AlphaMD vs Peter MD: Which Online TRT Clinic Costs Less — and Fits You Better?
AlphaMD vs Peter MD comes down to one question: how sure are you that you'll stay a full year? Peter MD lists the lower standard prepaid price: $948 versus $1,176. AlphaMD offers $129 monthly billing with a three-month commitment. Lab costs, service discounts, your state and cancellation terms can change which costs less.
That's the short answer. The longer one has a twist: the "cheap" annual plan can cost more than monthly payments if you leave early. The plan-plus-start-up numbers cross near month 8, before follow-up labs and other charges. We'll show you the math, line by line, so you can see which side of that line you're on.
AlphaMD is likely a better fit if: you want a shorter commitment, qualify for its 20% veteran, active-duty or first-responder discount, or would rather pay monthly than prepay $948. If you're new to TRT, get the diagnosis and care plan settled first.
Peter MD is likely a better fit if: you're confident you'll stay 12 months or more, want the lower standard annual plan price, can prepay $948, and have confirmed the lab and cancellation terms. Both clinics advertise HSA/FSA card acceptance.
Neither treatment plan is the right first purchase if: low testosterone hasn't been properly evaluated or you're trying to have a baby soon. Start with clinical evaluation or reproductive care. If you need insurance to cover the care itself, compare insurance-billing providers first.
This comparison covers adult men considering care for testosterone deficiency. It is educational information, not medical advice.
AlphaMD vs Peter MD at a glance
Provider-stated prices and policies from AlphaMD and Peter MD, checked November 5, 2026. Totals are our math, not either company's quote. Start-up examples assume AlphaMD's regular $49 consult and covered partner labs, or Peter MD's $95 starter panel; they exclude follow-up and any extra required tests. See the terms and lab sources below.
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.
How we make money: AlphaMD and Peter MD links here are ordinary direct provider links. We have affiliate relationships with Male Excel and Hone Health and may earn a commission if you buy through links in our guides to them. That never changes which of these two we say fits you. Read our affiliate disclosure. The Male Excel offer link is a paid referral; we may earn a commission from qualifying enrollments.
What we actually verified (November 5, 2026): We read AlphaMD's and Peter MD's current pricing, lab, billing, cancellation, support, pharmacy and terms pages, then recalculated every total ourselves. We checked medical and legal claims against the FDA, DEA, American Urological Association and Endocrine Society. We did not sign up, pay, talk to support or receive treatment. Full details are in How we compared them.
AlphaMD vs Peter MD: what's the real difference?
AlphaMD and Peter MD describe cash-pay online care, with labs and a video visit before a clinician decides whether to prescribe testosterone for delivery. The real difference isn't the monthly price. It's how much you must pay up front, who pays for your first labs, and how hard it is to walk away.
Here's the whole comparison in three lines:
- Peter MD lists the lower standard annual plan price — if you prepay a year. Labs cost extra. Its refund policy makes treatment purchases final once medication is received.
- AlphaMD has the higher standard annual plan price. But it covers your first labs through its partner where available, lets you start with a 3-month minimum, and gives eligible veterans 20% off.
- Both can use compounding pharmacies, both need regular blood tests, and neither bills insurance for its treatment program. Confirm the exact product and pharmacy.
Two quick terms before we go further. Testosterone replacement therapy (TRT) means taking testosterone because your body isn't making enough. Compounded means a drug is made by combining, mixing or changing ingredients for a patient. Compounded drugs are not FDA-approved, which means the FDA hasn't reviewed that specific product for safety, effectiveness or quality (FDA).
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 TRT Provider Guide's Find My TRT Path tool to check age/state eligibility for the featured Male Excel TRT offer. It does not compare online options or organize questions; the specialist and urgent-care routes above still come first when they apply.
Find My TRT Path is educational. It doesn't diagnose low testosterone, decide whether you qualify for treatment, or replace a clinician.
Which is cheaper, AlphaMD or Peter MD?
Before follow-up labs and other extra charges, Peter MD's standard annual plan-plus-start-up subtotal is $182 lower; AlphaMD's is $46 lower for two six-month terms and $166 lower for 12 monthly payments. Required tests, discounts and renewal choices can change the full-year comparison. The headline prices ($79 vs $98) don't tell you this on their own.
Why "$79" and "$98" aren't the same kind of number
Both prices include the testosterone, injection supplies, shipping and follow-up clinician visits (AlphaMD; Peter MD inclusions). But each one leaves something out:
- AlphaMD lists a regular $49 consultation to start (AlphaMD). Your first labs are free through its lab partner, Assist Health, where that ordering service is available. Follow-up labs cost extra (AlphaMD).
- Peter MD says its first video consultation is free. But you buy labs separately: $95 for the starter panel and $124.50 for each follow-up panel. Both are non-refundable (Peter MD labs).
