Fountain TRT Cost in 2026: What Year One Actually Charges

Fountain TRT cost is $199 every four weeks, $499 every twelve weeks, or $1,799 every forty-eight weeks. The Starter plan models $2,786 in subscription charges during your first 365 days. It fits cash-pay adults who want bundled care—not the lowest drug-only price. Evaluation, state-specific lab charges and add-ons can change the total.¹

By TRT Provider Guide · Last verified September 2026

Public sources checked September 14, 2026. Editorial research; this page has not been clinically reviewed. Educational information, not medical advice.

Best for you if: you want medication, provider video visits, shipping and lab monitoring in one program, you're comfortable paying cash, and Fountain confirms which costs your quote includes in your state.

Not for you if: you need the lowest medication-only price, insurance-billed care, or a refund promise you have not received in writing. If you're planning children soon or need a more complex evaluation, start with the right clinician rather than a subscription.

Three things change your real number: which plan you pick, whether your state is one where the lab work is not covered, and whether you're prescribed any add-on medication. The evaluation quote and any home-collection charge also need checking.²

And there's another thing we found in the public documents. Fountain runs two live websites for this same program, and they publish two different sets of legal terms — with different answers on refunds. We'll show you both, and the one sentence in Fountain's own contract that promises an itemized invoice before you pay.³⁴⁵

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Fountain TRT plans at a glance

Fountain publishes three recurring plans, with payments every 28, 84 or 336 days—not by calendar month. Starter has the smallest upfront subscription payment; Pro has the lowest rate but the largest prepayment.¹

Read directly from Fountain's plan page on September 14, 2026. We checked Fountain's three weekly figures against its own plan prices and all three are accurate: $199 ÷ 4 = $49.75, $499 ÷ 12 = $41.58, $1,799 ÷ 48 = $37.48, rounded to cents.¹

Choose by the bill, not just the discount. Starter limits each subscription payment to $199. Standard lowers the rate with a $499 prepayment. Pro lowers it further but needs $1,799 at each renewal. None of those figures is a complete individual quote until the evaluation, lab exceptions and any extras are settled.¹

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A quick note on which "Fountain" this is. We're talking about FountainTRT, the men's testosterone program at fountain.net/trt, which lists a Jacksonville, Florida address. It is not FountainHRT, the women's program on the same site — that one has different pricing and different lab rules. If you landed here from a review that quoted "$199/month," check which program and billing interval it was describing.¹²

Affiliate disclosure: TRT Provider Guide has a commercial relationship with Male Excel and may earn from eligible referrals. Provider links on this page go directly to public information, not affiliate tracking or enrollment links. Fountain remains the focus of this cost guide. Read our affiliate disclosure.

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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.

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.

Find My TRT Path is educational and non-diagnostic. It does not confirm low testosterone, determine medical eligibility, or guarantee a prescription. Review our privacy policy before using the tool.

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How much does Fountain TRT cost per month?

Fountain's current plan page lists $199 every 4 weeks, $499 every 12 weeks, or $1,799 every 48 weeks, not calendar-month payments. The longer plans have a lower rate but a much larger payment up front. Fountain's other live site still uses monthly wording, so confirm the interval on your actual order.¹⁶

This is where "$199 a month" can trip up your budget. The current plan page says "Billed every 4 weeks" in plain text. Thirteen of those cycles cover 52 weeks; twelve cover only 48 weeks.

Here's what each plan is really doing.

Starter, $199 every four weeks. This is Fountain's most expensive rate and its smallest recurring payment. You don't need to prepay twelve or forty-eight weeks to use this plan. It still renews automatically, so "no long-term prepayment" does not mean "no subscription."¹³

Standard, $499 every twelve weeks. Works out to $166.33 per four-week cycle, rounded to cents; Fountain displays $167. Fountain shows a struck-through "$597" next to it and claims a $98 saving. We checked: $597 is exactly three Starter cycles, and $597 − $499 = $98. The math is honest.¹

Pro, $1,799 every forty-eight weeks. Works out to $149.92 per four-week cycle, rounded to cents; Fountain displays $150. Fountain shows "$2,388" struck through and claims $589 saved. Again we checked: $2,388 is exactly twelve Starter cycles, and $2,388 − $1,799 = $589. Also honest.¹

So the discounts are real. The thing to watch isn't the discount — it's the word "annual." Forty-eight weeks is 336 days. It is not a year. Fountain's current plan page labels it forty-eight weeks. Calling it "the yearly plan" would miss its renewal twenty-nine days before a 365-day anniversary.

One more small thing we noticed, because we check this sort of claim. Fountain's other live marketing site, fountaintrt.com, says both "$199 per month" and "less than $7 a day." On the current 28-day Starter cycle, $199 is $7.11 a day. The lower daily figure fits a 30-day month, not that cycle. The weekly figures on fountain.net/trt are accurate; the two sites do not describe the same billing interval.⁶¹

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Why does a year of Fountain TRT cost more than twelve payments?

Because 52 weeks is thirteen four-week cycles, not twelve. At $199 per cycle, 52 weeks of Starter is $2,587; a 365-day rate equivalent is $2,594.11. With a payment on day 0 and uninterrupted renewals, fourteen charges fall inside days 0–364, totaling $2,786.¹

Let's be precise, because two different numbers get mixed up here and they mean different things.

The rate is what a given amount of care costs you. The cash is what leaves your bank account in a window of time. They're not the same, and the gap is bigger than most people expect.

What Fountain costs at the same rate

Our arithmetic, using Fountain's published cycle prices and intervals. Formula: cycle price × days ÷ cycle length. These rate equivalents are comparisons, not payment options or refund formulas.¹

What actually hits your card in the first 365 days

Now the same three plans, counted as charge dates instead of rates. Assume the first subscription charge is day 0, the price doesn't change, and you don't cancel, pause or switch plans. Count charges from day 0 through day 364, inclusive; the first anniversary is outside that window.

Modeled subscription charges during a 365-day window — not the price of exactly one year of treatment. Later payments buy time that runs past the window. Any evaluation charge, lab exception, collection upgrade, add-on, applicable tax or refund is outside this table. A prepaid membership term is not a guarantee of a prescription or a matching quantity of medication.³

Read that Pro row carefully, because it's easy to misread. $3,598 does not mean Pro is the expensive plan. Pro has the lowest rate of the three. Its second payment simply buys another 336 days, most of which fall outside your first year. If you're budgeting month to month, that timing matters enormously. If you're comparing rates, use the rate table instead of the cash total.

