Alpha Hormones Reviews: Is the Pasadena TRT Clinic Worth It in 2026?
Alpha Hormones reviews are strong: 4.8 out of 5 on Trustpilot from 518 reviews. Its self-pay monthly plan starts at $3,238 in first-year fees before extras. It may fit patients in California, Florida or Texas who want insurance billing or a Pasadena office; it isn't a fertility-first starting point.
The clinic looks legitimate. It has an A+ rating from the Better Business Bureau. Alpha says it can only treat you while you're in California, Florida or Texas, and it has one office, in Pasadena. TRT membership starts at $249 a month self-pay or $199 with an in-network PPO, plus a $250 setup fee.
So is it worth it? For the right person, yes. For a lot of people searching this name, it can't be. Which one you are comes down to three things: where you will be during visits, what insurance you carry, and a detail on Alpha's own city pages that trips people up. We'll get to all three below.
Alpha Hormones may be a strong fit if you:
- Are in California, Florida or Texas during visits
- Have an in-network commercial PPO (Aetna, Anthem Blue Cross, Blue Shield of California, Cigna or UnitedHealthcare), or want eligible visits and labs billed to Original Medicare
- Want named clinicians, regular visits and lab monitoring in a self-pay plan
- Live near Pasadena and want the option of in-person care
- Want one clinic that also handles blood pressure, thyroid, weight or diabetes care
Look elsewhere if you:
- Will be outside California, Florida or Texas during appointments
- Need to use an HMO, Kaiser, Medi-Cal/Medicaid or TRICARE (not accepted)
- Need a lower monthly cash quote than Alpha offers you
- Are trying to have a baby soon (start with a fertility-focused clinician instead)
- Are in Texas and want a wide choice of clinicians (Alpha lists only 2 for Texas)
Medicare access is separate from membership: Alpha says memberships are not available with Medicare. This review covers its adult men's TRT service; other hormone-care needs require their own clinical assessment.
Alpha Hormones at a glance
Prices and terms come from Alpha Hormones' pricing page and its Subscription & Cancellation Policy (revised October 28, 2026), checked November 3, 2026. Business and review records: BBB and Trustpilot. Other service details are Alpha's published statements.
Affiliate disclosure: Links to Alpha on this page are ordinary research links. TRT Provider Guide may earn a commission from qualifying Male Excel referrals through the offer on this page or through provider offers elsewhere on the site, including offers on the linked Male Excel review. That never changes who we say a provider fits. Read our affiliate disclosure.
In California, Florida or Texas with a PPO or Medicare? Your insurance is the biggest swing factor in what Alpha will cost you, so settle it first. Check your coverage with Alpha's free benefits form → Alpha says its team replies by text or email; call or text if you haven't heard back within one business day. A benefits check doesn't guarantee coverage or treatment.
Outside those three states? Alpha doesn't list your location as served, but you still have good options. Our online vs. local care guide → helps you compare care settings.
TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.
What we actually verified
Date checked: November 3, 2026
Sources we read: Alpha Hormones' home page, FAQ, TRT page, pricing and insurance pages, Texas and Florida telehealth pages, and its Subscription & Cancellation Policy (revised Oct. 28, 2026). Also its Trustpilot and BBB profiles, two FTC records, AUA and Endocrine Society guidance, FDA labeling news, the DEA/HHS telemedicine rule, and Male Excel's and Hone Health's pricing pages.
Confirmed in the public record: Review counts and ratings, BBB status and FTC history. Provider-stated terms checked against current documents: Membership prices, setup fee, visit fees, included and excluded labs, hCG exclusion, accepted and excluded insurance, states served, cancellation and refund terms.
Provider-stated (we did not independently confirm): The full clinician-by-state roster, the in-house lab's CLIA certification, reply times, the "10,000+ patients" figure, pharmacy partners and current LegitScript certification.
Licensing checks: We verified Dr. Tek's active Texas physician license and active Florida out-of-state telehealth registration on November 3, 2026. Details are in the legitimacy section below; we did not independently verify every clinician's status.
We could not confirm: Whether the $250 setup fee applies to annual plans. Whether your first consult is billed separately from the membership. Whether a given patient's testosterone or pellets are FDA-approved or compounded.
