Keeps TRT Cost: What You'll Really Pay in Year One
Keeps TRT cost is advertised at $49 to start, with an injectable offer showing $99 a month beside $199. Its terms use separate 84-day membership and 12-week medication charges. That may fit cash-pay adults considering compounded treatment, but a reliable first-year total needs the renewal amounts, promo length, and repeat-test costs.
Affiliate disclosure: TRT Provider Guide may earn commissions from Male Excel, Taurus Meds, and Hone Health. That never changes the numbers. The provider links in this guide cite public sources. Read our affiliate disclosure.
Sources for the prices and billing: Keeps homepage, injectable offer, and Keeps' terms.
Keeps' public pages show different starting offers. Its product page and terms also describe different guarantees. And the way it bills doesn't match the way it advertises. We put all of it in one place below, so you can see exactly which number is which, and which questions to ask before your card gets charged a second time.
Four things to know before you start:
- No insurance. Keeps is cash-pay only.
- The advertised testosterone is compounded. That means a pharmacy prepares it, and it isn't FDA-approved.
- Refunds are restricted. Membership fees are non-refundable under the terms, except for the guarantee; medication refund limits and an advertised ineligibility refund also matter. To stop the next renewal, cancel at least 48 hours ahead.
- Trying to have a baby soon? Testosterone can lower sperm production. Talk to a urologist before you pay for anything.
TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.
The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay. The tool is educational and non-diagnostic.
This page is educational information, not medical advice. If you have chest pain, sudden trouble breathing, or signs of a stroke, call 911. Get urgent medical assessment for new swelling, pain, warmth, or redness in one leg. CDC: blood clots; stroke signs.
On this page: The prices · How billing works · Year-one cost · What's included · The guarantee · Cancelling · Insurance · Compare · Questions to ask · FAQ
How much does Keeps TRT cost?
Keeps advertises a $49 start covering labs, a live online clinician visit, and a treatment plan. The injectable offer we could verify shows $99 a month beside a $199 reference price, while another offer advertises a free evaluation. The public pages reviewed did not establish an itemized renewal quote or a complete first-year bill.
Here's every Keeps TRT price we found, where we found it, and how much weight each one deserves.
Keeps TRT price signals — checked October 7, 2026
Three things jump out.
First, the $49 evaluation and the $99 injectable subscription are different price signals. They don't establish a single all-in offer. We couldn't confirm whether the $49 is credited toward your first treatment charge.
Second, seeing $199 beside $99 doesn't verify a $199 renewal. We could verify the promotional page, but not a separate current standard-price page. We couldn't find how long the $99 lasts.
Third, older "per month" numbers floating around the web don't match Keeps' own page today. If a review quotes $159, get Keeps to confirm whether that price applies to your offer.
The honest catch, and why it may not matter for you
The public pages we reviewed did not establish one complete, itemized renewal quote. If seeing every number up front is your top priority, get the applicable quote before paying, or compare another care route (see the comparison below).
Keeps rolls initial labs and a clinician visit into its advertised $49 start. That can be useful for a man who mostly wants an answer, not a commitment. But if you want evaluation only, first confirm whether the offer enrolls you in a renewing membership and how to end it. A low start price does not make it a standalone purchase.
How does Keeps bill you?
Keeps advertises a monthly price, but its Terms of Service set two separate recurring charges. One is a membership fee every 84 days; the other is a medication fee, charged when your prescription is written and then every 12 weeks. Those intervals are both 84 days, but the two charges can start on different dates.
The terms (last updated May 11, 2026) describe the money like this:
- Membership fee. You're charged the "first term" when you finish the intake form. It covers your clinician visit, lab testing, your treatment plan, and writing a prescription if clinically appropriate. It renews every 84 days until you cancel.
- Medication fee. It's billed separately. The first charge hits when the clinician writes your prescription, before anything ships. After that it repeats every 12 weeks when your next supply is prepared.
- Two lines on your statement. The terms say these can show up as separate transactions.
- Possible extras. Your clinician may ask for extra consults or extra lab tests that the membership doesn't cover.
Keeps doesn't spell out whether the $49 is the first membership term, a separate fee, or a credit. Confirm that before paying.
Why does the ad say "monthly" when the terms say 84 days? We don't know how the advertised amount maps to the two fees. Ask Keeps to split your quote into membership and medication, with the amount and date of each. Don't multiply a monthly headline by three unless your offer confirms that is the actual charge.