So one charges you to walk in the door. The other charges you for the bloodwork. You have to add both to get a fair number.
Switching offer: AlphaMD's page updated October 22 advertises code SWITCH2026 for a $5 consultation and $50 off the first month through December 31, 2026, for patients currently receiving TRT from another clinic, with a prescription active within the past year, or with test results less than a year old. Confirm eligibility and whether discounts can be combined. The tables below use regular prices (offer terms).
The year-one ledger
We ran both clinics through the same formula: plan price for 12 months + what it costs to start + follow-up blood tests.
Prices checked November 5, 2026. Assumes the same basic-plan rates all year, a clinician keeps prescribing, AlphaMD's initial Assist Health labs are available, and Peter MD's $95 starter panel is bought. Two six-month terms means choosing the second prepaid term at the same price. No promotions, extra baseline or repeat diagnostic tests, taxes or optional medicines are included. How many follow-up tests you need is your clinician's call — these are cost examples, not a testing schedule or identical lab panels.
What the numbers say:
- Annual plans: Peter MD has the lower standard subtotal. Before follow-up labs, Peter MD is $182 cheaper. With one $124.50 Peter MD follow-up, its $1,167.50 subtotal is still below AlphaMD's $1,225 before AlphaMD follow-ups. In the two-follow-up example, the totals tie if AlphaMD's two panels cost $67 combined — $33.50 each if equally priced.
- 6-month plans: AlphaMD has the lower start-up subtotal if you choose both prepaid terms. The plan cost is identical — $654 for six months at both. AlphaMD's $49 start beats Peter MD's $95 start by $46, before follow-ups.
- Month-to-month: AlphaMD's plan-plus-start-up subtotal is $166 lower over 12 months, before follow-ups. Its three-month minimum is clearer than Peter MD's conflicting monthly-plan terms.
The renewal detail most people miss
AlphaMD contacts you about two weeks before a prepaid term ends. If you don't answer, it moves you to standard monthly billing — $129 a month — rather than charging you for another full term (AlphaMD).
That avoids another full prepaid charge, but billing continues unless you cancel. It costs you if you meant to renew the prepaid term. On a 6-month plan, letting it slide to monthly instead of re-upping costs $120 more over the next six months ($774 vs $654). That makes the plan-plus-consultation subtotal $1,477 for six prepaid months followed by six monthly payments, versus $1,357 for two chosen prepaid terms.
Peter MD's prepaid plan pages describe an option to switch to monthly billing later. We couldn't find what happens by default when a prepaid term ends, or at what price. Ask before you pay.
Peter MD's price shows up as several different numbers
Peter MD's pages don't all agree. Its main TRT page prints a "$1,068 total" next to the monthly plan — but 12 months at $139 is $1,668 (Peter MD). Its "Begin TRT" page says the monthly plan takes two months up front, which is $278 (Peter MD). And its How It Works FAQ says TRT programs require at least a six-month commitment (Peter MD).
None of that means the $79 plan isn't real. It is. It means you need the checkout price and the written agreement to match on the first charge, minimum term and cancellation balance. Screenshot them.
Already know you'll stay a year? If the math works for you, see Peter MD's current 12-month plan price →
Rather keep your options open? See AlphaMD's current plans and what the first-lab coverage includes →
What happens if you stop early?
Peter MD's policy makes treatment purchases final once medication is received and requires cancellation by email at least 48 hours before renewal processing. AlphaMD lets you cancel anytime but collects any balance on medication already shipped. Neither company's public terms establish a final exit bill for every prepaid plan.
This is the section that decides it for most people.
Plenty of men stop TRT in the first year. Side effects, cost, a doctor's advice, a change in plans. Research on treatment continuation supports planning for that possibility, though it does not measure either clinic. You don't need to plan to quit. You just need to know what quitting would cost.
The exit-cost table: payments before the final settlement
These are plan-payment and start-up illustrations through months 3, 6 and 9. They leave out follow-up labs, extra required tests, taxes, add-ons, refunds and any remaining shipped-medication balance. They are not cancellation quotes or maximum losses; prepaid rows assume the listed charge was paid.
*$512 covers three treatment months at $139 plus $95 labs ($278 first charge + $139 + $95). $929 covers six treatment months at $139 plus $95 labs. Peter MD's pages do not resolve which minimum applies or the final cancellation settlement. Get the answer in writing.
The subtotal crossover near month 8
Peter MD's annual plan plus its $95 starter panel totals $1,043. AlphaMD's monthly plan costs $49 plus $129 a month. Somewhere between month 7 and month 8, those lines cross.
- Through 7 monthly payments: AlphaMD's plan-plus-consultation subtotal is $952, below $1,043.
- At the 8th monthly payment: AlphaMD's subtotal reaches $1,081, above $1,043.
That's a useful line to see, but follow-up labs and any cancellation balance move the real break-even point. Treatment length belongs with your clinician; use the math to choose payment terms after that discussion.
