Hone Health vs Peter MD: Which Online TRT Clinic Fits You?

Hone Health vs Peter MD comes down to monthly flexibility versus a lower prepaid price. Hone Plus lists $135 a month before medication and includes ongoing labs. Peter MD lists $948 prepaid for a year, with labs extra. Choose only after confirming your tests, state, prescription price, pharmacy, and exit terms.

By TRT Provider Guide · Last verified October 2026 (prices, lab menus, state lists and policies checked on each provider's own pages October 7–8, 2026) · Public-source comparison · Not medically reviewed

Last updated: October 8, 2026.

This comparison covers the providers' adult male low-testosterone programs. Care for women, adolescents, or gender-affirming treatment needs a different framework; this page does not cover performance use.

Hone fits readers who value monthly membership billing, a published second-test process, and included monitoring. Peter MD's prepaid injection offer fits readers who put price first and can accept a longer payment commitment after clinical evaluation.

But there's one number worth looking at beyond either price tag: the month you might stop. If there's any real chance you quit, pause, or switch early, what matters is the money already charged and the money still owed. We'll show you how to check that below.

Pick Hone Health if: you want a published confirmatory-test process, physician video visits and ongoing labs included, or you're not 100% sure you want to prepay a full year of care.

Pick Peter MD if: you've already been diagnosed, you want injections, price matters most, and you're comfortable paying 6 or 12 months up front once the lab, pharmacy and exit terms are clear.

Not for you yet if: you want to have a child soon, need insurance-billed care, have a complex health history, or need an exact FDA-approved product that the clinic hasn't confirmed it can arrange. Use TRT Provider Guide's Find My TRT Path tool to map a care route and questions to ask. It is educational and does not diagnose low testosterone or decide whether you qualify.

Hone Health vs Peter MD at a glance

Hone Health and Peter MD both advertise online TRT evaluation and prescription delivery. Peter MD bundles medication into a lower-priced prepaid plan, with labs extra. Hone charges a monthly membership plus medication, but includes ongoing labs and live physician video visits; Peter MD also requires a video consultation.

Provider-stated prices and policies were checked October 7–8, 2026. Cost models are our calculations; review figures come from Trustpilot. Hone plans · Hone lab schedules · Peter MD plans · Peter MD labs · Video consultations · Review sources

New to TRT and want a doctor to check twice before ongoing treatment? Hone's published first step is a paid lab-and-consultation package. A Hone physician reviews your results with you on live video; Hone says it refunds the initial $135 Plus or $155 Premium membership fee if the physician determines treatment is inappropriate after that first consultation. Hone's Plus terms · Premium terms

Start Hone's intake questions → The entry screen starts with questions. Confirm your plan, test method and price before paying. A prescription is never guaranteed. Availability depends on your state.

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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.

For this comparison, we read both providers' public plan pages, lab menus, help articles, terms, refund policies, and state lists, plus the clinical guidelines and federal rules that apply. We did not enroll as patients. Provider prices, services and policies below are provider-stated facts; checking a published statement does not independently prove how care is delivered.

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.

Map my care route and the questions to ask →

This page is educational information, not medical advice. Call 911 for chest pain, trouble breathing, or sudden weakness on one side. A new painful, swollen leg needs prompt medical assessment; call 911 if it comes with chest pain or trouble breathing. Blood-clot symptoms · Stroke symptoms

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Which is cheaper, Hone Health or Peter MD?

Peter MD has the lower listed prepaid price: $948 for 12 months of its injection plan, with labs extra. Hone Plus costs $1,710–$1,715 for 12 membership charges and standard starting tests with at-lab confirmation, before medication. A complete personal comparison still needs Hone's prescription quote and Peter MD's full testing schedule.

That's the headline. Now here's what's inside each number, because both sticker prices hide something.

The year-one math, with the assumptions shown

We counted 12 months of membership or care, standard starting tests, and Peter MD's separately priced follow-up panel. Hone's medication bill is separate. The table keeps known subtotals apart from the illustration using Hone's advertised $28/month starting price.

These are cost models, not checkout quotes. One Peter MD follow-up panel is a calculation input, not a verified full-year testing plan. Add any required second diagnostic draw, further labs, optional drugs or extra supplies not included in your written quote. Standard medication shipping is included at both providers. Hone says optional mobile follow-up blood collection carries an extra fee; the reviewed guide does not state the amount. Peter MD's renewal price after a prepaid term is not established here. Hone Plus · Premium · Plus testing · Peter MD billing · Starter labs · Follow-up panel

What this means:

• Prepaid vs. Hone Plus: In the $28/month Hone medication illustration, Peter MD's annual plan plus the two modeled panels is $878.50–$883.50 lower. That's real money if those inputs match your bill. It is not a verified saving for every patient.
• Monthly billing vs. monthly billing: The same illustration leaves a $158.50–$163.50 annual gap. Peter MD's separate six-month commitment wording still matters; monthly billing does not by itself mean you can leave without further charges.
• If you bought four Peter MD follow-up panels: Hone publishes checks at months 3, 6, 9, and 12. Four $124.50 panels make Peter MD's monthly-billing model $2,261 and its prepaid-year model $1,541. The monthly figure exceeds the $28/month Hone Plus illustration, but Hone's actual medication quote can change that comparison. The panels aren't identical: Peter MD lists CBC and PSA in each follow-up panel; Hone Plus lists hematocrit and PSA at months 6 and 12. Hone schedule · Peter MD panel

Why Peter MD's $79 isn't a monthly price

Peter MD advertises "$79/Month." That number is the 12-month plan divided by 12. You pay $948 at checkout, all at once. The 6-month plan is $654 up front. The advertised monthly billing rate is $139, and Peter MD's booking page says that plan bills two months up front, then monthly. A separate FAQ says TRT programs require at least six months. Both prepaid plans advertise an option to renew monthly after the initial term; the cards do not state that renewal price. Billing page · FAQ · Plan cards

The price includes the medication, the care, and free shipping, according to Peter MD. It does not include labs. You buy those separately:

• Step 1 Labs (new patients): $95
• Follow Up Labs: $124.50 (PSA, blood count, sensitive estradiol, free and total testosterone)

Both lab pages say blood-work orders are non-refundable. Combining the advertised plan and $95 starter-test prices gives $1,043 for annual prepayment, $749 for a six-month prepayment, or $373 for the two months initially billed on the $139 monthly option, before other testing. These are price combinations, not a verified charge sequence before clinical approval. Starter lab · Billing options

One more thing. Peter MD's own plan cards don't agree with each other. On the same page we found:

• The monthly plan card says $1,068 total, while another card lists its regular yearly price as $1,668 ($139 × 12 = $1,668).
• The same monthly plan carries both a $600 and a $720 annual-savings claim.
• Two price promises: a lowest-price guarantee and a separate offer of 20% off if you find a better price. Their terms need checking.