Your first year, charge by charge
Day 0 is the day you finish intake and pay the first membership charge. In this model, year one means days 0–364, with continuous enrollment and no billing changes. The medication clock starts on the actual day the first medication charge occurs, called d below.
If the first medication charge is on day 0–28, all five regular medication charges fall in year one. If it starts on day 29–112, four do. A later start can mean fewer. Extra services can add other charges.
Keeps advertises treatment in as little as five days. That is a provider claim, not a promised appointment or delivery date, and it doesn't establish your billing calendar. Keeps homepage.
One detail trips people up. An 84-day cycle is 4.35 cycles a year, not 4. Four 84-day periods cover 336 days, leaving 29 days of a 365-day year. A fifth membership payment on day 336 buys a term that extends into year two.
Practical tip: Set a phone reminder for day 80 if your membership renews on day 84. That gives you room to decide before the 48-hour cancel cutoff. Set a separate reminder for the medication renewal if its date differs.
Keeps TRT cost for a full year
We could not verify a complete first-year dollar total. To calculate yours, you need the first and renewal membership amounts, medication charges, their dates, the promotion's duration, and any separate fees. The advertised $99 and $199 figures do not supply those missing inputs.
There are two different questions: what 12 months of care costs, and what leaves your bank account in the first 365 days. Prepaid billing can make those answers different.
Keeps TRT year-one cost model — use your written quote
Billing sources: Keeps' terms and injectable offer.
Why the monthly headline cannot settle the annual bill
The arithmetic below shows why the billing unit matters. These are hypothetical examples, not verified Keeps plans, renewal prices, or a cost range. The 84-day column assumes a charge equal to three monthly headline amounts, starting on day 0; Keeps has not confirmed that conversion.
How we got these:
- Twelve payments at $199: 12 × $199 = $2,388.
- Five hypothetical $597 payments: 5 × ($199 × 3) = 5 × $597 = $2,985.
- The introductory examples: (3 × $99) + (9 × $199) = $2,088, and $297 + (4 × $597) = $2,685.
- Twelve payments at $99: 12 × $99 = $1,188; five hypothetical $297 payments: 5 × $297 = $1,485.
None of these rows is a verified floor or forecast. We did not establish a three-month promotion or a year of treatment at $99 a month.
Year two also depends on the payment dates. In the hypothetical day-0, $597-every-84-days example, the next 365-day window contains four payments, on days 420, 504, 588, and 672: $2,388. The long-run annual equivalent is $597 × 365 ÷ 84 = $2,594.11. That average is not the amount your card is necessarily charged in year two.
What these examples leave out:
- Extra lab tests or visits your clinician orders that the membership doesn't cover
- Dose changes that change your medication price
- Sales tax, if it applies
- Shipping, if it's charged. Keeps advertises free shipping, but its terms allow applicable shipping and tax.
Build your own number
Get your membership and medication amounts and charge dates from Keeps in writing. Then use this simple formula:
Year one = membership charges dated inside the year + medication charges dated inside the year + confirmed separate fees − confirmed credits
For the five-fill example, if the first medication charge falls on day 0–28, you can write that as first membership charge + four membership renewals + first medication charge + four medication renewals + extras − credits. Keep introductory amounts separate from renewal amounts. If fees change, add the individual charges instead of multiplying one rate.
You can also use our TRT cost calculator to organize a budget from your quote. Check its result against your actual charge dates; the calendar above is what resolves the two 84-day billing streams.
Work out your own Keeps year-one cost →
What's included, and what costs extra?
Keeps' injectable offer advertises baseline labs, a one-on-one clinician consultation, medication, anastrozole as a bonus, and free shipping. Its terms include lab testing in membership but allow charges for extra tests or visits. We could not confirm which repeat diagnosis tests and routine follow-up panels are included or what excluded tests cost.
A word on follow-up labs. Testosterone therapy needs ongoing blood work. Clinicians check your testosterone and your hematocrit (the share of your blood made of red blood cells, which TRT can push too high). PSA testing (a prostate blood marker) depends on your age, prostate-cancer risk, and the monitoring plan you agree with your clinician. Ask Keeps if your follow-up labs are inside your membership, and what they cost if not. Endocrine Society guideline.