Your modeled payment dates

For a first payment on September 14, 2026, here is when every modeled charge lands under those assumptions:

Notice the last Starter charge: September 13, 2027 — one day before your first anniversary. And the Pro renewal on August 16, 2027, twenty-nine days early. Both dates follow directly from the published billing intervals.

The practical move: whichever plan you choose, put a reminder in your phone about three weeks before your next renewal date. That's a planning buffer, not Fountain's cancellation deadline. Its terms require cancellation before renewal; keep the confirmation.³

Work out your own dates. Use your plan and actual first payment date with our complete date-offset worksheet. It separates subscription cash from the rate for the same amount of time — so you're not comparing two different things. → Use the Fountain payment calendar worksheet Read or copy it below. No email, account or health questions are needed.

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What's included in the Fountain TRT membership?

Fountain describes one fee covering medication, provider video visits, shipping, 24/7 concierge support and required lab monitoring. The lab monitoring carries a stated exception: "except where prohibited by state law." At-home blood collection is an upgrade; its price was not shown on the pages we checked.¹²

Here's the breakdown, line by line, with where each answer comes from.

Inclusions above are Fountain's published claims, not services we received or independently tested.¹²³

That last row is the honest heart of this page, so let's deal with it head-on.

The thing Fountain's public price does not show

Fountain does not break the bundle apart on its public plan page. There's no line for the medication, no line for the visit, no line for the labs. One number covers the program, but it does not show what each piece costs.

That is not the same as refusing to itemize. Section 15 of Fountain's terms promises an itemized invoice before purchase. Ask for it before deciding that the bundle is worth the price.³

But here's what the bundle can buy, and it isn't nothing: one quoted program price for medication, visits, shipping and covered monitoring. If those are the services you actually need, simpler billing has value. The public page does not promise that every dose change or treatment-format change leaves your bill unchanged. Get that part of your quote in writing too.¹²

The distinction is between the cheapest possible testosterone and the cost of a complete program. A clinic's medication quote and Fountain's membership fee are not the same purchase. For separate billing and possible insurance use, compare the online and local care models before paying for a bundle.

See the plans for yourself. Prices change, and ours is a snapshot. This link goes to Fountain's own plan page. → See Fountain's current TRT plans and inclusions Direct public-information link. It does not check clinical eligibility or guarantee a prescription.

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What is the Fountain TRT evaluation, and what does it cost?

Fountain's evaluation is a blood draw plus a 20-minute video visit with a provider, offered with a "Pay nothing if not qualified" guarantee. Fountain does not publish the evaluation price on its own program page. Ask for the current charge, any credit toward membership, and the guarantee terms before you enter card details.¹⁵

The process Fountain publishes has three steps: get labs at a nearby Labcorp (about 15 minutes, their concierge team books it), do a 20-minute video visit, then start treatment if it's appropriate. Fountain says it has completed over 30,000 evaluations. Those timings and the evaluation count are provider-stated, not independently measured.¹

What it doesn't say, anywhere on that page, is what the evaluation costs.

We went looking. Fountain's own program page publishes no figure, and we did not complete checkout or obtain a personalized quote. So we're not going to print $35 as the current evaluation price. A past customer charge or another site's offer does not settle what you would pay now. Get the exact number in writing before your card is on file.

About the guarantee. Fountain's plan page says, word for word: "Money-Back Guarantee: Pay nothing if not qualified." Read that carefully. Its return policy describes an exception to the no-refund rule for a specific evaluation purchase when the clinician finds the patient ineligible. Confirm that your purchase includes that guarantee and which charge it refunds. It is not a satisfaction guarantee. It does not mean you can try TRT for a month, decide it's not for you, and get all your money back.¹⁵

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Does Fountain TRT include blood tests?

Fountain states that TRT memberships include required laboratory monitoring, "except where prohibited by state law," with local Labcorp collection. The checked pages do not name the exception states or quote the home-collection upgrade. The terms on fountaintrt.com say the laboratory bills you or your insurance directly, so get your specific arrangement confirmed.²¹⁴

This is a part of the bill that can catch you out, so here are all three things we found, laid side by side.

What Fountain's current site says: "One simple fee covers medication, shipping, concierge support, and provider visits. Fountain TRT memberships also include required laboratory monitoring.* ... *Except where prohibited by state law." The plan page adds: comprehensive labs covering 14+ biomarkers, at a local Labcorp, scheduled for you by text.²¹

What the terms on Fountain's older site say: "The clinical laboratory provider which performs your blood test during the course of receiving treatment from a Provider will bill either your managed care plan, other third-party payer, or will bill you directly for the cost of the blood test."⁴

What one member reported: Robert Morie wrote on Trustpilot on July 8, 2026 that after a promotion advertising $35 labs, Quest sent a bill for $168 about a week later. That's one person's report, not a policy, and we couldn't verify the underlying bill. It is a reason to ask who bills you, not proof that every Fountain member pays extra.⁷

What to do with that: before you pay, get written confirmation of two things — whether your state is one of the exceptions, and which specific panels are covered. Those two answers tell you whether the subscription total is also your lab budget.

For context, Quest lists its men's hormone panel at $152 basic or $220 expanded, and in-home collection at an extra $79 where available. Quest also discloses a separate physician-service fee starting at $6. Labcorp OnDemand lists a $159 comprehensive testosterone test.⁸⁹¹⁰

Those are separate self-pay retail examples checked September 14, 2026—not Fountain's negotiated prices or interchangeable monitoring panels. A single testosterone test does not cover all baseline or safety tests. Ask your clinician which tests are needed and whether outside results are accepted before paying for them.

One question about testing that nobody asks

Fountain's published process shows one blood draw before your video visit.

