or that describe the experience a woman considering Alpha would care about. Each is one person's account, not a typical result and not proof that a treatment works.

• Colleen C. (Trustpilot, invited, five stars, August 12, 2026) wrote that she had been struggling with "imbalanced hormones with menopause." She praised her doctor as caring and said she felt hopeful. She was hopeful about results, not reporting them yet.
• Gillian Parker (Trustpilot, invited, five stars, June 1, 2026) said virtual visits were convenient while getting her HRT adjusted, and that her provider, Kellie, was responsive through the patient portal.
• Cynthia Berumen (Trustpilot, invited, five stars; experience dated October 9, 2026): "I felt heard and didnt feel rushed."

A few provider names come up again and again in women's reviews: Julianne Humason, a family nurse practitioner; Kellie Klein, a physician assistant whom Alpha describes as experienced in women's health and reproductive endocrinology; and Dr. Rotana Steven Tek, the founder. If one of them is who you'd like to see, ask for them when you book.

Why the high rating doesn't settle your question

Three reasons.

The pool is mixed. Many of the most recent reviews are from men on testosterone or from couples treated together. A five-star review from a man on TRT tells you about the front desk, not about menopause care.

Many reviews come early. A first visit can feel wonderful. Billing, refills and cancelling happen later.

Reviews can't check medicine. No review can tell you whether a compounded cream is right for you, or whether you need progesterone. Documents and a clinician answer that.

So we use reviews for one job: finding where the service gets bumpy. The next section covers exactly that.

What are the complaints about Alpha Hormones?

The complaints we found are about booking glitches, an AI assistant that felt pushy, slow email replies, paying $100 for a short refill visit, a medication road block after insurance denied coverage, and a surprise lab bill that was later fixed. There aren't many, and Alpha replied publicly to each one we read.

Here they are, with dates. Each is one person's report. We can't confirm any of them, and Alpha may tell it differently.

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What are the complaints about Alpha Hormones?, table 2

Complaint theme	What the reviewer described (paraphrased)	Source and date	Alpha's public reply
Pushy AI assistant, slow email	Felt the AI assistant pushed them in a direction; email replies were slow; not a good fit	Trustpilot, 2 stars, September 4, 2026	Apologized; said texting (213) 334-4111 works best and gave a manager's email
Appointment cancelled after booking	Booked online, then the appointment was cancelled, delaying care	Trustpilot, 1 star, "Alex," April 29, 2026	Apologized; said the automated booking system was updated
Paying for a short refill visit	Said a $100 appointment just to refill medicine felt like a flawed system	Trustpilot, 3 stars, May 23, 2026; experience May 22	Acknowledged the frustration with the cost
Medicine stopped after insurance denial	Hit a "road block" getting medicine and felt left without help	Trustpilot, 2 stars, Emmanuel Prado, August 1, 2026	Said it submitted a prior authorization, the insurer denied it, and offered help with an appeal or alternatives
Surprise lab bill	Got a $500+ bill for four lab tests; staff resubmitted codes and the balance went to $0	Google review by Joy Zeh, shown on Alpha's homepage; visit in March 2026	Resolved, per the reviewer, who credited the staff

A prior authorization is when your insurance company must approve a medicine before it will pay. Alpha can send the request, but the insurer decides.

There's a pattern worth noticing. These examples mainly concern booking, refills, insurance paperwork and bills. They help you ask practical questions, but they do not establish whether the care is effective or safe.

What to do with this, at no cost to you:

1. Text instead of email for time-sensitive booking, billing or refill questions. Alpha says texting is usually the best way to reach its team.
2. Before any blood draw, ask how the labs will be billed and whether insurance has been checked. One reviewer's $500 bill came from coding.
3. Ask whether refills need a paid visit on your payment path, so a paid refill visit isn't a surprise. The $100 in that review is the reviewer's historical charge, not today's published fee.
4. If insurance denies a medicine, ask right away about an appeal and about a covered alternative, so you don't run out.

What is Alpha Hormones, and who runs it?

Alpha Hormones is a medical practice in Pasadena, California, started in 2019 by osteopathic physician Dr. Rotana Steven Tek. It offers in-person care in Pasadena and telehealth in California, Texas and Florida, and it treats both men and women for hormones, weight, longevity and related concerns.

Despite the name, Alpha has a dedicated women's program for perimenopause and menopause. Perimenopause is the years of changing hormones before your periods stop. Natural menopause is confirmed after 12 months without a period, when hormonal contraception, medicines or another cause do not explain the gap. (WHO, Menopause)

The basics, from public records and Alpha's own pages:

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What is Alpha Hormones, and who runs it?, table 3

Fact	Detail	Source
Location	800 Fairmount Avenue, Suite 323, Pasadena, CA 91105	Alpha homepage; BBB
Started	Business started January 30, 2019; incorporated January 30, 2020	BBB
Hours	Weekdays 9 a.m.–6 p.m., Saturdays 9 a.m.–1 p.m.	Alpha homepage
Telehealth states	California, Texas, Florida	Alpha homepage
Patients served	"10,000+"	Alpha's own claim; not verified
Contact	Call or text (213) 334-4111	Alpha homepage

Clinicians Alpha lists who see women (from Alpha's homepage, read October 21, 2026):

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What is Alpha Hormones, and who runs it?, table 4

Name	Credentials as listed	What Alpha says about them
Dr. Rotana Steven Tek	DO, ABAARM	Founder, CEO and medical director
Julianne Humason	FNP-BC, ABAAHP	Primary care, internal and integrative medicine, women's health, hormone therapy
Kellie Klein	PA-C	Women's health, reproductive endocrinology and infertility
Monikeo Williamson	FNP-BC, ABAAHP	Hormone health and metabolic wellness
Marcus Lee	FNP-C	Emergency and primary care, functional medicine, hormone care

What those letters mean, in plain words. DO means Doctor of Osteopathic Medicine; the degree does not replace a current state-license check. FNP means family nurse practitioner, and PA-C means a certified physician assistant. Their practice and prescribing depend on their licenses and applicable state rules. ABAARM and ABAAHP are anti-aging and regenerative medicine credentials. They are not the main specialty boards that certify OB-GYNs or endocrinologists. We also didn't see a Menopause Society Certified Practitioner (MSCP) credential listed for anyone. That's not a dealbreaker; many good clinicians don't have it. It's simply worth knowing what the credentials do and don't say.

Check a license yourself. Ask for your clinician's full name and license number. Then look them up on the licensing board for their role in your state, such as the Osteopathic Medical Board of California for a DO, or the state nursing or physician assistant board for an NP or PA. It's free and public.

Which Alpha Hormones are you actually buying? The two paths, side by side

Alpha runs two different ways to get women's hormone care. The membership starts at $349 a month and bundles listed visits, laboratory testing, delivery and program medicines, including compounded hormones when appropriate. The insurance or pay-per-visit path can include FDA-approved estradiol and progesterone sent to your pharmacy, with visits billed separately.

This is the most important thing on this page, and it's spread across four separate Alpha pages. Here it is in one place, with pellets as a third option.

