Best Online TRT Providers 2026: Real First-Year Cost

Educational information, not medical advice. Testosterone is a Schedule III controlled substance and requires a valid prescription. If you have chest pain, trouble breathing, one-sided leg swelling with pain, or a sudden severe headache, get urgent or emergency care now.

There is no single best online TRT provider. Calculated first-year cash spans about $1,043 to $3,598 before unposted extras. Male Excel has the clearest 60-day follow-up rhythm, TRT Nation the lowest transparent injection plan without a long prepay, and Hone Plus the clearest repeat-testing schedule. Your state, fertility plans, product preference, and diagnostic workup can change the answer.

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 changes the answer:

Your testing. Symptoms or a quiz do not diagnose low testosterone. Current guidelines call for symptoms or signs plus consistently low results, with repeat early-morning testing.
Your fertility plans. If you want children soon, exogenous testosterone is usually not the right first move. A reproductive urologist can explain fertility-aware options without promising an outcome.
Your state. Male Excel publishes 41 states, TRT Nation publishes 45, Hone Plus publishes 35, and Fountain publishes 25. Other providers disclose less before intake.
Your product requirement. Several programs dispense compounded medication. A compounded preparation is not FDA-approved, even when a licensed pharmacy makes it.
Your real budget. A monthly headline may leave out labs, membership, medication, shipping, a required prepay, or a renewal that lands before week 52.

Before you pick, know this. One clinic bills every four weeks, which is 13 charges a year, not 12. One advertises “no membership fees” on the same website where its terms describe a $17.99 recurring fee. One sells the lowest posted annual plan only when you pay $948 up front. And one still tells readers they need an in-person visit first, even though the current federal extension allows qualifying telemedicine prescribing through December 31, 2026. We show exactly which is which.

Relationship disclosure: Some provider links on this page may be affiliate links, and TRT Provider Guide may receive compensation for qualifying actions. Any qualifying relationship is disclosed near the relevant link. Read our Affiliate Disclosure.

Which best online TRT provider fits your situation?

The best fit depends on the part of care you value most and the risks you need the clinic to handle. This table gives a starting point, not a diagnosis, clinical referral, or promise that a provider will prescribe testosterone.

If you…	Start with	Why—and the catch
Want a set 60-day follow-up rhythm and daily compounded dosing	Male Excel	Its public program describes reassessment with the same provider every 60 days and comprehensive labs every six months. It is expensive, excludes nine states, uses contracted pharmacies, and publicly takes a looser view of diagnostic cutoffs than major guidelines.
Want the lowest transparent injection plan without a six- or 12-month prepay	TRT Nation	It publishes a $99.99 monthly equivalent, $129 lab price, state exclusions, refill timing, and no-refund rule. Charges are made in 2.5-month blocks, home tests are not accepted, and the posted package includes an estrogen blocker.
Want an explicit confirmatory test before TRT and a published follow-up-lab schedule	Hone Plus	Hone publishes a confirmatory-test step and follow-up testing during the first year. The $135 membership does not include medication, and its advertised injection price does not establish how many vials you will need in a year.
Will prepay for the lowest posted 12-month plan	Peter MD	The posted plan is $948 for 12 months before labs. You pay up front, treatment is unavailable in Alabama and Idaho, lab access has separate state limits, and the site contains stale or overconfident statements about telemedicine and fertility.
Want several compounded treatment formats and can accept a plan commitment	Maximus	It publishes injection, cream, oral testosterone, and separate enclomiphene options. Baseline and repeat lab costs are separate, state pricing can vary, and the lowest rate requires a six-month plan.
Prefer a bundled cream or injection plan with a video visit	Fountain	It includes testing, a video visit, medication, and follow-up in published 4-, 12-, or 48-week plans. Auto-renew timing can make first-year cash outlay much higher than the service-equivalent annual price.
Want an à-la-carte clinic rather than a fixed bundle	Defy Medical	Defy publishes a broad care model and lists injections, cream, and pellets. Its public pages do not provide enough current prices to calculate one honest first-year total.
Are drawn to Taurus’s advertised $149 bundled price	Pause before paying	Taurus publishes a $49 start and $149 monthly claim, but its offer page, terms, refund policy, and entity disclosures conflict on fees, product status, guarantees, and who provides the clinical care.
Want children in the near term	A reproductive urologist	Testosterone can suppress sperm production. Non-testosterone options may be considered for some men, but none guarantees fertility preservation or recovery.
Have not had repeat, properly timed testing	Primary care, urology, or endocrinology	Confirm the diagnosis and possible cause before paying for a recurring treatment plan.

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 map your situation to the right care route and the questions to ask before you pay.

Use TRT Provider Guide's Find My TRT Path tool

The tool is educational and non-diagnostic. It does not interpret your results, clear contraindications, determine medical eligibility, or guarantee a prescription.

Who we are, and what we actually verified

This is a dated public-record comparison, not a hands-on review. We did not enroll as patients, enter private checkout screens, receive care, test support response times, or independently audit every clinician in each provider’s national network.

This page follows How We Review TRT Providers. We compared the complete care path: evaluation, repeat testing, clinician access, state coverage, medication and pharmacy disclosure, monitoring, fertility handling, full cost, cancellation, refunds, records, and claims transparency.

What we checked on September 1, 2026:

Male Excel: current pricing, TRT program, FAQ, terms, medication disclosures, and published state exclusions.
Taurus: the $49 offer page, Terms of Service, Cancellation and Refund Policy, privacy language, and named partner pharmacies.
TRT Nation: its 2026 FAQ, published program details, laboratory rules, state exclusions, refill process, and cancellation policy.
Peter MD: current 12-month plan, six-month and monthly options, initial and follow-up lab products, How It Works FAQ, and refund/autobill policy.
Hone Health: current Plus membership, confirmatory-test pricing, treatment pricing, first-year follow-up schedule, and tier-specific state availability.
Maximus: current injectable plan pricing, treatment-format pages, at-home laboratory product, and published compounding disclosure.
Fountain: current TRT plan, FAQ, terms, auto-renew language, state list, testing, and video-visit process.
Defy Medical: current TRT page, care model, listed treatment formats, and named medical leadership.
Medical and legal sources: FDA, DEA and HHS, the Endocrine Society, the American Urological Association, FDA-regulated labeling records, and HHS medical-record guidance.