Your pharmacy rights. Keeps' telehealth consent says that if your provider writes a prescription, you have the right to choose your pharmacy. Ask what that means for your price, and which pharmacy Keeps uses by default. We could not identify the default dispensing pharmacy or independently check its license without its name. Keeps' consent.
Your records. The consent says you can request your medical records through your account or at medicalrecords@thirtymadison.com. It allows a reasonable charge for copies; ask whether a fee applies to your request. That matters if you ever switch providers. Keeps' consent.
Support and refills. Keeps lists trt@keeps.com, 551-209-3340, and support hours of 8 a.m.–8 p.m. Eastern, every day. Its on-time-refill and unlimited-access claims are provider-stated, not response times or shipment performance we tested. Ask which contacts reach a clinician, when refills are authorized, and what happens if a lab or appointment delays one. Keeps homepage; terms.
What does the Keeps money-back guarantee really cover?
Keeps' product page and terms describe different guarantees, and Consumer Health Digest gives a third, secondhand account. The posted terms offer a one-time refund of the most recent billing cycle's eligible fees when total testosterone rises by less than 20%, subject to the delivery-based 90-day conditions below. The product page uses a 10% threshold and separately advertises a full refund if a clinician finds you ineligible.
These don't match. The terms say fees are non-refundable except under the guarantee, and they don't mention any refund for being found ineligible. The product page does. Ask Keeps, in writing, which version applies to the offer you're signing up for. Save the reply.
The conditions in the terms, in plain English:
- Stay enrolled with no breaks for at least 90 days after your first medication delivery.
- The terms require treatment as directed throughout those 90 days; pauses, skipped treatment, and missed required refill or check-in forms disqualify the guarantee.
- Provide proof of your enrollment baseline total testosterone, or another baseline Keeps accepts.
- Get a follow-up blood test from a licensed lab, drawn at least 90 days after that first delivery.
- Email trt@keeps.com within 30 days of getting those results.
- It's one refund per customer, ever.
What a refund would be worth: one eligible cycle's fees, not everything you paid. The dollar amount depends on the membership and medication fees actually paid for the most recent cycle. We could not verify its dollar value.
One thing the guarantee doesn't measure: how you feel. It tracks a lab number. Your testosterone can rise 20% while your symptoms stay the same, and the guarantee wouldn't pay out under the posted terms. If a medicine is causing you problems, talk to your prescriber. Don't keep taking it just to qualify for a refund.
Can you cancel Keeps TRT and get a refund?
Yes, you can cancel any time, but cancelling does not automatically refund paid fees. Keeps' terms say to email trt@keeps.com at least 48 hours before your current billing cycle ends to stop renewal. Membership fees are non-refundable under the terms except for the guarantee; medication becomes non-refundable once the prescription is written and pharmacy fulfillment has begun, while the offer's separate ineligibility-refund claim needs confirmation.
How to cancel, step by step:
- Find the next membership and medication renewal dates in your account or written confirmation. They may differ.
- Check your account for a cancel button first. If there isn't one, email trt@keeps.com at least 48 hours before the applicable renewal deadline. If the two dates differ, act before the earlier one.
- Include your full name, account email, phone number, and a clear line: "Please cancel my Keeps TRT membership and medication subscription."
- Ask for written confirmation, and screenshot or save it.
- Watch your next statement for any membership or medication charges.
What happens after you cancel: You keep membership access through the end of its paid cycle. The medication subscription ends after its current paid cycle; no new prescriptions or shipments follow after that cycle. Keeps' terms also say that if it ever shuts down the program, it will give 30 days' notice "so that you may find a local provider." Keeps' terms, section 5.
The billing history worth knowing
On August 24, 2026, the New York Attorney General announced a $400,000 settlement with Thirty Madison, the company behind Keeps. The state said Thirty Madison didn't clearly disclose subscription terms and non-refundable fees, and made cancelling hard. The conduct ran from about February 2021 to December 2023. The settlement document describes Keeps as a hair-loss brand and doesn't mention TRT. Attorney General announcement; settlement document.
Here's why it still matters to you. The settlement requires Thirty Madison to offer a simple online "cancel" option inside your account. The agreement generally allows four months from its effective date for implementation; that date is tied to the Attorney General's signature, not the announcement. We did not test the current TRT account interface. Keeps TRT's terms were last updated in May 2026, before the settlement, and still tell you to cancel by email. Check your account for an online cancel option. If it isn't there, email. Either way, keep proof. Settlement, paragraphs 131, 140–142, and 169.
