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Hims vs TRT Nation: Costs, Labs, and Which Online TRT Fits You (2026)

Hims vs TRT Nation comes down to treatment, testing, and the full bill. Hims lists oral and injectable TRT, with membership charged separately. TRT Nation advertises injections at $99.99 a month equivalent, with a 2.5-month minimum and extra labs. Compare written quotes; if fertility is your priority, start with specialist advice.

Hims vs TRT Nation table 1: Comparison
Hims TRT Nation
Worth comparing for Listed FDA-approved options, pills instead of shots, at-home blood collection A cypionate package with separately priced labs; transfers whose results are accepted
Testosterone it sells Compounded injection, FDA-approved generic injection, FDA-approved Kyzatrex pill Testosterone cypionate injections (also TRT + hCG)
Starting injection price Medication from $79/mo + required membership; confirm its amount and renewal schedule $99.99/mo equivalent, 2.5-month minimum (about $250); labs extra
Labs At-home kit; membership includes 2 qualifying yearly tests plus additional provider-required testing Labcorp or Quest draw, $129 per panel, or accepted outside results
Annualized starting injection rate $948 for medication, plus the actual membership total $1,199.88 for the package, plus required labs and any other charges
Access Not in all 50 states; its testosterone lab testing is not offered in Hawaii Published state lists differ; confirm your state at intake. Patients must be 24 or older
Support hours 24/7 messaging (provider-stated) Phone support Mon–Fri, 10 a.m.–5 p.m. ET

Sources: Hims treatments, membership terms, TRT Nation pricing, and laboratory charges.

What will decide it is three things: which medicine you get, how your blood gets drawn, and what happens if you want out. And there's one lab detail that can cost you a second blood draw if you ever switch. We'll get to it.

Worth comparing these two if: you have symptoms, you want testosterone care online, and you're ready to look at the real bill.

Start with evaluation or another care route first if: low testosterone hasn't been properly evaluated, you want to have kids soon, or you need insurance to pay. This comparison focuses on adult men being evaluated or treated for testosterone deficiency.

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 Hims and TRT Nation links here go directly to provider information. We compared their published prices and terms. This page is educational information, not medical advice. Testosterone is a prescription-only, Schedule III controlled substance.


Hims vs TRT Nation: which one should you choose?

Compare TRT Nation if you want a cypionate package with separately priced labs, and Hims if you want its listed oral or injectable options and blood collection at home. Neither has a verified lowest complete price for everyone. If you aren't diagnosed yet, or you want children soon, start with evaluation or a specialist before choosing treatment.

Find yourself in this list:

  • Price is your top priority and you're fine with shots → Get the same-product quote from both, including membership, labs, supplies, and purchase dates.

  • You're already on TRT and switching clinics, with recent labs → Ask TRT Nation to accept your specific report, collection method, and date before paying. Its published acceptance windows differ.

  • You want a pill, not needles → Hims (Kyzatrex).

  • You want an FDA-approved injection, not a compounded one → Hims explicitly lists a generic testosterone cypionate option. Ask TRT Nation to identify its exact product before ruling it in or out.

  • You hate going to a lab → Hims.

  • Your state may limit access → Check the exact treatment with both providers. If neither can serve you, look at local care.

  • You're 18 to 23 → Not TRT Nation. It only treats patients 24 and older. Get evaluated by a primary care doctor, urologist, or endocrinologist.

  • You want kids in the near future → Discuss that with a reproductive urologist before choosing treatment.

  • You don't know whether your testosterone is actually low → Get proper testing first. More on that below.

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to check age and state eligibility for the site's featured Male Excel TRT offer, not medical suitability or treatment preferences, then use this comparison's questions before you pay. The tool is educational; a clinician decides whether testing or treatment is appropriate.

What we actually verified

Hims vs TRT Nation table 2: What we actually verified
Date checked November 5, 2026
Sources Hims testosterone pages and FAQ; Hims' October 21, 2026 launch announcement; TRT Nation's TRT page, FAQ, lab-order form, and cancellation policy; FDA, DEA/HHS, and American Urological Association (AUA) sources; the FTC's case page
Confirmed as published provider statements Advertised prices, minimums, lab fees, TRT Nation's age rule, Hims' membership structure and compounded-drug disclosure, and the cancellation and refill wording described below
Provider-stated (we didn't test it) Delivery times, "unlimited" provider access, 24/7 messaging, pharmacy quality claims
Not confirmed Your complete quote and membership cadence; your exact pharmacy and prescriber; the FDA status of TRT Nation's dispensed cypionate; a reconciled state list and outside-lab window; TRT Nation's refund scope for used labs; the complete repeat-morning testing workflow at either company
What we did not do We didn't buy a plan, see a clinician, or test support or cancellation at either company. This is a public-source comparison, not a hands-on review.

How we make money: TRT Provider Guide has disclosed affiliate relationships with Male Excel and Hone Health and may earn commissions through clearly marked paid links on the site. The clearly labeled Male Excel and Hone offer links are paid referrals. Pricing, policy, testing and other research links remain direct and untracked. Compensation does not determine our factual findings or editorial conclusions. Full disclosure.


Does Hims offer real TRT now? What does each one prescribe?

Since October 21, 2026, Hims lists three testosterone treatments: a compounded injection given under the skin twice a week, an FDA-approved generic testosterone cypionate injection given into the muscle once a week, and FDA-approved Kyzatrex capsules. TRT Nation sells testosterone cypionate injections, plus add-ons like hCG. Both also sell enclomiphene, which is a different drug and not testosterone replacement. Hims announcement · TRT Nation catalog

These are provider-advertised options; your prescriber determines your actual treatment.