What we did not do: We did not become patients, book a visit, complete checkout, contact support or test the service. This is a review of the evidence, not a hands-on review. See How We Review TRT Providers.
The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use the care routes and questions on this page before you pay. If you want to explore Male Excel's online program, use TRT Provider Guide's Find My TRT Path tool. It currently covers that program; it does not compare every provider or choose specialist care.
The tool is educational and non-diagnostic. It does not determine medical eligibility or guarantee a prescription. See our privacy policy before sharing information.
Make sure you have the right "Alpha." This page covers Alpha Hormones Inc., the medical practice in Pasadena (alphahormones.com). It is not "Alpha TRT", which is sold as a supplement, not testosterone therapy. It's also not AlphaMD, a separate online TRT company. We cover that one in our AlphaMD TRT reviews.
What do Alpha Hormones reviews actually say?
Alpha Hormones reviews are overwhelmingly positive. On Trustpilot, 93% of 518 reviews are five stars, and the reviews we read praise unhurried visits and specific clinicians by name. The low-star examples we checked concern refill visits, booking glitches and surprise lab bills.
Here's what the public review record looked like when we checked on November 3, 2026.
What patients praise
The same themes come up again and again:
- Time. Many reviewers say they felt heard and weren't rushed.
- Named clinicians. Reviews mention Kellie, Julianne, Marcus, Monikeo and Dr. Tek by name. Ask whether you can keep seeing the clinician you prefer.
- Help with insurance and pharmacy costs. In an October 20, 2026 review, Donna Rhodes said her clinician sent prescriptions where she'd get the best out-of-pocket price.
- Not being pushed. In an invited review published October 19, 2026, about an October 13 visit, A. Chalmers said the clinician advised staying on his current course rather than starting something new, and explained why.
That last one matters. If you're worried about a "TRT mill" that writes a prescription for everyone, a review describing a clinician recommending against a change is a useful counter-signal. One review doesn't prove a pattern, though. Read the original reviews.
The complaints worth knowing about
Positive reviews describe what went right for those reviewers. Complaints tell you what to ask about before you pay.
Review sources: Trustpilot page 4, page 2 and Alpha's on-site review widget, checked November 3, 2026. Review dates refer to publication unless stated otherwise.
Keep this in mind: Reviews describe experiences. They can't prove that a treatment works, that it's safe for you, or that results are typical.
Is Alpha Hormones legit?
Yes. The records we checked identify a real medical practice. It has a physical Pasadena office, a named physician leading it, a business history going back to 2019, and BBB accreditation since 2021.
Here's what backs that up:
- A real address. Alpha's office is in Huntington Medical Plaza, 800 Fairmount Ave, Suite 323, Pasadena, CA 91105. The BBB and Trustpilot list the same address.
- A named physician in charge. Dr. Rotana Steven Tek, D.O., is the founder, CEO and medical director. BBB lists Dr. Rotana Tek as President/CEO.
- Two direct license/registration checks. On November 3, 2026, the Texas Medical Board listed Rotana Steven Tek's physician license Q2402 as ACTIVE, with an expiration of November 30, 2028 and no current board action or restrictions in its verified status fields. The Florida Department of Health listed his out-of-state telehealth registration TPOS216 as Clear/Active. That Florida record establishes telehealth registration, not a full Florida physician license. We did not independently confirm his current California record or every team member's status.
- A small, named team. Besides Dr. Tek, Alpha lists four clinicians: Julianne Humason, FNP-BC; Marcus Lee, FNP-C; Monikeo Williamson, FNP-BC; and Kellie Klein, PA-C. FNP is a family nurse practitioner. PA-C is a certified physician assistant. Before you book, you can check any clinician's license on your state's medical or nursing board website.
- A business history. BBB shows a business start date of January 30, 2019, and accreditation since June 11, 2021.
- Third-party seals. Alpha's site shows a LegitScript seal. Its badge links to a LegitScript listing check. We confirmed the badge display, not current certification.