The Endocrine Society's guideline and July 2026 statement require compatible symptoms or signs and consistently low testosterone, confirmed with two early-morning, fasting blood tests using an accurate test method. No single cutoff, including 300 ng/dL, diagnoses low testosterone by itself. (Total testosterone is the overall amount in your blood, most of it bound to proteins.)¹¹¹²

Fountain may well order a second draw in practice. Its marketing describes one. So ask: does my evaluation include a second early-morning draw, and if I need one, who pays for it? That's not a gotcha — it's a real clinical standard and a real line in your budget. If you're already on treatment, ask how your existing records will be reviewed; do not change treatment to recreate a baseline without your clinician's direction. Our blood tests for TRT guide explains the testing questions in more detail.¹¹

Take these twelve questions to your intake call. We wrote them from Fountain's published prices, contracts and the clinical testing standard. Copy them, ask before any charge—or before subscribing if the evaluation is separate—and keep the answers. → Copy the 12 pre-payment questions Nothing to sign up for.

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What medication are you actually buying?

Fountain lists testosterone cypionate injections and a topical testosterone cream as possible treatments; it also lists enclomiphene, which is not testosterone and not TRT. Its page places those options beside the same plan structure, but does not identify the exact dispensed product or promise a fixed price for every prescription. Ask for the medication, strength, pharmacy and final quote together.¹

Two words worth knowing, because they change what you're buying.

FDA-approved means the finished product was reviewed by the FDA for safety, effectiveness and manufacturing quality. Compounded means a drug was prepared for a patient's needs rather than supplied as an FDA-approved finished product. Lawfully compounded drugs can fill a medical need, but they are not FDA-approved, and they are not reviewed the same way. They're not interchangeable terms, and you shouldn't let anyone blur them.¹³

Fountain does not identify the dispensing pharmacy or exact cream strength on the public pages we checked. We couldn't establish either. Ask. Without the pharmacy's name and address, we could not check its state license or tie it to your prescription.

Testosterone preparations: cream and injections

Here's the part that matters for your wallet: a subscription pays for more than the medicine, and an ingredient name does not establish the approval status of the finished product.

The $24.00 figure is a GoodRx advertised starting price checked September 14, 2026, not a monthly supply, a national guaranteed price, or a complete treatment cost. It excludes clinician visits, testing, monitoring and supplies. Fountain has not supplied us an exact product label to verify its prescription's status.^1151316

Enclomiphene: a non-testosterone alternative, not TRT

Enclomiphene is not testosterone and is not TRT. It's a different kind of drug that works on your body's own hormone signalling. Don't treat the two as interchangeable, and don't let anyone call it "natural TRT." It is not an FDA-approved finished drug. Fountain lists it as a possible treatment, but we did not establish a separate, lower-priced add-on offer.¹⁷¹

A choice involving fertility needs a clinician who can evaluate that goal. An enclomiphene offer is not a promise of preserved fertility or a substitute for that evaluation.

So what does that tell you? If you want a cream, ask for the exact formulation and whether another licensed compounding pharmacy can fill it. If you want injections, compare a full local-care quote—not just a vial price—with the bundled program. Paying for visits, labs and monitoring can be a reasonable trade. Paying for a whole program when all you wanted was the cheapest medication may not be.

One more thing. Fountain's terms promise you "may fill the prescription at any pharmacy of your choice" and that it "fully honor[s] patient freedom of choice." That's a good clause. A pharmacy still needs to be able to fill the specific prescription, and nothing on the checked plan page says your membership fee drops if you source your own medication. Worth asking.³

Testosterone is a Schedule III controlled substance in the United States. It requires a valid prescription, and clinical guidance calls for ongoing monitoring. That monitoring is part of what you're buying, not an optional substitute for a proper evaluation.¹⁸¹¹

For the differences between approved products and compounded preparations, see our TRT treatment options guide.

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Which terms actually govern your Fountain purchase?

Fountain runs two live websites for the same men's TRT program — fountain.net and fountaintrt.com — and each publishes its own Terms of Use naming a different company. The two documents give different answers on refunds, limits of liability and dispute procedures. Get the governing terms and applicable refund policy in writing before purchase; this comparison does not decide which contract a court would enforce.³⁴⁵

This is the finding that makes the prepayment question worth a closer look.

Fountain's current Terms of Use, at fountain.net/terms, are published by Fountain Vitality, Inc., last updated April 3, 2024. They open by stating that they govern "fountain.net; fountaintrt.com; fountainglp.com." So Fountain Vitality's terms say they cover fountaintrt.com.³

But fountaintrt.com serves a different Terms of Use, published by a different company — Fountain Wellness, LLC — with no revision date on it at all. And on the questions that cost money, the two don't match.⁴

Public terms and linked policies checked September 14, 2026. These are summaries of the published wording, not a ruling on enforceability or your individual refund.³⁴¹⁹⁵

We want to be fair about what this is and isn't. The mismatch does not establish why the documents differ. But it has a real consequence: on a question worth up to a $1,799 subscription payment — can I get a prepayment back — the two documents say opposite things. Do not decide which one applies just from the domain shown during signup.³⁴⁵

There's also good news buried in the newer terms, and it's the most useful sentence we found anywhere in this research.

Section 15, Fountain Vitality Terms of Use: "Before making a purchase, you will see an itemized invoice listing the actual charges by Medical Group for the Services."³

Fountain's public plan page does not itemise. Fountain's contract promises an invoice that does. If the thing stopping you is not knowing what you're paying for, that clause is your lever. Ask for the itemised invoice before you pay, in writing. The promise concerns Medical Group charges; it does not itself reveal a drug-by-drug breakdown or guarantee an insurer-ready claim form.

A few other things in those terms worth knowing, good and bad:

• $500 versus $1,799. Section 28 includes a conditional $500 liability limit, while the Pro plan asks for $1,799 up front. That is not a statement that every refund is capped at $500, or that the clause overrides all legal rights. It is worth reading the actual provision before you prepay.³
• Prices can change. Section 15 says Fountain may change your subscription price, will tell you in advance, and that you can reject the change by unsubscribing before it takes effect. Your signup price isn't locked, though.³
• Your clinician may not be a doctor. Fountain's consent on fountaintrt.com says "certain Services may be provided through the Platform by non-physician practitioners such as Nurse Practitioners or Physician Assistants." Fountain identifies Dr. Doron Stember as its co-founder and a board-certified urologist; that is a provider-stated credential here, not an independent certification check. He isn't necessarily the person on your video call. Ask who's assigned to you and verify that clinician's license in your state.¹⁹⁶¹
• Support versus clinical response. Fountain says its concierge team typically replies within 10 minutes, 24/7. The consent on fountaintrt.com says it aims to answer platform and telephone messages within one business day, Monday through Friday, but explicitly does not guarantee that timing. A quick concierge reply is not proof of an immediate clinician response. Ask how urgent clinical questions are escalated.¹¹⁹