If you read a review that says "Hims doesn't offer TRT," check the date. Earlier Hims comparisons focused on its enclomiphene-based offer, a pill that nudges your body to make more of its own testosterone. That no longer describes its full treatment menu. Current options

Here's what each company sells today, side by side. Watch the FDA status. It matters more than most people realize.

Hims vs TRT Nation table 3: Does Hims offer real TRT now? What does each one prescribe?
Treatment Hims TRT Nation
Injectable testosterone Testosterone cypionate, twice-weekly shot under the skin. From $79/mo + membership. Hims states this offer is compounded and not FDA-approved. Testosterone cypionate, $99.99/mo equivalent, 2.5-month minimum. The reviewed pages do not identify the specific dispensed product well enough to establish whether it is compounded or FDA-approved.
Injectable testosterone (FDA-approved generic offer) Generic testosterone cypionate, advertised as FDA-approved, with a once-weekly intramuscular injection schedule. From $159/mo + membership. Not identified separately on the pages checked; ask for the product label
Oral testosterone (FDA-approved) Kyzatrex (testosterone undecanoate capsules). From $179/mo + membership. Not listed on the TRT page we checked
hCG alongside TRT Not listed on the testosterone pages checked Catalog lists TRT + hCG at $180/mo with a 2.5-month minimum; confirm the exact product, availability, and full price
Enclomiphene — not TRT Testosterone Rx+ (enclomiphene + tadalafil + supplements). From $49/mo + membership. Enclomiphene, $99.99 for a 30-day supply (30 × 25 mg capsules)

Sources: Hims product menu, TRT Nation treatment page, catalog, intake, and enclomiphene offer.

TRT Nation's intake also lists anastrozole in its TRT package. It is a separate medicine, not testosterone. Its approved uses are for certain breast cancers in postmenopausal women; use alongside male TRT is off-label. Ask why it is proposed for you rather than treating a listed package ingredient as something everyone needs. Intake · Anastrozole prescribing information

Testosterone vs. enclomiphene: not the same medicine

Testosterone replacement therapy (TRT) adds testosterone to your body from outside.

Enclomiphene is a different kind of drug. It signals your brain to tell your testicles to make more of their own. It is not FDA-approved. The prescription compounded offers here are different from an FDA-approved medicine used for an unapproved purpose. FDA record · Current regulatory explanation

Both companies sell enclomiphene. If you're comparing Hims' Testosterone Rx+ to TRT Nation's injections, you're comparing two different treatments, not two prices for the same thing.


Which is cheaper over a full year: Hims or TRT Nation?

The public prices don't establish a complete first-year winner. Hims adds required membership to medication, while TRT Nation adds labs and has a minimum purchase. You can compare the published rates below, but your full bill needs the actual membership, testing plan, and payment dates.

Why "$99" and "$79" aren't the same kind of number

The two companies price differently, so their headline numbers can't be compared directly.

  • TRT Nation advertises a $99.99 monthly equivalent for the medicine package. Labs are extra. Its 2.5-month minimum implies about $250 before labs; confirm the actual checkout charge and days supplied. The intake lists injection supplies, a provider consultation, ongoing support, and standard shipping as included. Pricing · Intake

  • Hims splits the bill in two: a membership, plus a separate medication plan. Hims shows a $49 membership fee at checkout. Its testosterone page doesn't say how often that renews, so confirm it before you pay. Its terms allow monthly or annual membership billing, and the selected cadence affects the fee. The $79, $159, and $179 figures are "from" prices for medication only. Your prescription and plan can change them. Pricing · Membership billing · Terms

The same-year cost ledger

This is our math, not a quote from either company. We took each provider's published rate and multiplied it by 12, keeping missing charges visible. The assumptions are listed under the table so you can redo it with your own numbers.

Hims vs TRT Nation table 4: The same-year cost ledger
Path Annualized medication or package rate Other charges to include What the calculation establishes
TRT Nation — injections, labs through TRT Nation $1,199.88 Three $129 panels would add $387 $1,586.88 illustration, before any other required charges; not a personal quote
TRT Nation — injections, accepted outside labs $1,199.88 All required testing, wherever purchased $1,199.88 + your testing and other charges; existing results do not replace future monitoring
TRT Nation — enclomiphene (not TRT) $1,199.88 for twelve 30-day supplies Labs and other confirmed charges 360 days of advertised supply, not a complete 365-day quote
Hims — compounded injection From $948 Actual membership total and any other confirmed charges From $948 + membership
Hims — FDA-approved generic injection offer From $1,908 Actual membership total and any other confirmed charges From $1,908 + membership
Hims — Kyzatrex pill (FDA-approved) From $2,148 Actual membership total and any other confirmed charges From $2,148 + membership
Hims — Testosterone Rx+ (enclomiphene, not TRT) From $588 Actual membership total and any other confirmed charges From $588 + membership

Sources for the inputs: Hims, TRT Nation testosterone, enclomiphene, and lab orders. The arithmetic is ours.

Assumptions:

  • Prices are as published on November 5, 2026, with no prescription changes and no promotions.

  • Three TRT Nation panels are an illustration: baseline plus two follow-ups. The current FAQ and an alternate FAQ differ on the exact later timing. Your clinician decides your actual testing, and a diagnostic repeat or extra monitoring could change the cost.