What "cancel anytime" really means at each clinic
Peter MD: Its refund policy says treatment purchases are final once medication is received, even if unused. To stop renewal, email at least 48 hours before the renewal processing date. Damaged items have a separate photo-and-report process, with reporting required within 24 hours of receipt (Peter MD refund and auto-bill policy).
AlphaMD: You can cancel at any time. Any balance for medication that has already shipped is collected before the account closes, and you're not billed for anything that hasn't shipped (AlphaMD). You can also pause, after settling that balance (AlphaMD). Its terms provide a full membership-fee refund if you cancel within 72 hours and no services have been requested or rendered (AlphaMD Terms, §12). AlphaMD's terms also allow limited medication refund or replacement exceptions for wrong medication, damage or non-delivery. We could not confirm a general refund for unused months on a prepaid plan at either clinic. Ask.
One safety note: stopping your billing is not the same as stopping your treatment. Don't stop or change testosterone on your own. Talk to your prescriber first.
The honest trade-off
AlphaMD does not have the lowest standard prepaid plan price. If that is your priority, Peter MD's $948 plan beats AlphaMD's $1,176 plan before labs and other charges. But AlphaMD's monthly option skips that big up-front commitment: three payments plus the regular consultation total $436, with first labs covered through its partner where available. That is a subtotal, not a cap on what leaving costs.
Prefer a shorter payment commitment? Review AlphaMD's registration and book the consultation →
Confident you're in it for the long haul? Review Peter MD's current 12-month plan price →
Want no minimum commitment at all — and a conditional membership-fee guarantee? Neither of these publishes that combination. Male Excel advertises no contract and cancellation at any time. New members who complete 90 continuous days without improvement may request the first three months' membership fees back within the next 30 days, subject to documented adherence, required appointments and claim review. Medication and other charges are excluded (guarantee terms; refund policy).
It costs more on the published examples. Its injection page lists $62.50 a month for medication, $15 for syringes and $99 for monthly membership: an illustrative $2,217 for year one, including the $99 initial consultation/test kit. This uses 12 months of the displayed rates; medication is billed $125 every 60 days, so it is not an exact first-365-days cash-flow quote. Shipping, tests not covered by the plan and other prescribed medicines are extra. Its separate injectable-plus-thyroid package is $120 a month plus $99 membership: $2,727 with that same initial charge, plus shipping. These are different packages, not one universal starting price; thyroid treatment needs its own clinical reason. Its injectable testosterone is compounded (injection pricing and product; package pricing; $99 initial assessment).
Male Excel says it serves 39 states and does not serve Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire or Rhode Island (state FAQ, checked November 2026). If flexibility is worth more to you than price, review Male Excel's costs and guarantee →. See Male Excel’s current TRT offer →
Our Male Excel guides contain affiliate links that may earn us a commission. Starting doesn't guarantee a prescription. More detail: Male Excel vs AlphaMD · Male Excel vs Peter MD.
Veteran, active duty, or first responder? Here are your prices
AlphaMD gives eligible veterans, active-duty service members and first responders 20% off its basic TRT plans, after it verifies service status. That makes its annual plan $940.80 a year — below Peter MD's standard $948. Peter MD also advertises selected-program discounts and BEARIT hardship assistance, so compare the offers you can actually use.
Sources: AlphaMD veterans page, AlphaMD prepaid plans, Peter MD, checked November 5, 2026. Year-one figures include AlphaMD's $49 consultation and Peter MD's $95 starter labs; both still add follow-up labs. The six-month examples assume choosing a second prepaid term at the same rate.
Against Peter MD's standard rates, AlphaMD's annual plan-plus-start-up subtotal is $53.20 lower. With one follow-up panel at each, the examples tie if AlphaMD's follow-up costs $177.70. The six-month and monthly subtotal gaps are $307.60 and $475.60 before follow-ups and other charges.
Peter MD's service-discount page advertises discounts from 12% for approved combat-veteran applicants on selected products and labels TRT injections 12% off for qualifying first responders. Its BEARIT program advertises three months at no charge, then $77 a month, for qualifying uniformed men facing financial hardship; it describes this as all-inclusive. Ask which current plan, tests and medicines are covered, and whether you qualify. We have not applied either offer to Peter MD's standard prices in the table.
A few things to know:
- Proof is required. AlphaMD checks service status before the discounted rate is charged. Ticking a box isn't enough (AlphaMD).
- The discount doesn't change the medical decision. A licensed provider still decides whether you get a prescription.
- You may have coverage already. The VA and TRICARE can cover testosterone therapy when their clinical and coverage criteria are met. See Does the VA cover TRT? and Does TRICARE cover TRT?
- Active duty? Ask your military medical team about civilian TRT, duty requirements and prescription documentation. Read Can you be on TRT in the military? before you book.