Fine print you're agreeing to
The terms include binding individual arbitration and a class-action waiver. They generally route disputes to individual arbitration, but preserve eligible small-claims cases and reporting issues to government agencies. You can opt out within 30 days of first affirmatively accepting the terms by emailing legal@joinKeeps.com with your name, residence address, account email and phone number, and a clear opt-out statement. That is the address printed in the terms. Keeps' terms, section 13.
Does Keeps take insurance, HSA, or FSA?
Keeps' terms say it's cash-pay only and doesn't accept insurance. We could not confirm HSA or FSA payment or reimbursement eligibility from the TRT pages reviewed. Ask your plan administrator, because the answer depends on your plan, the specific expense, and paperwork.
A card going through at checkout doesn't prove a purchase is HSA- or FSA-eligible. If you plan to use those funds, ask your administrator what documents they need first. IRS: medical expenses and health accounts.
If insurance coverage is your priority, compare an in-network primary care doctor, urologist, or endocrinologist. Ask your insurer about the visits, required labs, and exact prescription; coverage and copays depend on your plan. See TRT providers that take insurance and online vs. local care. Keeps' cash-pay terms.
What exactly are you paying for: testosterone or enclomiphene?
Keeps advertises compounded testosterone injections, and its safety page says injections are usually given under the skin. That page also describes a cream and a tablet that dissolves in your mouth; confirm which formats are currently offered. Enclomiphene is a different treatment, not testosterone, so ask which medicine your quote covers before comparing prices.
Compounded testosterone
Provider descriptions: Keeps' testosterone safety information and injectable offer.
Non-testosterone medication
Anastrozole is not testosterone replacement. Being advertised as a free bonus does not establish that you need it. FDA: enclomiphene review; FDA: Arimidex label; Keeps' enclomiphene information.
FDA-approved testosterone is a separate category
What "compounded" means: a pharmacy prepares a drug by combining, mixing, or altering ingredients. The FDA doesn't review compounded drugs for safety, effectiveness, or quality before they're sold. Keeps states on its TRT homepage that medications prescribed through affiliated clinicians have not been reviewed or approved by the FDA. FDA-approved testosterone products exist. They're a separate category; ask your insurer which exact products your plan covers. FDA: compounded drugs; Keeps homepage.
Jatenzo, for example, is an FDA-approved testosterone undecanoate capsule. Its approval does not apply to a compounded tablet that dissolves in the mouth. See testosterone treatment formats if the format changes your choice. FDA: Jatenzo label.
Testosterone is a Schedule III controlled substance. That means you need a valid prescription from a licensed clinician. Under the current federal extension, DEA-registered clinicians may prescribe it through an audio-video visit without a prior in-person evaluation when applicable federal and state requirements are met. That flexibility runs through December 31, 2026; recheck the requirements for care after that date. A questionnaire alone does not meet that audio-video condition. DEA: scheduling; DEA: telemedicine extension.
Keeps' terms say TRT "may not be available in every state," so confirm your state before you pay. We could not verify a complete current TRT state list or the assigned clinician's license. Ask for that clinician's name and license, confirm authorization for the state where you will be during visits, and ask whether an in-person evaluation could be needed. Keeps' terms; HHS: licensing across state lines.
Before you pay: will the $49 tell you if you really have low T?
Not by itself: one blood test isn't a diagnosis. Major guidelines for adult men call for compatible symptoms or signs plus consistently low testosterone, with appropriate repeat early-morning testing. Ask whether your Keeps plan includes the second test needed to confirm the diagnosis before testosterone treatment.
The Endocrine Society says diagnosis needs two things. You need symptoms or signs that fit. And you need testosterone that's consistently low on repeat morning, fasting blood tests, measured with an accurate lab method. The American Urological Association uses a total testosterone level below 300 ng/dL as a reasonable cutoff, with two separate early-morning tests and compatible symptoms or signs. That is not a universal diagnosis from one number. A symptom quiz like the one on Keeps' site can't diagnose you either. Endocrine Society; AUA guideline, statements 1–3.
Ask your Keeps clinician:
- Will I get a second early-morning test to confirm low testosterone before testosterone is prescribed, and is it included?
- If my testosterone is "normal," why would treatment make sense?
- Why this treatment and not another?
For the testing process, see how low testosterone is diagnosed.