The conflicting cards leave the actual checkout charge unresolved. If you're paying a year up front, get the total in writing before you enter a card. Published plan cards

Why Hone's $135 isn't the whole bill

Hone's membership covers your physician visits, ongoing labs, and support. Medication is billed separately. Hone lists injectable testosterone cypionate at from $28/month on its product page, but its Plus plan page lists from $28/vial. Those aren't the same thing. Your prescription, vial size and refill supply determine the bill. So treat $2,046–$2,051 as an illustration, not a verified minimum or your quoted total. Injection offer · Plus membership

The confirmatory test price also varies by page. Hone's Plus plan page lists the at-lab confirmation at $45. Its Plus lab-schedule page lists $50. Done at home, it's $80. Premium's confirmation is $25 at a lab. Plus with at-home confirmation therefore totals $1,745 before medication, or $2,081 in the $28/month medication illustration. Plus testing · Premium testing

Hone's general retesting article also says clinically necessary retesting has no additional charge. That conflicts with its newer plan-specific confirmation fees, so the tables use the paid plan schedules; ask which rule applies to your order. If confirmation is included in your written quote, subtract the modeled confirmation fee. General retesting policy

An official Premium enrollment page also displayed a $45 promotional at-lab package when checked, while Premium's help page lists $65. The table uses the standard help-page price. Confirm the offer, plan and test method on the page where you pay. Displayed promotion · Standard Premium plan

A review by Andrew Acosta, dated October 6, 2026 on Hone's Trustpilot profile, reports $241 a month. That's one person's account. The review does not identify the bill's components or establish a typical bill. But it's a fair warning to price your exact prescription before you start. Review profile

On the plus side, Hone publishes exactly where your membership money goes. Of Plus's $1,620 a year, Hone says $900 goes to its affiliated physician practice, $78 to the lab, and $642 to Hone for the platform and support. Hone's published payment breakdown

The honest trade-off

Hone does not have the lowest listed prepaid price. If price is your top priority and Peter MD's written quote confirms the testing and terms you need, its annual injection offer is the lower-price choice in the models above, and we'd rather tell you that than pretend otherwise.

But because Hone doesn't make you prepay a year of membership, you can cancel future monthly renewals or request a pause of up to three months. Medication is separate: processed or shipped orders are nonrefundable, and pending prescriptions need their own cancellation. You also get scheduled labs every three months in year one and a real physician on video, built into the membership price. Cancellation policy · Lab schedule

If you're unsure about a long payment commitment, that flexibility is worth more than it looks. The next section shows why.

If price is your deciding factor and you're sure about a 12-month commitment, Peter MD's plan is worth a look. Confirm the total, the labs you'll need, and the refund terms in writing first.

See Peter MD's current TRT plans → (We earn nothing from this link.)

For the full single-provider breakdowns, see our Hone TRT cost guide and Peter MD cost guide.

What happens if you stop TRT early?

Peter MD's 6- and 12-month plans are paid up front, and its FAQ says TRT programs need at least a six-month commitment. Hone lets you cancel future monthly membership renewals or request a pause, but processed medication charges are separate. There is no verified month-four or month-five winner: your shipment bills, remaining contract charges, labs and refund terms decide it.

Here's the part the monthly price doesn't show. Plenty of men start TRT and then stop, pause, or switch. The side effects don't sit right. A doctor says the numbers don't support it. The cost adds up. Life changes. You don't need to plan on quitting. You just need to know what quitting costs. Clinical context

What a stop-at-month-N cost model can show

How we counted: Hone Plus is $90–$95 in standard starting tests plus $135 for each membership charge, excluding medication. Peter MD includes its $95 starter panel and excludes all follow-up and extra diagnostic testing. Its monthly column assumes $139 × at least six months is owed; that is an illustration of the FAQ wording, not proof of cash already collected or an enforceable cancellation balance. The prepaid columns show selected plan charges, not a verified refund outcome. *Assumes a second six-month plan at today's $654 price; Peter MD doesn't publish that renewal rate. Hone billing · Peter MD billing · Minimum-commitment FAQ · Refund policy

Why there isn't one break-even month: Hone says it initially ships a three-month supply and charges medication when a shipment is processed. If a quote were $84 per three-month shipment, two processed shipments by month four would make the illustration $798–$803: $90–$95 in tests + four $135 membership charges + two $84 shipments. That is different from spreading $28 evenly across four months. Use your actual shipment quote and cancellation balance before calling either option cheaper. Hone refills · Order refunds

And if a Hone physician determines treatment is inappropriate after your first consult, Hone says it refunds the initial $135 Plus or $155 Premium membership charge. That guarantee covers the initial membership fee, not the testing package; shipped lab kits are nonrefundable. Plus guarantee · Premium guarantee · Order policy

The exact exit rules

Hone Health (help center, updated August 31 and September 17, 2026):

• Cancel your membership any time with Hone's cancellation form. It takes effect the moment you submit it.
• Canceling your membership does not cancel pending prescriptions. You cancel those separately through support.
• No refunds for partial months.
• Medication charged less than 48 hours ago that the pharmacy hasn't processed yet may qualify for a full refund. Once it's processed or shipped, it can't be refunded.
• Lab fees are non-refundable once your kit ships.
• You can pause for up to 3 months with no billing.