The FTC history you should know about
In December 2020, staff at the Federal Trade Commission sent Alpha Hormones a warning letter. The letter said the clinic's website and social posts claimed a compounded peptide (Thymosin Alpha-1) could help fight COVID-19 without the science to back it up. In April 2021, the FTC listed Alpha Hormones among marketers that had removed those claims after getting warning letters. (FTC letter, Dec. 18, 2020; FTC update, Apr. 29, 2021)
What this means for you: it's a five-year-old advertising issue about COVID claims, and the claims came down. It isn't about testosterone therapy. It wasn't a lawsuit or a fine. Still, it's a fair reason to read any clinic's marketing with a critical eye, especially claims about peptides.
Where can Alpha Hormones treat you?
Alpha Hormones says it only treats patients who are physically in California, Florida or Texas at the time of each visit. Its only office is in Pasadena. Its city pages for places like Houston, Dallas and Miami describe video visits, not local clinics.
This is the detail that trips people up. Alpha's menu lists about 30 city "locations," from Anaheim to San Antonio. Click Dallas, and the page itself says Alpha has no physical location in Texas. Click Miami, and it's the same story for Florida. Those pages are for video care.
Provider-stated service and clinician coverage: Los Angeles, Miami and Dallas, checked November 3, 2026. These counts are not an independent state-board license check.
Three things to know before you book:
- Location means where you are during the visit, not your home address. If you split time between Texas and California, care follows where you are that day.
- Time zones. Alpha's team works on Pacific time. Clinic hours are 9 a.m. to 6 p.m. weekdays and 9 a.m. to 1 p.m. Saturdays, Pacific. That's noon to 9 p.m. on weekdays for Florida patients on Eastern time.
- In-person exams. Alpha's FAQ says whether you need an in-person exam depends on your condition, your medication, your location and current law. Its Florida and Texas pages say routine care stays virtual. If an in-person exam is ever needed and you're far from Pasadena, Alpha says you may need to see a clinician near you. Ask how that would work before you pay.
One rule needs a fresh check before 2027. Testosterone is a Schedule III controlled substance, meaning federal law treats it as a drug with abuse potential that needs a valid prescription. Right now, a temporary federal rule lets DEA-registered clinicians prescribe controlled medicines by telehealth without a prior in-person visit, as long as conditions are met. State requirements and the prescriber's legal authority still apply. That rule runs through December 31, 2026. (Federal Register, Dec. 31, 2025) What happens after that depends on what federal regulators do next. We'll update this page when it changes.
Not in California, Florida or Texas? You're outside Alpha's published service area, and that's okay. Our guide to online vs. local TRT care walks through your other options. State availability for the alternatives is covered later on this page.
How much does Alpha Hormones cost?
Alpha's men's TRT membership starts at $249 a month self-pay or $199 a month with an in-network PPO, plus a one-time $250 setup fee. On the self-pay monthly plan, that's $3,238 in first-year fees before extras. Prepaying annually or using insurance lowers the membership cost, while labs outside the program, hCG and missed-visit fees cost extra.
The advertised monthly price isn't your yearly cost. So we did the math for every way you can pay Alpha for TRT.
Your first-year fees, by payment path
Source: Alpha Hormones pricing and Subscription & Cancellation Policy, checked Nov. 3, 2026. Subtotals assume 12 monthly payments or the advertised annual fee, starting prices and no add-ons. They are not complete personal quotes; the first-visit and annual-setup questions below remain open.
One open question to settle before you pay: Alpha's pages don't make clear whether a $250 new-patient consult comes before you join a membership, or whether that first evaluation is part of the membership's first month. The policy says month one may include two to three visits. If the consult is billed separately, add $250 to the membership subtotals above. Get the answer in writing.
What the TRT membership includes, and what it doesn't
The included visits and monitoring labs below describe the self-pay plan; PPO visits and labs are billed to insurance. Confirm which diagnostic tests, including a repeat early-morning testosterone test, are covered before treatment. The public fee list does not settle every patient's diagnostic testing cost.
Alpha lists the InBody scan and 10% discount as possible program benefits; confirm both in your enrollment summary.
Some of those lab names, in plain English:
- Total testosterone is all the testosterone in your blood.
- Free testosterone is the small share that isn't bound to proteins.
- SHBG (sex hormone-binding globulin) is a protein that grabs testosterone. High SHBG can mean less free testosterone even when total looks normal.