How to read the labels on this page:

Verified public fact means the fact appeared in a current official document or authoritative source we checked.
Provider-stated fact means the provider says it, but we did not independently prove the underlying performance, quality, or outcome.
Editorial conclusion means our judgment from the verified facts. It is not a medical endorsement.
Unclear means the public information did not support a dependable answer. We do not fill that gap with a guess.

What remains unclear: Taurus’s exact treating clinical entity, state list, checkout price, and whether its $17.99 terms fee applies to TRT; Male Excel’s shipping charge; the exact annual injection-medication cost at Hone; complete state lists and early-cancellation terms at Maximus; and a complete public rate card for Defy Medical.

This is not a complete directory of every online TRT clinic. Inclusion means we found enough current public evidence to make a useful comparison; omission is not proof that another clinic is better or worse.

Best online TRT providers at a glance

The numbers below use the current public rate cards and the assumptions stated in this article. Where dose, refill timing, confirmation testing, or renewal timing prevents one exact total, the table shows a range or separates a service-equivalent price from first-year cash outlay.

Provider	Strongest verified fit	First-year cost scenario	Published coverage	Main unresolved point or trade-off
Male Excel	60-day follow-up rhythm and daily compounded dosing	$2,727 injection / $2,871 cream, plus shipping	41 states; excludes AK, AR, CT, HI, ID, LA, MS, NH, RI	High cost; diagnostic language differs from guideline standards; shipping amount not posted
Taurus	Advertised bundled price—verification hold	$1,837 advertised; $2,052.88 if the $17.99 fee applies monthly	Not published	Exact checkout price, clinical entity, state availability, product status, and guarantee conflict
TRT Nation	Transparent lower-cost injection plan	$1,586.88 annualized with three panels; about $1,636.88 cash if five 2.5-month blocks are bought inside 52 weeks	45 states; excludes AL, AK, AR, MO, HI	No refunds; no home tests; pharmacy not named; posted package includes an estrogen blocker
Peter MD	Lowest posted 12-month prepay	$1,043 with current initial lab; $1,167.50 with one current follow-up panel	Treatment unavailable in AL and ID; lab limits differ	$948 paid up front; all-sales-final policy; current pages contain stale or conflicting statements
Hone Plus	Confirmatory testing and published first-year follow-up schedule	$1,710–$1,745 before medication; $2,430–$2,465 with $60/month cream or troche	35 states	Injection total cannot be fixed from a “from $28” or “$28 per vial” headline
Maximus	Several compounded formats	About $1,149.88 in plan charges in a 12-month continuation scenario, plus laboratory testing	Price and availability may vary by state	Lowest rate requires six months; exact repeat-testing frequency and cancellation consequences can vary
Fountain	Bundled cream or injection with video care	$2,587 Starter; $2,495 Standard first-52-week cash; $3,598 Pro first-52-week cash if each renews at week 48	25 states	Renewal timing can make cash paid in the first 52 weeks much higher than the annualized service price
Defy Medical	À-la-carte care and a broad listed format menu	Unable to calculate honestly from public prices	Nationwide telemedicine, provider-stated	Visits, labs, medication, and format costs are not published as one complete rate card

The three fee traps, in one breath: a membership that does not include the medicine, a four-week plan that creates 13 yearly charges, and a headline rate that requires six or 12 months of commitment. Then there is the lab trap: confirmation and follow-up tests may be separate, limited by state, or required more often than the headline price suggests.

How much does online TRT really cost for a full year?

The public plans in this comparison span roughly $1,043 to more than $3,500 in first-year cash before dose changes, optional add-ons, taxes, and any unposted shipping. A single “per month” number is not enough; the billing interval and renewal date can change what leaves your bank account during the first 52 weeks.

Our formula: required consultation and testing + membership charges + medication + required supplies and shipping + required follow-up care − unconditional discounts. We do not count an unverified promotion, optional add-on, or assumed insurance reimbursement as a guaranteed saving.

Provider	Cost math used	What is included	What remains outside or uncertain
Male Excel	$99 start + ($99 membership × 12) + ($120 injection or $132 cream × 12)	Starting test/consult, membership, provider-stated six-month comprehensive labs, medication	Shipping; dose-related price changes
Taurus	$49 start + ($149 × 12); separate scenario adds $17.99 × 12	Offer page says test, consult, plan, medication, and shipping	Whether $149 is the actual checkout rate; whether §28 fee applies; follow-up-lab cost
TRT Nation	$99.99 monthly equivalent × 12 + three $129 panels; cash scenario uses five 2.5-month purchases	Provider-stated testosterone package, supplies, consults	Each lab; fifth block may be paid inside year one; no refunds
Peter MD	$948 prepaid + $95 initial panel + optional $124.50 follow-up panel	Testosterone plan, supplies, shipping, consults, listed adjunct in package	Labs; eligibility; state lab limits; six-month minimum and all-sales-final terms
Hone Plus	$45 initial test + $45–$80 confirmatory test + $135 × 12 + medication	Membership and published follow-up testing	Medication; exact vial/refill count; formulation changes
Maximus	$49.99 first month + $99.99 × 11 in a continued six-month-plan scenario	Compounded medication, clinician access, priority shipping	$99.99 baseline/repeat kits; renewal terms; state differences
Fountain	13 × $199 Starter; five × $499 Standard inside 52 weeks; two × $1,799 Pro inside 52 weeks if auto-renewed	Provider-stated labs, video visits, treatment and follow-up	At-home upgrade, optional add-ons, cancellation timing
Defy Medical	No complete calculation	À-la-carte model	Public pages do not provide every current visit, lab, medication, refill, and follow-up price needed

Male Excel, line by line. $99 to start. $99 × 12 = $1,188 in membership. Starting injections at $120 a month add $1,440; starting cream at $132 a month adds $1,584. That makes $2,727 for injections or $2,871 for cream before shipping. The pricing page says medication cost can change with the prescribed amount.

Taurus, line by line. The offer page says $49 to start and $149 a month after approval. That is $1,837 for 12 months if no other fee applies. Section 28 of the terms describes a $17.99 recurring membership fee per billing period unless the purchase says otherwise. If that billing period is monthly and the fee applies, the total becomes $2,052.88. The public pages do not prove which scenario appears at checkout.

