Male Excel State Availability: 39 States in Its Published TRT Coverage

Male Excel state availability covers 39 states under its published hormone-treatment statement, with 11 excluded. This guide helps adults checking access, not deciding whether they need TRT. Washington, D.C., needs confirmation; a listed state does not guarantee treatment. Testing, clinician approval and an in-person exam may still be required. ¹²

Last verified: September 9, 2026 · By TRT Provider Guide Educational information, not medical advice. This is public-source editorial research and has not been reviewed by a clinician.

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Male Excel's hormone-treatment FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, or Rhode Island — eleven states, checked on September 9, 2026. ¹

Three things change that answer, and one of them will surprise you. Male Excel runs a completely separate state map for its ED medication — five excluded states, not eleven. Alabama and Minnesota are missing from several other published TRT lists, but they are excluded in Male Excel's current FAQ. And being on the list doesn't mean you'll be approved, because Male Excel's own site says a treatment plan may still require an in-person exam. ¹²³⁷⁸

If you've seen a number like 41 states or 44 of 51, it doesn't match the current hormone-treatment answer. We'll show you the conflicting pages, side by side, with dates where the source supplies them. ¹⁷⁹

Published program statement	Current answer
Testosterone (TRT): states within the statement	39 states
Testosterone: excluded states	AL, AK, AR, CT, HI, ID, LA, MN, MS, NH, RI
ED medication: states within the statement	45 states — a different list
Washington, D.C.	Unconfirmed for hormone treatment; the state-based FAQ does not settle it.

This page is for you if you already want Male Excel and you need to check its published service area for the state where you'll be during appointments. This page isn't for you if you haven't decided whether TRT makes sense for you at all — that's a different question, and a bigger one.

A published state list tells you what a company says it can do. It doesn't tell you that testosterone is right for you, and it isn't a promise of a prescription.

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TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay. It's educational and non-diagnostic — it doesn't determine medical eligibility or guarantee a prescription.

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Is Male Excel available in your state?

Male Excel's current hormone-treatment statement names eleven states where its providers cannot prescribe; the other 39 states fall inside its published coverage. Washington, D.C. is not settled by that statement. The table below shows what Male Excel says — not whether you personally will be approved for treatment. ¹

Find your state. We've listed testosterone and ED separately, because Male Excel treats them as two different programs with two different maps.