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Cancelling versus getting a refund

These are two different questions and mixing them up is expensive. Cancelling before renewal is meant to prevent the next subscription charge; getting prepaid money back is a separate issue. Fountain's published return policy offers proportional refunds for unused future treatment, while the other site's terms say payments are nonrefundable.³⁵⁴

Fountain's sites describe cancellation at any time. Fountain Vitality's Section 15 says you must cancel before renewal and your account closes at the end of your current billing period; its return policy gives text and email as cancellation channels.³⁵

On the Starter plan, each subscription payment covers a 28-day cycle. On the longer plans, more future treatment is prepaid. Do not assume the whole payment is forfeited: the fountain.net return policy specifically describes a proportional refund for remaining prepaid future months, excluding shipped medication and treatment already delivered except under its stated evaluation guarantee.⁵

On the Pro plan it's a $1,799 question.

Before you prepay $499 or $1,799, get one sentence in writing: "If I cancel mid-term, what happens to the unused portion of my prepayment?" Ask by text or email so you have a record. Do this before you pay, not after.

And to be clear about something that isn't a criticism: a published text-or-email cancellation route is useful. We did not test how quickly Fountain processes it. Get the cancellation date, next-charge status, refund calculation and processing time confirmed, then keep that record.

Refills, follow-up visits and medical records

A four-, twelve- or forty-eight-week billing term does not tell you how much medication ships at once. Fountain describes two-day shipping and follow-up visits, while fountaintrt.com describes visits every three to six months. Those are provider statements, not a verified refill timetable for every patient; the current pages do not settle the exact lab cadence, pharmacy processing time or what happens when a refill is delayed.¹⁶

Before subscribing, ask when repeat labs and visits are due, whether those costs are included, how much medication each shipment covers, and whom to contact before a supply gap. If you are transferring care, ask whether the new clinician accepts your existing tests and records; paying a membership is not a prescription guarantee.

Medical-record access is published. Fountain's current telehealth consent says you can request records for yourself or a designated clinician by calling 1-833-967-3100 or emailing support@fountain.net. It allows a reasonable preparation, shipping and delivery charge, but gives no fixed amount in that clause. Ask for the cost and delivery timing when requesting a transfer.²⁰

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Does Fountain TRT take insurance, HSA or FSA?

Fountain markets its TRT program as cash-pay, with no insurance involved; that is different from saying an HSA or FSA can never be used. An itemized bill may help you ask about reimbursement, but neither insurance payment nor the tax eligibility of the whole membership is guaranteed. Separate lab billing also needs checking rather than assuming all lab work is covered.¹⁴²¹

Fountain's terms are direct about the payment model: the fountaintrt.com terms say it is not participating with third-party payers, including Medicare and Medicaid, and that you choose to pay outside insurance. The statement elsewhere that Fountain is not an insurer describes what the company is; it is not, by itself, proof of which insurance claims can be submitted.⁴³

So budget for the quoted cash price unless your own payer confirms otherwise. There are two real questions to ask.

Question one: the itemised invoice. Section 15 promises it before purchase. Ask whether Fountain can also supply any service codes, clinician details or other paperwork your payer needs. An itemized invoice is not a promise of out-of-network reimbursement, and neither Medicare nor Medicaid reimbursement should be assumed.³⁴

Question two: can separately charged labs use your coverage? The laboratory-billing clause says the lab may bill a managed-care plan, another payer, or you. It does not tell you whether a particular order is covered, which network applies, or your deductible and share. Confirm with the laboratory and your plan before deciding between insurance and self-pay; the membership's lab exception does not automatically turn the bill into a copay.⁴

On HSA and FSA: prescribed medical treatment can be a qualified medical expense, but that does not establish eligibility of every bundled concierge charge. A card processing is not the same as an expense qualifying. Keep receipts, get the itemisation, and check with your plan administrator. Do not seek tax-free reimbursement twice for an expense already covered elsewhere.²²²¹

One last thing, and it comes from Fountain's own consent form rather than from us: "you may be foregoing discounts or insurance coverage that might otherwise be available to you if you sought care in another health care setting." That's Fountain telling you to price the insured route before you sign. Take it seriously — we cover it below.¹⁹

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Which states does Fountain TRT serve?

The state list on fountaintrt.com names twenty states, but we did not independently verify current clinician coverage in each one. Fountain's terms say access depends on location and applicable law. Confirm your physical state, assigned clinician and available treatment format with Fountain before paying; an online questionnaire is not clinical approval.⁶³⁴

The published list: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Virginia, Washington and Wisconsin.⁶

Two things still need checking.

First, Fountain's own terms say: "Fountain operates subject to state and federal regulations, and the Platform may not be available in your state." The public list is not a guarantee of an appointment or prescription.³

Second, treatment availability and lab inclusion are different questions. A clinician may be able to see you in a state without the membership covering every required test there. Ask Fountain to confirm both, including any in-person examination needed for your situation. We did not test its state-checking software.²⁴

Why it matters for cost: Fountain ties the lab exception to state law. Any separately billed testing belongs in your budget, but the public pages do not establish a dollar amount for your state.²

Not on the list — or not sure the online route is right for you? Use the tool to organize questions about testing, fertility plans, budget and care setting, and see which care route may be worth investigating before you pay anyone. → Map your next questions with Find My TRT Path Educational and non-diagnostic. It does not determine eligibility or guarantee a prescription.

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What does December 31, 2026 mean for a prepaid plan?

The current federal temporary rule permits qualifying telemedicine prescribing of controlled substances without a prior in-person evaluation through December 31, 2026; it does not promise every patient remote-only care. A forty-eight-week prepayment made in September extends beyond that date. Ask about continuity, any needed examination and refunds—not whether online TRT is certain to shut down.²³

Here are the facts, from the agencies themselves.