TRT Nation, line by line. The $99.99 monthly equivalent gives an annualized treatment price of $1,199.88. Three $129 panels add $387, for $1,586.88. But the clinic charges for 2.5-month purchases. If a patient buys at the start and again around months 2.5, 5, 7.5, and 10, five charges land inside the first 52 weeks and buy about 12.5 months of treatment. That cash-outlay scenario is about $1,636.88 with three panels, or $1,507.88 if the patient brings an accepted baseline panel.

Peter MD, line by line. The current 12-month plan is $948 paid up front. The current initial panel is $95, so the starting total is $1,043. One current follow-up panel is $124.50, bringing that scenario to $1,167.50. Treatment is unavailable in Alabama and Idaho, and the lab products are also unavailable in New York and New Jersey, with limited service in several other states.

Hone Plus, line by line. The initial test is $45. Plus is $135 a month, or $1,620 for 12 months. Hone publishes a required confirmatory step before TRT at $45 in a lab or $80 at home, creating a $1,710–$1,745 first-year base before medication. Cream or troche at the published $60 monthly price produces $2,430–$2,465. We do not turn “from $28” or “$28 per vial” into a fixed injection total because refill timing and vial use are not stated as one universal monthly quantity.

Maximus, line by line. The six-month plan is advertised at $49.99 for the first month and $99.99 a month after that. If the same rate continues through a second six-month term, 12 months of plan charges are about $1,149.88. The current at-home kit is $99.99, and repeat testing is separate, so the true first-year total depends on how many kits or outside lab panels the clinician requires.

Fountain’s renewal year. Starter is simple: $199 every four weeks creates 13 charges, or $2,587 in 52 weeks. Standard is $499 every 12 weeks. Its service-equivalent 52-week price is about $2,162.33, but auto-renewal at weeks 12, 24, 36, and 48 can put five $499 charges—$2,495—inside the first 52 weeks. Pro is $1,799 every 48 weeks. Its service-equivalent 52-week price is about $1,948.92, but a second $1,799 renewal at week 48 can raise first-52-week cash paid to $3,598 unless the patient cancels before renewal.

What these totals do not include: dose increases, optional hCG or anastrozole, taxes, state-specific pricing changes, optional at-home draws, treatment of a separate condition, or fees a provider did not publish. They also do not assume that a clinician will prescribe testosterone.

Use the TRT Cost Guide and first-year worksheet to compare any quote you receive with the full care path. The worksheet estimates cost only; it does not diagnose low testosterone or decide eligibility.

Male Excel: best for a defined buyer who values 60-day follow-up

Male Excel costs more than the lower-price injection programs, but its public materials describe a fixed reassessment with the same provider every 60 days, provider-stated comprehensive labs every six months, and daily compounded dosing. That can fit a cash-pay patient who already has a sound diagnosis and values a set follow-up rhythm more than the lowest price.

Best for you if: your low testosterone has already been properly evaluated; you want daily injection or cream rather than a weekly routine; you want a scheduled 60-day reassessment; you accept compounded medication and contracted-pharmacy fulfillment; and your state is served.

Not for you if: you want the lowest price, need an FDA-approved product only, want to choose your own pharmacy, have not had repeat early-morning testing, disagree with symptom-led “optimization,” or live in Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Mississippi, New Hampshire, or Rhode Island.

Who runs it. Male Excel identifies Male Excel Medical, P.A. and names Peter Fotinos, MD, and Lorna Brudie, DO, in clinical leadership. The company describes a national team of licensed providers. We did not audit every clinician’s license or specialty in every state.

How it works. A free symptom questionnaire comes first. The paid start is $99 for an at-home blood kit and provider consult. Male Excel says the kit covers testosterone, estradiol, thyroid function, DHEA-S, and PSA, and that results usually return about five business days after its lab receives the kit. If prescribed, medication ships in 60-day supplies from a contracted pharmacy. The company describes reassessment every 60 days and comprehensive labs every six months.

Its approach, in its own words. Male Excel calls daily micro-dosing its preferred approach and says it evaluates testosterone, thyroid, and estrogen together. Any clinician can decide that daily dosing fits an individual patient; what is specific here is that Male Excel presents daily injection or cream and the 60-day reassessment as core parts of the program.

Here is the trade-off, stated plainly. Male Excel does not compete on price. Its starting injection total is about $1,090 more than TRT Nation’s five-block, three-panel cash scenario and $890 more than Taurus’s unconfirmed advertised scenario. What the extra membership is supposed to buy is a set follow-up rhythm, included provider-stated six-month laboratory work, and access to the care team. That structure is useful only if the clinical decisions themselves are sound and the patient uses the follow-up.

Five things to know before you pay:

Its diagnostic philosophy is not the guideline standard. Male Excel says it treats based on symptoms and calls standard lab cutoffs outdated. The AUA and Endocrine Society require symptoms or signs plus consistently low testosterone, with repeat early-morning testing. Symptoms matter, but they do not establish the diagnosis by themselves.
Its starting packages list a daily thyroid tablet. Thyroid hormone treats a thyroid condition; it is not a routine weight-loss or energy add-on. Male Excel’s own safety language warns against using thyroid hormone for weight loss. Ask what the tablet is, what diagnosis supports it, and whether it is optional.
Its hormone treatments are described as compounded and routed through contracted pharmacies. The terms say Male Excel will not transfer the prescription to a different pharmacy. A compounded drug is not FDA-approved.
Nine states are excluded. The current public list names AK, AR, CT, HI, ID, LA, MS, NH, and RI. We did not find support for the draft’s additional claim that D.C. is served.
Shipping is extra, but the amount is not posted. The first-year estimates above exclude it rather than inventing a number.

Editorial conclusion. Male Excel leads only for the defined buyer who values its published 60-day structure and accepts the cost, compounded-only public positioning, pharmacy restriction, thyroid-package question, and diagnostic-language concern. It is not the universal best online TRT provider.

Taurus: a lower advertised price that is not ready for a recommendation

Taurus advertises a $49 start and a $149 all-inclusive monthly plan, with a written refund if the clinician medically disqualifies the patient. The damaging problem is that the offer page, terms, refund policy, and entity disclosures do not line up well enough to treat the advertised total as a verified checkout price or to call Taurus a current winner.

Could fit you if: the exact checkout screen confirms the total, term, state, treating clinical entity, dispensing pharmacy, medication, and refund terms in writing before you pay.

Not for you if: you need a complete public rate card, a published state list, a clearly named treating medical group, a guaranteed FDA-approved product, or a refund right beyond medical disqualification.