- CBC is a blood count. It includes hematocrit, the share of your blood made of red blood cells. Testosterone can raise it.
- PSA (prostate-specific antigen) is a prostate blood marker that clinicians watch during treatment.
- LH and FSH (luteinizing hormone and follicle-stimulating hormone) are signals from the pituitary gland, at the base of the brain, that tell the testicles to make testosterone and sperm.
Lab definitions follow the Endocrine Society guideline. Anastrozole's approved labeling concerns breast cancer in postmenopausal women; off-label means a use outside the FDA-approved label.
The annual plan trap
The advertised annual membership fee is $498 less than twelve monthly membership payments on the self-pay TRT plan. But Alpha's policy says annual plans are prepaid and non-refundable. If you stop after three months, you don't get the other nine back. Our take: do at least a month first. Prepay only if you're confident you'll stay.
The pay-per-visit option most people miss
You don't have to join a membership. Alpha says it can send a prescription to a local retail pharmacy when that's medically appropriate. If your insurance covers an FDA-approved testosterone product through your pharmacy benefit, paying per visit and filling at your own pharmacy may be your cheapest route.
Ready to look at the numbers yourself? Alpha updates its prices, so check the source before you commit. See Alpha's current membership and visit prices →
Does Alpha Hormones take insurance or Medicare?
Yes, with limits. Alpha bills select in-network commercial PPO plans and Original Medicare or eligible Medicare PPO plans for eligible visits and labs. It does not accept HMOs, Kaiser, Medi-Cal/Medicaid or TRICARE, and Alpha says memberships are not available with Medicare.
Insurance at Alpha comes in a few separate pieces. Here's how it sorts out by plan type.
Source: Alpha insurance verification page and pricing FAQ, checked Nov. 3, 2026.
When does the PPO membership actually save you money?
The PPO membership is $50 a month cheaper. That's $600 less over 12 monthly payments, or $500 less on the annual plan ($2,490 vs. $1,990).
But on the PPO plan, your insurance gets billed for visits and labs, and you pay your plan's share. So the math is simple:
For otherwise comparable care and fees, the PPO plan costs less only if its additional cost-sharing and other uncovered charges come to less than $600 (monthly plan) or $500 (annual plan).
If you've already met your deductible or your copays are low, PPO likely wins. If you have a high-deductible plan, self-pay may cost less, and it keeps insurance bills out of it.
Medicine is a separate question
Alpha's own insurance FAQ notes that compounded medicines and peptides are often self-pay. Insurance may cover an FDA-approved testosterone product if your plan's formulary and coverage criteria are met. Many also require prior authorization, meaning your insurer must approve coverage before it pays. Alpha says many plans want two low morning tests and symptoms before they'll cover therapy, and its team can help submit the paperwork. Your insurer makes the final call.
How does Alpha Hormones decide if you need TRT?
National guidelines say low testosterone should be diagnosed only when you have matching symptoms or signs and testosterone that's low on repeat early-morning tests. Alpha's site describes that standard. It also says self-pay patients may start after one low result while repeat testing is arranged, so ask which path you'd be on.
Hypogonadism is the medical name for when the body doesn't make enough testosterone. Here's how the major guidelines say it should be diagnosed:
- American Urological Association (AUA): Use a total testosterone level below 300 ng/dL as a reasonable cutoff. Confirm it with two tests on separate days, both taken early in the morning. Pair the results with symptoms or signs. (AUA guideline)
- Endocrine Society: Diagnose only when symptoms or signs are present and testosterone is clearly and consistently low on repeat morning fasting tests. Look for the cause, too. (Endocrine Society guideline)
No single number, symptom list or quiz diagnoses anyone. Testosterone runs highest in the morning and swings from day to day. That's why a second test matters.
What Alpha says it does
Alpha's TRT page uses different wording for insurance and self-pay:
- The insurance path. Alpha says many plans require symptoms and two low results from separate morning tests before covering therapy.
- The self-pay path. Alpha says that if one result shows low total or free testosterone, you may be able to start without waiting for insurance approval, with repeat testing arranged by your clinician.
Alpha also says it offers a "more detailed evaluation" when symptoms continue even though levels look normal. Read Alpha's exact wording.