Peter MD (refund and auto-bill policy and FAQ, checked October 8, 2026):

• The policy says treatment purchases are final once medication is received. It describes replacement of defective or damaged items reported with the required documentation within 24 hours, then separately refers to eligible refunds without making their scope clear. Ask how unused prepaid care is handled.
• To stop an auto-renewal, the dedicated policy requires email at least 48 hours before the renewal date. Requests inside 48 hours aren't accepted. Its general FAQ instead points to the Member Account page; confirm cancellation in writing and keep the confirmation. Auto-bill policy · FAQ
• Its FAQ says TRT programs require at least a six-month commitment.
• The policy says it will be shown to your card company if you dispute a charge.
• Peter MD's pages don't say whether the plan is charged before or after a clinician approves you. Ask before you check out.

Not sure you want to prepay a full year? You don't have to know yet. Hone's monthly membership leaves that financial decision open. Treatment changes still belong with your clinician, and processed medication charges are separate.

Review Hone's monthly membership → A Hone physician decides whether treatment is appropriate. Review the separate prescription cancellation rules.

What blood tests does each clinic publish before you start?

A new low-testosterone diagnosis needs compatible symptoms or signs plus consistently low results on properly timed repeat testing. Hone publishes a separate confirming testosterone test before TRT, with different baseline panels for Plus and Premium. Peter MD's starter-lab descriptions differ on whether a blood count is included and do not explain a required second diagnostic draw.

This is the part of the comparison that matters most for your health, and it's the part the sticker prices don't show.

What the guidelines actually ask for

The American Urological Association (AUA) testosterone deficiency guideline says:

• Low testosterone should be diagnosed only after two total testosterone tests on separate days, both early in the morning, in a man with symptoms or signs. It uses a total testosterone below 300 ng/dL as a "reasonable cut-off," but one number on one day is not a diagnosis.
• Measure hemoglobin and hematocrit before starting. Hematocrit is the share of your blood made up of red blood cells, and testosterone can push it up.
• Measure PSA (prostate-specific antigen, a prostate blood marker) in men over 40 before starting.

The Endocrine Society's guideline adds that clinicians should recheck hematocrit 3 to 6 months after starting, then yearly. It recommends repeat morning fasting testosterone testing; its July 2026 statement reinforces at least two early-morning fasting tests. A symptoms quiz or a value below 300 ng/dL cannot establish the diagnosis by itself. AUA guideline · Endocrine Society full guideline · 2026 statement

Here's what each provider publishes against that standard. Hone Plus starts with a self-collected finger-prick sample; Premium uses a professional blood draw. Hone publishes fasting and morning-collection instructions, including collection before 10 a.m. where possible. Peter MD's published process directs patients to Quest; confirm the timing on your actual lab order. Hone collection instructions · Hone fasting guidance · Professional blood draws · Peter MD process

Sources: Hone Plus schedule and Premium schedule (updated September 2026); Peter MD's Step 1 Labs, other Step 1 listing, New Patient Labs, Follow Up Labs, and 90-day lab description. These are published panels, not a clinical-quality score.

What this means in plain English: Hone publishes a second testosterone measurement and plan-specific baseline testing before TRT. That makes the steps easier to check, but it does not prove complete guideline adherence; Plus lists hematocrit without a full CBC or hemoglobin. Peter MD's clinicians may order more tests or use qualifying outside bloodwork. Ask both clinics how they confirm the diagnosis and cover the baseline checks your clinician needs.

Hone's terms say its physicians don't perform prostate cancer screening or rectal exams and tell you to keep your primary care doctor or urologist in the loop. Its published panels do include PSA, so ask who reviews that result and arranges any further assessment. That's good advice for either clinic. Hone terms

Already have recent labs? Hone accepts outside results from the last 90 days if they include the required markers, but you still buy the initial test as part of enrollment. Peter MD advertises using outside labs from the preceding six months. Confirm the required markers, whether those results suffice, and whether another diagnostic draw is needed. Hone outside-lab policy · Peter MD outside-lab offer

Quick definitions

• Total testosterone: all the testosterone in your blood.
• Free testosterone: the small share not bound to proteins.
• SHBG (sex hormone-binding globulin): the protein that binds testosterone. It changes how much is "free."
• LH and FSH: pituitary hormones that tell the testes to make testosterone and sperm. They help show why testosterone is low.
• Hypogonadism: reduced function of the testes in this men's-health context, which can affect testosterone production, sperm production, or both.

Want to see exactly which confirming test and baseline markers Hone publishes? Its plan schedules show those steps before TRT; check the Plus and Premium differences above.

Review Hone's required tests →

More on testing: How is low testosterone diagnosed? · Do you need two low testosterone tests for TRT? · What blood tests are required before TRT?

What safety checks go beyond the blood-test package?

A lab package doesn't clear every treatment risk. A clinician also needs to review your blood pressure, medicines, sleep apnea, prostate and breast history, fertility plans, and other health conditions. Recent heart attack or stroke, elevated hematocrit, untreated severe sleep apnea or suspected cancer may call for further assessment before treatment. Endocrine Society guidance

Testosterone can raise blood pressure. In 2025, the FDA required blood-pressure warnings while removing the earlier boxed-warning language about increased cardiovascular outcomes after reviewing newer evidence. That update does not establish that every product or every patient's treatment is safe. Ask who will monitor your blood pressure and coordinate care if a problem appears. FDA labeling update

What testosterone do you actually get from each?

Hone says the testosterone cypionate injection, cream, and troches on its product pages are compounded and not FDA-approved. Peter MD's injectable offer does not identify whether the supplied product is FDA-approved or compounded, although its terms name two pharmacies. Both discuss using a chosen pharmacy, so confirm the exact product and bill before paying.

This is where both clinics leave you with questions, so let's be straight about it.