Who runs it. The public terms name Taurus Medical, Inc. and identify OpenLoop Health, Inc. as a “Partner MSO,” or management-services organization. That does not identify OpenLoop as the treating medical group. The same terms name four partner pharmacies: RedRock Pharmacy, Health Warehouse, Precision Compounding Pharmacy, and Triad Rx. The public pages do not establish which pharmacy or product a TRT patient receives.

How it works. The offer page describes a short intake, a $49 blood panel and consult, laboratory work through Labcorp or Quest, and a free at-home kit when a patient is more than 50 miles from either. Taurus says the process averages one to two weeks and that a patient who is medically disqualified receives a refund. The refund policy requires cancellation notice at least 72 hours before the next billing date.

The three contradictions, and what each means:

“No membership fees” vs. a $17.99 fee. The offer page says “$149/mo – all inclusive” with no membership or hidden fees. Section 28 of the terms says members agree to a recurring $17.99 fee per billing period unless otherwise stated at purchase. What to do: do not use $1,837 as a guaranteed year-one price. Confirm whether a fee appears, how often it bills, and whether a minimum term applies.
“FDA-approved medications” vs. “compounded.” Taurus’s public marketing uses both descriptions. Those words cannot be treated as interchangeable. What to do: ask for the exact product, manufacturer or compounding pharmacy, and whether the prescription is for an FDA-approved drug product or a compounded preparation.
A 90-day result guarantee vs. a narrower refund policy. The offer page markets a results guarantee. The published refund policy clearly supports a refund for medical disqualification and otherwise says cancellations are not refunded. What to do: rely only on the written policy that governs the purchase, not the broader marketing sentence.

One more thing we noticed. The $49 page contains copy-and-paste errors: medication descriptions are mismatched, and one section names “Excel Advantage,” which belongs to another brand. Sloppy marketing does not prove poor medical care. It does show why a reader should not infer clinical details from that landing page.

Privacy needs its own check. Taurus’s terms say the services are not tailored to HIPAA requirements. That sentence does not prove that no healthcare entity in the care path has HIPAA duties, but it means this page cannot promise that the whole Taurus platform is HIPAA-compliant. Review the applicable privacy notice before submitting health information.

Editorial conclusion. Taurus has a real public offer, named partner pharmacies, and a written medical-disqualification refund. It stays on verification hold because the public record does not resolve the fee, term, product, clinical-entity, state, and guarantee conflicts. That is not a hidden footnote; it is the reason Taurus is not the lower-cost winner on this page.

The other online TRT providers worth knowing

The six providers below each solve a different part of the decision. None earns a universal endorsement, and the low advertised number is useful only after testing, medication, billing, state access, and cancellation are added back in.

TRT Nation: the clearest lower-cost injection plan

TRT Nation publishes more of the basic transaction than most budget programs: a $99.99 monthly equivalent, $129 laboratory panels, five excluded states, no home testing, patient-requested refills, and no refunds. That makes it the clearest lower-cost injection option here, not automatically the best clinical fit.

The program is sold in 2.5-month blocks. TRT Nation says the package includes testosterone cypionate, syringes, consultations, and Arimidex. A listed inclusion does not mean every patient should receive an estrogen blocker; the prescribing clinician should individualize medication to the patient rather than treat the package as a fixed stack. The FAQ requires follow-up testing after the first 10 weeks, six months after that, and then yearly. Patients must be at least 24.

The public FAQ says medication comes from an “FDA registered pharmacy” but does not name it. FDA registration is not approval of a pharmacy, a compounded preparation, or a treatment plan.

Best for: a cost-focused adult with a sound diagnosis who accepts injections, Labcorp testing, 2.5-month cash charges, and no refunds. Catch: no home tests, no named pharmacy on the checked FAQ, a packaged estrogen-blocker inclusion, and a fifth purchase that can land inside year one.

Peter MD: lowest posted annual prepay, with the most strings

Peter MD posts a $948 12-month plan, but the patient pays that amount before the year unfolds and still needs laboratory work. It is the lowest posted annual plan in this comparison only when the prepay, state limits, all-sales-final terms, and current lab prices are included in the decision.

The current new-patient panel is $95 and the follow-up panel is $124.50. Both are unavailable in Alabama, Idaho, New York, and New Jersey, with limited coverage in Alaska, Hawaii, North Dakota, Nebraska, Vermont, South Dakota, West Virginia, Montana, and Minnesota. The TRT plan itself says treatment is unavailable in Alabama and Idaho.

The site still contains a Ryan Haight FAQ sentence saying a patient receiving a controlled substance must first be seen in person. That is not the current federal rule through December 31, 2026, although state law, clinical judgment, and the coming federal rule may still require or support an in-person visit in a particular case. The site also markets an hCG add-on with “nothing shuts down” language. No provider can guarantee fertility protection that way. Enclomiphene is labeled “oral TRT” on the site, but it is not testosterone replacement.

Best for: a patient who understands the care plan, accepts prepayment, can use the available lab route, and has no unresolved need for specialist evaluation. Catch: pay up front, six-month minimum language, all-sales-final terms, state limits, and public copy that needs regulatory and fertility correction.

Hone Plus: clearest published confirmatory-test and first-year follow-up path

Hone Plus costs more than the budget injection plans, but it publishes the step many clinic pages leave vague: a confirmatory test before TRT and follow-up testing through the first year. That makes it the clearest testing pathway in this set, while the membership-plus-medication model keeps the final cost variable.

The current Plus membership is $135 a month after a $45 initial test. Hone publishes a confirmatory-test price of $45 in a lab or $80 at home before TRT, and its Plus page describes follow-up laboratory testing during the first year. Medication is separate. Cream and troche are listed at $60 a month; injections are marketed from $28, while another help page describes $28 per vial. That is why the injection total is not presented as one fixed annual number.

Hone Plus publishes availability in 35 states. New York is served through Premium rather than Plus, and D.C. is not in the Plus list. Hone also says prescriptions can be transferred to an outside pharmacy, though a retail pharmacy may not dispense a compounded product and Hone does not handle every insurance step.

Best for: a first-time cash-pay patient who wants a published confirmation step and repeat-testing schedule. Catch: membership and medication are separate, the final injection cost depends on the prescription and refill quantity, and state access is tier-specific.

Maximus: broad compounded formats, with separate lab cost

Maximus publishes injections, cream, and oral testosterone, plus enclomiphene as a separate non-testosterone treatment. Its plan page is unusually clear that its medications come from U.S. compounding pharmacies and are not FDA-approved products.