  • Hims' membership includes two qualifying lab tests a year, and the first one is the diagnostic test. Its terms also include additional testing the provider requires. The actual membership amount, renewal schedule, and selected medication plan still need confirmation. Terms

  • Both list standard shipping at no extra charge on the pages we checked. TRT Nation notes California pricing may vary. Confirm supplies, shipping exceptions, and any other required fee in your quote.

  • Cash timing: TRT Nation's purchase blocks don't divide neatly into a year. Five purchases at about $250 would mean about $1,250 paid for the package before labs. With three $129 panels, those five purchases would total about $1,637. That does not prove those orders cover exactly 365 days; check the prescribed days supplied and reorder dates.

What the ledger tells you: the advertised injection rates are not complete bills. The real difference is what you're buying. At Hims, you get qualifying labs built into the membership and at-home collection. At TRT Nation, you pay separately for labs and can ask to use qualifying results you already have.

The one thing TRT Nation leaves out — and why some people prefer it

TRT Nation does not include lab work in its $99.99. Its public panel costs $129; the number you need depends on your clinical plan. If you want qualifying testing included in a membership, Hims is worth comparing. Lab order · Hims terms

But because TRT Nation unbundles labs, you may be able to use qualifying testing you already have. Its current FAQ says outside labs are typically within 120 days; its intake and alternate FAQ allow up to six months. Get your exact report accepted in writing; don't assume that one initial set replaces every test you'll need during treatment. Current FAQ · Intake · Alternate FAQ

And TRT Nation says you won't be asked to stop TRT to "prove" low levels when you transfer. Patients coming from another clinic are expected to have higher numbers. Its alternate FAQ states this transfer policy; it does not guarantee a prescription or remove the need for review and monitoring. Transfer FAQ

If you're transferring care, ask how your current prescription and results will be reviewed. Don't stop or change medication to alter a test result; discuss the transfer with your prescriber.

Before paying, also check the refund wording: its intake and separate policy describe different refund conditions.

If TRT Nation's package fits how you want to pay, see TRT Nation's current price and 2.5-month terms. This is a direct information link. TRT Nation still decides whether to prescribe after your labs and consultation.

Want to see what your own year would cost? Jump to our before-you-pay worksheet and fill in the blanks with each company's quote.


How do labs work at Hims vs TRT Nation — and can you switch later?

Hims mails you a push-button device that collects a small blood sample from your upper arm at home. TRT Nation sends a lab order for a standard blood draw at Labcorp or Quest, or reviews recent labs you upload. TRT Nation's intake excludes saliva and finger-prick home kits, but that does not settle whether it will accept your exact Hims collection method.

Get the report accepted before paying for a transfer or buying another test.

Side-by-side: the lab check

Hims vs TRT Nation table 5: Side-by-side: the lab check
Lab question Hims TRT Nation
How blood is collected At home with a Tasso upper-arm collector, which Hims describes as FDA-cleared. Ship it back the same day with the prepaid label. Lab order emailed within 24 hours; the alternate FAQ estimates 2–3 days for Labcorp results. Confirm timing for your selected lab.
Lab network Hims' own kit, processed in a CLIA-certified lab according to Hims Labcorp or Quest — your choice, and the lab order form says you can't change it after paying
What the first test measures 22 biomarkers, including total and free testosterone, SHBG, an advanced lipid panel, and blood sugar markers (provider-stated) $129 TRT panel: total testosterone, CBC, CMP, estradiol, and age-dependent PSA; current intake says PSA at 40+
Labs included in price? Two qualifying yearly tests plus additional provider-required testing under the membership terms No. $129 for the public panel, or accepted outside results; confirm future testing
Your own labs accepted? Not stated on the pages we checked Conditional; current FAQ says typically within 120 days, while intake and alternate FAQ allow up to six months. Submit the actual report for confirmation
At-home kits accepted? It's the main method Current intake excludes saliva and finger-prick home kits; ask about your exact Hims method
Follow-up schedule Provider decides based on your medicine and results Current FAQ: after 10 weeks, six months after the first lab appointment, then annually; another FAQ anchors the later test differently

Sources: Hims testing, Hims membership terms, TRT Nation lab order, intake, and FAQ. Confirm the actual panels and schedule in your plan. The FDA lists clearance for the Tasso+ collector; that is not approval of the whole laboratory panel or proof that one sample establishes a diagnosis.

A few quick definitions:

  • Total testosterone is all the testosterone in your blood.

  • Free testosterone is the small share not attached to proteins.

  • SHBG (sex hormone-binding globulin) is the main protein testosterone binds to.

  • CBC (complete blood count) includes hematocrit, the share of your blood made of red blood cells. Testosterone can raise it, so it gets watched.