Served? Check AlphaMD's veteran pricing and how service verification works →
Need financial help or a second service-discount quote? Review Peter MD's BEARIT program and ask about its terms →
How do labs work at AlphaMD and Peter MD?
AlphaMD covers your first labs when you order them through its partner Assist Health at a free-standing Labcorp; follow-up labs are extra, at a discounted price you see before paying. Peter MD sells panels separately — $95 for the listed starter panel and $124.50 per follow-up. Peter MD's lab orders aren't available in Alabama, Idaho, New York or New Jersey, and Assist Health ordering isn't available in New York, New Jersey or Rhode Island.
Before any clinic: one low number isn't a diagnosis
Total testosterone is all the testosterone in your blood. Guidelines say low testosterone should be diagnosed only when you have symptoms or signs and consistently low results, confirmed on separate early-morning tests. The American Urological Association (AUA) uses total testosterone below 300 ng/dL as a reasonable cutoff to support a diagnosis, not a diagnosis by itself (AUA guideline). The Endocrine Society also calls for confirming a low result with a repeat morning fasting test (Endocrine Society).
If you haven't had that, start with clinical evaluation and testing — not with a treatment subscription. A primary care doctor can order it; either clinic may also offer an evaluation before prescribing. See Do you need two low testosterone tests for TRT? and Where to get a testosterone test.
What each clinic's labs look like
Sources: AlphaMD labs, AlphaMD own-lab rules, Peter MD lab catalog, Peter MD Step 1, Peter MD follow-up, checked November 5, 2026.
A few plain-English definitions:
- PSA (prostate-specific antigen) is a blood marker for the prostate. The AUA wants it checked before starting testosterone in men over 40.
- LH and FSH (luteinizing hormone and follicle-stimulating hormone) are signals from your brain to your testicles. They help a clinician find why testosterone is low.
- Hematocrit, part of a CBC (complete blood count), is how much of your blood is red cells. Testosterone can raise it, so you want a starting number.
One catch at Peter MD: the starter panel's URL mentions a CBC, but its visible product name and test list do not. Ask whether your starting labs cover hemoglobin and hematocrit, usually part of a CBC, before you pay. The AUA recommends checking them before TRT generally; the over-40 guidance above is for PSA.
Ask both clinics: does the starting price include the separate repeat early-morning test needed to confirm a new diagnosis, and what else would you pay for if it does not? “First labs covered” and a single $95 panel do not answer that.
How often you'll need follow-ups
AlphaMD says your first follow-up labs are due about 10 weeks after your first prescription is sent, then every 6 to 12 months once you're stable. A provider reviews new results within 1 to 3 business days of receiving them (follow-up schedule; results review). Peter MD describes a 90-day check-in but doesn't publish a full first-year lab schedule.
For context, the AUA says testosterone should be measured every 6 to 12 months during treatment, and the Endocrine Society recommends checks in the first year that include testosterone and hematocrit. Your clinician sets the required tests and timing; one or two panels in the cost table is a financial example, not a complete monitoring plan. Don't skip a required test to save money. Testosterone can also raise blood pressure, so ask how it will be checked (FDA).
If you have untreated severe sleep apnea, a recent heart attack or stroke, high hematocrit, or known or suspected prostate cancer, arrange an assessment with your current clinician or the relevant specialist before choosing an online treatment plan (Endocrine Society).
Want a broader lab workup and a physician review before you pick a treatment plan? Hone Health's Premium route starts with a $65 at-lab panel and doctor consult. Its plan page lists a $25 confirmatory at-lab test, while its general retesting FAQ says clinically necessary retesting is free; confirm which charge applies. Premium membership is $155 a month plus medication, with tests at months 3, 6, 9 and 12, then 18 and 24. Hone says cancellation takes effect at the end of the current billing period (checked November 2026; it doesn't serve every state). If that testing-and-membership model matters more than the lowest monthly price, review Hone's testing and membership costs →
Our Hone Health guides contain affiliate links that may earn us a commission. Treatment depends on a clinician's review. Sources: Premium plan · lab schedule · confirmatory-testing FAQ · state availability. More: Hone Health vs Peter MD · TRT providers with labs included.
What medication will you actually get?
Peter MD names testosterone cypionate; AlphaMD says its providers mainly use cypionate or enanthate, and both disclose pharmacy arrangements that can include compounding pharmacies. Compounded testosterone is not FDA-approved. Ask each clinic, before you pay, exactly which product and which pharmacy your prescription would go to.
What each clinic discloses
Peter MD names testosterone cypionate on its injectable TRT page (Peter MD). Its terms name two pharmacies, Absolute Pharmacy and Partell Pharmacy (Peter MD Terms, §§23–24). That tells you where prescriptions may go, not which product you'll get. The terms also say prescriptions go to a pharmacy of the patient's choosing; confirm how that works for your plan and state.