Injectable testosterone is $199.99 month to month, $149.99 a month on a three-month plan, or $99.99 a month on a six-month plan, with a $49.99 first-month promotion shown for new six-month patients. The current 10-biomarker at-home kit is $99.99. Patients may upload qualifying recent results, but repeat testing remains a separate cost. The page says pricing may vary by state and does not publish a complete state list.

Best for: someone who wants several clearly labeled compounded formats and is comfortable with a plan term. Catch: the lowest rate requires six months, laboratory testing is separate, and the public information does not support one universal first-year total or cancellation outcome.

Fountain: bundled cream or injection, with renewal math that matters

Fountain publishes a bundled process with laboratory work, a 20-minute video visit, medication, and follow-up. It is the clearest cream-first bundled option here, but its 4-, 12-, and 48-week billing intervals make the renewal date as important as the advertised amount.

Starter is $199 every four weeks, Standard is $499 every 12 weeks, and Pro is $1,799 every 48 weeks. Fountain’s terms say subscriptions renew automatically until canceled. The current FAQ publishes 25 states: Arizona, California, Colorado, Florida, Idaho, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Montana, Nebraska, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, Washington, and Wisconsin.

Fountain lists testosterone cypionate injections and testosterone cream. It also lists enclomiphene, which is a non-testosterone alternative and should not be counted as a TRT format. Laboratory work is through Labcorp, with an at-home option as an upgrade.

Best for: someone in a served state who wants bundled cream or injections and a video visit. Catch: 13 Starter charges per 52 weeks and auto-renewals that can put a fifth Standard or second Pro charge inside the first year.

Defy Medical: the à-la-carte option

Defy Medical describes a virtual, nationwide care model led by medical director Justin Saya, MD, and lists injections, testosterone cream, and pellets. It can fit someone who prefers an à-la-carte clinic, but the public pages do not show every current charge needed for a fair year-one comparison.

We removed the draft’s nasal-gel claim because the current TRT page we checked did not list it. We also removed the claim that Defy provides a clearly documented FDA-approved-product path; a listed format does not prove which exact product, manufacturer, NDC, or compounding pharmacy a patient will receive.

Best for: a patient who wants a more customizable, pay-as-you-go conversation and is willing to request a written cost estimate before starting. Catch: no complete public first-year rate card and no basis for comparing it dollar-for-dollar with the bundled programs.

What did each provider disclose about clinicians, pharmacies, and medication?

A telehealth brand, the treating medical group, the laboratory, the pharmacy, and the billing company may be different organizations. A polished intake page does not prove who will prescribe or what exact product the pharmacy will dispense, so this table separates what is public from what remains unclear.

Provider	Clinical-care disclosure checked	Pharmacy or product disclosure checked	What to confirm before paying
Male Excel	Names medical leadership and describes a national provider team	Contracted pharmacies; public pages describe compounded hormone treatments; no prescription transfer	Treating clinician’s name/license, exact formulation, dispensing pharmacy, shipping charge
Taurus	Terms name OpenLoop Health as an MSO, not the treating medical group	Four partner pharmacies named; marketing says both FDA-approved and compounded	Exact clinical entity, clinician, pharmacy, product, fee, term, and state access
TRT Nation	Says a licensed medical provider reviews care	Pharmacy not named; FAQ says “FDA registered pharmacy”	Pharmacy name, exact product status, how package medications are individualized
Peter MD	Says treatment is through state-licensed doctors	Current plan pages do not clearly name the dispensing pharmacy	Prescriber, pharmacy, product status, lab route, and what happens if the clinician says no after prepay
Hone	Describes care through affiliated physicians	Medication may be commercial or compounded depending on the prescription; transfer may be requested	Exact product, vial/refill quantity, pharmacy, transfer timing, insurance responsibility
Maximus	Describes board-certified doctors, provider-stated	U.S. compounding pharmacies; compounded-drug disclaimer is visible	Clinician, pharmacy, state price, exact repeat-test schedule, cancellation consequence
Fountain	Terms describe independent medical practices; program names physician leadership	Exact dispensing pharmacy is not clearly identified on the checked rate page	Treating practice, pharmacy, product, renewal date, at-home-lab upgrade
Defy Medical	Names Justin Saya, MD, and a virtual care team	Exact product and pharmacy depend on the care plan and are not fully shown in one rate card	Written estimate, product/manufacturer or compounding status, pharmacy, monitoring cost

A provider’s statement that clinicians are licensed is not the same as an audit of every clinician in every state. Ask for the name and professional license of the clinician who will treat you, then verify it with the relevant state licensing board when that matters to your decision.

Injections, cream, gel, pellets, or pills: what treatment formats are offered?

Injections are the most common testosterone format in this comparison. Cream, troche, oral testosterone, and pellets appear less often, and several providers place enclomiphene beside TRT even though enclomiphene is not testosterone replacement.

Format	Providers that publish it here	FDA-approved or compounded?	Main point to confirm
Testosterone injection	Male Excel, Taurus, TRT Nation, Peter MD, Hone, Maximus, Fountain, Defy	FDA-approved products and compounded preparations both exist	Exact product, pharmacy, concentration, supply length, supplies, and refill cost
Testosterone cream or topical	Male Excel, Hone, Maximus, Fountain, Defy; Taurus markets gel	Several online programs describe compounded topicals; FDA-approved gels also exist	Product status, transfer precautions, application routine, and monthly quantity
Troche	Hone	Generally compounded	Exact drug, strength, refill schedule, and limited long-term evidence compared with approved products
Oral testosterone	Maximus	FDA-approved oral testosterone products exist; compounded products may also be marketed	Exact product and blood-pressure warning; do not assume “oral” means enclomiphene
Pellets	Defy	FDA-approved pellets exist, but a format label alone does not identify the product	Exact product, whether it is compounded, insertion visit, removal issues, and total procedure cost
Enclomiphene	Marketed by several providers in this set	No FDA-approved drug contains enclomiphene; compounded use is not TRT	Why it is being considered, compounding status, fertility goals, risks, and monitoring
Clomiphene	Some clinics use it off-label in men	FDA-approved for ovulatory dysfunction in women, not approved for male hypogonadism or male fertility	Off-label rationale, evidence limits, visual and other risks, and monitoring
hCG	Offered by some clinics as an add-on or alternative	FDA-approved products have specific labeled uses, including selected male hypogonadotropic hypogonadism; use with TRT is not a fertility guarantee	Exact indication, product, cost, monitoring, and what outcome cannot be promised

“Compounded” is not a synonym for “generic” or “the same thing.” FDA does not approve compounded drugs or review them before marketing in the same way it reviews approved products for safety, effectiveness, and manufacturing quality. Compounding can be lawful and clinically appropriate for an individual prescription, but the product must not be described as FDA-approved, FDA-equivalent, safer, more natural, or proven merely because a pharmacy makes it.