  • PSA (prostate-specific antigen) is a prostate blood test. The AUA says it should be checked before starting testosterone in men over 40. Guideline, statement 12

The switching trap

If you start with Hims' at-home test and later decide to move to TRT Nation, don't assume the report transfers. Send the report, collection date, and collection method for review first. The fix is simple: ask what is accepted before paying for another draw; don't buy an extra test now just in case. TRT Nation intake

What good testing looks like before anyone prescribes

One low number isn't a diagnosis. The American Urological Association says low testosterone should be diagnosed only after two total testosterone tests, taken on separate days, both in the early morning. Those results also have to come with symptoms or signs. AUA's guideline announcement

The AUA uses a total testosterone level below 300 ng/dL as a reasonable cutoff to support diagnosis, alongside its other requirements. The Endocrine Society's 264 ng/dL figure is a lower reference limit derived from healthy, nonobese young men for certain standardized assays—not a universal diagnosis. Neither number diagnoses anything by itself. AUA guideline · Endocrine Society guideline, Figure 1

The Endocrine Society also calls for accurate assays, consistently low results, repeat morning fasting total testosterone, and evaluation of the cause. Guideline

The provider pages reviewed do not fully spell out each repeat-morning testing workflow. Kyzatrex's label itself requires low morning testosterone measurements on at least two separate days before treatment. Ask before you pay: "If my first result is low, do you confirm it with a second morning test?" A good answer is a good sign. Kyzatrex label

More on this: Do you need two low testosterone tests for TRT? · What blood tests are required before TRT? · How often you need TRT bloodwork

Not sure your testing is complete? Review what testing before TRT involves, then ask a clinician what you still need. To check the featured TRT offer’s age/state eligibility, use Find My TRT Path. It doesn't diagnose anything.


Is it FDA-approved or compounded?

Hims clearly separates its compounded cypionate and Testosterone Rx+ from its advertised FDA-approved generic cypionate and Kyzatrex offers. TRT Nation's public pharmacy wording does not establish the approval status of your exact medication. Ask for the product and label in writing; a pharmacy claim is not drug approval. Hims · TRT Nation · FDA

What "compounded" means

A compounded drug is prepared by combining, mixing, or changing ingredients to meet a medical need. The FDA doesn't review compounded drugs for safety, effectiveness, or quality before they're marketed. FDA explanation

An FDA-approved drug went through that review, and its label lists the approved uses and warnings. Compounded medicine isn't a generic, and it isn't "the same" as the approved version.

Neither type is automatically right or wrong for you. But you should know which one you're getting, and these two companies differ here:

  • Hims labels its compounded injection and keeps it separate from the FDA-approved generic offer. If FDA approval matters to you, Hims makes that option explicit; confirm the exact dispensed product and full price. Current offers

  • TRT Nation refers to U.S. compounding pharmacies, but the public pages do not name your individual dispenser and cypionate product. A compounding pharmacy may also dispense approved medicines. Ask which product and pharmacy are proposed after assessment and before authorizing medication. FAQ · FDA explanation

Kyzatrex in plain terms

Kyzatrex is FDA-approved testosterone undecanoate in capsule form. The phase 3 trial behind the 96% claim found normal average testosterone levels in 96.1% of men who completed 90 days; an analysis counting missing results as failures reported 87.8%. That was a single-arm study with no comparison group. Those percentages measure a blood-test endpoint, not the chance you will feel better. Prescribing information · Trial

A pill still carries testosterone's risks. Kyzatrex's current label warns about increased blood pressure and calls for monitoring, along with blood-count and other checks based on the person. Expect your clinician to check yours. Current label

What changed in testosterone labels in 2025 and 2026

In February 2025, the FDA told makers of testosterone products to update their labels:

  • The FDA requested removal of boxed-warning language about increased cardiovascular risk. TRAVERSE found testosterone gel was not worse than placebo for its main major cardiovascular-event outcome in men aged 45–80 with hypogonadism and existing or increased cardiovascular risk.

  • The FDA required blood-pressure labeling updates for testosterone products, including new warnings where none existed.

  • The "limitation of use" language for age-related low testosterone stayed in that February 2025 action. FDA announcement

In June 2026, the FDA requested further changes, including removal of that age-related limitation and revisions to prostate-related labeling. A request does not mean every product label has already changed: the Kyzatrex label revised in August 2026 still contains the age-related limitation. Check the current label for the actual medicine. FDA update · Kyzatrex label

That isn't a promise of heart benefits. It's a reason to keep up with monitoring.

Read the marketing like a skeptic

Both companies market. That's normal. Here's how a few claims hold up:

Hims vs TRT Nation table 6: Read the marketing like a skeptic
Claim (paraphrased) What the evidence supports
TRT Nation advertises a $99.99 monthly TRT price That is a package rate with a 2.5-month minimum, not a complete monthly bill including labs. The public panel costs $129. Package · Labs
TRT Nation says its enclomiphene "preserves natural fertility" This is a provider marketing claim, not a guaranteed personal outcome. Enclomiphene is not FDA-approved; discuss fertility goals with a specialist. Offer · FDA record
Hims says Kyzatrex helped up to 96% of men reach normal levels in 90 days The trial reported 96.1% among 90-day completers and 87.8% when missing results counted as failures. It had no comparison group; this was a blood-test endpoint. Trial
Hims says its generic cypionate can raise levels in under 24 hours Hims cites a 1980 study of serum hormone levels for this claim. Rising blood levels aren't the same as feeling better. Hims source and footnote

Before choosing an upfront Hims plan, check when cancellation actually stops billing. Membership charges can continue through an already-shipped prepaid medication period. Hims & Hers also faces pending, disputed privacy and billing allegations; read the public-record context below.

If an FDA-approved option is what matters most to you, see Hims' current testosterone options and prices. This is a direct information link. Hims requires labs and a provider visit, and membership doesn't guarantee a prescription.


Can you get Hims or TRT Nation in your state?