Start with your own doctor or an appropriate specialist if any of these apply to you: a very low result needing further evaluation, a possible pituitary problem, a high red blood cell count, untreated severe sleep apnea, a history of prostate or breast cancer, or a recent heart attack or stroke. These need clinical review; a price guide or questionnaire cannot clear them. Endocrine Society.
This diagnostic discussion concerns adult male hypogonadism, meaning inadequate testosterone production. Gender-affirming hormone care, care for women, and adolescent care need their own clinical framework; this price comparison does not establish eligibility for those services.
Not sure your situation fits online care? Map your care route with Find My TRT Path →
Does Keeps TRT affect fertility — and your costs?
It can: testosterone therapy can lower sperm production, and Keeps' own safety information says TRT may impair fertility. If you want children now or later, talk to a urologist or reproductive urologist before treatment. That one conversation can change both your treatment and what you'll pay.
Here's why it happens. Testosterone from outside your body tells your brain to slow down the signals your testes use to make sperm. Those signals are LH and FSH. Some men recover after stopping, but no one can promise when, or whether, you will. Guidelines advise against testosterone for men planning fertility in the near term, and AUA/ASRM advises against prescribing exogenous testosterone to men interested in current or future fertility. Endocrine Society; AUA/ASRM guideline, amended 2024; AUA testosterone guideline.
Keeps also offers enclomiphene, which works differently. It isn't FDA-approved, and it doesn't guarantee your fertility is protected. A fertility-focused clinician can explain your options and check your sperm count first. Keeps' enclomiphene information; FDA enclomiphene review.
Ask whether specialist visits, semen testing, or any proposed non-testosterone medicine have separate charges. We did not verify a Keeps fertility-care package or its price.
Fertility is a medical decision first and a price decision second. See TRT and fertility, or use Find My TRT Path to map a fertility-first care route.
Is Keeps TRT the same company as Keeps hair loss or "Titan TRT"?
Keeps TRT is run by Thirty Madison, the same company behind Keeps hair-loss treatment. The jointitan.com site currently serves the Keeps TRT program, and older articles called it "Titan TRT." Check the company and site address on any quote, because a similar clinic name does not establish the same service.
Sources: Keeps' terms, current jointitan.com site, NYAG settlement, Titan Medical Center, and Axios' interview report.
Keeps' terms say Keeps itself doesn't practice medicine. They assign treatment decisions to clinicians through the named medical groups. Keeps' consent also says you can review your provider's credentials before your visit. We did not independently verify a clinician assigned to a patient or specialist credentials. Keeps' terms; consent.
Is Keeps TRT worth the price compared with other online TRT?
Keeps' $49 offer combines initial testing and clinician review, and its terms include a written results guarantee. Its weak spot is that the public sources reviewed do not establish the complete ongoing bill. The alternatives below publish useful price components, but the evidence does not establish a cheapest full year.
Published cost components — provider-stated, checked October 7, 2026
Official sources: Keeps terms; Male Excel pricing, initial test offer, homepage, FAQ, and terms; Hone Premium guide, product page, lab schedule, and refund policy; Taurus homepage, campaign, terms, and refund policy.
Our math, with the missing pieces left visible:
- Male Excel: $99 + (12 × $99) + (12 × $120) = $2,727 is a 12-month equivalent of the advertised starting testosterone-and-thyroid bundle, before shipping and any separate tests. It is not a verified all-in first-365-day bill. Thyroid medication is a separate treatment; ask why it is proposed and what your testosterone-only quote would be.
- Hone Health Premium: $65 + (12 × $155) = $1,925 before medication and any separate charges. We cannot add twelve $28 vials as if each automatically lasts a month. The plan guide lists a $25 confirmatory test, while another official FAQ says clinically necessary retesting or confirmation is at no extra charge. Ask which applies. Premium guide; retesting FAQ.
- Hone also has a Plus plan: its guide lists a $45 initial home test and $135/month membership, with medication separate. Premium is not its only TRT plan. Compare the lab and visit scope as well as the fee. Plus guide.
- Taurus: its campaign's $149/month does not settle whether the separate $17.99 membership fee applies. A Taurus-issued May 28, 2026 release describes $149/month with a six-month commitment and $199/month for month-to-month treatment; that dated statement is not confirmation of today's checkout. Taurus terms; company-issued release.