Compounded vs. FDA-approved: what it means

An FDA-approved testosterone product has been reviewed by the FDA for safety, effectiveness, and quality before it's sold. A compounded product is prepared by combining, mixing or altering ingredients for a patient's needs. The FDA says compounded drugs are not FDA-approved, and the agency doesn't review them for safety, effectiveness, or quality before they're sold. "Same ingredient" doesn't mean "same product." FDA explanation

The AUA guideline conditionally favors commercially manufactured testosterone over compounded testosterone when possible. That makes the exact product a care question as well as a price question. AUA recommendation

Testosterone is also a Schedule III controlled substance under federal law. That means you need a valid prescription, and it's why telehealth rules matter here. DEA scheduling · Federal prescribing rule

Hone Health

• Injection: testosterone cypionate. Hone's product page states: "This is a compounded product and has not been approved by the FDA." Injection disclosure
• Cream: compounded (advertised from $60/month). Product disclosure
• Troches (dissolve-in-mouth tablets): compounded (advertised from $60/month). Product disclosure
• Pharmacy: Hone's help center says your medication may come from different pharmacies in its network and that it can't guarantee a specific brand or manufacturer. Pharmacy network · Brand policy
• Your own pharmacy: Hone says you can ask to send your prescription to a pharmacy you choose. Your membership keeps going, and that pharmacy bills you directly. Hone is cash-pay and doesn't help with insurance or prior authorizations. Chosen pharmacy · Insurance policy

Peter MD

• Injection: testosterone cypionate. Its TRT pages don't say whether the product is FDA-approved or compounded.
• Pharmacies named in its terms: Absolute Pharmacy (Lutz, Florida) and Partell Pharmacy (Las Vegas, Nevada). The terms don't say which one fills a given patient's prescription. Peter MD's terms also say prescriptions go "to a pharmacy of the patient's choosing." How that affects the bundled plan price isn't stated. Pharmacy terms

What do the pharmacy records show?

The names in those terms deserve a closer look. Official records show material regulatory history, as well as later closeouts and license changes. They do not identify the pharmacy that would fill your prescription.

Checked October 8, 2026. Sources: Absolute FDA inspection · FDA compounding index · Partell FDA warning · California action · Florida license record · Partell FDA closeout · Nevada June minutes · Nevada October minutes · National Health Rx Oklahoma record · Former Partell Oklahoma record. The 2016 inspection observations are not a final FDA compliance determination. State records apply to that state's permissions; a closed warning is not FDA approval of a compounded product.

A Missouri settlement signed in September 2025 closed Absolute Pharmacy's Class H sterile-compounding designation and imposed four years' probation on its Missouri pharmacy permit. The settlement also states that Absolute had stopped sterile compounding in July 2021. These records do not establish the current source or regulatory status of a Peter MD patient's medication. Missouri settlement

If the prescription is compounded, ask which pharmacy prepares it, as well as which one dispenses it. The current Oklahoma National Health Rx record marks sterile compounding as No; that is not a finding about every product it dispenses or its permissions in other states. The useful next step is a current, product-specific answer from Peter MD. Oklahoma record

Non-testosterone alternatives are a separate treatment category

Peter MD's menu labels enclomiphene as "Oral TRT." Enclomiphene isn't testosterone, and it isn't TRT. It's a different drug that works by nudging your own hormone signals, and there is no FDA-approved enclomiphene product in the U.S. The British Society for Sexual Medicine's 2026 position statement confirms that approval status and describes limited long-term evidence. Peter MD menu · 2026 specialty statement

Ask Peter MD in writing: "Is my testosterone cypionate an FDA-approved product or compounded, and which pharmacy will dispense it?" Ask for the current legal name and license number, and confirm that it can dispense your exact prescription to your state.

If you need insurance-billed care, a primary care doctor or urologist who participates in your plan is a more direct starting point. If you need a specific FDA-approved testosterone product, ask the clinic and dispensing pharmacy whether they can arrange that exact prescription and what it costs; a chosen-pharmacy option is not a guarantee of a particular product or coverage. Hone's pharmacy policy · Hone's insurance policy · Peter MD terms

Find the care route that fits my insurance and product needs →

If the format or care setting is still the sticking point, compare testosterone injections vs cream or online TRT vs local care.

Who will actually treat you?

Hone says care comes from licensed physicians at Broad Health and affiliated physician-owned practices, through live video: a 20-minute first visit and 10-minute routine follow-ups. Peter MD says physicians review your care and explicitly requires a video consultation with a licensed provider. Neither statement verifies the identity, license or availability of the clinician who would see you.

Hone Health

• Company setup: Hone (Time Therapeutics, Inc.) runs the platform. Medical care comes from Broad Health P.A. and affiliated physician-owned practices. Hone terms · Physician information
• Visits: All appointments are by "secure live video with a licensed physician." The first consult is 20 minutes. Routine follow-ups are 10 minutes, with up to 20 for some Premium members. Visit lengths
• Questions between visits: You book a consult for physician questions. Hone's care team handles support. Communication policy
• In-person care: If a Hone physician decides you need an in-person exam, Hone says it arranges a complimentary concierge visit to your home. In-person evaluation policy
• Identity check: Hone's own instructions require photo-ID verification before consultations and tell patients to prepare for a pre-visit selfie. A review by Justin Allman, dated October 5, 2026 on Trustpilot, says no alternative was offered and a full refund was refused after lab work. Those dispute details are the reviewer's account. If ID or selfie checks bother you, ask Hone about this before you pay. Photo-ID policy · Consult preparation · Review profile

Peter MD

• Care team: Its site says U.S.-licensed physicians create your plan and that its specialists are licensed to treat patients in their states. It advertises ongoing provider access and a 90-day follow-up lab. Published care process
• Visit format: Peter MD's contact FAQ requires a face-to-face video consultation with a licensed provider, booked through the patient portal with a Zoom link. Its generic description of telehealth methods does not override that specific instruction. Visit length and medical-response time need confirmation. Consultation requirement
• A badge worth decoding: Peter MD's banner says "FDA-regulated care providers." That label does not verify a clinician's license. Check the relevant state licensing board. Provider wording · State licensure guidance
• A stale FAQ: One Peter MD FAQ still says that as of May 11, 2023, the Ryan Haight Act was "re-implemented" and patients "must be seen in person." That blanket statement is out of date. The current federal extension allows qualifying DEA-registered practitioners to prescribe controlled substances by telemedicine without a prior in-person evaluation through December 31, 2026, subject to the rule and applicable law. It doesn't mean Peter MD is doing anything wrong. It does mean some of its help pages haven't kept up. Provider FAQ · Current HHS guidance

Check any clinician yourself: Ask for your clinician's full name, credential and license number, then look them up through the relevant licensing board for the state where you'll be during care. Interstate licensure guidance

How refills, shipping and records work

Hone: Its refill page describes an initial three-month supply. Later medication orders depend on required follow-up labs, consultations and prescription approval; membership payments do not guarantee a refill. Hone lists 3–5 business days for order processing, followed by shipping, rather than promising arrival within that window. Standard medication shipping is included. Its pharmacy provides injection syringes and needles, but quantities vary; confirm any extra supply costs. Refill process · Follow-up process · Shipping · Supply quantities · Pharmacy-provided supplies