TRT Nation treats patients 24 and older and says state access is checked during intake, but its published exclusion lists differ. Hims says its testosterone program isn't available in all 50 states and its testosterone lab testing isn't offered in Hawaii. Confirm the specific treatment where you will be located before paying. TRT Nation FAQ · Hims launch and laboratory footnote

  • Hawaii: Hims' published testing restriction and TRT Nation's listed exclusion make local primary care, urology, or endocrinology a practical place to start.

  • Other states: TRT Nation's alternate FAQ excludes Alabama, Alaska, Arkansas, Missouri, and Hawaii; its homepage also excludes North Dakota. Its main FAQ instead directs you to intake. Do not use a single state count as a guarantee. Alternate FAQ · Homepage

  • California: TRT Nation says pricing may vary there, so confirm your quote rather than assuming $99.99 applies.

  • Under 24: TRT Nation won't treat you. Its lab form says patients under 24 aren't eligible. Lab form

Hims says it doesn't take insurance and its testosterone offer is not eligible for FSA/HSA reimbursement at this time. That is Hims' stated payment policy, not a tax ruling about every testosterone expense. TRT Nation lists cash prices; those prices alone do not confirm whether insurance billing or reimbursement is available. If coverage matters, start with your insurer's in-network primary care doctor, urologist, or endocrinologist. Hims FAQ


What support do you get between appointments?

Hims requires live video for controlled-testosterone prescriptions and advertises messaging access. TRT Nation describes clinician consultations and care-team messaging between appointments. Those are published service descriptions, not a verified response-time guarantee or proof of specialist credentials for your assigned clinician.

Hims vs TRT Nation table 7: What support do you get between appointments?
Care question Hims TRT Nation
Clinician visit Live video before a controlled-testosterone prescription, when that prescription changes, and for periodic follow-up FAQ describes video or phone consultation; ask what visit is required for your treatment and state
Questions between visits 24/7 messaging access is advertised; it does not promise an immediate clinician reply Portal access to the care team; published phone support Mon–Fri, 10 a.m.–5 p.m. Eastern
Refills Medication-plan renewals require an active prescription and completion of required care steps Patients request refills; the alternate FAQ says requests can begin at week eight of the advertised supply period
What can delay care Missing required labs or follow-up can delay or stop prescribing Ask about remaining lab, consultation, and refill requirements before your supply runs low
Shipping Standard shipping is advertised at no extra charge Current FAQ says processing typically takes 1–3 business days and standard delivery 3–5 business days after approval; these are provider estimates

Sources: Hims video policy, membership terms, TRT Nation FAQ, refill policy, and alternate FAQ. A general mention of phone consultations does not establish that a phone-only controlled-substance prescription is allowed in your situation.

Before enrolling, ask who will treat you, which state license they hold, how clinical questions are escalated, and whom to contact if a refill is delayed. A platform's medical director is not necessarily your treating clinician. Use the provider-question worksheet to keep those answers with your quote.


What are you signing up for — and how do you cancel?

Hims bills membership and medication as two separate subscriptions. Canceling the membership also cancels your medication plan, but canceling medication alone leaves the membership running. A shipped prepaid medication period can delay when Hims cancellation takes effect, while TRT Nation requires refill requests and has conflicting refund wording.

Hims vs TRT Nation table 8: What are you signing up for — and how do you cancel?
Hims TRT Nation
How billing works Membership + medication plan, billed separately (medication monthly or upfront, depending on plan) Injectable TRT: advertised 2.5-month purchase blocks
Minimum Depends on the plan you choose Injectable TRT: 2.5 months; enclomiphene: one month
Renewals Membership and medication plans automatically renew separately; cancel at least two days before the originally scheduled billing date, subject to the prepaid-supply terms below No automatic refills. You request each refill through its patient link.
Canceling Canceling membership also cancels the associated medication plan; cancellation can take effect after the prepaid medication period. Cancel medication only → the membership stays active. Contact TRT Nation; for injectable TRT, you're charged for the 2.5-month period you bought, subject to the applicable refund terms
Refunds First membership month and shipped medication are nonrefundable. Initial medication cancellation must be within 48 hours of submitting payment information and before shipment for the stated refund. Cancellation policy reserves no refunds/returns; intake separately promises a full refund of the purchase when you and the provider decide during consultation that treatment is not for you at that time. Clarify used-lab and other charges.
Prescription guaranteed? No. Membership "does not include or guarantee a prescription." No. Requires provider approval based on labs and health history.

Sources: Hims testosterone terms, cancellation instructions, TRT Nation cancellation policy, and intake refund wording.

What this means for you: at Hims, if you want to stop everything, cancel the membership, not just the medication. But if a prepaid multi-month medication supply has shipped, membership fees remain due through that active medication period; ask for the effective cancellation date and remaining charges. At TRT Nation, the bigger question comes before you pay. Ask how its consultation refund promise applies to your purchase, especially to a lab panel you've already used.

Hims' published account steps are Subscriptions → Manage subscription → Turn off auto-renew on my medication or membership. Follow the prompts and keep the confirmation. Its terms also say other partial-period refunds are discretionary. Help · Terms

Don't stop or change testosterone on your own. Talk to your prescriber about continuity of care while you handle cancellation.

Taking your records with you

Ask for lab reports, visit notes, and prescription history before transferring care. Hims' published process is to email support@forhims.com with the subject Medical Records Request; it does not promise a turnaround time. Its prescription screenshots are not prescriptions you can use to fill medication elsewhere. A clear TRT Nation record-export process was not established from the reviewed pages, so ask its care team about timing, fees, and access after leaving. Hims records instructions

Want those answers in writing before you commit? Copy the questions to settle before you pay.