Alpha Hormones for women: the paths compared (checked October 21, 2026)

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Which Alpha Hormones are you actually buying? The two paths, side by side, table 5

	Path 1: Women's hormone membership	Path 2: Insurance or pay-per-visit	Add-on: Hormone pellets
What you pay Alpha	$349 a month, or $3,490 a year. $250 one-time setup fee for a new monthly program.	With insurance: your plan's copay, deductible or coinsurance. Self-pay: $250 for the first 15 minutes as a new patient, then $125 per extra 15 minutes. Returning visits: $125 per 15-minute block.	$600 per treatment, usually every 3–4 months (Alpha's estimate)
Medicine type Alpha lists	"Compounded estrogen, progesterone, and/or testosterone when appropriate"	Prescriptions sent to your pharmacy. Alpha says many FDA-approved estradiol and progesterone products may be covered by insurance.	Compounded pellets. Alpha says they aren't FDA-approved as finished products.
Is medicine in the price?	Yes, the program's medicines, per Alpha's policy	No. You pay the pharmacy, through insurance or cash.	Alpha's pricing lists $600 per treatment; confirm what it covers
Labs	Included panel: blood counts (CBC), metabolic panel (CMP), DHEA-S, estrone, estradiol, estriol, FSH, LH, progesterone, SHBG, free and total testosterone	Billed to insurance or paid separately	Not included in the pellet price
Visits	After the first consultation, one 15-minute visit each month is included	Paid per 15-minute block, or billed to insurance	Confirm any separate consultation charge; labs cost extra
Delivery	Program medicines and supplies delivered	Pharmacy pickup or delivery	In-office procedure in Pasadena
Commitment	Monthly: 30 days' written notice, no prorated refund. Annual payment and early-ending terms need confirmation.	Per visit	Per treatment; hard to adjust or remove promptly
Refills	You must request each one. Not automatic.	Through your prescriber and pharmacy	Reinsertion only after a follow-up review
Not included	DHEA; tests outside the selected package	Medicine, labs	Labs; confirm visits and any other required medicine
Best for	Women whose clinician identifies a reason for the program's formulations, monitoring and continuing visits	Women seeking a standard prescription and separate-visit or covered-care route	Women discussing long-acting delivery who can reach Pasadena, after reading the safety notes below
Watch out for	Higher listed recurring base; compounded focus; 30-day monthly notice	Visit fees add up; lab bills can surprise	Hard to adjust once placed; professional groups urge caution

Source: Alpha pricing (checked October 21, 2026), women's hormone page (checked October 21, 2026), subscription and cancellation policy (checked October 21, 2026), pellet page (checked October 21, 2026). All read October 21, 2026.

Alpha's FAQ says membership isn't required: self-pay, insurance and membership options "may be available depending on the service." That means you can ask for the visit path even if the membership is what the website pushes hardest.

A 30-second self-check

Answer these honestly. Each answer points you somewhere specific.

1. Am I located in California, Florida or Texas? If no, Alpha can't treat you by telehealth. Skip to alternatives.
2. Do I want testosterone discussed, or custom-dosed compounded hormones? If yes, ask Alpha which care route fits that discussion; a preference alone does not establish a need for compounding.
3. Do I have a PPO plan or Original Medicare, and do I mostly want an FDA-approved patch or pill? If yes, ask Alpha for the insurance path, not the membership.
4. Do I just want estrogen and progesterone at a low, flat cash price? If yes, compare a simpler online option before paying $349 a month.
5. Do I have unexplained bleeding, or a history of blood clots, stroke, heart attack, liver disease or a hormone-sensitive cancer? If yes, start with a clinician who can review that history and arrange any needed in-person assessment. Unexplained bleeding should be evaluated before starting hormone therapy. More on that below.

The one question to ask before you book anything: "Which path am I booking? If I join the membership, will my estrogen and progesterone be FDA-approved or compounded?"

Still not sure which kind of care fits you? The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

It's free, takes about 60 seconds and doesn't ask for your email. It asks five questions and points you to a featured online option or to guidance. It doesn't diagnose anything or decide whether you should take hormones; a clinician does that. We may earn a commission from the providers it features, and that affects which ones appear. How the care finder works.

How much does Alpha Hormones cost for women?

The women's hormone membership starts at $349 a month or $3,490 a year, with a $250 setup fee for a new monthly program. At the monthly starting price, the listed-charge subtotals are $599 for one billing period, $1,297 for three and $4,438 for twelve. Per-visit care starts at $250 for the first 15 minutes, and women's pellets are $600 per treatment.

Those are Alpha's published starting prices. They're not a full bill until you know what else you'll need. Here is the math in the open.

The membership, month by month

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The membership, month by month, table 6

Period	The math	Subtotal of published charges
First billing-period subtotal	$250 setup + $349 first month	$599
First 3 billing months	$250 + ($349 × 3)	$1,297
First 12 billing months	$250 + ($349 × 12)	$4,438

These count only Alpha's published membership charges. They are not a quote and not a promise of what's due on any date.

One open question can change this. Alpha's membership says it includes an "initial consultation." Its pricing page separately lists a $250 new-patient visit. We couldn't confirm whether a new member pays that $250 first visit on top of the membership.

• If the first visit is part of the membership: your first-three-months subtotal stays $1,297.
• If the $250 first visit is charged separately and not credited: it becomes $1,547.

Ask before you book. Write down the answer.

The annual plan

The annual membership starts at $3,490. Spread over 12 months, that works out to about $290.83 a month. Paying monthly for a year costs $4,188 in membership fees ($349 × 12), so the annual plan is $698 less in base fees. Alpha's own page says the same: "Save $698."

Two questions before you choose an annual plan. First, the $250 setup fee is described for "a new monthly program." We couldn't confirm whether it also applies to the annual plan. Second, Alpha's policy says all purchases are final and there's no prorated refund. Ask when the annual charge is collected and, in writing, what happens if you stop in month three.

Per-visit care

If you use the visit path, you pay for time with a clinician, plus medicine and labs elsewhere.

Example (illustrative): a 30-minute first visit ($250 + $125 = $375) and one 15-minute follow-up ($125) = $500 in visit fees. Add your pharmacy cost for medicine and any lab charges. For covered services, your cost follows your plan's benefits and Alpha's billing arrangement; noncovered charges can remain.

Pellets

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Pellets, table 7

Period	The math	Subtotal
One treatment	$600	$600; labs extra; confirm any separate visit charge
Illustrative year with 3 or 4 treatments	$600 × 3 to $600 × 4	$1,800–$2,400, before any separate required costs; actual timing depends on follow-up

If you have a uterus and receive estradiol pellets, ask how the uterine lining will be protected, usually with a progestogen, and whether that adds a cost.