Topical transfer matters. Testosterone on the skin can transfer to another person. Ask for the exact product instructions and follow them, especially around children, pregnant people, and anyone who may touch the application area.

For a broader treatment-format explanation, compare TRT treatment options before choosing a clinic based on “needle-free” marketing alone.

What blood tests do online TRT providers require, and will they treat you on one number?

A symptom questionnaire or one isolated result does not establish testosterone deficiency. The Endocrine Society calls for symptoms or signs plus unequivocally and consistently low testosterone, confirmed with repeat morning fasting testing; the AUA uses below 300 ng/dL as a reasonable cutoff that supports the diagnosis, not a universal diagnosis by itself.

Plain-English definitions. Total testosterone is all the testosterone measured in the blood. Free testosterone is the smaller unbound portion. SHBG is a protein that binds testosterone. LH and FSH are signals involved in testicular function and can help a clinician look for the cause. Estradiol is an estrogen made in part from testosterone. Hematocrit is the share of blood made up of red cells. PSA is a prostate-related marker used in selected patients. Hypogonadism is a medical diagnosis, not a synonym for feeling tired.

Provider	Initial testing published	Repeat confirmation before TRT	Follow-up testing published	Cost issue
Male Excel	At-home kit: testosterone, estradiol, thyroid function, DHEA-S, PSA, provider-stated	Not clearly stated as a required second early-morning result	Reassessment every 60 days; comprehensive labs every six months, provider-stated	Start included in $99; six-month labs described as part of membership
Taurus	Labcorp or Quest; home kit if more than 50 miles away	Not stated	Follow-up panel and cadence not clearly published on offer page	Start described as part of $49; later testing unclear
TRT Nation	Labcorp panel or qualifying outside labs no more than six months old; no home tests	A second diagnostic morning result is not clearly required on the FAQ	After first 10 weeks, six months later, then yearly	$129 each and never included
Peter MD	Current initial panel $95; state limits apply	Not clearly stated	Current follow-up panel $124.50; site says repeat testing is required	Labs separate from $948 plan
Hone Plus	$45 initial test	Published confirmatory test before TRT: $45 in-lab or $80 at home	First-year follow-up testing published with membership	Medication separate; same-site prices should be reconfirmed at order
Maximus	$99.99 at-home kit or qualifying recent outside labs	Not clearly stated as two early-morning tests	Repeat testing required, but one universal first-year schedule is not established on the pages checked	Baseline and repeat kits separate
Fountain	Local Labcorp; at-home option is an upgrade	Provider video visit reviews results; two-test rule not clearly published	“Regular labs,” provider-stated; exact cadence unclear	Standard lab route included; upgrade extra
Defy Medical	Comprehensive testing described	Exact diagnostic sequence depends on care plan	Ongoing monitoring described; complete public schedule and price not shown	À-la-carte

What a responsible diagnostic discussion should cover: symptoms or signs, at least two properly timed results, the assay and reference range, medications and health conditions that may affect the result, and whether a reversible or underlying cause needs attention. A clinic should not treat a quiz, one afternoon result, or one universal cutoff as the whole diagnosis.

What monitoring generally watches: response to the prescribed product, testosterone level, hematocrit or blood count, blood pressure, prostate-related risk where appropriate, side effects, and any condition that changes the risk-benefit decision. The clinician sets the schedule; this page does not interpret personal results or tell anyone to change a dose.

Read the complete TRT blood-test guide before paying a clinic that does not explain repeat testing and follow-up clearly.

What if I want children? TRT and fertility

Exogenous testosterone can suppress the brain signals that support sperm production, so major guidelines recommend against starting it when near-term fertility is a goal. Some clinicians consider non-testosterone medications in selected men, but no clinic can promise preserved fertility, infertility, or recovery on a fixed timeline.

The alternatives, correctly labeled:

Enclomiphene is not TRT. No FDA-approved drug contains enclomiphene. Compounded enclomiphene is sometimes used in men, but “available from a pharmacy” does not make it FDA-approved.
Clomiphene is not TRT. Its FDA-approved labeling is for ovulatory dysfunction in women. Use in men is off-label, and the label says there are no adequate, well-controlled studies proving effectiveness for male infertility.
hCG is not TRT. FDA-approved hCG products have their own labeled uses, including selected cases of male hypogonadotropic hypogonadism. Prescribing hCG with or instead of testosterone does not guarantee that sperm production is protected.

What no clinic can honestly promise: that testosterone will definitely make you infertile, that an add-on will definitely prevent suppression, that sperm count will stay unchanged, or that production will return by a set date after treatment changes. Peter MD’s “nothing shuts down” line is not a promise a patient should rely on.

What to ask before any hormone treatment when fertility matters:

Should I see a reproductive urologist before choosing treatment?
Should I have a semen analysis first?
Is the proposed medication testosterone or a drug intended to stimulate my own production?
Is the exact product FDA-approved for this use, used off-label, or compounded?
How will fertility be measured rather than assumed?
What changes would trigger specialist care?
What outcomes and recovery timing can you not promise?

Read TRT and fertility and use Find My TRT Path for the fertility-aware care route. The tool supplies questions; it does not choose a medication or decide whether treatment is appropriate.

Which states can you get online TRT in, and what changes after December 31, 2026?

An online clinic needs a clinician who can lawfully treat a patient in that state, and state rules can add requirements beyond federal law. Federal telemedicine flexibilities currently allow qualifying controlled-substance prescribing without a prior in-person examination through December 31, 2026, but they do not guarantee that a clinic serves every state or that a clinician will prescribe testosterone.