Is Hims legit? Is TRT Nation legit?

Both are active U.S. telehealth services that state they require labs and a prescription; neither guarantees approval. Hims & Hers is publicly traded and has an FDA weight-loss marketing warning letter and pending, disputed FTC allegations on record. TRT Nation lists a Tampa address and displays a LegitScript claim, but a company's existence or website badge does not establish the quality of your individual care. Hims company information · TRT Nation

What both publish: each describes bloodwork before treatment and review by a licensed provider. Each publishes advertised prices before you start. Those statements do not establish your assigned clinician’s credentials or your complete bill. Hims · TRT Nation

The Hims record, in plain terms:

  • FDA warning letter, September 2025: the FDA said Hims' marketing of compounded weight-loss drugs implied they were the same as FDA-approved products. This was about GLP-1 weight-loss drugs, not testosterone. September 9, 2025 FDA letter

  • FTC lawsuit, filed July 29, 2026: the FTC, joined by Utah and by California through Los Angeles County Counsel, sued Hims & Hers in federal court in Northern California. The suit alleges two things: that Hims shared consumers' sensitive health information with advertising platforms, and that it misled users about billing and cancellation. These are allegations, not findings. The FTC lists the case as pending. Its case page was last updated August 31, 2026 and was checked for this comparison on November 5. FTC case record

Hims & Hers disputes the allegations and says it will defend the case. The lawsuit predates Hims' October 21, 2026 TRT launch, so it should not be read as evidence of patient outcomes from that new program. Company response

Why it matters here: billing and cancellation are exactly what you're deciding on. Read Hims' terms carefully, and keep your cancellation confirmation.

The TRT Nation record: its site displays a LegitScript certification claim; we did not independently confirm current status with the issuer. TRT Nation isn't BBB-accredited, according to the BBB profile checked for this article. BBB accreditation is not a medical license, and individual reviews do not establish typical care or clinical quality. We did not establish a representative review pattern.

Check any provider yourself:

  1. Ask for your prescriber's name, then look up their license on your state medical board's website.
  2. Ask which pharmacy fills your prescription, then check its license with your state board of pharmacy.
  3. Ask whether your medicine is FDA-approved or compounded.

Thinking about kids? How Hims and TRT Nation handle fertility

Testosterone therapy can lower sperm production, and Hims itself notes injectable TRT can reduce fertility. If you want children in the near future, see a reproductive urologist before starting treatment with either company. Both sell enclomiphene, and TRT Nation offers TRT plus hCG, but neither can promise to protect your fertility.

Here's why. When testosterone comes from outside your body, your brain can dial down the signals that tell your testicles to make sperm. Sperm production is called spermatogenesis. Some men see sperm counts drop a lot. Recovery after stopping varies, and nobody can promise you a timeline.

The AUA says men who are interested in fertility should have a reproductive health evaluation before treatment starts. The Endocrine Society recommends against starting testosterone when near-term fertility is planned. AUA guideline, statement 10 · Endocrine Society

About the alternatives you'll see marketed:

  • Enclomiphene isn't FDA-approved and isn't TRT. A compounded enclomiphene prescription is not the same regulatory category as an FDA-approved drug used off-label. FDA record · Regulatory explanation

  • hCG (human chorionic gonadotropin) mimics a signal from the brain to the testicles. FDA-approved hCG products have specific uses, including selected cases of hypogonadotropic hypogonadism in males—low testosterone caused by deficient pituitary signaling. That is not a blanket approval or guarantee for preserving fertility during TRT. Pregnyl labeling

Both are real tools. Neither is a guarantee. If fertility is the main goal, a fertility-focused urologist should make the plan, not a subscription checkout.


What do current online TRT rules allow, and what changes after December 31, 2026?

As of November 5, 2026, the federal temporary extension allows qualifying telemedicine prescribing without a prior in-person exam through December 31, 2026. It does not establish what will be allowed after that date or override state requirements. If you start this winter, ask each provider how they'll handle a rule change. HHS announcement · Federal rule

Schedule III means testosterone is a federally controlled drug that requires a valid prescription. The Ryan Haight Act generally requires an in-person medical evaluation for internet prescribing of controlled drugs unless an exception applies. The fourth temporary telemedicine extension runs through December 31, 2026, with conditions for the encounter, medical purpose, and prescribing authority. It does not guarantee an all-online prescription. DEA scheduling · Federal rule

What could happen next:

  • The DEA could extend the waiver again.

  • It could finish a permanent "special registration" system for telemedicine prescribing.

  • Or some patients could face in-person requirements.

State rules can add their own requirements on top. Ask both companies: "If federal rules change in January, how will you keep my prescription going?"


Neither one fits? Better options for your situation

Hone Health is worth comparing if you want a clearly described confirmatory-testing process and monthly membership. Male Excel is worth a look if you want its provider-stated dedicated-clinician model and seven-day phone support. If you're not diagnosed yet or fertility is the priority, clinical evaluation or a specialist comes first.

TRT Provider Guide has disclosed affiliate relationships with Male Excel and Hone Health. The clearly labeled Male Excel and Hone offer links are paid referrals. Pricing, policy, testing and other research links remain direct and untracked. Compare the complete quote for the same treatment before making a price judgment.

Male Excel — worth comparing for its dedicated-provider model and advertised FSA/HSA payment option.