State or district	TRT: provider-stated	ED: provider-stated	Your next step
Alabama	Excluded	Within list	TRT excluded — see your care options
Alaska	Excluded	Excluded	TRT excluded — see your care options
Arizona	Within list	Within list	Confirm your state and required visits
Arkansas	Excluded	Within list	TRT excluded — see your care options
California	Within list	Within list	Confirm your state and required visits
Colorado	Within list	Within list	Confirm your state and required visits
Connecticut	Excluded	Within list	TRT excluded — see your care options
Delaware	Within list	Within list	Confirm your state and required visits
District of Columbia	Unconfirmed	Unconfirmed	Ask directly before paying — use the script
Florida	Within list	Within list	Confirm your state and required visits
Georgia	Within list	Within list	Confirm your state and required visits
Hawaii	Excluded	Within list	TRT excluded — see your care options
Idaho	Excluded	Within list	TRT excluded — see your care options
Illinois	Within list	Within list	Confirm your state and required visits
Indiana	Within list	Within list	Confirm your state and required visits
Iowa	Within list	Within list	Confirm your state and required visits
Kansas	Within list	Within list	Confirm your state and required visits
Kentucky	Within list	Within list	Confirm your state and required visits
Louisiana	Excluded	Within list	TRT excluded — see your care options
Maine	Within list	Within list	Confirm your state and required visits
Maryland	Within list	Within list	Confirm your state and required visits
Massachusetts	Within list	Within list	Confirm your state and required visits
Michigan	Within list	Within list	Confirm your state and required visits
Minnesota	Excluded	Excluded	TRT excluded — see your care options
Mississippi	Excluded	Excluded	TRT excluded — see your care options
Missouri	Within list	Within list	Confirm your state and required visits
Montana	Within list	Within list	Confirm your state and required visits
Nebraska	Within list	Within list	Confirm your state and required visits
Nevada	Within list	Within list	Confirm your state and required visits
New Hampshire	Excluded	Within list	TRT excluded — see your care options
New Jersey	Within list	Within list	Confirm your state and required visits
New Mexico	Within list	Within list	Confirm your state and required visits
New York	Within list	Within list	Confirm your state and required visits
North Carolina	Within list	Within list	Confirm your state and required visits
North Dakota	Within list	Excluded	Confirm TRT access; the ED statement excludes this state
Ohio	Within list	Within list	Confirm your state and required visits
Oklahoma	Within list	Within list	Confirm your state and required visits
Oregon	Within list	Within list	Confirm your state and required visits
Pennsylvania	Within list	Within list	Confirm your state and required visits
Rhode Island	Excluded	Within list	TRT excluded — see your care options
South Carolina	Within list	Excluded	Confirm TRT access; the ED statement excludes this state
South Dakota	Within list	Within list	Confirm your state and required visits
Tennessee	Within list	Within list	Confirm your state and required visits
Texas	Within list	Within list	Confirm your state and required visits
Utah	Within list	Within list	Confirm your state and required visits
Vermont	Within list	Within list	Confirm your state and required visits
Virginia	Within list	Within list	Confirm your state and required visits
Washington	Within list	Within list	Confirm your state and required visits
West Virginia	Within list	Within list	Confirm your state and required visits
Wisconsin	Within list	Within list	Confirm your state and required visits
Wyoming	Within list	Within list	Confirm your state and required visits

Sources: Male Excel's hormone FAQ and homepage for TRT; its ED treatment page and ED FAQ for ED. All checked September 9, 2026. “Within list” means the jurisdiction is not among the named state exclusions; it is not a verified appointment, prescription or pharmacy-delivery promise. ¹²³⁴

What "Within list" actually means

It means Male Excel says its providers can prescribe in your state. That's the first gate. It is not the last one, and it is not a medical opinion about you.

Here's the honest version: a company's published state list is a service claim, not an audit of its clinicians' licenses. It isn't a confirmation that an appointment is available, that your treatment format is available, or that a clinician will decide testosterone is right for you. We cover all three of those below. ⁵⁶

Washington, D.C. and U.S. territories

Male Excel's FAQ answers the question in terms of states. D.C. isn't a state, and the FAQ doesn't mention it. Meanwhile the company's locations page lists a D.C. address. That does not confirm hormone-treatment access there. ¹⁵

We couldn't resolve that, so we're not going to pretend we did. If you're in D.C., ask before you pay. The exact wording is in the script further down.

Puerto Rico, Guam and the U.S. Virgin Islands aren't addressed in the coverage statements we checked. Same advice: ask, don't assume. ¹³

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Disclosure: TRT Provider Guide has affiliate relationships with Male Excel and Taurus Meds. We may earn a commission through approved paid referral links; the provider links on this page are direct public-information links, not paid referral links. We publish the states Male Excel excludes just as prominently as the ones within its coverage statement. Read our affiliate disclosure.

If your state is within the testosterone list, the useful thing to know is this: Male Excel describes its hormone assessment as free to complete, and the company points state-availability questions to it directly. That does not make the later test, consultation or treatment free. We did not complete the assessment or confirm when it checks your state. ²¹⁶

→ Ask Male Excel to confirm your state before paying

One caveat we'd rather give you than have you discover later: we didn't complete an intake ourselves, so we can't tell you precisely which screen asks for your state. If you're ever asked for a card before your state is confirmed, contact support before paying.

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Why does Male Excel have two different state maps?