Peter MD: Its injectable plans include shipping, and its contact page describes discreet home delivery. The reviewed pages do not establish a full refill lead time or delivery guarantee. Ask when to request the next supply, which labs or visits are due, and who handles a delayed order. Its FAQ says dosage changes require a physician consultation. Plan inclusions · Contact FAQ · Care FAQ

Help between visits: Hone directs medical questions to physician consultations and administrative questions to its care team. Peter MD lists existing-patient support by call or text at 772-444-8669, Monday–Friday, 9 a.m.–5 p.m. EST, as published. Those are support hours, not a guarantee that a physician will respond within that window. Hone communication · Peter MD support

Records: Hone lets you export your consult history from your account. Peter MD says support can help share medical information with your primary care provider or another clinician. Ask each clinic how to get your complete labs, visit notes and medication history, including any fee or wait, before switching. Hone consult export · Peter MD sharing process

What patients say

These are individual experiences, not proof of typical results or care quality.

"explained everything in detail and welcomed my questions" — Hone Health reviewer "JP," review dated October 5, 2026 on Trustpilot

"the price is ridiculous. $241 a month." — Hone Health reviewer Andrew Acosta, review dated October 6, 2026 on Trustpilot

Peter MD's linked Trustpilot profile was unavailable when checked. Its own site shows testimonials it selected, which is why we haven't repeated them here. Trustpilot notice

Can you trust Hone Health and Peter MD?

Hone's brand-wide Trustpilot profile shows 4.8 stars from 12,392 reviews; the reviews include both praise and complaints. Peter MD displays a 4.9/5 claim based on more than 20,000 reviews, but its linked Trustpilot profile was removed. Neither a customer rating nor a certification badge establishes that a clinic is the right medical fit for you.

Hone Health's public record

• Trustpilot: 4.8 from 12,392 reviews; 93% five-star, 3% one-star when checked. These are brand-wide figures, not a study of TRT outcomes. The profile identifies a paid company subscription and invited reviews; that does not establish that reviewers were paid. Profile
• Low-star examples reviewed (Sept–Oct 2026): price higher than expected, slow or AI-first support, a provider no-show at a scheduled visit, and the ID-verification requirement.
• High-star examples reviewed: physicians who take time, clear lab explanations, smooth shipping.

Peter MD's public record

• Site badge: "4.9/5 Based on 20k+ Reviews." The reviewed badge does not establish where that full total comes from. Provider page
• Trustpilot: Peter MD's site links to its Trustpilot page. When we opened it on October 8, 2026, Trustpilot showed: "This profile has been removed." Trustpilot says it removes profiles that go against its guidelines. It doesn't say which guideline or why. That's not a legal finding, and it doesn't prove anything about care quality. But that Trustpilot profile was not available for readers to inspect. Removal notice
• Public-page sales pressure: Peter MD promotes hCG at $301, compared with $412 if added later. That's a sales tactic, not a medical reason. We observed the public promotion, not a completed checkout. (More on hCG in the fertility section.) Public offer

Current LegitScript certification was not independently confirmed for either provider in this comparison. The issuer warns that a seal alone does not establish current status. How to verify a seal

Our read: Both publish active care offers. Hone gives you more you can check yourself in these areas: published lab schedules, a payment breakdown, visit lengths, a state list, and a large public review profile. Peter MD gives you a lower listed prepaid price, while some cost and monitoring details still need a written answer.

Want the clinic with a public review record you can read for yourself? Look through Hone's reviews, then start its intake questions if the care model fits.

Start your Hone intake →

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Is Hone Health or Peter MD available in your state?

Peter MD's injectable offer excludes Alabama and Idaho; its listed lab products also exclude New York and New Jersey and flag limits in other states. Hone lists either men's plan in 36 states. Which Hone plan is listed depends on the state: New York gets Premium only, and Hawaii and South Dakota get Plus only.

The exceptions that change the decision:

• Alabama: Neither Hone nor Peter MD. (Male Excel also excludes Alabama.) Start with a local doctor.
• Idaho: Hone yes (both plans). Peter MD no.
• New York: Hone Premium only ($155/month before medication). Peter MD's TRT page does not exclude NY, but its listed lab products do. Get written confirmation of both clinical service and a valid lab route before paying.
• New Jersey: No Hone men's plan is listed. Peter MD's TRT page does not exclude NJ, but its listed lab products do. Confirm that it can actually arrange care and accept the testing you need.
• Hawaii and South Dakota: Hone Plus only. Peter MD labs are "limited," so call first.
• Peter MD "limited" lab states: AK, HI, MN (on its Step 1 listing), MT, ND, NE, SD, VT, WV. Peter MD says to call 772-800-6133 to confirm.
• No Hone men's TRT: AL, AK, AR, CT, DE, KS, LA, MN, NH, NJ, ND, PA, RI, SC, and D.C.

Full state table

"Listed" means Hone lists that men's plan in your state. "Not excluded" means Peter MD doesn't list your state as excluded for TRT, and "Not flagged" means its lab pages don't list your state as excluded or limited. Neither is a guarantee of service. Confirm the clinician, prescription and lab route before paying.

Sources: Hone's Service Availability by State (2026), updated September 4, 2026 (Plus: 35 states; Premium: 34; either plan: 36). Peter MD's TRT page, Step 1 Labs, New Patient Labs, and Follow Up Labs, checked October 8, 2026. All 50 states and D.C. are shown; the table records provider disclosures, not a state-law determination.

Is your state listed for Hone? Check its plan-by-state list, then confirm service before paying.

Check Hone's plan options for your state →

Not covered by Hone? Peter MD's published exclusions leave many of those states unexcluded, but its lab restrictions still need checking. Male Excel says it prescribes in some states Hone doesn't, including Delaware, Kansas, New Jersey, North Dakota, Pennsylvania, and South Carolina. Its membership is $99/month, with medication billed separately, and it describes its testosterone as compounded too. Review its state exclusions and guarantee and separate consultation, medication and shipping charges before comparing quotes.

If that state coverage answers the reason Hone does not fit, Explore Male Excel's current TRT offer → (paid affiliate link; we may earn compensation for a qualifying action).