All the paths in one table

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All the paths in one table, table 8

Path	Published starting charge / subtotal	Three-period or stated visit scenario	Twelve-period or stated annual scenario	Still unknown (so the total is incomplete)
Alpha membership, monthly	$599 for one period including setup; actual amount due now unconfirmed	$1,297 (or $1,547 if the $250 evaluation is separate and not credited)	$4,438 before any separate evaluation or extras	Evaluation treatment, exact regimen and required extras
Alpha membership, annual	From $3,490; setup applicability and payment timing unconfirmed	Do not treat the annual price as a three-period invoice	$3,490 base; $3,740 if the $250 setup also applies, before any separate evaluation or extras	Payment schedule, evaluation, setup and early-ending terms
Alpha self-pay visits	$250 for the first 15 minutes	$500 in the illustrative visit scenario above	Depends on visits	Pharmacy, labs and additional services
Alpha with insurance	Your plan's cost-sharing for covered services	Depends on plan	Depends on plan	Benefits, noncovered services and pharmacy/lab charges
Alpha pellets	$600 per treatment; labs extra	One treatment: $600 before separate costs; a time-window total needs actual dates	$1,800–$2,400 for an illustrative 3 or 4 treatments	Treatment schedule, labs, visit charges and any additional medicine
Gala HRT (for comparison)	$69/month advertised; amount due now unconfirmed	$207 for 3 advertised monthly base charges	$828 for 12 advertised monthly base charges	Exact regimen, required extras, billing interval and invoice timing
Midi Health self-pay (for comparison)	$250 initial visit, charged after the visit	$400 for one initial visit plus one $150 follow-up	Depends on visits	Medicine and labs; insurance changes the math

Alpha: read October 21, 2026. Gala's HRT offer page: $69 "every month," read October 21, 2026. Midi pricing: $250 first visit, $150 returning visit, read October 21, 2026. An unknown cost is never zero. If any required cost is unknown, your total is incomplete.

If Gala bills every 28 days instead of by calendar month, the math changes: four charges ($276) can land in 90 days and 14 charges ($966) in a year. Gala's offer page says "$69 every month" but doesn't define the interval, so ask.

What the numbers mean

The published starting-charge scenarios differ by $3,610 over 12 billing periods ($4,438 for Alpha vs $828 in advertised Gala base charges). That is not a matched prescription quote or a promised saving. Alpha's membership includes a monthly visit after the first consultation and its listed laboratory testing, with testosterone and compounded formulations when appropriate, plus the option of its Pasadena office. Gala does not advertise that same bundle.

If you need those things, Alpha may be worth it. If you mostly want help with hot flashes, night sweats and related sleep problems, ask whether you need that full bundle before paying for it.

If you have a PPO or Original Medicare in Alpha's states, the insurance path may cost less than either cash plan. That depends entirely on your plan.

What's not in the membership price

• DHEA. Alpha's policy says it isn't included.
• Extra tests your subscription or insurance doesn't cover, such as specialized saliva or urine hormone tests.
• Peptides. The "Alpha Female" program, $699 a month, adds one peptide such as a GLP-1 weight medicine. That's a different program. Don't confuse it with women's hormone care, and don't let it pad a hormone decision.
• Financing interest, if you use CareCredit. Alpha accepts cards, HSA and FSA for eligible services, and CareCredit for approved applicants.

Your cost worksheet (copy and keep private)

ALPHA HORMONES — MY COST CHECK (private)

Path I'm being quoted:  membership monthly / membership annual / insurance / self-pay visits / pellets
Setup fee:              $______  (applies to annual? yes / no / unknown)
First visit fee:        $______  (included in membership? yes / no / unknown)
Monthly or annual charge: $______
Next billing date:      ____________
Last safe day to cancel (30 days before the next billing date): ____________
Medicine included?      yes / no / unknown   Which products: ______________
FDA-approved or compounded? ______________
Labs included?          yes / no / unknown   Lab cost if not: $______
Refill visit cost:      $______

CHOSEN BILLING PERIODS = all scheduled charges for those periods + every required extra
For a date window, use the actual charge dates; three monthly charges are not automatically 90 days.
If anything above says "unknown," my total is INCOMPLETE. Don't write $0.

If $349 a month buys more care than you want, a flat-price online plan may cover what you actually need. Gala's HRT plan is advertised at $69 a month, with the online visit, prescription and shipping included, in most U.S. states.

We may earn a commission if you start care with Gala through this link.

Does Alpha Hormones take insurance for women's HRT?

Yes, for some plans. Alpha says it may accept select commercial PPO plans, Original Medicare and eligible Medicare PPO plans, but not HMOs, Kaiser, Medicaid/Medi-Cal, TRICARE or IPA plans. Insurance can help with covered visits, labs and prescriptions. Alpha describes custom and compounded therapies as generally self-pay and does not bill pellet treatment to insurance; confirm the charges for your exact plan.

Here is Alpha's published list, with what it means for you.

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Does Alpha Hormones take insurance for women's HRT?, table 9

Alpha's insurance category	What it means for you
Commercial PPO plans from Aetna, Anthem Blue Cross, Blue Shield of California, Cigna and UnitedHealthcare	Possibly covered. Verify your exact plan, the clinician and the service.
Original Medicare and eligible Medicare PPO plans	Possibly covered for visits and labs. Don't assume every medicine or the membership is covered.
Out-of-network PPO benefits	Alpha will review them. What you get back depends on your plan.
Commercial HMO, Medicare HMO, IPA plans, TRICARE, Medicaid/Medi-Cal, Kaiser Permanente	Not accepted right now. Use a clinician in your plan's network instead.

Source: Alpha pricing and insurance, read October 21, 2026. Alpha says verification "does not guarantee coverage or payment."

Medical benefits vs pharmacy benefits. Your insurance has two parts that matter here. Your medical benefits may cover visits and lab tests. Your pharmacy benefits may cover prescriptions. For example, a visit with Alpha might use your medical copay, while an estradiol patch prescription is priced by your pharmacy plan. Compounded hormones and the membership usually fall outside both. Alpha's own women's page says custom and compounded therapies "are generally self-pay."

Two things to know before you submit Alpha's insurance form:

• Alpha asks you to submit it only if you'll be located in California, Florida or Texas at the time of your appointment.
• Ask how lab orders will be coded and whether your plan covers them before blood is drawn. One reviewer's $500 lab bill was fixed only after codes were resubmitted.

If coverage decides whether Alpha is affordable for you, check your exact plan before you choose a path.

Compounded or FDA-approved: what medicine would you get from Alpha?

It depends on the path. Alpha's membership lists compounded estrogen, progesterone and testosterone, which are not FDA-approved. Alpha's women's page also describes FDA-approved estradiol pills, patches and gels and FDA-approved oral micronized progesterone, which you can ask about through the insurance or visit path.

First, three words that get mixed up all the time.

• FDA-approved means the finished medicine, the actual pill or patch in the box, was reviewed by the U.S. Food and Drug Administration for safety, effectiveness and consistent quality.
• Compounded means a pharmacy mixes a medicine for one patient. The FDA says plainly that compounded drugs "are not FDA-approved," and it doesn't check their safety, effectiveness or quality before they're sold. (FDA, Compounding questions and answers)
• Bioidentical describes the molecule. It means the hormone has the same structure as the one your body makes. It says nothing about approval. Many FDA-approved products are bioidentical. So are many compounded ones.

The Menopause Society says custom-compounded hormones are not safer or more effective than approved bioidentical hormones. (The Menopause Society, Hormone therapy) To Alpha's credit, its own FAQ says the same thing: compounded hormones "have not been shown to be safer or more effective" than FDA-approved products.