Male Excel publishes one state list for hormone treatment and a separate, shorter one for erectile-dysfunction medication. Eleven states are excluded for testosterone and five for ED, leaving eight states within the ED statement but outside the TRT statement, and two states with the reverse result. These are published program differences, not a promise of a prescription. ¹³

This is the finding that makes the two-column table useful: one Male Excel page can answer the wrong medication question.

Program	States Male Excel excludes	States within its statement	Where it says so	Checked
Hormone treatment (TRT)	Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, Rhode Island — 11	39	Hormone FAQ and homepage, matching exclusions	Sept 9, 2026
ED medication	Alaska, Minnesota, Mississippi, North Dakota, South Carolina — 5	45	ED treatment page and ED FAQ	Sept 9, 2026

Put the two lists on top of each other and you get four groups:

If you live in…	Within TRT statement?	Within ED statement?	How many states
Most of the country	Yes	Yes	37
North Dakota, South Carolina	Yes	No	2
Alabama, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, New Hampshire, Rhode Island	No	Yes	8
Alaska, Minnesota, Mississippi	No	No	3

Check the math yourself: 37 + 2 + 8 + 3 = 50 states, with D.C. tracked separately. Eleven testosterone exclusions (8 + 3). Five ED exclusions (2 + 3). It holds.

Why does this matter? Say you're in Louisiana. You search for a men's health clinic, you land on Male Excel's ED page, and its ED exclusion list doesn't name Louisiana. But the same company's hormone FAQ excludes Louisiana. If low testosterone is what actually brought you there, an ED coverage answer has not answered your question. ¹³

Why are the lists different? Testosterone is a Schedule III controlled substance — a category of prescription drug subject to controlled-substance rules. Sildenafil and tadalafil, the generic versions of Viagra and Cialis, are not controlled substances. ³² That distinction matters for telehealth prescribing, but it does not establish why Male Excel chose these particular exclusions. ¹³¹⁴

Male Excel doesn't explain the difference in the coverage statements we checked. We're not going to turn a possible reason into a fact.

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Why do the published numbers all disagree?

Several pages give different figures for Male Excel's state coverage, and some do not give a list at all. The 41-state and 44-of-51 figures below do not match the current hormone FAQ. Male Excel's own locations directory can also be mistaken for a service map. ¹⁵⁷⁹

We went and looked at every one.

Where you might have seen it	What the checked page says	Date or evidence scope	What to use instead
Feel30's Male Excel comparison	“operates in 41 states,” with nine exclusions	No article date identified; checked Sept 9, 2026	Does not match the current hormone FAQ. Its exclusions omit Alabama and Minnesota. 7
TRT Picks' Male Excel review	“available in 44 of 51 states”	Checked Sept 9, 2026	Does not match the current hormone FAQ. Count 50 states separately from D.C.; hormone coverage for D.C. remains unresolved. 9
PolicyLab's online TRT roundup	The nine-state exclusion list	Checked Sept 9, 2026	Does not match the current hormone FAQ. A recent check of a page does not make its list current. 8
Viking Alternative's comparison	No state-coverage answer in the inspected comparison	Article dated Aug 28, 2026	It does not answer this state question; use the hormone-specific FAQ. 10
Male Excel's March review distributed through ACCESS Newswire	Says service is not available in all states and advises checking during intake	Mar 14, 2026; distributed release, not independent state verification	Not wrong. Just no state list, when avoiding a surprise at intake is the whole reason you're reading. 11

Two of those — Feel30 and Viking Alternative — are pages published by companies that compete with Male Excel. We're not accusing anyone of anything. But a rival's page is the last place we'd go for a rival's facts, and you shouldn't either. ⁷¹⁰

And now the part we'd rather not write

Male Excel's own website contradicts itself.