Testosterone is a Schedule III controlled substance. Under the Ryan Haight Act, a prior in-person medical evaluation is generally required unless a legal exception applies. The Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications, issued jointly by the DEA and HHS, runs January 1, 2026 through December 31, 2026.¹⁸²³

For testosterone, this flexibility requires a qualifying audio-video encounter and a prescriber acting within the applicable federal and state rules. It does not remove the need for a legitimate medical purpose, appropriate prescribing authority or any examination your clinician or state requires.²³

The final-rule review entry for Special Registrations for Telemedicine and Limited State Telemedicine Registrations shows receipt at the White House Office of Management and Budget on August 25, 2026. That is a pending review, not a final rule already in force or a guaranteed publication date.²⁴

Now put a purchase against that calendar. A Pro plan first charged on September 14, 2026 buys a 336-day term through August 15, 2027, with the next renewal modeled for August 16, 2027.

Method: $1,799 × 227 ÷ 336, rounded to cents. The temporary authority expires at the end of December 31, so that day belongs in the first row. This model allocates subscription time; it does not predict a care interruption.¹²³

What we are not saying: we are not predicting a shutdown. The current rule is itself a fourth extension, and a separate final rule is under review. Neither fact guarantees the rules that will apply to a particular prescription in 2027.²³²⁴

What we are saying: resolve the continuity and refund questions before committing a large prepayment. A Standard plan first charged on September 14 has its first renewal on December 7, 2026, so its initial prepaid term ends before the current deadline. But it renews automatically; the next term crosses into 2027. A shorter first term limits upfront cash, not the clinical or legal questions.¹³

Ask: Who arranges any required in-person visit, what would it cost, and what happens to unused prepaid treatment if care cannot continue? Keep any treatment or transfer changes under your clinician's direction.

Federal status checked September 14, 2026.

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Is Fountain TRT worth the cost?

Fountain's value is the care bundle, not the lowest medication-only price. Starter models $2,786 in subscription cash during the first 365 days, before any evaluation charge or extras; the larger plans trade a lower rate for more upfront cash. Compare that with a complete local-care quote or a separately priced program—not a vial price alone.¹

Let's put the real options side by side.

Provider prices and policies checked September 14, 2026. These are public-source comparisons, not completed checkout quotes. Neither online subtotal includes every individual's possible charge.^1235252627

The Male Excel timing detail matters. Its page says both “60 day Supply” and “Billed Bi-Monthly (every other month).” The $2,727/$2,871 figures assume six medication orders at $240/$264, not a guaranteed charge calendar. If the first medication order is day 0 and orders recur exactly every 60 days, seven fall within days 0–364. With the same one consultation and twelve membership charges, that produces $2,967/$3,135, before shipping, extra tests, taxes or changes in medication cost. The seventh medication payment buys supply extending beyond the window.²⁵

Male Excel's advertised packages also include thyroid treatment. That is not the same as a testosterone-only quote or a reason every patient needs another hormone. Ask what is clinically indicated and what your prescription actually costs. Its page explicitly says dose changes can change the price; its FAQ says repeat testing may be needed after six months and one year.²⁵²⁶

And Male Excel is not a refund workaround. Its July 2026 terms generally say sales and subscription charges are nonrefundable unless otherwise stated in writing. Those terms also say prescriptions are filled through its contracted pharmacies rather than sent to a pharmacy of your choice. The separately published starting prices are useful, but neither a refund nor open pharmacy choice should be inferred from them.²⁷

Clomiphene has FDA-approved uses to induce ovulation in women, but use for low testosterone in men is off-label. A compounded clomiphene-with-thyroid product is not itself FDA-approved. It is not interchangeable with testosterone or a guaranteed fertility solution.¹⁷¹³

Here's the honest conclusion: if your own doctor can provide the care you need at a lower confirmed complete cost, start there. No online or local program wins on price for everyone. GoodRx's drug-only starting price shows why the medication and the full care bill must be kept separate.¹⁶

What online programs actually sell is everything around the molecule — access to a clinician, lab coordination, follow-up and pharmacy coordination. For some people, that is worth paying more. For some it isn't. Only you can price your own time and frustration. Our TRT cost guide and online-versus-local comparison help you compare the full arrangement.

Does that sound like your situation? If the part you can't get comfortable with is a single bundled price, Male Excel publishes its consultation, membership and starting medication packages separately. Review those figures alongside its variable medication costs and nonrefundable-charge terms—not as a promise that every cost is known or every payment refundable. → See Male Excel's current pricing Male Excel is a commercial partner. This is a direct public pricing link, not an affiliate tracking link. Prescribing is never guaranteed and depends on a clinician's evaluation.

For the detailed billing model, see our Male Excel cost guide.

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Before you pay: fertility, and who should start somewhere else

Testosterone therapy can reduce sperm production. If you're hoping to have children soon, that changes which care route is right for you — not just which provider. Several other situations need a more detailed clinical assessment rather than choosing by subscription price.¹¹¹²

Fountain does disclose this, to its credit. Its own consent form tells you to speak up "if you are attempting or anticipating attempting conception with a female partner since testosterone medication can diminish sperm production."¹⁹

Take that seriously. Spermatogenesis — your body's production of sperm — is suppressed by testosterone you take from outside. Nobody can promise you'll become infertile, and nobody can promise fertility comes back on a schedule. What we can tell you is that if children are on your near-term plan, a urologist, reproductive urologist or fertility-aware clinician should be your first call, not a general online TRT program. Some medications used in that setting are not testosterone and are not TRT, and they are not interchangeable with it. Our TRT and fertility guide covers questions to bring to that consultation.¹¹

Get a clinician-led assessment before choosing a general online subscription if you have:

• near-term plans to conceive
• a history of prostate or breast cancer
• a high hematocrit (the share of your blood made up of red cells — testosterone can raise it)
• untreated severe sleep apnea
• a recent major cardiovascular event
• known pituitary or testicular disease
• unusual, severe, or rapidly worsening symptoms

These are reasons for appropriate assessment, not a statement that every person with a past cancer diagnosis or heart problem has the same treatment options.¹¹¹²

If you are having chest pain, severe shortness of breath, or signs of a stroke, call 911. Do not wait for a subscription provider's text reply.

A cheap price on the wrong care route isn't a saving.