Does the 2026 telehealth deadline change the math?

The current federal extension allows qualifying DEA-registered practitioners to prescribe testosterone through audio-video telemedicine without a prior in-person evaluation through December 31, 2026, subject to its conditions and applicable federal and state law. The sources checked do not settle the rules for a new 2027 prescription. A monthly membership creates less prepaid exposure if service requirements change.

This isn't a scare. It's a calendar.

• The DEA and HHS have extended these telemedicine rules four times. The current extension, published in the Federal Register on December 31, 2025, runs January 1 through December 31, 2026.
• Nobody can promise what happens next. It could be another extension, a permanent rule, or new in-person or registration requirements.
• A Peter MD 12-month plan bought in October 2026 runs to about October 2027. Its policy describes treatment purchases as final once medication arrives, but does not separately explain every unused prepaid-care scenario.
• A Hone membership bills one month at a time.

What to do with this: If you choose a prepaid plan, ask the clinic in writing: "What happens to my remaining prepaid months if federal or state rules require an in-person visit?" We'll update this page as the rules change. Federal Register extension · Current HHS guidance · State licensure

Thinking about kids? Read this before choosing either

Testosterone therapy can lower sperm production, so if you want children soon, standard TRT may be the wrong first step. Peter MD promotes hCG, and Hone offers enclomiphene and clomiphene, but none of those is TRT and none guarantees your fertility. A urologist or reproductive urologist is the better place to start.

The AUA guideline is blunt here: testosterone therapy "should not be prescribed to men who are currently trying to conceive." It also says men who want kids later should be told about testosterone's long-term effects on sperm production (spermatogenesis, the process of making sperm). The time and degree of sperm recovery after stopping testosterone vary. AUA guideline · Fertility guidance

What the two clinics are selling:

• Peter MD promotes hCG on a public page at $301, compared with $412 if added later, with the line "Start them together and nothing shuts down." hCG is a hormone that can signal the testes. Some FDA-approved hCG products have a male indication for selected cases of hypogonadotropic hypogonadism, where low pituitary signals affect testicular function. That is different from a guaranteed fertility-preservation add-on alongside TRT; this adjunct use is off-label, and the promotion does not establish the exact product supplied. A sales banner can't promise how your body will respond. Public offer · Pregnyl prescribing information · AUA/ASRM fertility guidance
• Hone offers enclomiphene (compounded) and clomiphene citrate (compounded), and its copy describes clomiphene as "preserving fertility." These aren't testosterone. FDA-approved clomiphene is indicated for certain ovulatory disorders in women; male use is off-label, and that approval does not extend to a compounded preparation. There is no FDA-approved enclomiphene product. None of these facts guarantees a fertility outcome. Hone offerings · Hone's fertility wording · Clomid label · 2026 enclomiphene statement

Bottom line: If a baby is in your near-term plans, talk with a urologist, reproductive urologist, or endocrinologist before choosing any online TRT clinic.

Map a fertility-aware care route with Find My TRT Path →

More: Does TRT affect fertility?

So which should you choose? Find yourself below

Hone is the stronger fit for readers who want monthly membership billing and a detailed published testing schedule. Peter MD's prepaid injection offer is the price-first option in the models above, provided its written quote resolves your lab, product and exit questions. Fertility plans, insurance-billed care, or a complex health history may make primary care or a specialist the better starting point.

If you're the Hone reader

You want someone to confirm the numbers twice, review the baseline tests, and talk with you face to face on video. You'd rather pay membership month by month than lock in a year you might not use. Does that sound like you?

Start Hone's intake questions → A Hone physician decides whether to prescribe. Hone says the initial $135 Plus or $155 Premium membership fee is refunded if the physician determines treatment is inappropriate after the first consultation; separate testing and order rules apply.

Paid affiliate link.

If you're the Peter MD reader

You've been diagnosed, you want injections, and a prepaid care plan fits your budget. For you, the lower listed annual price is the point, and you're fine pricing labs separately. The saving has to survive your written prescription, testing and cancellation quote.

See Peter MD's plan prices → (no affiliate relationship) Before you pay, get three answers in writing: the total charge, whether the testosterone is FDA-approved or compounded, and what happens if you need to stop.

If you're the "neither" reader

Map your care route and questions with Find My TRT Path → It's educational and doesn't diagnose you or decide whether you qualify. It maps your situation to a care route and the questions to ask.

10 questions to ask before you pay either clinic

Before paying either clinic, get the full cost, clinical evaluation steps, exact product, follow-up plan and exit terms in writing. If a cost is still unknown, write "unknown"; don't assume it's zero.

If you switch later: Ask for your lab results, medication history, and visit notes before you cancel. Hone lets you export your consult history from your account. Plan treatment changes with your prescriber. See Can you stop TRT?

What we actually verified

TRT Provider Guide checked both providers' public plan pages, lab menus, help articles, terms, refund policies, and state lists on October 7–8, 2026, along with the AUA and Endocrine Society guidelines, FDA, DEA, and the Federal Register. We didn't enroll, buy, or contact support. Provider statements, customer reports, and our own math are labeled separately.

What we actually verified — October 7–8, 2026

Confirmed on the providers' own pages:

• Hone: Plus $135/month and Premium $155/month; standard $45 Plus kit and $65 Premium panel, with a separate displayed $45 Premium promotion; confirmatory test $45 or $50 at a lab, $80 at home (Plus), $25 (Premium); injection pricing expressed as both from $28/vial and from $28/month; compounded labels on injection, cream, and troches; plan-specific lab schedules and collection instructions; 20-minute first physician video visit and 10-minute routine follow-ups; cancellation, pause, and medication-order rules; initial $135 Plus or $155 Premium membership refund if treatment is inappropriate after the initial consult; 90-day outside-labs rule; own-pharmacy option; included standard shipping; state lists.
• Peter MD: $948 (12-month) and $654 (6-month) up front, $139 monthly with two months up front; six-month commitment wording in its FAQ; $95 starter-lab descriptions that differ on CBC; $124.50 follow-up panel and a 90-day follow-up-lab description; outside labs advertised within six months; required video consultation; non-refundable lab orders; treatment-purchase finality tied to medication receipt and unclear unused-care refund provisions; 48-hour email renewal cancellation; AL and ID injectable-offer exclusions and AL, ID, NY, NJ lab-product exclusions; named pharmacies (Absolute Pharmacy, Partell Pharmacy); contradictory plan-card totals; public-page hCG promotion.
• Trustpilot: Hone's brand-wide profile displayed 4.8 from 12,392 reviews; Peter MD's linked profile displayed a removal notice. Customer reports are experience signals, not verified clinical outcomes.