AlphaMD says its providers mainly prescribe testosterone cypionate or enanthate (AlphaMD). Its terms say prescriptions may be filled by partner pharmacies, "including compounding pharmacies," and may be moved between pharmacies (AlphaMD Terms, §10). An older AlphaMD Q&A answer names Wells Pharmacy, AnazaoHealth and Empower as compounding partners (AlphaMD Q&A); confirm the current one.
AlphaMD says doses up to 200 mg a week are included in its standard $129/month plan (AlphaMD). Your clinician sets your dose — not the plan.
Want a cream instead of injections? AlphaMD also describes cream prescriptions in its cream-pricing Q&A. Ask for the exact preparation, price and pharmacy; do not assume it has the same terms as the injection plan. The Peter MD prices here are for its injectable TRT offer.
FDA-approved vs compounded, in plain words
FDA-approved testosterone products exist, including generic testosterone cypionate. A compounded version made by a pharmacy is a different thing. The FDA doesn't approve compounded drugs, and a familiar ingredient name doesn't make the finished product FDA-approved (FDA). If you specifically want an FDA-approved product, ask for it in writing. If you need insurance to cover clinical care, a participating primary care doctor, urologist or endocrinologist is the better route. AlphaMD says some prescriptions can be sent to a local pharmacy for possible insurance coverage, but its clinical fee remains and coverage depends on your plan (AlphaMD Q&A). See FDA-approved testosterone products.
Testosterone is a Schedule III controlled substance in the U.S. It requires a valid prescription from an authorized clinician (DEA schedule; federal prescription law).
Non-testosterone treatments: “Oral TRT,” hCG and other add-ons
- Peter MD's "Oral TRT" menu link goes to enclomiphene (Peter MD). Enclomiphene is not testosterone and is not FDA-approved (FDA advisory-committee record; government drug summary). It's a different treatment, not a pill version of TRT. See Enclomiphene vs TRT.
- hCG (human chorionic gonadotropin) at AlphaMD costs $300 per 10,000-IU order, not per month, and is only available with an active TRT plan (cost; active-plan requirement). Peter MD sells hCG as a separate product with its own access rules (Peter MD). hCG is not TRT. Some hCG products have FDA-approved uses, including selected cases of male hypogonadotropic hypogonadism — low testosterone caused by too little hormonal signaling — but neither clinic's exact product is established here (Pregnyl label). That does not establish fertility preservation during TRT. See hCG with TRT.
- Anastrozole is an aromatase inhibitor: it reduces estrogen production. It is FDA-approved for specified breast-cancer uses in postmenopausal women; use with TRT in men is off-label, meaning outside its approved uses (FDA label). Ask why any add-on is needed and what it costs.
How to read the marketing
Can you get AlphaMD or Peter MD in your state?
Peter MD's injectable TRT isn't offered in Alabama or Idaho, and its lab orders aren't available in New York or New Jersey. AlphaMD says it serves most U.S. states and confirms availability during registration, but we could not confirm a complete current treatment-state list. Check treatment, labs and pharmacy for your state separately before you pay.
Sources: Peter MD injectable TRT, Peter MD lab catalog, AlphaMD, AlphaMD state FAQ, checked November 5, 2026. This is an exceptions list, not a 50-state map.
If neither clinic serves your state, compare online and local TRT care.
Will online TRT still be allowed after December 31, 2026?
Current federal telemedicine flexibilities run through December 31, 2026; they do not settle the rules after that date. During the extension, DEA-registered clinicians can prescribe testosterone through an audio-video visit without a prior in-person examination when all applicable conditions, including federal and state law, are met. As of November 5, 2026, the special-registration final rule received by OIRA on August 25 remains under review, not an operative replacement.
Sources: Fourth Temporary Extension, Federal Register; DEA; OIRA review record.
Peter MD's How It Works page retains an older in-person-visit statement alongside its current video-consultation FAQ. That older legal explanation does not describe the current federal extension; confirm your own visit requirements before prepaying.
What it means for you: the federal deadline matters to both clinics, but state requirements and each clinic's response can differ. A clinician must meet the rules where you are located (HHS state-licensing guidance). Another difference is how much money you've paid ahead. A 12-month plan bought today runs well past that date. Before you prepay, ask in writing: "If a new rule requires an in-person visit or you stop serving my state, what happens to the months I've already paid for?"
More: Is online TRT legal? · TRT online without an in-person visit
Who answers your questions — and how fast?
AlphaMD handles support in writing only — email or portal — and says it usually replies within two business days; it does not offer phone support. Peter MD offers phone, text and email support with separate hours for new and current patients. Neither publishes a measured response time for medical questions, so ask how urgent clinical concerns are handled.