What Alpha lists for women, and what to confirm

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Compounded or FDA-approved: what medicine would you get from Alpha?, table 10

Option on Alpha's women's page	What it's used for	FDA status	Ask before you start
Estradiol pills, patches, gels, sprays	Systemic estrogen (it acts through your whole body): hot flashes, night sweats, related sleep problems and bone protection	FDA-approved products exist; we didn't confirm which brand Alpha prescribes	"Which product, and is it billed to my insurance or the membership?"
Oral micronized progesterone	Protects the uterine lining when you take systemic estrogen and still have a uterus	FDA-approved oral product exists	"Which progestogen will protect my uterus, and is it included?"
Low-dose vaginal estradiol (creams, tablets, inserts, rings)	Local treatment for dryness, pain with sex and some urinary symptoms	FDA-approved products exist	"Is local treatment enough for my symptoms?"
Vaginal DHEA (prasterone) insert	Moderate to severe pain with sex due to menopause	An FDA-approved insert, Intrarosa, exists; oral DHEA supplements are different	"Is this the approved insert or a supplement?"
Compounded Bi-Est and custom mixes	Custom doses or combinations	Not FDA-approved	"Why can't an approved product meet my need?"
Testosterone	Selected women with distressing low sexual desire	No product FDA-approved for women; approved male products used off-label; compounded products unapproved	See the testosterone section
Hormone pellets	Long-acting delivery	Compounded; not FDA-approved	See the pellet section

Source: Alpha's women's hormone page, read October 21, 2026. Clinical meaning: The Menopause Society; FDA.

What "Bi-Est" means. Bi-Est is a compounded cream or capsule that mixes estradiol with estriol, a weaker estrogen. Alpha's page says it combines the two, and that compounded hormones aren't FDA-approved. If it's offered to you, ask why an approved estradiol product wouldn't work just as well for you.

One confusing line to clear up. Alpha's women's page says compounded hormones "are not FDA approved but can used as off-label." That mixes two different ideas. Off-label means using an FDA-approved drug in a way its label doesn't list. A compounded drug isn't approved at all, so it isn't "off-label"; it's unapproved. Alpha's own FAQ explains this correctly. It's just worth knowing which one you're being offered.

Which pharmacies? Alpha's FAQ names Strive Pharmacy and Belmar Pharmacy as compounding pharmacies it works with, and says the pharmacy can vary.

If you have a uterus

If you still have a uterus and take systemic estrogen, you need a progestogen (progesterone or a similar hormone) to protect the uterine lining from overgrowth and cancer. The Menopause Society calls this estrogen-plus-progestogen therapy.

Alpha's page gets an important detail right: it says topical progesterone creams "are not a reliable substitute" for uterine protection. That's a real safety point. If a cream is offered as your only progesterone while you take systemic estrogen, ask how your uterus is being protected.

Local vs systemic: why it matters

Low-dose vaginal estrogen mostly stays where you put it. It's great for dryness and pain with sex. It won't fix hot flashes. If your main problem is night sweats and you're offered only a vaginal cream, that's a mismatch worth raising. And if your only problem is dryness, you may not need systemic hormones at all.

Want to go deeper? See compounded vs FDA-approved HRT, the FDA-approved HRT medication list and who needs progesterone during menopause.

Does Alpha Hormones offer testosterone for women?

Yes. Alpha's women's membership lists compounded testosterone "when appropriate," and its women's page says testosterone may fit selected postmenopausal women with persistent, distressing low sexual desire. No testosterone product is FDA-approved for women in the U.S. Using an approved male product for a woman is off-label; compounded testosterone is unapproved.

If you're considering Alpha because you want to discuss testosterone, here's what to know.

The facts:

• It's a controlled substance. In the United States, testosterone is a Schedule III controlled substance and needs a prescription. (DEA, Controlled substance schedules) Alpha's FAQ notes that telehealth prescribing of controlled medicines can require an audio-video visit, an in-person exam or labs.
• No FDA-approved women's product. FDA-approved testosterone products are approved for men. Using one for a woman is off-label. A compounded testosterone cream is unapproved. (FDA, Testosterone information)
• The evidence is narrow. The best evidence supports testosterone for hypoactive sexual desire disorder (HSDD): low sexual desire that causes you real distress, in women after menopause, once other causes have been checked. It isn't proven for energy, mood, weight or "anti-aging." Alpha's own page limits its testosterone description to this group, which is the honest framing.
• Form matters. The International Society for the Study of Women's Sexual Health's 2021 clinical guideline on testosterone for HSDD advises against compounded testosterone products and pellets for women. It cites limited safety and effectiveness data for compounded products, and concerns about dosing and high levels with implants. Alpha's membership lists compounded testosterone. Ask what form you'd get and how levels will be monitored.
• One lab number isn't a diagnosis. A low testosterone result alone doesn't mean you need it. Medicines, relationship factors, mood, pain and other hormones all affect desire.

Questions to ask Alpha about testosterone:

1. "Do I meet the criteria for HSDD, and what else could be causing my low desire?"
2. "What exact product and form would I get, approved male product used off-label or compounded?"
3. "How will you check my levels, and how often?"
4. "What side effects should I watch for, like acne, hair growth or voice changes?"

If testosterone is your priority: Alpha (if you're in its states) or another qualified menopause clinician are options. Gala doesn't list testosterone on its HRT pages. For another clinic that treats women with testosterone, see our Defy Medical review for women. For more on desire changes, see low libido in menopause.

What about hormone pellets at Alpha Hormones?

Alpha offers estradiol and/or testosterone pellets for women at $600 per treatment, usually every three to four months, placed during a short office procedure in Pasadena. Alpha's women's pellets are compounded, not FDA-approved, and hard to adjust or remove once placed. Alpha's own page notes that ACOG recommends testosterone forms other than pellets because of safety concerns.

A pellet is a tiny implant, about the size of a grain of rice, placed under the skin of your hip or upper buttock through a small cut. It slowly releases hormone for months.

Alpha is unusually candid about pellets. Its page lists the risks plainly: pain, bruising, bleeding, infection, scarring, a pellet working its way out, and the fact that your dose "cannot simply stop or quickly adjust" once pellets are in. That honesty is a good sign. It's also a reason to think carefully.

What Alpha's pellet page says (read October 21, 2026):

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What about hormone pellets at Alpha Hormones?, table 11

Item	Detail
Price for women	$600 per treatment
How often	"Usually considered every 3–4 months," set after follow-up review
Insurance	Self-pay; not billed to insurance
Labs	Not included; a blood test about six weeks after insertion
Where	In-office procedure; Alpha's office is in Pasadena
FDA status	Compounded pellets are not FDA-approved as finished products
Uterus	Women with a uterus on systemic estradiol generally also need a progestogen
Professional caution	Alpha cites ACOG recommending non-pellet testosterone because of safety concerns and difficulty removing pellets

Why caution matters here. A clinician can change or stop a patch, pill or gel more easily if side effects develop. A pellet keeps releasing hormone after insertion and can be difficult to remove. ISSWSH's testosterone guideline raises concerns about high levels, uneven release and removal of implants. (ISSWSH clinical guideline)

If pellets appeal to you because you don't want to remember daily doses, ask Alpha about a twice-weekly or weekly estradiol patch first. It offers some of the same convenience with more control if your clinician needs to change treatment. Comparing pellet clinics? See HerKare reviews and what 4Ever Young charges for hormone therapy.

Who can use Alpha Hormones? States, telehealth and in-person visits

Alpha offers telehealth only to women located in California, Texas or Florida, plus in-person care at its Pasadena office. Whether your first visit or a particular medicine requires an in-person exam depends on your condition, the medicine and state rules, so ask before you book.