And a word on the marketing. Fountain's pages promise you'll "restore muscle, shed belly fat, boost sex drive, get harder erections, have greater energy, and more motivation." Its consent on fountaintrt.com still quotes older FDA wording about age-related low testosterone. That consent is not a reliable guide to the latest labeling request.¹¹⁹

In February 2025, FDA retained the age-related limitation, removed boxed-warning language about increased cardiovascular risk, and required blood-pressure warnings. In June 2026, FDA requested further label updates removing that age-related limitation and revising prostate-cancer and enlarged-prostate safety information. A request does not prove that every finished-product label has already changed.²⁸¹⁵

The update does not make compounded drugs FDA-approved or turn Fountain's full list of promised benefits into guaranteed outcomes. FDA's current information still describes approved testosterone use in men with low testosterone and an associated medical condition. The Endocrine Society's July 2026 statement stresses proper diagnosis and evaluation of other causes, not treatment based on fatigue, age or a sales-page promise alone.¹⁵¹³¹²

We're not telling you TRT doesn't work. We're telling you not to price the membership as if it buys every outcome on the sales page. Ask the clinician what benefit is realistic for your diagnosis, the exact product and your risks.

Nobody should diagnose low testosterone from symptoms, a quiz, or a single lab number — including us. The standard is consistently low results on two early-morning tests, plus matching symptoms or signs, interpreted by a clinician. The Endocrine Society specifies fasting samples and an accurate test method.¹¹¹²

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What real members say about the billing

Fountain advertises a 4.9-star TrustScore, while the public FountainTRT Trustpilot profile checked September 14, 2026 showed 4.4 out of 5 from 316 reviews. The reviews include both fast-support reports and unexpected-charge complaints. These are customer-experience signals, not verified bills or a reliable measure of what will happen to you.¹⁷

Two things worth knowing before you read any review numbers.

The advertised score and the profile don't match. Fountain's pages say "4.9 star TrustScore on Trustpilot with over 200 5-star reviews." The FountainTRT Trustpilot profile itself showed 4.4 out of 5 across 316 reviews when we looked. Both figures exist; check the profile yourself rather than the marketing.¹⁷

The member counts need context too. On September 14, 2026, Fountain's homepage showed figures of 7,000 members and 1,700 TRT members, while its TRT page used 4,800 and 5,000. The pages do not give us a reconciled, dated count for one clearly defined population. Some figures may cover different programs or periods; we did not independently verify membership. Buy on the contract and price table rather than treating those headlines as a service-quality measure.²¹

Two individual reports, one each way:

The good, and it's specific: Juan Cristancho, reviewing on November 17, 2025, wrote that support replies to texts "within minutes, sometimes even seconds," and that when he was double-charged for a medication he takes alongside his testosterone, it was corrected and refunded "in less than 5 minutes."²⁹

The bad, and it's the billing question to resolve: Robert Morie, reviewing on July 8, 2026, wrote that after a promotion advertising $35 labs, Quest billed him $168 about a week later.⁷

Individual reports from the FountainTRT Trustpilot profile, checked September 14, 2026. Trustpilot labels these reviews unprompted; that is not independent proof of the events or the absence of every possible relationship. We did not verify the underlying events. These show different experiences, not typical results, and they can't establish medical effectiveness or prove a current policy.

The practical conclusion we'd draw: useful support reports do not cancel out a billing concern, and a billing complaint does not establish the current policy. Use both to ask sharper questions, then get your own price and refund terms in writing.

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The 12 questions to ask Fountain before you pay

These questions turn a headline price into a written quote and a care-continuity plan. Ask before the relevant charge, and keep the answers by text or email. A question left unanswered is a gap in your budget, not a zero on your bill.

Copy these.

1. What is my exact evaluation charge, what does it include, and is any of it credited toward treatment?
2. Which plan am I on, what is the exact billing interval in days, when is my next renewal date, and how much is it?
3. Can your clinician see me in the state where I will physically be, is any in-person visit required, and does my membership cover lab monitoring in my state, or is my state one of the exceptions?
4. Which specific panels and follow-up visits are covered, how often, and what happens if a result needs a repeat test? What would home collection or extra testing cost?
5. Does my evaluation include a second early-morning testosterone draw? If I need one, who pays?
6. If treatment is appropriate, what exact medication, formulation and strength would you prescribe, which pharmacy dispenses it, and what are my assigned clinician's name, credentials and state-license details?
7. Is that exact product FDA-approved or compounded?
8. What would any clinically appropriate add-on cost? Your plan page lists anastrozole and tadalafil; please also confirm any charge for supplies, dose or treatment-format changes, shipping and applicable tax.
9. Please send me the itemised invoice your Terms of Use, Section 15, says I'll see before purchase.
10. Which Terms of Use govern my purchase — the Fountain Vitality terms on fountain.net, or the Fountain Wellness terms on fountaintrt.com?
11. If I cancel mid-term, what happens to the unused portion of a prepayment? How is any proportional refund calculated, what is excluded, and when would it reach me?
12. How do I get a copy of my medical records, what could that cost, and how do you handle continuity if I move to another provider? Please confirm refill timing, medication supply per shipment, and what happens if a refill or required examination is delayed.

This is a request template. It isn't a statement that Fountain has agreed to any of it. Discuss your medical history and fertility plans with the clinician directly — this is a billing worksheet, not a medical intake.

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Fountain TRT payment calendar worksheet

This worksheet gives every subscription payment offset within a 365-day window for any first payment date. Choose the column for your plan and add each listed number of calendar days to that date; day 0 is the first payment. It is a manual worksheet, not an automated calculator, and it uses the published prices checked September 14, 2026.¹

Put the subscription dates in your own calendar

Use your first subscription payment date, not the day you first visited Fountain's website or paid for an evaluation. A dash means no payment for that plan at that offset—not a waived bill.

The next charge after this window is day 392 on Starter, day 420 on Standard, or day 672 on Pro. These dates assume the same plan keeps renewing at the same price, with no pause, cancellation or switch. Use the actual invoice dates if Fountain's written quote differs.

Add the costs the subscription table cannot answer

Complete quoted cash estimate = subscription charges + all separately quoted costs − confirmed credits or refunds. If a required line is unknown, the full estimate is still unknown. Do not turn a blank into $0.

For the same-time rate comparison, use cycle price × 365 ÷ cycle days. This produces $2,594.11 for Starter, $2,168.27 for Standard and $1,954.27 for Pro, but those figures are not the payments you can choose to make. The dated example earlier shows how the same distinction works for a September 14, 2026 start.