Confirmed in primary sources: AUA diagnostic, baseline-lab, and fertility statements; Endocrine Society repeat morning fasting testing and hematocrit monitoring; FDA's compounded-drug and testosterone blood-pressure information; clomiphene and hCG prescribing information; the 2026 BSSM statement on enclomiphene's unapproved status; testosterone's Schedule III status; the conditional federal telemedicine extension through December 31, 2026.

Official pharmacy records checked: FDA closeouts and selected state records for the facilities named in Peter MD's terms, including later records at the former Partell address. These do not identify a patient's assigned pharmacy or verify nationwide permissions.

Provider-stated, not independently tested: actual clinician assignment and access, delivery and support performance, refill handling, home concierge availability, and Hone's payment breakdown. Published visit requirements were checked; individual clinician credentials were not independently verified.

Our own analysis: the year-one subtotals and conditional medication, follow-up-lab and early-exit models; the 51-row state matrix; and the fit table. All use the published inputs and limits shown. We did not establish a universal break-even month.

Could not confirm: the exact Peter MD testosterone product or pharmacy assigned to a patient; the full-year testing bill, renewal rate after a prepaid term, or complete unused-care refund rule; each patient's clinician and full charge timing before approval; an individual Hone medication bill; real-world delivery and support speed; or current LegitScript certification for either provider.

Review status: Researched and written by TRT Provider Guide. Not medically reviewed. Citing guidelines isn't the same as clinician review.

Our full method is in How We Review TRT Providers. It separates verified facts, provider-stated facts, customer-experience signals, and editorial conclusions, and it accounts for the complete cost by showing both priced items and amounts that still need a quote. We don't give providers numeric scores.

Hone Health vs Peter MD: FAQ

Peter MD's listed prepaid price is lower, while Hone publishes more detail about its included monitoring and monthly membership exit. The answers below explain the remaining cost, testing, product and care-route questions that can change the choice.

Is Peter MD cheaper than Hone Health?

Its listed annual prepaid price is lower in the models above. The $948 plan plus $95 starter labs and one $124.50 follow-up panel totals $1,167.50. Hone Plus's standard membership/testing subtotal is $1,710–$1,715 before medication; using an assumed $28/month medication bill gives $2,046–$2,051. Those are scenarios, not complete personal quotes, and there is no verified universal early-exit winner. Prices and tests · Peter MD plan · Follow-up panel

Does Peter MD include the medication?

Yes. Peter MD says its plan price includes testosterone cypionate, care, and free shipping. Lab work is extra: $95 to start and $124.50 per follow-up panel, and lab orders are non-refundable.

Does Hone Health include the medication?

No. Hone's membership covers physician visits and ongoing labs. Testosterone is billed separately, starting at $28. One Hone page says per month and another says per vial, so ask what your dose will cost.

Is Hone Health worth the extra cost?

If you value a published confirming-test process, included scheduled monitoring and monthly membership billing, there is a clear reason to consider it. Hone publishes plan-specific baseline testing, quarterly checks in year one and physician video visits; Peter MD also requires a video consultation. Medication and processed shipments remain separate costs, so compare the written bills rather than assuming the extra cost is worthwhile for every first-time patient. Hone plans · Hone cancellation · Peter MD visits

Can I cancel Hone Health or Peter MD anytime?

Hone: yes. Cancel any month, but canceling your membership doesn't cancel pending prescriptions, and partial months aren't refunded. Peter MD: its FAQ says TRT needs at least six months. Auto-renewals must be canceled by email at least 48 hours ahead; its policy calls treatment purchases final once medication arrives, but does not clearly define refunds for unused prepaid care. Hone policy · Peter MD policy

Does Peter MD give refunds?

Its policy says treatment purchases are final once medication is received and describes replacement of defective or damaged items reported within 24 hours. It also refers to eligible refunds without clearly defining every case, including unused prepaid care. Lab orders are non-refundable. Get the rule for your situation in writing. Refund policy

What if Hone's physician says treatment is inappropriate?

Hone says it refunds the initial $135 Plus or $155 Premium membership fee if the physician determines treatment is inappropriate after the initial consultation. The guarantee does not promise a refund of the testing package; shipped lab kits are nonrefundable. Plus terms · Premium terms · Order refunds

Do I need two blood tests to start TRT?

For a new diagnosis, AUA guidance calls for two total testosterone tests on separate days, both early in the morning, plus compatible symptoms or signs and consistently low results. The Endocrine Society also recommends fasting. Hone publishes a separate confirmatory test before TRT; Peter MD's reviewed descriptions do not explain a required second diagnostic draw, so ask how it confirms the result. AUA guidance · Endocrine Society · Hone testing · Peter MD starter panel

Is Hone's testosterone FDA-approved?

Hone's public product pages describe the cypionate injection, cream and troches they advertise as compounded and not FDA-approved. That does not identify every prescription a clinician might arrange through a patient-chosen pharmacy. Confirm the exact product. Injection · Cream · Troches · Pharmacy option

Is Peter MD's testosterone FDA-approved or compounded?

Peter MD's TRT pages don't say. Its terms name Absolute Pharmacy (Lutz, FL) and Partell Pharmacy (Las Vegas, NV) as dispensing pharmacies. The dated regulatory records above make the current legal dispensing identity worth confirming. Ask Peter MD in writing which product and pharmacy you'll get. Terms · FDA records · State records

Is Peter MD legit?

Peter MD publishes active care offers and policies, but this comparison does not independently certify its clinicians or pharmacies. Trustpilot showed its linked profile as removed for going against its guidelines; that is not a legal or clinical finding. Its pages also show conflicting plan totals and an outdated in-person-visit FAQ, so get your clinician, prescription, total and terms in writing. Provider plans · Trustpilot notice · FAQ

Is enclomiphene the same as TRT?