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Who can use Alpha Hormones? States, telehealth and in-person visits, table 12

Where you'll be during your visit	Telehealth	In person	Notes
California	Yes	Yes, Pasadena	Pellets require the Pasadena office
Texas	Yes	No office listed	City pages on Alpha's site are not offices
Florida	Yes	No office listed	City pages on Alpha's site are not offices
Any other state	No telehealth listed there	Ask about a Pasadena visit	Confirm follow-up and pharmacy delivery before traveling

Source: Alpha homepage (telehealth in CA, TX and FL) and Alpha FAQ, read October 21, 2026.

What matters is where you physically are during the visit, not your mailing address. Clinicians can only treat you in states where they're licensed.

In-person or online first? Alpha's homepage offers in-person and telehealth visits. Its FAQ says an in-person exam can depend on your condition, history, medicine, location and applicable rules. Confirm the format of your appointment before you book.

Age. Alpha doesn't publish an age range for women's hormone care. The clinician decides.

Shipping. Alpha says interstate prescription delivery depends on the pharmacy, the medicine and the law, and it doesn't coordinate international shipping.

If you're outside California, Florida and Texas, Alpha can't see you online. Gala says its HRT care is available "across most US states" and that you won't be charged if it can't serve your state. It offers estradiol pills or patches, micronized progesterone, vaginal estradiol and non-hormonal options through online clinicians.

We may earn a commission if you start care with Gala through this link.

What happens after your first Alpha Hormones visit?

After the first visit, care becomes a routine of check-ins, lab work, refills and dose changes. After the first consultation, the membership includes one 15-minute visit each month, and you must request each refill yourself. Knowing who handles each step before you join can help you plan around the problems reviewers describe.

Bring what helps the clinician answer your question

Alpha's FAQ says you can share outside lab results and medical records, and the clinician will decide whether they're recent and complete enough. Bringing them can save you from repeating tests. Have ready:

• A list of current medicines and supplements, with doses
• Any hormone treatment you've tried, and how it went
• Recent lab results and relevant records
• The symptoms that bother you most, in your own words
• Your insurance card, if you're using the insurance path

A big lab panel isn't proof every woman needs it

The membership lists tests including several estrogen types, FSH, LH and testosterone; Alpha's clinician sets the schedule based on your history, treatment and response. Labs are useful when they answer a question: checking your thyroid, ruling out another cause, or monitoring testosterone. But for most otherwise healthy women 45 or older with typical symptoms, perimenopause and menopause are identified from age, symptoms and period history, without hormone blood tests. The British Menopause Society's September 2026 guide to NICE recommendations explains this approach; it is UK professional guidance, not a U.S. coverage rule. The Endocrine Society also says claims that saliva tests can guide custom hormone doses are not supported by reliable evidence.

Alpha's own page says its goal is not to chase "a specific number." Good. Ask, "What will each test change about my care, and who pays for it?"

Paying monthly doesn't mean your refill is automatic

Alpha's policy says: "You must contact Alpha Hormones to request each medication refill. We do not refill prescriptions automatically." Refill timing depends on your dose, not a fixed 30 days.

So paying the monthly fee is not the same as ordering medicine. Alpha recommends requesting refills through its patient portal or Klara, its secure texting service. Practical tips:

• Ask how many days ahead to request a refill.
• Set a phone reminder a week or two before you'll run out.
• If a refill needs a visit on your path, book it early.

How do you cancel Alpha Hormones, and can you get a refund?

You must cancel the membership in writing at least 30 days before your next billing date; email is accepted. There's no prorated refund, and Alpha says all purchases are final because medicines are prepared for you. Payments scheduled during the notice period may still be due. Ask Alpha to confirm your last charge and end date in writing.

Here are the rules, from Alpha's subscription and cancellation policy (checked October 21, 2026):

• Notice: "at least 30 days before your next billing date." Email requests are acceptable.
• Refunds: "There is no prorated refund for the remaining days of your subscription." All purchases are final.
• Returns: prescription medicines can't be returned for a refund, even unused.
• If a refund is ever issued, you pay the card processing fee on it.
• Unpaid balances go to collections.
• Disputes are handled by binding arbitration or litigation in California.
• Alpha can end services or subscriptions at any time.

The 30-day rule, with real dates

Say your scheduled billing date is December 5, 2026, and you send written notice on November 20, 2026.

• Thirty days before December 5 is November 5.
• A November 20 request misses that notice deadline, so the next membership payment may still be due.
• At the $349 starting rate, that could mean another $349 charge. The policy does not settle the final charge or service-end date for this example.
• December 5, 2026 is a Saturday. Alpha says weekend or holiday payments are processed on the next business day; confirm the actual processing date and do not assume it changes the notice deadline.

Ask Alpha to reply with your final billing date and the date your membership ends.

Find your last safe day: take your next billing date and count back 30 days. Send your email before that, and ask for a written reply that confirms the date your plan ends.

Copy-ready cancellation email

Subject: Membership cancellation request

Hello,

Please cancel my Alpha Hormones membership. My next billing date is ________.

Please reply to confirm:
1) the date my membership ends,
2) that no further charges will be made after that date, and
3) how pending refills, lab orders and messages will be handled.

Thank you,
[Your name]

Don't include health details in this email; your name and billing date are enough.

The annual plan

The policy above describes monthly subscriptions. We couldn't find written terms for ending an annual plan early. Ask before you pay for a year.

Leaving without a gap in care

Ending a payment plan and continuing your medical care are two different jobs. Before you leave:

• Get your cancellation confirmation and last billing date in writing.
• Ask whether pending lab orders, messages or pharmacy orders will still be handled.
• Request your records and a current medication list through Alpha's process.
• Ask your next clinician what records and appointments they need.
• Check how much medicine you have left and talk to a prescriber about timing.

This is paperwork, not medical advice. Don't stop or change hormone therapy without talking with a clinician.

Is Alpha Hormones legit?

Yes. Alpha Hormones is a real medical practice with a named physician owner, a physical Pasadena office, BBB accreditation since 2021 and published prices and policies. Being legitimate doesn't make every service on its large menu evidence-based or right for you, and one past federal warning about COVID-19 marketing is worth knowing about.

How Alpha measures against a basic legitimacy checklist

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Is Alpha Hormones legit?, table 13

A legitimate provider should…	Alpha Hormones	How we know
Have a real, findable business	Yes. Pasadena office; business started 2019.	BBB profile; Alpha site
Use named, licensed clinicians	Names and credentials listed	Alpha site; we didn't look up licenses
Evaluate you before prescribing	Yes, stated	Alpha FAQ: a consultation "does not guarantee a hormone prescription"
Screen for reasons not to prescribe	Yes, stated	Alpha FAQ lists hormone-sensitive cancers, unexplained bleeding, clotting conditions, recent heart events, liver disease and more
Separate compounded from FDA-approved	Mostly. One confusing line on the women's page.	Alpha BHRT page and FAQ
Publish prices and cancellation terms	Yes, clearly	Alpha pricing and policy pages
Offer a way to reach the team	Phone, text, portal, secure texting	Alpha site
Substantiate trust claims	BBB accreditation confirmed; Alpha describes its in-house lab as CLIA-certified	We did not independently verify laboratory certification or a current LegitScript listing

Credit where it's due. Alpha's women's page is more careful than many clinic pages we read. It explains the Women's Health Initiative study in context, reminds women to keep up with mammograms and cervical screening, explains uterine protection, and warns about pellets. That's a good sign.