Prices start where each provider says "from" or "starting at." Your dose can change your medication price anywhere. Confirm repeat diagnosis testing, scheduled monitoring, and extra clinician-requested tests separately. State availability must also be confirmed for the exact treatment; an active public offer does not verify a clinician in every state.
You might also see a comparison on Keeps' own page saying "other providers" cost $3,606 a year, once bloodwork, shipping, consults, membership, medication, and supplies are added up. Keeps doesn't name the provider, and we couldn't verify those line items. Treat it as marketing, not a benchmark. Keeps' comparison.
Pick by what matters most to you
- You want Keeps' initial testing and clinician review → confirm the evaluation price and any automatic renewal before paying. You can decline treatment; confirm what that means for membership billing.
- Keeps' repeat-test coverage is the obstacle → Hone publishes a detailed Premium lab schedule. Resolve its medication unit and confirmatory-test fee before comparing a full year.
- Keeps' billing cycle is the obstacle → Male Excel has monthly membership and medication billed every other month. That is a different payment pattern, not a verified lower price.
- You're considering Taurus' $149 offer → resolve its fee and commitment conflicts first. See our Taurus Meds cost guide.
- You want insurance or an FDA-approved product → a primary care doctor or urologist. See TRT providers that take insurance.
- You're trying to conceive → a reproductive urologist, before any testosterone.
- You're still unsure → Find My TRT Path.
Want a fuller lab schedule than we could confirm for Keeps? Hone publishes its Premium testing schedule, but that still leaves a medication quote and a test-fee conflict to resolve. Compare Hone's published costs and testing →
Want monthly membership instead of an 84-day membership cycle? Male Excel posts a $99/month membership, while its testosterone-and-thyroid bundle is billed every other month. If that payment pattern fits what you're looking for, review Male Excel's cost breakdown →
What to ask Keeps before you pay
Keeps charges the first membership term at completed intake and the medication fee when your prescription is written. Get the known fees and renewal terms before your first payment, then confirm the prescription-specific charge before it is incurred. Copy the questions below, send them to trt@keeps.com, and keep the written reply.
Copy and paste:
Hi, before I pay or incur a prescription charge, can you confirm in writing:
- Which offer and price apply to my account, and how long that price lasts?
- Does my evaluation payment count toward my first membership term, or is it separate? What renews if I only want the evaluation or am not prescribed treatment?
- My membership renewal amount, and the date of each renewal?
- My medication fee per 12-week fill for the proposed medication, the exact product and formulation, and the date of each charge?
- Are the repeat early-morning diagnosis test and follow-up labs included? What is the monitoring schedule, which panels are covered, and what do excluded tests cost?
- Is anastrozole or anything else billed separately? Are supplies included, and is shipping or tax ever added?
- Which pharmacy fills my prescription, is the medication compounded or FDA-approved, and can I use another pharmacy at a different price?
- Is this treatment available in my state, who is the licensed clinician, and could I need an in-person visit?
- Which money-back guarantee applies to my offer — the 10% or 20% version — and is there a refund if I'm found ineligible?
- Is there an online cancel button in my account, or should I cancel by email? What is the earliest deadline to stop both renewal charges?
- What happens if a refill, required lab, or clinician visit is delayed, and who handles urgent non-emergency treatment concerns?
- If fertility matters to me, what specialist referral or other evaluation is needed, and is any of that included?
Fill in your answers here:
Use this blank worksheet for your own written quote.
Got your numbers? Plug them into our TRT cost calculator and check them against the billing calendar above.
Does a $49 lab-and-clinician check sound like the right first step for you? Get the applicable offer, renewal terms, and evaluation-only cancellation answer in writing before paying. Keeps' public offer page describes the starting package; its terms describe recurring charges. Paying the $49 doesn't guarantee a prescription. Keeps' consent says a clinician decides whether treatment is appropriate. Keeps' consent.
What we actually verified
We checked the public documents listed below on October 6–7, 2026. That verifies what those sources stated, not a patient's final quote, the quality of treatment, or the performance of support and shipping.
Verification date: October 7, 2026 (source checks October 6–7, UTC).