What its pricing page shows (checked November 5, 2026):

  • A $99 online medical consultation to start; its TRT process page says the starting charge includes the at-home test and consultation.

  • A $99/month medical membership with unlimited support-team messaging and e-visits with the medical provider; these are provider-stated services.

  • Testosterone cypionate injections from $120/month, sold as a 60-day supply billed every other month, plus shipping.

  • Its testosterone is compounded and paired with a thyroid tablet. Male Excel discloses that compounded medications are not FDA-approved. Ask your provider why thyroid medication is part of your plan.

  • Phone support seven days a week, 7 a.m.–9 p.m. ET.

Starting-rate illustration: about $2,727 plus shipping ($99 + $1,188 + $1,440). This uses 12 monthly membership and medication equivalents; confirm actual shipment dates, days supplied, testing, and any extra charges for a full 365-day quote. Male Excel pricing · Testing and ongoing care

Male Excel's extra membership and shipping charges matter if lowest price is the goal. And don't compare its medication price without adding the required membership. Male Excel advertises FSA/HSA eligibility; confirm what your plan administrator will accept.

If a dedicated provider and its payment options fit what you're looking for, review Male Excel's current pricing and membership.

See Male Excel’s current TRT offer → (paid referral).

Hone Health — worth comparing if you want its documented confirmation step and monthly membership.

What Hone's current Plus help pages list (checked November 5, 2026):

  • A $45 initial at-home lab test.

  • A second testosterone measurement with the confirmatory panel before TRT: $45 at a lab or $80 at home. Ask how collection timing meets the diagnostic requirements.

  • A Plus membership at $135/month.

  • Testosterone cypionate from $28 per vial on the Plus page; the main TRT page advertises from $28/month. Confirm how much your prescription costs and how long each vial lasts. Cream and troches are also offered; Hone labels those two as compounded.

  • Follow-up labs at 3, 6, 9, and 12 months for TRT, included in the membership; the clinician may change the schedule.

  • Monthly membership billing; confirm treatment access in your state.

The Plus starting test, at-lab confirmation, and 12 membership months total $1,710 before medication ($45 + $45 + $1,620). If your actual prescription quote is $28 per month, adding $336 gives a $2,046 illustration; the $80 home confirmation would make that $2,081. These are assumptions to check, not a complete guaranteed quote. Plus plan · Lab schedule

Hone's main treatment page promotes a $155 Premium membership, so make sure your quote uses the same tier as your calculation. The Plus and Premium testing prices should not be mixed. Membership comparison · Current TRT page

If built-in confirmation testing and monthly billing are what you want, see Hone Health's membership and lab pricing.

See Hone’s current TRT offer → (paid referral).

Individual clinical assessment, often including in-person care — a better starting point when your history needs closer evaluation. That includes:

  • prostate or breast cancer

  • high hematocrit

  • untreated severe sleep apnea

  • a recent heart attack or stroke

  • pituitary or testicular problems

  • very abnormal labs

Start with primary care, urology, or endocrinology. These situations need individual assessment; they are not all the same contraindication. See who should not take TRT and TRT and high hematocrit. Clinical guidance

Comparing TRT Nation with someone else? See TRT Nation vs Hone Health, TRT Nation vs Maximus, and TRT Kingdom vs TRT Nation.


How we compared Hims and TRT Nation

We checked each company's own pricing, product, lab, FAQ, and policy pages on November 5, 2026. We calculated annualized published rates separately from actual payment timing, and checked medical and legal facts against official guidance, product labels, the FDA, DEA/HHS, and the FTC. Following How We Review TRT Providers, we keep verified facts, provider statements, customer signals, and our own judgment separate.

We looked at the same things for both companies:

  • clinical eligibility and testing

  • clinician access and states served

  • treatment formats and medication and pharmacy transparency

  • fertility handling and monitoring

  • total cost, cancellation, and support

  • how well their claims hold up

We don't give numeric scores or star ratings. Inclusion isn't an endorsement. The fit judgments on this page are editorial judgments built from the facts in the tables.

What a public-source comparison can't tell you: how fast a real support ticket gets answered, how a specific clinician practices, or how your own treatment goes. We'll update this page when prices, policies, or federal rules change, and the "Last verified" date will reflect a real re-check. See our editorial standards and corrections policy. Review our privacy policy before sharing information through the site.


What should you ask before you pay Hims or TRT Nation?

Before paying for an evaluation, confirm what it costs, what's included, and what you get back if treatment isn't recommended. After your assessment and before you approve any medication, get the medicine, pharmacy, testing plan, every charge, and renewal dates in writing. If an answer is missing, treat it as unknown — not as included.

Before-you-pay worksheet

Use this in two steps. Confirm starting charges, state access, and the testing and refund process before paying for evaluation. After your assessment, complete the proposed-medication and full-quote fields before approving medication.

Hims vs TRT Nation table 9: Before-you-pay worksheet
# Question Hims answer TRT Nation answer
1 What does getting started cost, and what's refunded if the provider doesn't recommend treatment — including labs already used?
2 Is my state covered for the treatment I want?
3 Exactly which medicine are you proposing? Is it FDA-approved or compounded?
4 Which pharmacy fills it, and who is my prescriber? (Check both licenses.)
5 If my first test is low, do you confirm it with a second early-morning test?
6 Will you accept my exact existing report, collection method, and date before I buy more testing?
7 Which tests do I need in year one? Which are included, and what does each extra one cost?
8 What do I pay today — membership, medication, labs, shipping, anything else?
9 What will I pay over the next 365 days, on what dates, and what period of care or medication does each payment cover?
10 How do I reach my provider, and who do I contact if a refill is late?
11 How do I cancel everything, when does billing stop, and what's still owed?
12 How do I get my lab results, notes, and prescription history if I leave?
13 Have we talked about my fertility plans and health history?