Sources: AlphaMD account help, AlphaMD providers, AlphaMD orders, Peter MD contact, Peter MD About, legacy Peter MD About, AlphaMD records, Peter MD records FAQ, checked November 5, 2026. These are provider descriptions; we did not independently verify each clinician's license or test response times.
Peter MD lists new-patient hours of 7 a.m.–7 p.m. daily and current-patient hours of 9 a.m.–5 p.m. Monday–Friday, labeled EST on its contact page. Those are support hours, not a promise of immediate clinician access.
AlphaMD says support is in writing so you keep a record of every answer. Some people love that. If you want to pick up a phone and talk to someone, Peter MD fits you better.
Neither company's support line is for emergencies. If you have chest pain, trouble breathing, or signs of a stroke, call 911.
Switching from another clinic? Both may consider outside lab results, but the new clinician decides whether you need new testing. AlphaMD says even transferring patients get the 10-week follow-up test (AlphaMD). Check what you owe the old clinic before you close the account. Ask both clinics how to request your full lab and treatment records, whether there is a fee, and how long it takes; we could not confirm those details from the public pages. See How to switch TRT providers.
Is Peter MD legit? Is AlphaMD legit?
Both publish terms, offer enrollment and describe care from licensed prescribers. But their trust signals differ: AlphaMD names clinicians and has a small, active Trustpilot profile; we did not independently confirm current LegitScript certification. Peter MD's Trustpilot profile for getpetermd.com has been removed by Trustpilot, and its own pages show conflicting prices.
Trust signals side by side
Sources: AlphaMD, AlphaMD Terms, Peter MD, Trustpilot — getpetermd.com, Trustpilot — AlphaMD, checked November 5, 2026.
What the Trustpilot removal means — and doesn't
On November 5, 2026, Trustpilot's page for getpetermd.com said the profile had been removed because the business goes against its guidelines (Trustpilot). Trustpilot didn't say which guideline. We don't know the reason, and we won't guess.
What it does mean: you can't lean on Peter MD's old five-star count anymore. That's not proof of bad medical care. It's a reason to rely on what's in writing — the plan terms, the refund policy and the checkout total.
What people say on Reddit
In its October 24–25, 2026 provider-run AMA on r/Testosterone, AlphaMD was asked whether visits, labs and medication were all included. Its answer began: “Not completely.” It mentioned possible expanded follow-up labs at about $88 and said vendor pricing could change. That is a dated provider estimate, not a current fixed quote or an independent customer review, so we did not put $88 in the cost ledger. Treat it as a hint about what to ask, not a verdict.
If written support and AlphaMD's published process fit you, book your AlphaMD consultation →
If price and phone support matter most, and the written terms work for you, review Peter MD's plans and policies →
More: How to verify a TRT provider's license · TRT clinic red flags · Peter MD reviews · AlphaMD TRT reviews
Thinking about having kids? Read this first
Testosterone therapy can lower sperm production, sometimes to zero, and recovery after stopping isn't guaranteed on any timeline. The American Urological Association says testosterone should not be prescribed to men who are currently trying to conceive. If a baby is in your near-term plans, a reproductive urologist is a better first stop than either clinic.
Here's why. Testosterone from outside the body can suppress LH and FSH, the signals that support sperm production. Making sperm is called spermatogenesis, and TRT can reduce or stop it (AUA guideline; Endocrine Society).
Both clinics offer add-ons — hCG at AlphaMD with an active TRT plan, and separate hCG and enclomiphene products at Peter MD. They have different roles in reproductive care and are not a guaranteed way to protect fertility. But neither clinic can promise your fertility will be preserved, and these aren't the same as TRT.
If you want children in the next year or so, talk to a reproductive urologist or endocrinologist before you sign up anywhere. Discuss longer-term fertility plans too; recovery after testosterone varies. See Does TRT affect fertility? · Sperm recovery after testosterone · Best TRT providers for fertility.
Planning a family? Compare fertility-focused care routes and questions for a reproductive specialist →
AlphaMD or Peter MD: which should you choose?
Peter MD has the lower standard annual plan price if you can prepay $948; check its full quote and terms before choosing. AlphaMD offers a shorter commitment, covered partner labs, written support and a verified service discount. Get evaluation or reproductive care first if needed, and choose an insurance-billing provider if you need the care covered.
Our Hone Health and Male Excel guides contain affiliate links that may earn us a commission. Starting with any provider doesn't guarantee a prescription.
7 questions to ask before you pay either clinic
Get these answered in writing — email or portal message — before you enter a card number. They cover the things most likely to cost you money later: your first charge, labs, medication, state, renewal and what happens if you stop.
- What is my exact first charge, and what does it cover?
- What is my minimum commitment, and what do I owe if I stop early?
- Does the starting price cover repeat diagnostic morning testing, what will each follow-up lab cost, and where do I get my blood drawn?
- Which testosterone product will I get, from which pharmacy — and is it compounded or FDA-approved?