Its “Our Locations” page lists addresses under all fifty states and Washington, D.C. — including every single one of the eleven states its own FAQ excludes. There are three Alabama addresses. There's one in Anchorage, one in Honolulu, one in Providence. ⁵

There's also a plain address error. Under the Nebraska heading, the first address listed is in Nashua, New Hampshire — the same address also appears under New Hampshire. ⁵

An address in that directory is not proof that hormone treatment is available there.

So here's the plain version. Male Excel does not present a consistent state-access answer across its website, and its locations directory can easily be mistaken for a service map when it isn't one. If a company with perfectly consistent web pages is a requirement for you, that's a fair line to draw, and our online-vs-local care guide explains other care routes. ¹⁵

But look at what the directory actually provides: addresses, not a hormone-specific eligibility decision. The two pages that do answer the hormone-coverage question — the FAQ and the homepage — match each other. ¹²

And there's a useful point buried in this. Male Excel publishes an exclusion list at all. It names the eleven excluded states on its own homepage. That gives you something concrete to check before you pay; it does not excuse the conflicting directory. ²

Which source wins? Use this order for a provider's published service area:

1. The company's current, program-specific service page beats a general address directory or third-party review.
2. A stated date helps you judge a claim, but a date alone does not make it accurate.
3. Treat a competitor's page about a rival as a lead to check, not proof.

For medical and legal questions, use clinical guidance and the relevant government or state authority instead. That's the distinction behind How We Review TRT Providers, and it's why we show 39 states within Male Excel's current hormone statement without claiming to have audited every clinician's license.

→ Read Male Excel's current hormone-coverage answer — you'll be reading the same FAQ we did.

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Did Male Excel drop any states in 2026?

We could not verify when Male Excel changed its state list or whether it stopped treating existing patients in any state during 2026. Its current hormone FAQ excludes Alabama and Minnesota, while the nine-state lists on Feel30 and PolicyLab do not. That is a verified difference between published lists, not proof of a service-change date. ¹⁷⁸

Program	Other published statement checked	Current Male Excel statement	What we can actually conclude
Testosterone	Feel30 and PolicyLab: AK, AR, CT, HI, ID, LA, MS, NH, RI — 9 excluded	AL, AK, AR, CT, HI, ID, LA, MN, MS, NH, RI — 11 excluded	Alabama and Minnesota are the two differences. We did not verify when or why they were added, or whether a specific patient lost access.
ED medication	Excel Medical's statement dated June 17, 2025: men’s HRT/ED excludes AR, CT, HI, LA, NH; ED also excludes ND	Male Excel's ED pages: AK, MN, MS, ND, SC — 5 excluded	The older parent-company statement and current program pages disagree. They do not establish a verified sequence of 2026 service gains or losses.

The parent-company comparison has an actual stated date; it is not a reconstructed spring-2026 snapshot. ¹²³

Which leads to the rule worth remembering here: an undated state list does not tell you when it was checked. Ours has a verification date at the top. Check the provider's current answer again before paying or planning ongoing care.

If you're an existing Male Excel patient in Alabama or Minnesota

If you're an existing patient in either state, the current exclusion deserves a direct answer about your care. If your refill is late or your provider has gone quiet, we're not going to sell you anything. Here's what to do.

1. Message Male Excel support and get an answer in writing. Ask whether your prescription is still active, when your next refill is expected to ship, and what the company's plan is for patients in your state. Written, not only over the phone.

2. Request your medical records and lab results. You generally have a right to copies from a HIPAA-covered healthcare provider, and having them makes the next clinician's job much easier. ¹⁷

3. Ask your treating clinician to plan continuity before your current supply runs out. Don't leave the handoff to the last minute. Whether and how to stop testosterone is a clinical decision — talk to a clinician about it rather than changing treatment on your own.

4. Then start here. Our online-vs-local care guide explains the care routes, and Find My TRT Path will help you prepare the questions to ask. A new clinician must make their own treatment decision; the tool cannot transfer a prescription.