For a term that crosses December 31, 2026, count days from January 1, 2027 up to—but not including—the next renewal date. Multiply those days by the cycle price divided by the cycle length for a time-based allocation. That is not a predicted loss or a refund calculation.

Read or copy the worksheet as it stands. No email, account or health questions are needed.

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What we actually verified

We checked public pricing, terms, consent documents and the sources below on September 14, 2026, then recalculated the cost and calendar models. This is a public-source cost guide, not a hands-on review. Reading a provider's claim verifies that it was published, not that every patient receives the stated service.

Checked ourselves: Fountain's current program page and homepage; the separate live fountaintrt.com page; both sets of terms; the fountain.net return policy; both consent documents; Male Excel's pricing, FAQ and July 2026 terms; the FountainTRT Trustpilot profile and the two named customer reports; current FDA information, a labeled FDA-approved cypionate product and the February 2025 labeling statement; the Endocrine Society guideline and July 2026 statement; DEA/HHS's fourth temporary extension; the pending federal rule-review entry; IRS expense guidance; GoodRx's advertised starting price; and the cited Labcorp and Quest retail test listings.

We could not establish: the current evaluation price or credit; the price of the at-home collection upgrade or optional add-ons; which states the lab exception covers; the included repeat-test and monitoring schedule for an individual patient; the exact dispensing pharmacy, cream formulation or injection product; a patient-specific refill timetable; or which set of terms would govern a purchase made today.

What we did not do: we did not buy treatment, complete checkout, contact support, test a cancellation, or speak to a clinician or pharmacy. This is a public-source cost guide, not a hands-on review, and we're not going to call it one. We also did not verify a particular clinician's license or a dispensing pharmacy's license.

Commercial context: Male Excel is a commercial partner; the provider links here are direct public-information links rather than affiliate tracking links. Our method — How We Review TRT Providers — separates verified facts, provider-stated facts, customer-experience signals and editorial conclusions, and calculates costs from disclosed inputs rather than repeating a teaser price. It is not a numeric medical score.

See our editorial standards, affiliate disclosure and corrections policy. Report a changed price or policy with its source; do not send personal health records.

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Fountain TRT cost FAQ

The key distinction is the billing cycle: four weeks is not a calendar month, and a prepaid term is not necessarily a nonrefundable term. These answers use the public information checked September 14, 2026; your written quote must settle the remaining individual charges.

Is Fountain TRT $199 a month?

No—not under its current plan page, which lists $199 every four weeks. Its other live site still uses monthly wording, so confirm the interval on your actual order.¹⁶

How much is Fountain TRT per year?

Thirteen Starter cycles buy 52 weeks for $2,587, not exactly 365 days. The 365-day rate equivalent is $2,594.11. With a payment on day 0 and uninterrupted renewal, fourteen charges land in days 0–364, totaling $2,786, plus any separately quoted costs. The last payment buys time beyond that window.¹

Is the Pro plan a full year?

No. Its term is 48 weeks, which is 336 days. In the model, it renews twenty-nine days before a 365-day anniversary. Two $1,799 payments fall inside the first 365 days, but buy 672 days of membership, not one year.¹

What does the Fountain evaluation cost?

Fountain doesn't publish it on its program page. Ask for the exact number, any credit toward membership, and whether the evaluation purchase includes the ineligibility money-back guarantee before you enter card details.¹⁵

Does Fountain TRT take insurance?

Fountain describes a cash-pay program with no insurance involved. You can ask for an itemized bill, but reimbursement is not guaranteed; any separately billed labs also need their own coverage check. That is different from whether an individual charge qualifies for HSA or FSA payment.¹⁴²¹

Are blood tests included?

Fountain says required monitoring is included, "except where prohibited by state law," with local Labcorp collection. The checked pages do not name the exception states or settle whether your evaluation includes a second early-morning draw. At-home collection is described as an upgrade.²¹

Can I cancel Fountain TRT?

Yes, Fountain describes cancellation by text or email; cancel before renewal and get confirmation. Its fountain.net return policy describes proportional refunds for unused prepaid future treatment, but shipped medication and care already delivered are generally excluded. The other site's terms say payments are nonrefundable, so settle the governing policy before prepaying.⁵³⁴

Is Fountain's testosterone cream FDA-approved?

No FDA-approved testosterone cream was identified in the sources checked, and Fountain's public page does not supply an FDA-approved finished-product label for its cream. Compounded creams are not FDA-approved; approval of a testosterone gel does not extend to a compounded cream. Ask for the exact product and dispensing pharmacy.¹⁵¹³¹

Does a higher dose cost more at Fountain?

Fountain does not publish a dose-based price table, but that is not a guarantee that dose changes cost nothing. Ask whether your quoted price changes with the amount prescribed, treatment format, additional medication or future subscription pricing.¹³

Which states does Fountain TRT serve?

Twenty are listed on fountaintrt.com. Treat that as the provider's published list, not independently verified current coverage. Ask Fountain to confirm your physical state, assigned clinician and treatment availability before paying; a questionnaire does not determine medical eligibility.⁶⁴

Is Fountain cheaper than my own doctor?

There is no universal answer. Compare an individual quote for visits, labs, medication, supplies and monitoring, including your insurance share, with Fountain's complete quote. A low drug-only price is not the cost of a year of care.¹⁶

Can I use Fountain if I want children soon?

Discuss fertility before any testosterone treatment. Testosterone can suppress sperm production, and neither an add-on nor an alternative drug guarantees preserved or recovered fertility. A urologist, reproductive urologist or fertility-aware clinician is the better first call when conception is a near-term goal.¹¹¹²

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The bottom line

Fountain's $199 Starter payment is every four weeks, and the discount math on the longer plans checks out. What the public plan page does not settle is your complete first-year quote, the evaluation charge, or a separate price for each part of the bundle. Confirm those gaps before treating the headline as your budget.¹³

For Starter, $2,587 buys 52 weeks; $2,594.11 is the 365-day rate equivalent; and $2,786 is modeled subscription cash in the first 365 days. Add any separately quoted evaluation, lab, collection or medication costs and other required charges, then subtract confirmed credits or refunds. That is the difference between a subscription subtotal and your full bill.