- Do you serve my state, and will your lab orders work here?
- When does my plan renew, at what price, and what happens if I don't reply?
- If a new federal rule requires an in-person visit, what happens to months I've already paid for?
Your side-by-side worksheet
Copy this, fill it in from each clinic's answers, and compare.
If a box is blank, the cost isn't zero. It's unknown. Don't pay until it's filled.
Got your answers and AlphaMD fits? Book your AlphaMD consultation →
Got your answers and Peter MD fits? Ask Peter MD to confirm your plan terms in writing →
More: Questions to ask a TRT clinic · TRT cost calculator
How we compared AlphaMD and Peter MD
We read both companies' current public pricing, lab, billing, cancellation, support, pharmacy and terms pages on November 5, 2026, and ran both through the same cost formula. We checked medical and legal claims against the FDA, DEA, AUA and Endocrine Society. We didn't buy a plan or receive treatment, so this is a public-source comparison, not a hands-on review.
We follow our published method, How We Review TRT Providers. It separates four kinds of claims: facts we verified, facts a provider states, customer-experience signals, and our own editorial conclusions. It builds a complete-cost checklist instead of repeating a teaser price. Where a fee is not confirmed, our model leaves it open rather than calling it zero. This comparison doesn't give scores or star ratings.
What we actually verified — November 5, 2026
Sources checked: AlphaMD homepage, TRT page, veterans page, hCG page, FAQs, member help (labs, billing, account, orders), Terms of Use (updated September 19, 2026) and pricing articles (updated October 22, 2026). Peter MD injectable TRT page, Begin TRT page, How It Works, lab catalog and lab products, contact page, service-discount and BEARIT pages, refund and auto-bill policy, and terms. Trustpilot profiles for both. FDA, DEA, Federal Register, AUA and Endocrine Society sources.
Provider statements verified on their public pages: listed plan prices and commitment wording, including Peter MD's conflicts; AlphaMD's veteran pricing and verification step; AlphaMD's $49 consultation and first-lab coverage; Peter MD's $95 and $124.50 lab prices; both cancellation and refund policies; AlphaMD's renewal default; state exclusions each company publishes; pharmacy arrangements in their terms and pharmacy names on their public pages. Separately, we observed Peter MD's removed Trustpilot profile and AlphaMD's current profile.
Stated by the providers but not tested by us: support response and lab-review times, shipping times, dose inclusions, Peter MD's price-match guarantee and free consultation. We did not independently check each clinician's state license or a patient-specific pharmacy assignment.
We could not confirm: AlphaMD's current follow-up lab quote (its public AMA gives only an estimate), AlphaMD's full treatment-state list, repeat diagnostic-test inclusion at either clinic, general refunds for unused prepaid months, Peter MD's renewal default and price, the exact product and pharmacy any reader would receive, record-request fees and turnaround, and which Peter MD minimum applies to its monthly plan.
Our relationship: AlphaMD and Peter MD links on this page are ordinary direct links. Our Male Excel and Hone Health guides contain affiliate links; those relationships do not decide this comparison's conclusions.
Prices and policies change. The date above records our latest check. If you spot something out of date, tell us.
AlphaMD vs Peter MD FAQ
These answers use the published prices and terms checked on November 5, 2026. Your written quote still needs to resolve the testing costs and plan terms that the public pages leave open.
Is AlphaMD cheaper than Peter MD?
It depends on your plan and labs. Peter MD's standard annual plan-plus-start-up subtotal is $1,043 versus AlphaMD's $1,225. AlphaMD's comparable subtotals are lower for two chosen six-month terms or 12 monthly payments. Follow-up testing, other charges and service discounts can change the full-year winner; both advertise service programs.
How much is Peter MD per month?
Peter MD lists $79 a month on a 12-month plan ($948 up front), $109 a month on a 6-month plan ($654 up front), or $139 monthly. Its pages conflict on the monthly commitment and first charge, so get those in writing. Labs are extra: $95 for the listed starter panel and $124.50 per follow-up panel (checked November 5, 2026).
How much is AlphaMD per month?
AlphaMD lists $98 a month on a 12-month plan ($1,176 prepaid), $109 on a 6-month plan ($654 prepaid), or $129 a month with a 3-month commitment, plus a regular $49 consultation. Eligible veterans, active military and first responders pay $78.40 to $103.20 a month.
Does AlphaMD include blood work?
Your first labs are covered when you order them through its partner Assist Health at a free-standing Labcorp. Follow-up labs cost extra. Assist Health ordering, including free first labs, isn't available in New York, New Jersey or Rhode Island. Ask separately whether a required repeat diagnostic test is covered.
Does Peter MD include blood work?
On the standard injectable plans compared here, Peter MD sells labs separately. Its listed starter panel is $95 and its follow-up panel is $124.50, and both are non-refundable. BEARIT assistance has separate advertised terms.