Public sources checked:
- Keeps TRT homepage (trt.keeps.com and jointitan.com)
- The retrieved Keeps injectable promotional offer and free-evaluation page variant
- Keeps Terms of Service (last updated May 11, 2026)
- Keeps telehealth consent (May 11, 2026)
- Keeps testosterone and enclomiphene safety pages
- New York Attorney General announcement and settlement document
- Male Excel pricing, initial-test, FAQ, and terms pages
- Hone Health product, plan, testing, billing, and cancellation pages
- Taurus homepage, $49 campaign, terms, refund policy, and dated company release
- DEA telemedicine extension and HHS licensing guidance
- Endocrine Society and American Urological Association guidance
- FDA compounding information and the relevant drug records
Confirmed as statements in Keeps' own documents:
- The $49 starting offer and what it advertises
- The $99/month offer beside a $199 reference price, plus the free-evaluation variant
- Two separate recurring charges, on 84-day and 12-week cycles
- Refund restrictions and the 90-day guarantee conditions
- Email cancellation at least 48 hours before renewal
- Cash pay only
- Different guarantee wording in the terms and injectable offer
- The homepage's non-FDA-approved medication disclosure
- The named medical groups
- Your records request process and your right to choose a pharmacy
Provider-stated, not independently tested:
- Free shipping and on-time refills
- Treatment starting in as little as five days
- Unlimited clinician access
- The availability and delivery of advertised lab, visit, and medication packages
- Every competitor's price, service, and access claims
Secondhand and not confirmed as current Keeps prices:
- The $159 injectable and $199 oral/enclomiphene monthly prices in Consumer Health Digest's review
- The $129–$249 range in the February 2026 advertorial
What we could not confirm:
- Keeps' membership renewal amount and exact medication charges
- How the injectable offer splits between membership and medication
- How long the $99 promo lasts or whether $199 is the renewal price
- Whether the $49 counts toward your first term
- The applicable conditions of the free-evaluation offer
- Repeat diagnosis-test and follow-up lab coverage and excluded-test costs
- Which states currently have Keeps TRT and the assigned clinician's credentials
- Which pharmacy would fill a particular prescription
- Current availability of every formulation described in the safety information
- The final terms shown during an individual's enrollment
- Whether Remedy Meds' purchase of Thirty Madison has closed
We didn't sign up, get treated, contact support, or test cancellation. This is a cost guide built from public documents, not a hands-on review. No patient testimonial or customer-experience claim is used as proof of price, safety, or results.
How we calculated these costs
We followed How We Review TRT Providers. That means we keep provider claims, verified facts, and our own conclusions separate, and we separate confirmed costs from missing inputs instead of repeating a teaser price.
For Keeps, the charge calendar comes from the billing cadence in its terms. The dollar examples show what different billing assumptions would do; they are not actual Keeps quotes. Our first-year model counts charges on days 0–364 and flags care prepaid into the following year. We use the same charge-date rule when comparing a reader's quotes, and do not treat monthly equivalents as verified bank-account charges.
For Male Excel, the $2,727 figure is an advertised-rate equivalent for a bundle, before unresolved extras. For Hone Premium, $1,925 counts only the advertised initial test and twelve membership payments; medication and any separate test charges remain to be added. We did not turn unpriced items into $0 or declare a lowest-cost provider. For broader comparisons, see TRT cost.
Spot a price that's changed? Tell us through our provider-data correction process, with the page, statement, and supporting source. Please don't send personal medical records or lab results. Our editorial standards and privacy policy explain the process.
Keeps TRT cost FAQ
Keeps' starting offers do not establish a full treatment budget. The main questions are what renews, which tests and medication are included, and what happens if you decline treatment or cancel.
How much is Keeps TRT per month?
The injectable offer reviewed shows $99 a month beside a $199 reference price; promo length and renewal price are unconfirmed. Keeps' terms bill a membership every 84 days and medication every 12 weeks, potentially on different dates. Offer; terms.
How much does Keeps TRT cost for a year?
A reliable dollar total could not be verified. Add the actual membership and medication charges dated within your first 365 days, then add separate fees and subtract confirmed credits. The monthly headline alone does not establish those amounts.
Is the $49 a one-time fee?
The homepage advertises $49 for the starting package. The terms describe a membership that begins at completed intake and renews every 84 days, but do not establish whether the $49 is that first term or a separate charge. Confirm what renews and how to stop it if you only want evaluation. Homepage; terms.
What if Keeps doesn't prescribe me anything?
Keeps' injectable offer advertises a full refund if a clinician finds you ineligible, but the terms don't mention that refund. Get its scope and the status of any continuing membership in writing. Declining treatment and cancelling a subscription are different actions. Offer; terms.
Are follow-up labs included in Keeps TRT?