Before you pay anything, do three things. Ask which Terms of Use govern your purchase. Ask for the itemised invoice Section 15 already promises you. And if you're considering a prepaid term, ask what happens to the unused portion if you stop.

Do those three and you're buying with your eyes open — which is all this page was ever trying to give you.

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Still not sure which TRT care route fits you? Use our free Find My TRT Path tool. → Find My TRT Path Educational and non-diagnostic. It does not diagnose low testosterone, determine eligibility, or guarantee a prescription.

Footnotes

1. Fountain: TRT program and plan pricing. Checked September 14, 2026; sections covering plans, possible treatments, optional add-ons, evaluations and service claims. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰ ↩³¹ ↩³² ↩³³ ↩³⁴ ↩³⁵ ↩³⁶ ↩³⁷ ↩³⁸ ↩³⁹ ↩⁴⁰ ↩⁴¹ ↩⁴² ↩⁴³ ↩⁴⁴ ↩⁴⁵

2. Fountain homepage. Checked September 14, 2026; membership-inclusion statement and state-law laboratory exception. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹²

3. Fountain Vitality Terms of Use. Document dated April 3, 2024; checked September 14, 2026. See domain scope and Medical Group definitions; Section 15, orders and subscriptions; Section 17, returns; dispute provisions; and Section 28, liability limitations. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵

4. Fountain Wellness Terms and Conditions. No revision date shown; checked September 14, 2026. See payments, laboratory billing, refunds, location, financial responsibility and dispute provisions. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷

5. Fountain Return Policy. Document dated April 3, 2024; checked September 14, 2026. Covers shipped products, evaluation-guarantee exception, text/email cancellation and proportional future-treatment refunds. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹²

6. FountainTRT's other live program page. Checked September 14, 2026; monthly/daily price wording, twenty-state list, follow-up description and provider-stated leadership. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

7. Trustpilot: FountainTRT profile. Checked September 14, 2026: displayed TrustScore 4.4, 316 reviews; Robert Morie's review published July 8, 2026, with an experience date of July 2, 2026. ↩ ↩² ↩³ ↩⁴

8. Quest: Men's Health Tests. Checked September 14, 2026; Basic and Expanded men's hormone panel list prices and separate physician-service-fee notice. ↩

9. Quest: How self-purchased testing and in-home collection work. Checked September 14, 2026; additional $79 in-home collection where available. ↩

10. Labcorp OnDemand: Comprehensive Testosterone Test. $159 list price checked September 14, 2026. This is not a quote for Fountain's required monitoring. ↩

11. Endocrine Society: Testosterone Therapy for Hypogonadism Guideline Resources. Checked September 14, 2026; diagnosis, repeat morning fasting testing, fertility, clinical exclusions and monitoring. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

12. Endocrine Society: Statement on Testosterone Replacement Therapy. July 16, 2026; checked September 14, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

13. FDA: Compounding and the FDA—Questions and Answers and Understanding the Risks of Compounded Drugs. Checked September 14, 2026; approval, quality and licensed compounding distinctions. ↩ ↩² ↩³ ↩⁴ ↩⁵

14. DailyMed: AZMIRO testosterone cypionate prescribing information. Label revised July 2025; checked September 14, 2026. Used only to establish that an FDA-approved testosterone cypionate product exists; not evidence that Fountain dispenses it. ↩

15. FDA: Testosterone Information. Checked September 14, 2026; approved-use context, formulations and June 2026 requested label updates. ↩ ↩² ↩³ ↩⁴

16. GoodRx: Testosterone Cypionate Prices. Advertised starting price checked September 14, 2026; actual price depends on the selected product, quantity and pharmacy. Used for marketplace pricing, not medical guidance. ↩ ↩² ↩³

17. Operation Supplement Safety, Uniformed Services University: Clomiphene and Enclomiphene—Drugs, Not Dietary Supplements, content current January 12, 2026; and FDA Pharmacy Compounding Advisory Committee materials, June 8, 2022, enclomiphene section. Checked September 14, 2026; no FDA-approved enclomiphene finished product, clomiphene's approved/off-label distinction and limits of the evidence. ↩ ↩²

18. DEA: Drug Scheduling. Checked September 14, 2026; testosterone appears among Schedule III examples. ↩ ↩²

19. FountainTRT consent and terms. Checked September 14, 2026; practitioner types, response-time aim and explicit absence of a guarantee, cash-pay tradeoffs and fertility notice. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

20. Fountain Telehealth Consent. Checked September 14, 2026; item 15 explains how to request records and possible copying/delivery costs. ↩

21. IRS Publication 969: Health Savings Accounts and Other Tax-Favored Health Plans. Checked September 14, 2026; qualified medical expenses, HSA/FSA rules and recordkeeping. No determination of an individual membership charge's eligibility was made. ↩ ↩² ↩³

22. IRS Publication 502: Medical and Dental Expenses. Checked September 14, 2026; medical care and prescribed medicines. Expense eligibility and deductibility are separate questions. ↩

23. DEA/HHS: Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications, effective January 1 through December 31, 2026; and DEA's explanation of remote-prescribing requirements. Checked September 14, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵

24. OMB: Pending review, Special Registrations for Telemedicine and Limited State Telemedicine Registrations. RIN 1117-AB40; received August 25, 2026; checked September 14, 2026. Pending review is not a final effective rule. ↩ ↩²

25. Male Excel: Treatment Costs. Checked September 14, 2026; consultation, medical membership, injection-with-thyroid and cream-with-thyroid starting packages, billing wording, shipping and variable-cost statements. ↩ ↩² ↩³

26. Male Excel: Frequently Asked Questions. Checked September 14, 2026; entry test, possible follow-up tests, treatment formats and refill notices. Provider-stated operational claims are not independently verified performance. ↩ ↩²

27. Male Excel: Terms and Conditions. Updated July 2026; checked September 14, 2026. See prescription fulfillment and Section 4, purchases, recurring charges and nonrefundability. ↩ ↩²

28. FDA: Class-wide labeling changes for testosterone products. February 28, 2025; read alongside the June 2026 update, not as the latest position by itself. ↩

29. Trustpilot: FountainTRT reviews, page 3. Juan Cristancho, “Best experience with an online company regardless of which kind!”, November 17, 2025; checked September 14, 2026. Review pagination can change. ↩