Can I cancel Peter MD and get a refund?
You can stop future renewals by emailing at least 48 hours before the renewal processing date. Peter MD's policy says treatment purchases are final once medication is received, even if unused. Its FAQ also says TRT requires at least a six-month commitment, which conflicts with its “1-Month Plan” presentation. Confirm any unused-service refund or remaining balance in writing.
Can I cancel AlphaMD anytime?
Yes. AlphaMD collects any remaining balance on medication that has already shipped before it closes the account. Its terms provide a full membership-fee refund if you cancel within 72 hours and no services have been requested or rendered. They do not establish a general prorated refund for every unused prepaid month.
Do AlphaMD or Peter MD take insurance?
Neither bills insurance for its treatment program. Both advertise HSA/FSA card acceptance; AlphaMD says the card must work with its payment processor. Card acceptance does not guarantee an eligible expense or reimbursement. Either can let you use insurance for lab work in some cases; confirm coverage, and ask Peter MD about its $25 lab-request processing fee.
Is the testosterone FDA-approved?
We did not verify the exact product either clinic would dispense to a particular patient. Both can fill prescriptions through compounding pharmacies, and compounded testosterone is not FDA-approved. Ask which exact product and pharmacy you'd get before you pay.
Which states don't AlphaMD and Peter MD serve?
Peter MD's injectable TRT isn't offered in Alabama or Idaho, and its lab orders aren't available in New York or New Jersey. AlphaMD says it serves most states and confirms yours during registration.
Why was Peter MD's Trustpilot profile removed?
Trustpilot's notice says the profile was removed because the business goes against its guidelines, without naming which one. We don't know the specific reason. Rely on Peter MD's written terms and checkout total rather than past ratings.
Is Peter MD the same as Peter Uncaged MD?
Yes. Peter MD's own privacy policy also uses the Peter Uncaged MD name.
Is AlphaMD the same as "Alpha TRT" supplements?
No. AlphaMD describes a telehealth service with licensed prescribers. A supplement sold as “Alpha TRT” is not the same service or a prescription testosterone product; check the seller and label.
Can I switch from Peter MD to AlphaMD?
Yes. AlphaMD accepts switching patients and records from other clinics, and its new provider decides whether you need new labs. Check what's left on any Peter MD prepaid plan first, and don't change your treatment on your own during the switch.
Which is better for veterans?
Compare your eligible offers. AlphaMD's 20% service discount makes its annual plan $940.80 a year, with first labs covered through its partner where available. Service status is verified before the discount applies. Peter MD also advertises selected-program discounts and BEARIT assistance, so AlphaMD is not the automatic winner for every veteran.
Check age/state eligibility for the featured Male Excel TRT offer with our free Find My TRT Path tool.
This page is educational information, not medical advice. It doesn't diagnose low testosterone or decide whether treatment is right for you. If you have chest pain, trouble breathing, or signs of a stroke, call 911.
TRT Provider Guide is the independent decision resource for testosterone replacement therapy care. We are not a clinic, pharmacy, laboratory, drug manufacturer, insurer, or medical practice. Editorial standards · How We Review TRT Providers · Corrections · Privacy policy
Related: AlphaMD TRT cost · Peter MD cost · AlphaMD alternatives · Peter MD alternatives · Taurus Meds vs AlphaMD · Taurus Meds vs Peter MD · TRT providers with no contract · TRT providers that accept HSA or FSA
Sources
All checked November 5, 2026, unless noted.
AlphaMD: Homepage and pricing · TRT page · Veterans pricing · Prepaid plans and renewal · Cancellation · Pause · Labs · Assist Health · Follow-up labs · Own lab or insurance · Account and support · Orders and shipping · Providers · FAQs · hCG · Switching offer and consultation fee (updated Oct 22, 2026) · Terms of Use (updated Sept 19, 2026)
Peter MD: Homepage · Injectable TRT · Begin TRT · How It Works · Lab catalog · Step 1 labs · Follow-up labs · Refund and auto-bill policy · Terms and conditions · Contact · Enclomiphene · hCG
Reviews: Trustpilot — getpetermd.com · Trustpilot — AlphaMD
Medical and legal: American Urological Association, Testosterone Deficiency Guideline · Endocrine Society, Testosterone Therapy Guideline · FDA, Compounding Questions and Answers · DEA, Drug Scheduling · Fourth Temporary Extension of Telemedicine Flexibilities, Federal Register · DEA telemedicine extension announcement · OIRA special-registration review record
Other providers (checked November 2026): Male Excel injection pricing · Male Excel package pricing · Male Excel initial assessment · Male Excel guarantee terms · Male Excel refund policy · Male Excel state FAQ · Hone Premium plan · Hone Premium lab schedule · Hone confirmatory-testing FAQ · Hone state availability. More detail: Male Excel cost · Hone TRT cost.