A past warning, in proportion. On December 18, 2020, Federal Trade Commission staff sent Alpha Hormones Inc. a warning letter about advertising that Thymosin Alpha-1 and related products could treat or prevent COVID-19. The FTC asked the company to stop those claims. (FTC warning letter) That letter was about COVID-19 marketing in 2020, not menopause hormone therapy, and it was not an FDA action. In an April 2021 update, the FTC listed Alpha among marketers that had removed the challenged COVID-19 claims after warning letters. It's a reason to ask for evidence when any clinic, including this one, offers treatments beyond standard care.

What we couldn't verify: the "10,000+ patients served" figure, the Google 4.9 rating shown on Alpha's site, a current LegitScript listing, the lab's claimed CLIA certification, and current license status for each clinician.

Who should choose Alpha Hormones, and who should go elsewhere?

Alpha is worth considering for women in California, Florida or Texas who want scheduled care, a testosterone conversation or a review of treatment options, and who can meet the full quote or use confirmed insurance benefits. Women outside its telehealth states or needing an insurance plan Alpha does not accept should compare other routes. If you want only FDA-approved products, ask Alpha about its insurance or separate-visit path before ruling it out.

Find your situation.

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Who should choose Alpha Hormones, and who should go elsewhere?, table 14

Your situation	Is Alpha a fit?	Why	Best next step
In CA, FL or TX and want testosterone discussed	Worth considering	Offered after evaluation; confirm formulation and monitoring	Book Alpha; ask about form and monitoring
In CA, FL or TX, have a PPO or Original Medicare, want FDA-approved generics	Yes, on the insurance path	Visits and labs may be billed to your plan; medicine at your pharmacy	Check insurance with Alpha
In CA, FL or TX and want custom compounded dosing	Possibly	The membership is built for it; not FDA-approved	Book Alpha; ask why compounding is needed
In CA and interested in pellets	Possibly	Offered in Pasadena; professional groups urge caution	Read the pellet section; ask about patch alternatives
Outside CA, FL and TX during the visit	Not by telehealth	No telehealth listed there; travel requires a continuity check	Gala, or Find My HRT Path
Want a lower advertised cash-plan price for common menopause care	Compare the full quotes	Gala advertises $69 a month; confirm the exact medicines included	Gala
Want only FDA-approved products, named before paying	Use the insurance or visit path, or elsewhere	The membership lists compounded hormones	Ask Alpha about the visit path; with Gala or Midi, confirm the exact finished product before committing
Have an HMO, Kaiser, Medicaid/Medi-Cal or TRICARE	Not through insurance	Not accepted	A clinician in your plan's network; Gala if cash is fine
Ages 35 to 39	Unclear	No age range published	Find My HRT Path, or Winona where it serves you
Unexplained bleeding; past blood clot, stroke or heart attack; hormone-sensitive cancer; liver disease	Needs clinical assessment before choosing a plan	Some histories make systemic HRT unsuitable; unexplained bleeding needs evaluation	Your clinician or a menopause specialist, with in-person assessment when needed; Menopause Society practitioner directory

If you're in California, Florida or Texas and want hands-on care with labs and a real testosterone conversation, Alpha is a reasonable place to book. Ask which path you're joining before you pay.

If your goal is relief from hot flashes, night sweats, poor sleep or vaginal dryness, Gala offers an online route for those symptoms at a much lower advertised base price. Confirm that its exact prescription, access and full quote fit you.

Here's what Gala offers for menopause, all prescribed only after a licensed clinician reviews your health history online:

• Estradiol pills or patches: estrogen therapy for hot flashes, night sweats and other menopause symptoms.
• Oral micronized progesterone: protects the uterine lining when prescribed with systemic estrogen and may improve sleep. Use specifically for sleep is off-label.
• Vaginal estradiol cream or tablets: treats vaginal dryness and painful sex, and can help prevent recurring UTIs. UTI prevention is an off-label use; it does not treat an active infection.
• Non-hormonal medicines, including fezolinetant: treat hot flashes and night sweats without estrogen, for women who can't or prefer not to use hormones.

Gala's treatment menu comes from its hormone health page. The sleep qualification is supported by the oral progesterone label and a randomized trial; the vaginal-estrogen qualification comes from The Menopause Society and the estradiol cream label. These establish clinical context, not results from Gala care.

Why Gala fits these readers:

• $69 a month, advertised as covering the online visit, prescription and shipping, with "no membership fee" and no price rise when your dose changes (Gala HRT offer page, read October 21, 2026)
• FDA-approved bioidentical forms, per Gala's FAQ
• Most U.S. states, and no charge if it can't serve yours
• Ongoing messaging, check-ins and dose changes included for as long as you're treated
• HSA and FSA accepted
• Cancel anytime from your account, per its offer page

Confirm the full price: Ask whether the $69 covers your full prescription, including a second medicine or vaginal treatment, and whether required labs cost extra. The public pages do not settle the price of fezolinetant and its monitoring.

What to know first: Gala doesn't bill insurance, doesn't list testosterone or pellets, and doesn't name the exact dispensed products on its public HRT pages. A separate live HRT landing page carries a compounded-medication notice, and its linked general refund policy uses a 72-hour cancellation cutoff before billing. Ask which product you'll get and which terms apply to your HRT plan. Our full Gala HRT review covers these details.

We may earn a commission if you start care with Gala through this link. A prescription is never guaranteed; a licensed clinician decides.

Alpha Hormones vs Gala, Midi and Winona: which fits your needs?

Alpha's membership bundles visits and labs at a higher listed monthly price than the cash plans here. Gala advertises a $69 online HRT plan in most states. Midi is an insurance-first menopause clinic. Winona is a cash option that sells compounded creams and serves ages 35 to 59 where available.

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Alpha Hormones vs Gala, Midi and Winona: which fits your needs?, table 15

	Alpha Hormones (membership)	Alpha Hormones (insurance/visits)	Gala HRT	Midi Health	Winona
Best for	Custom dosing, testosterone, regular labs, CA/FL/TX	PPO or Original Medicare in CA/FL/TX	Low flat cash price for common HRT, most states	Insurance-first menopause visits	Cash-pay, ages 35–59 where served
Price	From $349/mo + $250 new-monthly setup; annual from $3,490, setup applicability unconfirmed	$250 first 15 min self-pay; $125 per extra 15 min; or plan cost-sharing	$69/mo advertised	$250 first visit (30 min); $150 returning (15 min) self-pay; or plan cost-sharing	Compounded estrogen/progesterone body cream from $89/mo; other products priced separately
Medicine in price?	Selected program medicines	No; pharmacy	Advertised as included; confirm exact regimen and add-ons	No; prescription medicines and labs are separate	Price is for the selected product
FDA-approved or compounded	Compounded listed	FDA-approved options described; confirm exact product	Approved forms claimed; exact product unconfirmed; another live HRT page carries a compounded-drug notice	Depends on the actual prescribed product	Creams compounded; also lists patch and pills
Testosterone	Compounded when appropriate; unapproved	Ask about formulation	Not listed	Compounded; only in listed states/DC after clinician review	No, per its FAQ
Pellets	Separate Pasadena treatment; not established as included	Separate Pasadena treatment	Not listed	Not listed	No, per its FAQ
Insurance	Program is self-pay	Select PPOs, Original Medicare	No; HSA/FSA	Plan-dependent; Medicare self-pay restrictions; Medicaid/Medi-Cal patients not accepted even self-pay	No
Where	CA, FL, TX + Pasadena	CA, FL, TX + Pasadena	"Most US states"; exact roster unconfirmed	General care in all 50 states; treatment limits apply	Supported states; confirm at intake
Labs	Listed tests included; clinician sets frequency	Billed separately	Usually not needed, per Gala; cost if required unconfirmed	Extra	No routine hormone testing required, per Winona
Cancel terms	Monthly: 30 days' written notice; annual terms unconfirmed	Confirm appointment terms	Account cancellation advertised; general policy has a 72-hour cutoff—confirm HRT terms	Confirm appointment and refill terms	Cancel in account; processed-order refunds limited by a 24-hour window and pharmacy preparation
Our link	Ordinary link	Ordinary link	Affiliate	Ordinary link	Affiliate
Checked	Oct 21, 2026	Oct 21, 2026	Oct 21, 2026	Oct 21, 2026	Oct 21, 2026