Our take: the self-pay wording leaves room for treatment to start before a confirming test. That doesn't mean anyone does something wrong. Your clinician may confirm first in practice. But it's the single most important question to ask at your first visit:
"Will you confirm my low testosterone with a second early-morning test before I start treatment?"
Alpha says it accepts recent outside lab results and records. If you already have one or two morning results, bring them. Your clinician decides whether they're recent and complete enough. Our TRT blood-test guide explains the testing questions in more detail.
What testosterone treatments does Alpha Hormones offer?
Alpha Hormones offers testosterone injections, topical creams and gels, oral testosterone, and pellets. Some are FDA-approved products and some are compounded, and Alpha says itself that compounded medicines are not FDA-approved. Ask which exact product and pharmacy you'd get before you commit.
FDA-approved means the FDA reviewed that exact product for safety, effectiveness and manufacturing quality. Compounded means the medicine was made by mixing or changing ingredients for a patient's needs. The FDA doesn't approve compounded medicines or review them that way. (FDA compounding Q&A)
Alpha's offer is described on its TRT page. Approved examples are documented in testosterone cypionate labeling, FDA's formulation summary, oral testosterone undecanoate labeling and the Testopel approval record. These examples do not establish which product Alpha would prescribe for you.
A few facts to weigh:
- The AUA advises prescribing commercially made testosterone over compounded testosterone when possible. (AUA guideline)
- Alpha names its compounding pharmacies. Its FAQ lists Strive Pharmacy and Belmar Pharmacy and says pharmacy choice depends on the medicine, your location and other factors. It also says a prescription may go to your local retail pharmacy when appropriate.
- FDA approval does not guarantee insurance coverage. Ask your plan about the exact product; this choice affects your bill.
For a closer look at the tradeoffs between formats, see our TRT treatment-options guide.
What if you're planning to have kids?
Testosterone therapy can lower sperm production, sometimes a lot. Alpha's TRT membership does not include hCG. If having a child in the next year or two matters to you, start with a reproductive urologist or another fertility-focused clinician before you start any TRT program.
Tell your clinician about later fertility plans too; a longer timeline does not remove this concern.
When testosterone comes from outside the body, the brain sends less of the LH and FSH that the testicles need to make sperm. Spermatogenesis, the process of making sperm, can slow down or stop. The Endocrine Society recommends against starting testosterone in men planning to have children soon. (Endocrine Society guideline) Alpha's own FAQ says the same thing.
What Alpha offers:
- hCG, clomiphene and enclomiphene. These work differently from TRT. They aim to get your body making more of its own testosterone. None of them is TRT, and none guarantees fertility. Alpha says the same on its TRT page. hCG is billed outside the TRT membership.
- Fertility testing through its lab services.
- A conversation before you start. Alpha says it may discuss semen testing, sperm banking or fertility-focused options.
Their approval status differs. hCG products such as Pregnyl are FDA-approved for selected cases of low testosterone caused by inadequate pituitary signaling; use to preserve fertility during TRT is off-label. Clomiphene is FDA-approved for ovulation problems in women, and its use in men is off-label. Enclomiphene has no FDA-approved drug product. Compounding does not confer FDA approval. (Pregnyl labeling; clomiphene labeling; FDA enclomiphene review and current compounding list)
Our take: if a baby is in the near-term plan, a TRT membership isn't the right first step anywhere, Alpha included. Read the fertility questions to ask before treatment →
How do monitoring, refills and support work at Alpha?
Self-pay members get a short follow-up visit each month after the first month, and PPO members must be seen at least every three months. Refills aren't automatic. You request them through the patient portal before you run out, and monthly billing doesn't mean a shipment every 30 days.
Here's how ongoing care works under Alpha's policy (revised October 28, 2026):
- Visits. Month one may include 2 to 3 visits to evaluate you, review results and plan treatment. After that, self-pay members get one 15-minute follow-up a month. PPO members need a visit at least once every 3 months.
- Monitoring. Alpha's TRT program tracks blood counts, PSA, estradiol, SHBG and testosterone, plus how you feel. FDA labeling now warns that testosterone products can raise blood pressure, so your blood pressure should be checked too. (FDA, Feb. 28, 2025)
- Refills. Request them through the portal or secure messaging before your supply runs out. Timing depends on your dose, your labs and the pharmacy.