Published coverage checked September 1, 2026:

Provider	Published coverage	Not served or limited
Male Excel	41 states	Not served: AK, AR, CT, HI, ID, LA, MS, NH, RI. D.C. was not confirmed.
TRT Nation	45 states	Not served: AL, AK, AR, MO, HI
Hone Plus	35 states	Not served in AL, AK, AR, CT, DE, D.C., KS, LA, MN, NH, NJ, ND, PA, RI, SC; NY is Premium rather than Plus
Peter MD	Treatment page excludes AL and ID	Current lab products also unavailable in NY and NJ; limited service listed in AK, HI, ND, NE, VT, SD, WV, MT, MN
Fountain	25 states	AZ, CA, CO, FL, ID, IL, IN, IA, MD, MI, MN, MT, NE, NJ, NM, NY, NC, OH, OR, PA, TX, UT, VA, WA, WI are listed; other states are not listed
Taurus	No public state list found	Confirm before submitting health or payment information
Maximus	Says price and availability may vary by state	No complete public state list found
Defy Medical	Nationwide telemedicine, provider-stated	Confirm that an appropriate clinician and product are available for your state and situation

The federal rule today. Testosterone is Schedule III. DEA and HHS’s Fourth Temporary Extension allows a DEA-registered practitioner to prescribe Schedule II–V controlled medications through qualifying telemedicine without a prior in-person medical evaluation through December 31, 2026, when the federal rule’s conditions are met. The prescription still must be for a legitimate medical purpose, and state law, licensure, registration, and clinical judgment still apply.

What is known about 2027. OIRA’s public dashboard shows DEA’s “Special Registrations for Telemedicine and Limited State Telemedicine Registrations” at the final-rule stage, received for review on August 25, 2026. The final text had not been published as of September 1, so no one can honestly promise the exact 2027 pathway yet.

Peter MD’s FAQ still states that a patient receiving a controlled substance must first be seen in person. That sentence is stale as a blanket description of the current federal extension, but an in-person visit may still be required by a state rule, the final federal framework, or the clinician’s judgment.

Compare online TRT with local care and use Find My TRT Path when your state or the 2027 transition is a deciding factor.

Who should not start with an online TRT subscription?

Online care can be convenient for a straightforward adult-male evaluation, but it is not the right first setting for every person or every cause of low testosterone. Complex findings, fertility plans, a need for physical examination, or urgent symptoms should route the reader to the appropriate in-person or specialist care rather than into a subscription funnel.

The Endocrine Society recommends against starting testosterone in men planning fertility in the near term and in men with specified high-risk findings, including known or suspected prostate or breast cancer, elevated hematocrit, untreated severe obstructive sleep apnea, severe lower urinary tract symptoms, uncontrolled heart failure, a heart attack or stroke within the prior six months, or thrombophilia. A clinician must apply those cautions to the individual rather than use this list as a self-screening diagnosis.

Start with primary care, urology, endocrinology, reproductive urology, or another appropriate in-person service when:

low testosterone has not been confirmed with repeat, properly timed testing;
the cause may involve the pituitary, testicles, medication effects, severe obesity, untreated sleep problems, or another medical condition;
fertility is a current or near-term goal;
a prostate, breast, blood-count, cardiovascular, clotting, or severe urinary concern needs direct evaluation;
the person is under 18;
the question involves women’s testosterone care, gender-affirming hormone care, or another population outside adult-male hypogonadism;
the goal is bodybuilding, athletic performance, cycling, stacking, or nonmedical use.

Get urgent or emergency care for chest pain, trouble breathing, one-sided leg swelling with pain, fainting, new weakness or trouble speaking, or a sudden severe headache. Do not wait for an online clinic message.

How do cancellation, refunds, records, and privacy compare?

The easiest plan to start is not always the easiest plan to leave. Written refund rights are narrow, medication is commonly nonrefundable, and a renewal can occur before the date a reader thinks of as “one year,” so the notice window belongs in the cost decision.

Provider	Commitment and renewal	Cancellation path published	Refund language checked
Male Excel	Public FAQ says no contract and pause/cancel options	Contact member support	Program markets a membership-fee guarantee; medication, start fee, and full conditions should not be assumed refundable
Taurus	Terms describe automatic renewal and cancellation at the end of the paid term	Email support at least 72 hours before billing	Full refund for medical disqualification; otherwise no cancellation refund; shipped medication and testing are nonrefundable
TRT Nation	2.5-month purchases; refills are patient-requested rather than automatic	Do not request the next refill	No refunds
Peter MD	12-, six-, and one-month options; minimum-term and autobill language applies	Member account; 48-hour timing appears in policy	All sales final once order/medication rules apply; read the exact current policy before prepaying
Hone	Monthly membership	Cancel through the published support process before renewal	Initial testing fee may be refunded when the physician finds treatment inappropriate; other charges follow current policy
Maximus	One-, three-, or six-month plan	Account or support process	Public treatment page does not give enough detail to promise a refund or early exit from a multi-month plan
Fountain	4-, 12-, or 48-week subscription that auto-renews until canceled	Cancel under the terms before renewal	“Pay nothing if not qualified” is provider-stated; medication sales and other charges follow terms
Defy Medical	À-la-carte rather than one comparable public bundle	Depends on the service ordered	Request the written cancellation and refund rule for each visit, lab, procedure, and prescription

Medical records. Where HIPAA’s access rule applies, an individual generally has a right to inspect or receive copies of health information held by a covered entity, and the normal response window is no later than 30 calendar days. That does not mean every consumer-facing platform, billing company, or app has the same legal role. Before enrolling, ask which entity holds the chart, lab results, prescriptions, visit notes, and messages; how to request them; the format offered; any fee; and how care is transferred.

Privacy. Do not infer HIPAA coverage from a lock icon, “secure” marketing, or a telehealth label. Read the clinic, medical group, laboratory, pharmacy, and platform notices that apply to your information. Taurus deserves extra scrutiny because its public terms say the services are not tailored to HIPAA requirements.

How we chose these online TRT providers

We used How We Review TRT Providers to compare the complete care path rather than score a monthly headline. The result is a set of defined-buyer conclusions, not a universal winner or a numeric score that implies more precision than the public evidence supports.

Source order: federal and clinical sources first; then current provider pricing pages, program pages, terms, refund policies, help centers, and state pages. Provider marketing can establish what the provider says, but it cannot prove typical results, medical quality, or a claim that conflicts with a governing policy.