No. Peter MD labels enclomiphene "Oral TRT," but it isn't testosterone. It works by prompting your body's own hormone signals, there's no FDA-approved enclomiphene product in the U.S., and it isn't interchangeable with testosterone therapy. Provider wording · BSSM's 2026 statement

Can I use insurance or my HSA?

Both advertise cash-pay care. Hone does not process insurance or prior authorizations and says its testing is HSA/FSA eligible. Peter MD says its lab panels are HSA/FSA eligible and lists a $25 processing fee for insurance lab requests. These provider statements do not guarantee your plan will reimburse a charge. Check your own plan's rules. Hone insurance policy · Peter MD labs

Can I use my existing blood work?

Hone accepts outside labs from the last 90 days if they include its required markers, but you still buy the initial test. Peter MD advertises using outside labs from the preceding six months. Confirm the required markers, whether those results suffice, and whether another diagnostic draw is needed. Hone outside-lab policy · Peter MD outside-lab offer

Which is better if I want kids later?

If you want children later, discuss fertility and the need for a reproductive evaluation before choosing treatment. Neither should be your first stop if conception is near. The AUA says testosterone shouldn't be prescribed to men currently trying to conceive. Talk with a urologist or reproductive urologist first. hCG, clomiphene, and enclomiphene aren't TRT and don't guarantee fertility. AUA fertility guidance · AUA statement

What happens to online TRT after December 31, 2026?

The current extension allows qualifying DEA-registered practitioners to prescribe through audio-video telemedicine without a prior in-person evaluation through December 31, 2026, subject to its conditions and applicable law. The sources checked do not establish what will apply to a new 2027 prescription under this temporary route. A monthly membership creates less prepaid exposure if requirements change. We'll update this page when they do. Federal extension · HHS guidance

Which states does each cover?

Hone lists either men's plan in 36 states: 35 for Plus and 34 for Premium. Peter MD's injectable offer excludes Alabama and Idaho; its listed lab products also exclude New York and New Jersey. An unexcluded state is not confirmed individual availability. See the full table above. Hone states · Peter MD offer · Lab exclusions

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Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.

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TRT Provider Guide is the independent decision resource for testosterone replacement therapy care. We are not a clinic, pharmacy, laboratory, drug manufacturer, insurer, or medical practice. This page is educational information, not medical advice.

Related: Hone TRT cost · Hone Health TRT reviews · Peter MD cost · Peter MD reviews · How We Review TRT Providers · Affiliate disclosure

Trust and privacy: Editorial standards · Privacy policy · Report a correction

Sources (checked October 7–8, 2026)

Hone Health

• Plus membership: prices, medications and test fees
• Men's Premium membership
• Basic, Plus and Premium membership comparison
• Men's Plus TRT lab schedule
• Men's Premium lab schedule
• Men's HRT payment breakdown and initial-fee refund
• Men's Premium payment breakdown and initial-fee refund
• Using outside labs
• Service availability by state
• Order cancellation and refund policy
• Doctor visit lengths
• Communicating with the physician
• Automatic refill process
• Follow-up process
• Using a chosen pharmacy
• Brand and manufacturer policy
• Dispensing-pharmacy changes
• Exporting consult history
• Insurance and prior authorization policy
• In-person evaluations
• Medication processing and shipping
• Cypionate injection offer and compounded-product disclosure
• Terms of use, clinical practice and prostate-screening limits
• Compounded testosterone cream offer
• Compounded testosterone troches offer
• Photo-ID requirement
• Preparing for a consultation
• Displayed Premium at-lab promotional package
• At-home sample collection
• Fasting and morning-collection guidance
• Professional blood draws and mobile-collection fees
• Physician licensure statement
• Syringe quantities
• General retesting and confirmation policy
• Pharmacy-provided injection supplies

Peter MD

• Injectable TRT plan prices and inclusions
• Billing options and prepayment
• Process, minimum commitment and care FAQ
• New-patient lab panel
• Follow-up lab panel
• Lab catalog and insurance-request fee
• Refund and auto-bill policy
• Terms and named pharmacies
• Video consultation, support, shipping and public hCG offer
• Enclomiphene offer and menu wording
• Step 1 Labs listing with CBC
• TRT process, outside labs, follow-up lab and treatment formats
• Alternate Step 1 Labs description

Male Excel

• Male Excel: states, membership, topical offer and refund promotion
• Male Excel pricing and separate charges
• Male Excel general terms

Clinical and regulatory

• AUA Testosterone Deficiency Guideline, 2018: original journal paper, readable PDF copy
• Endocrine Society Testosterone Therapy in Men with Hypogonadism guideline
• Endocrine Society statement on testosterone replacement therapy, July 16, 2026
• FDA testosterone labeling changes and blood-pressure warnings
• FDA: risks and approval status of compounded drugs
• DEA: drug scheduling
• Federal Register: fourth temporary telemedicine extension, December 31, 2025
• BSSM position statement on enclomiphene, 2026
• HHS: prescribing controlled substances through telehealth
• HHS: licensing across state lines
• NHLBI: blood-clot symptoms
• CDC: stroke symptoms
• AUA/ASRM male infertility guideline, Part II
• Pregnyl prescribing information, DailyMed
• Clomid prescribing information, DailyMed
• AUA-issued announcement of its testosterone deficiency guideline
• Endocrine Society full guideline, Journal of Clinical Endocrinology & Metabolism, 2018

Pharmacy regulatory records

• FDA compounding enforcement and closeout index
• California Board of Pharmacy: November 2023 Absolute actions
• Florida Department of Health: Absolute PH28122 record
• FDA: Partell warning-letter closeout, June 16, 2020
• Nevada Board of Pharmacy: approved June 2025 minutes
• Nevada Board of Pharmacy: approved October 2025 minutes
• Oklahoma Board of Pharmacy: National Health Rx 99-10125
• Oklahoma Board of Pharmacy: former Partell permit 99-9110
• Missouri Board of Pharmacy: Absolute settlement signed September 2025
• FDA: Absolute inspection observations, April 11, 2016
• FDA: Partell warning letter, 2019

Customer reviews and certification context

• Hone Health's brand-wide Trustpilot profile
• Peter MD's Trustpilot removal notice
• LegitScript: checking whether a seal represents current certification