Source: Alpha pricing, BHRT and policy pages; Gala HRT offer and hormone health page; Midi pricing and insurance; Winona product page, FAQ and cancellation policy; Midi cost help, state list and testosterone requirements. This compares published documents and fit, not care outcomes.

Alpha vs Gala. These are different kinds of care. Alpha is a full clinic with labs, testosterone and an office. Gala is a flat-price online plan for the core menopause medicines. If that clinic-based bundle fits you, compare Alpha's full quote. If you prefer Gala's online model, its lower advertised base is worth checking; confirm your medicines, full price and state before choosing.

Alpha vs Midi. Both can use insurance. Midi focuses on menopause and midlife care, and its site says it's in-network with most major plans. Midi treats Medicare as out of network: Medicare beneficiaries may self-pay but, according to Midi, cannot submit claims for its visits, medications or associated services. Midi cannot treat Medicaid or Medi-Cal patients, even as self-pay patients. If insurance decides everything for you and you're outside Alpha's states, check Midi.

Alpha vs Winona. Both offer compounded options. Winona has a lower advertised starting price and publishes that it serves women 35 to 59 in its supported states. Alpha offers testosterone, labs and in-person care. If you're 35 to 39 and want a cash option, Winona is worth a look. Its $89 figure is for the compounded estrogen/progesterone body cream, not every treatment. Its FAQ says a 30-day supply is processed every 28 days and a 90-day supply every 84 days; confirm your selected supply and invoice.

We may earn a commission if you start care with Winona through this link.

A note on fezolinetant. Gala lists fezolinetant (sold as Veozah), an FDA-approved non-hormonal pill for hot flashes. Its label carries a boxed warning, the FDA's strongest kind, about rare but serious liver injury. It requires liver blood tests before you start, every month for the first three months, and again at months 6 and 9. (Veozah prescribing label) If it's suggested, ask who orders those tests and who pays. More in our fezolinetant guide.

For the wider field, see our comparison of online HRT providers, Gala vs Midi and Gala vs Winona.

What health factors could change the right choice?

Your age, how long it's been since your last period, whether you have a uterus, and any history of blood clots, stroke, heart disease, liver disease or hormone-sensitive cancer all change which treatment and which kind of care make sense. A clinician weighs these. No review or website can.

A few facts to have before any first visit:

Timing matters. The Menopause Society says that for most healthy women with bothersome symptoms who start hormone therapy before age 60 or within 10 years of menopause, the benefits generally outweigh the risks. Outside that window, the choice is more individual. It doesn't mean no; it means a careful conversation.

Some histories can rule out systemic hormone therapy. The Menopause Society lists breast or uterine cancer, unexplained vaginal bleeding, liver disease, a history of blood clots, and heart disease or stroke as reasons many women shouldn't take systemic hormone therapy. Alpha's own FAQ names similar conditions. If one of these is yours, a clinician who knows that history is the place to start. Low-dose vaginal treatment and non-hormonal options need their own assessment.

Unexplained bleeding comes first. Bleeding after menopause, or bleeding you can't explain, needs to be checked in person before starting hormone therapy.

Labels changed in 2026. On February 12, 2026, the FDA approved labeling changes for six menopausal hormone therapy products, removing some boxed-warning statements. (FDA announcement) That's not a finding that hormones are risk-free, and it doesn't change the status of compounded products. See our 2026 label changes explainer and HRT benefits and risks.

Keep up with screening. Alpha's women's page encourages staying current on mammograms and cervical screening. See whether you need a mammogram before HRT.

None of this is advice to start, stop or change a medicine. It's what to bring up so your clinician sees the full picture. Use the Menopause Society's public directory to find a clinician near you, and look for the MSCP credential if you want a certified practitioner.

What should you ask Alpha Hormones before you pay?

Ten questions settle nearly everything the reviews can't: which path you're joining, whether your hormones are FDA-approved or compounded, what's charged today, what's included, how labs and refills work, and your exact cancel deadline. Get the price and cancellation answers in writing.

Copy these into a message to Alpha, or bring them to your first visit.

1. Path. "Which path are you quoting: insurance, pay-per-visit, monthly membership or annual membership?"
2. First visit. "Is the first visit included in the membership, charged separately, or credited if I join? Is it in person or telehealth?"
3. Medicine. "What exact product, form and pharmacy would I get? Is it FDA-approved or compounded?"
4. Approved option. "Can you prescribe an FDA-approved option that fits my needs without the membership?"
5. What's included. "Which visits, labs, supplies and delivery are included, and what costs extra?"
6. Charges. "What do I pay today, what recurs, and on what dates?"
7. Changes. "Does the price change if my medicine or dose changes, or another product is added?"
8. Refills. "How do I request refills, how far ahead, and do refills need a paid visit on my path?"
9. Leaving. "If I give written notice today, what's my last charge? What happens if I end an annual plan early?"
10. Clinician. "Who is my clinician, what is their license number, and how do I reach them about side effects?"

Keep a record:

ALPHA HORMONES — MY ANSWERS (private)

Date asked: __________
1. Path: ______________________
2. First visit fee / in person or online: ______________________
3. Product / FDA-approved or compounded: ______________________
4. Approved option without membership? ______________________
5. Included / extra: ______________________
6. Due today: $______   Recurring: $______ on ______
7. Price changes if: ______________________
8. Refill method / lead time / visit fee: ______________________
9. Last charge if I cancel today: ______________________
10. Clinician name / license / contact: ______________________

My decision:  book Alpha  /  compare others  /  see someone in person

Please don't send your health details to The HRT Index. These notes are for you and your clinician.

How we reviewed Alpha Hormones

We read Alpha's public pages, policies and reviews on October 21, 2026, and checked medical points against the FDA, The Menopause Society and other professional guidance. We didn't book, pay or receive care, so this is a documentation review, not a patient test.

We use The HRT Index Verification Standard, shown here as five public decision pillars in this order. They group the more detailed criteria in our methodology. We don't give Alpha a score.