We don't know how Male Excel applies its current state limits to existing patients. The checked coverage statement does not explain that, and we're not going to guess.

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Why isn't Male Excel available in my state?

A state on Male Excel's exclusion list is not proof that the state bans medically appropriate TRT. State prescribing rules, a clinician's authority to practice and the program's own limits can all affect access. Male Excel does not say which factor explains each exclusion. ¹⁶

There are different reasons a state can end up on a provider's exclusion list. These two are worth checking, but neither is a verified explanation for Male Excel's whole list.

Reason 1: your state's own rules

Some state rules add an in-person requirement for telehealth controlled-substance prescribing. Whether a particular care model can meet it depends on the rule, including any permitted pathways. ¹⁵

Alabama is a useful example, and it's written down. The Alabama Board of Medical Examiners says a controlled-substance prescription by telehealth requires an in-person encounter within the previous twelve months, along with other conditions. Its guidance also says that requirement can be met when appropriately licensed Alabama medical or nursing personnel are with the patient at the originating site while the prescriber conducts a video visit. ¹⁵

Testosterone is Schedule III. Alabama's rule matters, but it does not prove why Male Excel excludes the state or that Male Excel offers that assisted-video pathway. ¹³¹⁵

Reason 2: licensing

The clinician who writes your prescription must be licensed or otherwise legally authorized to practice in the state where you are physically located during the visit. Not where the company is headquartered. Not where the pharmacy is. HHS describes several lawful pathways, including full licenses, certain temporary practice rules and telehealth registration. A clinic's brand does not itself hold the individual prescriber's medical license. ⁶

That helps explain why a service list and a legal answer are different things. It does not tell us which staffing or operational issue, if any, explains a particular Male Excel exclusion.

The honest gap: Male Excel doesn't publish a reason for any individual state in the statements we checked, and we're not going to invent one. We can show you Alabama's rule because Alabama publishes it. We could not verify why Minnesota is excluded. If that matters to you, ask — it's question three in the script below.

Can I just use an address in a state Male Excel covers?

No. What matters for the visit is where you physically are during the appointment, not just the address on your account.

Male Excel's terms require you to give your actual location and not provide false information to gain access. Misrepresenting it can undermine lawful care; it is not a way around the provider's state limits. Testosterone is a controlled substance. This isn't a paperwork technicality. ¹⁸⁶¹³

There's a legitimate route instead, and it's right here.

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Your state is covered. Does that mean you'll be approved?

No: state availability is the first gate, not the last one. Male Excel still describes hormone testing, a provider consultation, and a clinical judgment that treatment is appropriate — and its own website says a treatment plan may require an in-person medical exam depending on DEA and state law. ¹²

Read Male Excel's site disclosure and you'll find this: “your testosterone treatment plan may require an in-person medical exam.” ²

That means a state inside the published coverage gets you to the access question, not to a prescription.

What Male Excel says happens next

Per the company's own description: you complete a free online assessment, order an at-home finger-prick test kit, and the sample is processed through Excel Medical Labs — which Male Excel describes as its CLIA-certified laboratory in North Carolina. (CLIA certification is a federal standard for laboratory quality.) ³³ A Male Excel provider reviews the results with you before any treatment decision. That is a provider-stated process, not a laboratory-certification or intake audit by us. ²¹⁹

Its homepage distinguishes the five-marker starter blood-spot test from a 54-marker panel available to members. It also advertises 60-day assessments and comprehensive blood testing every six months. Neither statement confirms that the starter price includes the separate early-morning repeat test needed to confirm a low result; ask about that before paying. ²²⁰

Testosterone treatment formats: injections and compounded cream

Male Excel offers testosterone cypionate injections and a testosterone cream. Its general state statement doesn't break coverage down by treatment format, so if you specifically want the cream or specifically want injections, confirm that format is available where you'll be during appointments rather than assuming. ¹²¹