- Delays. If a refill is late, contact your prescriber. Don't stretch, skip or change your treatment on your own.
- Support. Alpha says members get replies within one business day. Some reviewers say email answers were slow. If email is delayed, Alpha also lists phone or text at (213) 334-4111.
How do you cancel an Alpha Hormones membership?
Monthly memberships have no long-term contract, but you must cancel in writing at least 30 days before your next billing date. Annual plans are prepaid and non-refundable. Missing a visit or cancelling with less than 24 hours' notice costs $100 for new patients or $50 for established patients, except true emergencies.
All of this comes from Alpha's Subscription & Cancellation Policy, revised October 28, 2026.
The policy preserves refunds and earlier cancellation rights required by law, billing corrections and exceptions approved in writing.
One practical tip: check the deadline before your next renewal; with a 30-day notice period, waiting until a few days before billing may be too late.
Is Alpha Hormones worth the higher price?
Alpha Hormones' self-pay monthly fee model is higher than the two starting-rate illustrations below. Our starting-price models differ by roughly $500 to $1,200 before unpriced extras and prescription differences. Alpha's offer includes insurance billing, monthly self-pay visits with named clinicians, an in-person option and broader medical care.
Here's the honest tradeoff. Alpha Hormones costs the most in the monthly plan examples below. If price is your top priority, compare a complete personal quote from Hone Health or Male Excel with Alpha's quote. Alpha's published options include insurance billing, monthly self-pay visits and an in-person Pasadena office. It bills eligible PPO or Medicare visits and labs. It sees you every month (self-pay) with the same small team. It offers in-person care in Pasadena. And it can manage blood pressure, thyroid or weight alongside your testosterone. For an insured patient or a Southern California patient, that can be worth more than a cheaper sticker price.
Alpha Hormones vs. Male Excel vs. Hone Health
Sources: Alpha pricing, Male Excel pricing and FAQ, and Hone Plus pricing and inclusions. Checked Nov. 3, 2026. These are provider-stated offers, not independently tested care outcomes.
Additional comparison sources: Male Excel terms, Hone cancellation policy, Hone injection disclosure and Hone's men's medication menu.
What the models can and cannot tell you: Alpha's $3,238 excludes the unresolved initial-consult question and outside-program charges. Male Excel's $2,727 uses twelve monthly-equivalent medication prices, not a confirmed 365-day supply or invoice schedule. Hone's $28 is listed per vial in its Plus details; the illustration assumes $336 of medication over the year, not that this quantity meets your prescription. The actual product, quantity, shipping schedule, testing and extras can change the bill.
Hone Plus's more firmly calculable subtotal is $1,710 with at-lab confirmation or $1,745 with at-home confirmation, before medication. Its public treatment landing page also advertises a different Premium route. The table above models Plus only. Read the Plus details before comparing a quote.
Male Excel's FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire and Rhode Island. Its parent company publishes a different, older exclusion list, so confirm your location before paying. For Hone, use the plan-specific state table. Neither is an option in every state.
Two things worth knowing about the alternatives:
- Male Excel advertises injection and cream packages that pair a thyroid medicine with testosterone. If you go that route, ask whether your own thyroid labs support it. Male Excel's site also notes that, depending on federal and state law, your plan may require an in-person exam.
- Hone Health separates testing, membership and medicine into different charges. Its Plus page lists testosterone cypionate from $28 per vial, so the medication total depends on the prescribed product and quantity. Ask for the actual shipment and billing schedule.
Is price your deciding factor? Then compare the cash programs directly. Read Hone Plus's current fees and inclusions and Male Excel's published plan costs. For a closer look at Male Excel's care model and tradeoffs, read our Male Excel review →
Check Male Excel's online consultation and state eligibility →
Who should choose something other than Alpha Hormones?
Look elsewhere if you'll be outside California, Florida or Texas during visits, need to use an HMO, Kaiser or TRICARE, cannot afford Alpha's quote, or need fertility-first care. Each of those readers has a better starting point.