We could not confirm the exact included panels, repeat-test rules, or follow-up schedule. The terms include lab testing in membership but say extra tests your clinician requests may cost more. Ask before paying, including about the follow-up blood draw required for the guarantee. Keeps' terms.
Does Keeps take insurance?
No. Its terms say it's cash-pay only. Keeps' terms.
Can I use HSA or FSA money for Keeps TRT?
We could not confirm that from the TRT pages reviewed. Check the specific expense and required documentation with your HSA or FSA administrator before you pay.
Is Keeps testosterone FDA-approved?
The advertised compounded testosterone is not FDA-approved. Keeps states that medications prescribed through affiliated clinicians have not been reviewed or approved by the FDA. Ask for the exact product and dispensing pharmacy. Keeps homepage; FDA compounding information.
How do I cancel Keeps TRT?
Check your account for a cancel option, or email trt@keeps.com at least 48 hours before your current cycle ends. Ask for written confirmation covering both membership and medication, using the earlier deadline if the two renewal dates differ. Keeps' terms.
Can I get a refund from Keeps?
The terms generally restrict refunds, with a one-time guarantee for eligible fees from the most recent billing cycle. The injectable offer separately advertises a refund for clinical ineligibility. Confirm which terms apply; cancellation alone does not establish refund eligibility. Terms; offer.
Is Keeps TRT cheaper than a local clinic?
We cannot rank them without complete quotes. Compare the same year's visits, repeat diagnosis tests, monitoring, exact medicine, and shipping, then apply your insurance benefits if available. Our online vs. local care guide explains the care-model differences.
Is enclomiphene cheaper than testosterone at Keeps?
We could not verify a current official enclomiphene price. An August 2026 review reported $199 a month, but that is secondhand. Enclomiphene isn't TRT and isn't FDA-approved, so compare it as a different treatment. Review's price claim; FDA enclomiphene review.
Is Keeps TRT the same company as Keeps hair loss?
Yes. Both are run by Thirty Madison, Inc. Keeps' terms; NYAG settlement.
Is a three-month supply the same as three monthly payments?
Not necessarily. How much medicine ships and how often you're charged are separate. Ask Keeps for both.
Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.
Sources
- Keeps TRT homepage and jointitan.com.
- Keeps injectable promotional offer and free-evaluation page variant. Offers can differ by entry page.
- Keeps Terms of Service, last updated May 11, 2026.
- Keeps Telehealth Informed Consent, last updated May 11, 2026.
- Keeps testosterone safety information.
- Keeps enclomiphene safety information.
- New York Attorney General: Thirty Madison settlement announcement, August 24, 2026.
- Thirty Madison Assurance of Discontinuance, including the historical findings and implementation terms.
- Consumer Health Digest: Keeps TRT Review, updated August 31, 2026. Used only for its attributed price and guarantee claims.
- Access Newswire: “Titan TRT Review 2026” advertorial, February 5, 2026. Historical, not a current quote.
- Axios: Remedy Meds to acquire Thirty Madison, September 3, 2025. Report of the CEO's statement, not confirmation of closing.
- Male Excel pricing, initial testing and injection offer, homepage, FAQ, and terms.
- Hone homepage, Premium plan, Plus plan, Premium lab schedule, confirmatory-testing FAQ, billing guide, and refund policy.
- Hone testosterone-cypionate product page.
- Taurus homepage, $49 campaign, terms, refund policy, and May 28, 2026 company-issued release.
- FDA: Understanding the Risks of Compounded Drugs.
- FDA: Jatenzo prescribing information, revised July 2025.
- DEA: Drug Scheduling.
- DEA: telemedicine extension through December 31, 2026 and HHS: licensing across state lines.
- Endocrine Society: Testosterone Therapy for Hypogonadism and full clinical guideline.
- American Urological Association: Testosterone Deficiency Guideline.
- AUA/ASRM: Diagnosis and Treatment of Infertility in Men, amended 2024, and ASRM-hosted Part II for the hormone-signaling explanation.
- FDA: enclomiphene citrate review, presentation in the Pharmacy Compounding Advisory Committee meeting transcript, June 8, 2022.
- FDA: Arimidex (anastrozole) prescribing information, revised December 2024.
- CDC: blood clots and stroke signs.
- IRS: Publication 502, Medical and Dental Expenses, and Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans.
- Titan Medical Center, used only to distinguish the clinic brand and site.