Message you can copy and send to either company:

Before I pay for an evaluation, please confirm its cost, what's included, and what's refunded if treatment isn't recommended. If I'm prescribed treatment, please send the exact medication and whether it's FDA-approved or compounded, the dispensing pharmacy, my first-year testing plan and costs, every required charge with payment dates, how to cancel, and how I can get my records if I leave.

A complete quote tells you what you'll pay. It doesn't tell you whether treatment is right for you. That's your clinician's job.


Hims vs TRT Nation FAQ

Both companies now offer testosterone, but the exact product, testing process, and charges differ. These answers address the details most likely to change your shortlist or leave you with an unexpected bill.

Is Hims or TRT Nation cheaper?

The complete price winner isn't established. Hims' compounded injection starts at a $948 annualized medication rate plus actual membership charges; TRT Nation's package annualizes to $1,199.88 before labs. Three $129 panels would bring the TRT Nation illustration to $1,586.88, but neither number replaces a written quote and payment schedule. Hims prices · TRT Nation prices · Labs

Does Hims offer testosterone injections now?

Yes. Since October 21, 2026, Hims offers a compounded testosterone cypionate injection given under the skin twice a week, and an FDA-approved generic testosterone cypionate injection given into the muscle once a week. It also offers Kyzatrex, an FDA-approved testosterone capsule. These are Hims' advertised options, not instructions for your treatment. Launch announcement

Is TRT Nation really $99 a month?

Its injectable TRT is listed at $99.99 a month equivalent with a 2.5-month minimum purchase, about $250 before labs. Labs aren't included—the public panel is $129, or you can submit outside results for acceptance. California pricing may vary. Package · Lab order

Are labs included at Hims or TRT Nation?

At Hims, the membership includes two qualifying lab tests a year, and the first is the diagnostic test. Its terms also cover additional testing the provider determines is required for treatment. At TRT Nation, labs are separate; accepted outside results may avoid buying a duplicate panel, but future testing can still cost money. Hims terms · TRT Nation FAQ

Can I use my Hims at-home test at TRT Nation?

Don't assume either acceptance or rejection. TRT Nation's intake excludes saliva and finger-prick home kits, while another FAQ broadly excludes home tests; neither names the Hims upper-arm method. Ask it to review your exact report, collection method, and date before buying another test. Intake · Alternate FAQ

Is Hims testosterone compounded?

Hims' twice-weekly injection is compounded, and Hims states compounded drugs aren't FDA-approved. Its generic testosterone cypionate offer and Kyzatrex capsules are listed as FDA-approved. Confirm which medicine your plan names. Current products

Is TRT Nation's testosterone compounded?

Its current FAQ refers to licensed U.S. compounding pharmacies, while another FAQ uses FDA-registration wording. Neither identifies your exact dispensed cypionate product. Ask for the manufacturer or compounder and product label; pharmacy status is not the medicine's approval status. Current FAQ · Alternate FAQ · FDA

Which states don't have TRT Nation?

Its public lists differ: the alternate FAQ excludes five states, and the homepage adds North Dakota. The main FAQ says intake checks state access. Confirm the specific treatment and your location before paying rather than relying on a fixed state count. FAQ · Alternate FAQ · Homepage

How old do you have to be for TRT Nation?

24 or older. Meeting the age rule does not guarantee a prescription. Lab-order eligibility

Do Hims or TRT Nation take insurance?

Hims says it doesn't take insurance for this offer. TRT Nation publishes cash prices; that does not establish whether any insurance billing or reimbursement is available. If coverage is essential, check your insurer's in-network care and pharmacy options first. Hims FAQ

Will TRT affect my fertility?

It can. Testosterone therapy can lower sperm production. If you want children soon, see a reproductive urologist before starting. Clinical guidance

Is enclomiphene the same as TRT?

No. Enclomiphene signals your body to make more of its own testosterone. It isn't FDA-approved and isn't testosterone replacement. Both companies sell it. FDA record · Hims · TRT Nation

Do I need an in-person visit for online TRT?

The federal temporary extension permits qualifying telemedicine prescribing without a prior in-person exam through December 31, 2026. It does not remove other federal or state requirements, and your clinician may still require an examination. Ask what applies to your treatment and what happens if the rules change. HHS · Federal rule

How do I cancel Hims testosterone?

Canceling membership also cancels the associated medication plan; canceling medication alone leaves membership active. Use the account's subscription controls and observe the two-day deadline before the originally scheduled billing date. If a prepaid medication supply has shipped, membership obligations can continue until that period ends. Cancellation help · Terms

Does TRT Nation refill automatically?

No. TRT Nation says you must request each refill through its patient link. Refill policy


Check the featured TRT offer’s age/state eligibility with our free Find My TRT Path tool.

Educational information, not medical advice. TRT Provider Guide is not a clinic, pharmacy, laboratory, or medical practice. Find My TRT Path is educational and doesn't diagnose low testosterone, determine medical suitability, or guarantee a prescription. If you have chest pain, trouble breathing, signs of a stroke, or another emergency, call 911.

Sources (checked November 5, 2026):

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