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How we reviewed Alpha Hormones, table 16

Pillar	What we looked for	What we found	Status
1. Clinical legitimacy	A real practice, licensed clinicians, evaluation before prescribing	Named DO owner; NP and PA team; BBB A+; screening listed; 2020 FTC warning about COVID-19 marketing and a 2021 FTC report that challenged claims were removed	Documented; licenses not looked up
2. Care quality	Follow-up, access, complaint handling	Monthly visit on the membership; Trustpilot reported replies to 100% of negative reviews at the check; some booking, AI-assistant and refill friction	Reviews mostly positive; not tested
3. Medication fit	Range of options; FDA-approved vs compounded; uterine protection	Wide range, including testosterone and pellets; membership lists compounded hormones; FDA-approved options through the pharmacy path; clear uterine-protection guidance	Partly confirmed
4. Price transparency	Full price, what's included, cancellation and refunds	Starting prices published; $250 new-monthly setup; 30-day monthly notice; no prorated refund; first-visit fee and annual terms unclear	Strong disclosure, strict terms
5. Access	States, insurance, in-person options	Telehealth in CA, TX and FL; select PPOs and Original Medicare; Pasadena office	Confirmed; first-visit format unclear

What would change our view: Alpha stating which products each path uses; a clear rule on the first-visit fee and annual cancellation; a pattern of women's complaints or praise about results; verified licenses; Alpha adding states.

What a documentation review can't tell you: how fast a clinician really answers, how a medicine works in your body, or how month six feels. Only patients know that, which is why we point you to the original reviews.

Alpha Hormones HRT: quick answers

Is Alpha Hormones only for men? No. Despite the name, Alpha has a women's hormone program for perimenopause and menopause, and several of its clinicians focus on women's health.

How much does Alpha Hormones charge women for hormone therapy? The women's membership starts at $349 a month or $3,490 a year, plus a $250 setup fee for a new monthly program. Per-visit care starts at $250 for the first 15 minutes.

Does Alpha Hormones take insurance? For some plans. Alpha says it may accept select PPO plans, Original Medicare and eligible Medicare PPO plans, but not HMOs, Kaiser, Medicaid/Medi-Cal or TRICARE.

What states does Alpha Hormones serve? Telehealth in California, Texas and Florida, plus in-person care in Pasadena, California.

Are Alpha Hormones' hormones compounded? The membership lists compounded hormones, which aren't FDA-approved. FDA-approved estradiol and progesterone are described for the insurance or pharmacy path.

Does Alpha Hormones prescribe testosterone to women? After an evaluation, for selected women. No testosterone product is FDA-approved for women in the U.S. An approved male product used for a woman is off-label; compounded testosterone is unapproved.

How do I cancel Alpha Hormones? In writing, at least 30 days before your next billing date. Email is accepted. There's no prorated refund.

Are refills automatic? No. Alpha's policy says you must request each refill.

Is Alpha Hormones the same as Hello Alpha? No. Alpha Hormones is the Pasadena practice at alphahormones.com. Hello Alpha is a separate online clinic. See our Hello Alpha menopause review.

Are Alpha Hormones' reviews real? We can't verify any individual review. Trustpilot shows that Alpha invites patients to review, and the profile mixes men's and women's services. Read the lower-star reviews too.

Is there a cheaper option? Gala advertises cash-pay HRT at $69 a month in most U.S. states; testosterone and pellets are not listed on its HRT pages. Confirm your complete prescription price.

Bottom line: is Alpha Hormones right for you?

Alpha Hormones is a legitimate, well-reviewed clinic that suits women in California, Florida or Texas who want hands-on, lab-guided care, a testosterone conversation or custom dosing, and who choose their payment path on purpose. If Alpha cannot serve your location or its quoted plan and terms do not fit, compare another route. Wanting only FDA-approved products is a reason to ask about Alpha's visit path, not to rule the practice out.

The whole page in four lines:

• The reviews: 4.8 stars across services, with praise for feeling heard; the complaints examined here mainly concern booking, refills and billing paperwork.
• The price: starting subtotals of $599 for one monthly billing period, $1,297 for three and $4,438 for twelve, before unquoted extras; or pay per visit or use insurance.
• The medicine: the membership lists compounded hormones; ask for the insurance or visit path if you want FDA-approved products.
• The exit: 30 days' written notice before your next billing date, and no prorated refund.

If you're outside Alpha's states, or you want a simple way to start estrogen, progesterone, vaginal estradiol or a non-hormonal option without a $349 membership, Gala is a direct option to compare once its clinician confirms your access and you confirm the full prescription price.

We may earn a commission if you enroll with Gala. A prescription is never guaranteed.

If Alpha fits you, ask your path question first, then book.

Still weighing which kind of care fits? That's a different question from "Is Alpha good?" and it deserves its own answer. The free Find My HRT Path quiz asks about your symptoms, what you've tried, your age, your state and your health history, then shows a featured care option or guidance about starting somewhere else. It isn't a medical clearance test.

And if you already have a doctor who knows your history, it's always fair to ask them first.

Sources

Alpha Hormones (read October 21, 2026)

• Alpha Hormones — Homepage
• Alpha Hormones — BHRT for women
• Alpha Hormones — Pricing, memberships and insurance
• Alpha Hormones — Subscription and cancellation policy
• Alpha Hormones — FAQ
• Alpha Hormones — Hormone pellet therapy
• Alpha Hormones — Insurance verification
• Alpha Hormones — Locations
• Alpha Hormones — Care journey
• Alpha Hormones — Team

Reviews, business records and credential definitions (read October 21, 2026)

• Trustpilot — Alpha Hormones, including individual reviews on page 2, page 3 and page 4
• Trustpilot — Trust Centre
• Better Business Bureau — Alpha Hormones Inc.
• A4M — ABAARM and ABAAHP credentials, ABAAHP program and ABAARM FAQ
• Federal Trade Commission — Warning letter to Alpha Hormones Inc., December 18, 2020
• Federal Trade Commission — Follow-up on marketers' removal of unsupported COVID-19 claims, April 2021

Other providers (read October 21, 2026)

• Gala — HRT offer page and separate HRT landing page
• Gala — Hormone health, progesterone and non-hormonal treatment
• Gala — Subscription cancellation and refund policy and terms and conditions
• Midi Health — Pricing and insurance
• Midi — Appointment costs and billing
• Midi — Supported states, testosterone requirements and testosterone care
• Winona — FAQ, treatments, compounded estrogen/progesterone body cream and cancellation/refund policy

Medical and regulatory (read October 21, 2026)

• FDA — Compounding and the FDA: questions and answers
• FDA — Testosterone information
• DEA — Controlled substance schedules
• FDA — Labeling changes for menopausal hormone therapy products, February 12, 2026
• DailyMed — Veozah (fezolinetant) prescribing label
• DailyMed — Intrarosa (prasterone) prescribing label
• FDA — Oral progesterone prescribing label
• DailyMed — Estradiol vaginal cream prescribing label
• Oral micronized progesterone for perimenopausal night sweats and hot flushes: randomized controlled trial, Scientific Reports, 2023
• The Menopause Society — Hormone therapy
• ISSWSH — Clinical practice guideline for systemic testosterone for HSDD in women, Journal of Sexual Medicine, 2021
• British Menopause Society — Progestogens and endometrial protection, May 2026
• British Menopause Society — NICE menopause recommendations in practice, September 2026
• Endocrine Society — Compounded bioidentical hormone therapy
• World Health Organization — Menopause
• The Menopause Society — Choosing a healthcare practitioner and public practitioner directory

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.