If Alpha isn't your fit, here's where to go next. If the cash-pay telehealth row fits you, review Male Excel's costs, state limits and care model → and confirm your state against its current FAQ. If you'd rather sort through your situation first, use Find My TRT Path to explore Male Excel's online program →
What should you confirm before paying Alpha Hormones?
Get your testing plan, exact medicine, full first-year cost and exit terms in writing before you commit. The checklist below helps you collect those answers in one place.
Print this or copy it into your notes. Bring it to your first visit, or send the questions to Alpha before you book.
Alpha Hormones: questions to settle before you pay
Date: __________
State I'll be in during visits: __________
Payment path: self-pay monthly / self-pay annual / PPO monthly / PPO annual / pay per visit
My clinician's name and credential: __________
A written quote helps you understand cost. It doesn't decide whether treatment is right for you. That's your clinician's call.
Checked the boxes and Alpha still fits? You know the cost, the coverage and the questions to ask. Book your first Alpha Hormones consultation → Prefer to talk first? Call or text (213) 334-4111. A consultation doesn't guarantee a prescription.
How did we research this Alpha Hormones review?
We read Alpha's official pricing, policy, treatment and state pages, its Trustpilot and BBB profiles, two FTC records, current medical and federal guidance, and Dr. Tek's Texas and Florida issuer records, all on November 3, 2026. We kept what Alpha says separate from what we confirmed, and we calculated disclosed first-year fee subtotals and identified missing costs instead of repeating a monthly price.
This page follows our published method, How We Review TRT Providers. In short:
- We separate four kinds of information: facts we verified, facts the provider states, patient experiences, and our own editorial judgment.
- We account for disclosed costs and identify what needs a personal quote. Setup fees, memberships, extras and the effect of annual prepayment, not just the headline price.
- We look at the whole care path: testing, clinician access, states, treatment formats, medicine and pharmacy transparency, fertility handling, monitoring, cancellation and support.
- We don't assign Alpha Hormones a score or star rating in this guide. Medical care doesn't reduce to a number.
- We date everything. Prices and rules change. When they do, we update this page.
What would change our view: a clearer written policy on confirming diagnosis before treatment, a change in states served or clinicians, new pricing or terms, or new regulatory action. Spot something out of date? Tell us through our corrections page.
Alpha Hormones FAQ
Alpha's public terms answer the basic questions about price, insurance, location and cancellation. Your exact testing plan, prescription and out-of-pocket bill still need a personal answer from the clinic and, if applicable, your insurer.
Is Alpha Hormones legit?
Yes. It's a physician-led medical practice in Pasadena, California, led by Dr. Rotana Steven Tek, D.O. It has an A+ BBB rating and has been accredited since 2021. In 2020 the FTC warned it about COVID-related peptide ads, and the FTC listed it in 2021 among marketers that removed those claims.
How much does Alpha Hormones cost per month?
The men's TRT membership starts at $249 a month self-pay or $199 with an in-network commercial PPO, plus a one-time $250 setup fee. Annual plans are $2,490 self-pay or $1,990 with PPO, paid up front and non-refundable. Per-visit pricing starts at $250 for a new patient's first 30 minutes.
Does Alpha Hormones take insurance?
Yes, select in-network commercial PPOs from Aetna, Anthem Blue Cross, Blue Shield of California, Cigna and UnitedHealthcare for eligible visits and labs. It does not accept HMO, Kaiser, Medi-Cal/Medicaid or TRICARE plans. Coverage depends on your plan.
Does Alpha Hormones accept Medicare?
Alpha bills Original Medicare and eligible Medicare PPO plans for eligible visits and labs. Alpha says memberships are not available with Medicare, and Medicare HMOs aren't accepted.
Where is Alpha Hormones located?
Its only office is at 800 Fairmount Ave, Suite 323, Pasadena, CA 91105, in Huntington Medical Plaza. Hours are 9 a.m. to 6 p.m. weekdays and 9 a.m. to 1 p.m. Saturdays, Pacific time.
Does Alpha Hormones have clinics in Houston, Dallas or Miami?
No. Its pages for cities in Texas and Florida describe video visits, and Alpha says it has no physical office in either state. Labs are drawn at a local site.
What states does Alpha Hormones serve?