Decision factors:

proper diagnostic confirmation and cause evaluation;
clinician access and state coverage;
initial, confirmatory, and follow-up testing;
medication and pharmacy disclosure;
FDA-approved product versus compounded preparation;
fertility handling and referral boundaries;
first-year cost and cash timing;
commitment, renewal, cancellation, and refunds;
records, privacy, support, and continuity;
unsupported, conflicting, or overconfident public claims.

Why no one is “best for most men.” Male Excel publishes the strongest fixed follow-up rhythm in this set but has high cost and guideline-alignment concerns. TRT Nation is clearer and cheaper for injections but uses 2.5-month charges and a preset package. Hone Plus publishes a better confirmation and monitoring path but separates medication. Peter MD has the lowest posted prepay but the most commitment and public-copy concerns. Taurus cannot lead while its core terms conflict.

What would change the conclusions: a provider publishing a complete current rate card, diagnostic-confirmation rule, monitoring schedule, state list, treating clinical entity, pharmacy/product disclosure, renewal timing, and cancellation policy—or changing any of those facts. The “Last verified” date at the top is the date to trust.

Review our Editorial Standards, Privacy Policy, Affiliate Disclosure, and Corrections Policy for the rules behind this page.

Frequently asked questions about the best online TRT providers

Are online TRT clinics legitimate?

Some are real telehealth medical services, but “legitimate” is not the same as appropriate, transparent, or right for you. Verify the treating clinician’s state license, the medical group, the laboratory route, the pharmacy, the exact product, the prescription requirement, and the follow-up plan before paying.

What is the cheapest online TRT provider in this comparison?

Peter MD has the lowest posted 12-month treatment prepay at $948, but the current initial panel makes the starting total $1,043 and the plan is paid up front. TRT Nation’s annualized treatment plus three panels is $1,586.88, while practical first-year cash can be about $1,636.88 if five 2.5-month blocks are purchased inside 52 weeks. Maximus can be lower in plan charges, but separate lab needs keep one exact total from being verified.

Do online TRT clinics take insurance?

The specific online plans compared here are mainly presented as cash-pay services, and public insurance details vary. A local prescriber using an FDA-approved product may offer a clearer insurance route. Do not assume an HSA/FSA card, superbill, prescription transfer, or lab claim means the treatment itself will be covered.

Can I get TRT online without a blood test?

A responsible prescriber should not diagnose testosterone deficiency or prescribe treatment from a symptom quiz alone. Current guidelines call for symptoms or signs plus consistently low testosterone, confirmed with repeat early-morning testing. Provider intake rules do not replace that clinical standard.

Is 300 ng/dL an automatic diagnosis of low testosterone?

No. The AUA describes total testosterone below 300 ng/dL as a reasonable cutoff that supports the diagnosis. The diagnosis still requires symptoms or signs, repeat early-morning testing, and clinical evaluation; assay differences, health conditions, medications, free testosterone in selected cases, and the cause can matter.

Do I have to inject testosterone every day?

No. Male Excel presents daily injection as its default approach, while several other programs use less frequent injection schedules and offer topical or other formats. A reader should not copy a clinic’s standard schedule; the prescriber must choose the product and schedule for the individual.

Is compounded testosterone FDA-approved?

No. FDA does not approve compounded drugs or review them before marketing in the same way it reviews approved drug products. A licensed pharmacy may lawfully compound for an individual prescription, but neither the pharmacy nor the product should be described as FDA-approved on that basis.

Can I use my own pharmacy?

Hone publishes a prescription-transfer process. Male Excel’s terms say it will not transfer the prescription away from its contracted pharmacies. The other providers’ current public pages do not all give a dependable answer, so ask before paying and confirm whether a retail pharmacy can dispense the exact product.

What happens if my state is not covered?

Use the state table above, then confirm directly before submitting payment or health information. A local primary-care clinician, urologist, or endocrinologist may be the practical route when an online program lacks a clinician, lab option, or lawful prescribing path in the state.

Will online TRT still be available without an in-person visit in 2027?

No one can promise that yet. The current federal extension runs through December 31, 2026. DEA’s special-registration final rule was pending OIRA review as of September 1, 2026, but its final text had not been published.

Does testosterone raise blood pressure?

It can. FDA’s February 2025 class-wide labeling changes added blood-pressure warnings based on ambulatory blood-pressure studies while also removing the boxed-warning language about increased cardiovascular risk after review of the TRAVERSE trial. Blood pressure belongs in the clinician’s evaluation and monitoring plan.

Why are Hims, Ulo, NRG, Evolve, and other clinics not ranked here?

This is a dated comparison of eight providers whose public pages supplied enough current information for the specific tables used here. It is not a complete directory, and omission is not a negative judgment. A provider should be added only after its current rate card, testing, state coverage, product status, clinical entity, pharmacy, monitoring, and terms can be verified to the same standard.

Is online or local TRT care better?

Online care can reduce travel and make cash pricing easier to compare. Local care can be better when insurance, an in-person examination, complex medical history, specialist evaluation, fertility, a specific FDA-approved product, or continuity with the rest of your medical team matters more. Read online TRT vs. local care before treating convenience as the only decision factor.

Sources checked for this comparison

These links are included so readers can inspect the official provider pages, policies, clinical guidance, and federal records used for material claims. A provider source proves what the provider published; it does not independently prove clinical quality or a typical result.

TRT Provider Guide policies and tools

Provider sources

Male Excel: pricing, online TRT program, FAQ, and terms
Taurus: $49 offer, terms, and refund policy
TRT Nation: 2026 FAQ and cancellation policy
Peter MD: men’s TRT plans, How It Works, initial lab panel, follow-up panel, and refund/autobill policy
Hone: Plus membership, state availability, and TRT cost guide
Maximus: injectable testosterone plan and lab tests
Fountain: TRT program, TRT FAQ, and terms
Defy Medical: TRT program and clinic overview

Medical, FDA, and controlled-substance sources

Still not sure which care route fits? Use TRT Provider Guide's Find My TRT Path tool.

This page is educational information from TRT Provider Guide, the independent decision resource for testosterone replacement therapy care. It is not medical advice and has not been clinically reviewed. Testosterone is a Schedule III controlled substance that requires a valid prescription. A questionnaire or online tool cannot diagnose low testosterone, clear contraindications, determine eligibility, or guarantee a prescription. Prices, policies, state coverage, and federal rules can change; the “Last verified” date at the top tells you when this page was checked.

Best Online TRT Providers in 2026: Real First-Year Cost, State Coverage, and Who Each One Fits