California, Florida and Texas. You must be physically in one of those states during each visit. In Texas, only Dr. Tek and Monikeo Williamson, FNP-BC, are licensed to treat patients, according to Alpha.
Who is Dr. Rotana Tek?
Dr. Rotana Steven Tek, D.O., is the founder, CEO and medical director of Alpha Hormones. Alpha lists him for care in California, Florida and Texas. We verified his active Texas physician license and Florida out-of-state telehealth registration. You can check a clinician's license or telehealth registration with the relevant state board or health department.
Do I need lab results before my first visit?
No, but bring any from the past year. Alpha says it accepts outside results and records. Your clinician decides whether you need newer or additional tests.
Does Alpha Hormones offer hCG?
Yes, but it's not included in the TRT membership and is billed separately. hCG isn't a guarantee of fertility. If you're planning a pregnancy soon, talk with a fertility-focused clinician first.
Are Alpha Hormones' medications FDA-approved?
Some are and some aren't. Alpha offers FDA-approved products and compounded preparations, and it notes that compounded medicines are not FDA-approved. Ask which exact product and pharmacy you'd get.
How do I cancel my Alpha Hormones membership?
Send written notice at least 30 days before your next billing date, through your patient portal or to billing@alphahormones.com. Annual plans are non-refundable, and cancelling an appointment doesn't cancel your membership.
Do refills require an appointment?
Refills aren't automatic. You request them through the portal, and timing depends on your dose and monitoring. Self-pay members get a monthly follow-up, which helps. Pay-per-visit patients may need a paid visit.
Is Alpha Hormones the same as Alpha TRT or AlphaMD?
No. The "Alpha TRT" supplement sold online is not this clinic or testosterone therapy. AlphaMD is a separate online TRT company with its own review.
The bottom line on Alpha Hormones
Alpha Hormones is a real, well-reviewed clinic with insurance billing and a Pasadena office. It bills insurance, and it puts you with a small team of named clinicians who see you often. It may be a strong fit if you're in California, Florida or Texas, especially with an in-network PPO or Original Medicare for eligible visits and labs.
Expect a starting subtotal of $3,238 in first-year fees on the self-pay monthly plan, before extras; Medicare is a separate visit-and-lab route, not a membership option. Before you pay, confirm two things: that your diagnosis will be checked with a second morning test, and exactly which product you'll get.
If you'll be outside those three states during care, can't afford Alpha's quote, or are planning a family soon, Alpha isn't your best first step. That's fine. Better-fit options are listed above.
Still not sure which TRT care route fits you? Compare online and local care. If you're considering Male Excel, use our free Find My TRT Path tool to explore that program.
This page is educational information, not medical advice. It does not diagnose low testosterone or decide whether treatment is right for you. Don't start, stop or change any medication based on this page. If you have chest pain, trouble breathing, signs of a stroke or another emergency, call 911. See our medical disclaimer and editorial standards.
Sources (checked November 3, 2026)
- Alpha Hormones home page and FAQ
- Alpha Hormones FAQ
- Alpha Hormones pricing, memberships and insurance
- Alpha Hormones Subscription & Cancellation Policy (revised Oct. 28, 2026)
- Alpha Hormones TRT page
- Alpha Hormones insurance verification
- Alpha Hormones Dallas telehealth page
- Alpha Hormones Miami telehealth page
- Trustpilot: Alpha Hormones
- BBB: Alpha Hormones Inc.
- FTC warning letter to Alpha Hormones (Dec. 18, 2020)
- FTC: 30 more marketers removed COVID claims (Apr. 29, 2021)
- American Urological Association: Testosterone Deficiency Guideline
- Endocrine Society: Testosterone Therapy in Men With Hypogonadism
- FDA: Class-wide labeling changes for testosterone products (Feb. 28, 2025)
- FDA: Compounding questions and answers
- Federal Register: Fourth temporary extension of telemedicine flexibilities (Dec. 31, 2025)
- Male Excel pricing and FAQ
- Hone Plus membership: current pricing, tests and inclusions
- Hone plan-specific state availability
- Hone injectable testosterone formulation disclosure
- Pregnyl prescribing information
- Clomiphene prescribing information
- FDA: enclomiphene advisory review and current bulk-substance list