The FAQ calls the cream compounded, and the homepage describes U.S.-compounded testosterone. That is not FDA approval. Ask for the exact injectable product, manufacturer or compounder, and dispensing pharmacy; the name testosterone cypionate alone does not establish which preparation you would receive. Compounded drugs are not FDA-approved. ¹²²²

Triclozene is a non-testosterone option, not TRT

There is another conflict worth resolving before choosing a product. Male Excel's FAQ and pricing page describe Triclozene as clomiphene citrate with thyroid ingredients, while its linked product page describes enclomiphene citrate with thyroid ingredients. We did not confirm which formulation would be prescribed. Ask the clinician and pharmacy for the exact active ingredients rather than treating those names as interchangeable. ¹¹⁶²³

Clomiphene's FDA-approved use is for ovulatory dysfunction in women seeking pregnancy; use in men is off-label. Enclomiphene is not FDA-approved. Neither is testosterone replacement, and an approved clomiphene tablet is not the same regulatory category as an unapproved compounded blend. ^24252622

That's what the company states — including the conflicting ingredient names. We didn't complete an intake, so we're reporting its pages, not confirming an individual treatment plan.

What a real low testosterone diagnosis involves

This part matters more than the state list, honestly.

Low testosterone isn't diagnosed from symptoms alone, from one blood test, or from an online quiz. For adult men being evaluated for hypogonadism, current clinical guidance calls for symptoms or signs that fit the condition plus consistently low testosterone, using reliable tests. The Endocrine Society recommends confirming the result with a repeat morning fasting total-testosterone blood test. One number on one day is a data point, not a diagnosis. ²⁰

Anyone who tells you a single result settles it — a clinic, a quiz, or a page like this one — is skipping a step. See how low-testosterone testing works.

Before you go further: fertility

Testosterone taken as a medication can suppress your body's own sperm production. If you're planning to have children in the next few years, raise it before you start anything, not after. ²⁰²⁷

We're not going to tell you it will or won't happen to you, or how long it might take to reverse. Nobody honest can promise you that. What we can tell you is that a urologist, a reproductive urologist, or a clinician with fertility experience is a better starting point than a general online TRT program when children are near-term in your plans. Clomiphene and similar medications are sometimes discussed here, but they are not the same thing as testosterone replacement, they are not interchangeable with it, and calling any of them "natural TRT" would be wrong. ²⁰²⁷ Read the fertility-first care guide.

When to see someone in person first

Some situations belong with a clinician who can examine you, regardless of what your state allows:

• A history of prostate or breast cancer
• A high red blood cell count (hematocrit)
• Untreated severe sleep apnea
• A recent heart attack, stroke, or other major cardiovascular event
• Symptoms suggesting a pituitary or testicular problem
• Labs that are unusual rather than just borderline ²⁰

Some of these findings can be reasons not to start testosterone, or to delay it while another problem is evaluated or treated — not merely reasons to change the appointment format. The decision belongs with a clinician who can assess the full situation, not a signup form. ²⁰

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What questions should you ask before you pay?

Five questions cover the state, visit, payment and medication details that a public coverage list cannot settle. Send them to Male Excel support before any money moves, and ask the treating clinician to answer the medical parts. A written answer tells you more than another general availability claim.

Reciprocity works both ways: this script works on any TRT clinic, not just this one. Take it wherever you go.

Copy this:

Hello — before I start, I'd like to confirm a few things in writing. I will include the state where I will physically be during appointments.

1. Can your providers currently prescribe testosterone to a patient in that state, and are appointments available for a new patient or someone continuing care?
2. Does my state or your program require an in-person medical exam before you can prescribe? If so, who arranges it, where does it happen, and is there a separate fee? What baseline tests and repeat early-morning tests are required, and which are included?
3. Has my state's status changed in the last twelve months, are any changes planned, and what explains any current limit? Does that limit apply to existing patients and refills as well as new patients?
4. At what point in signup is my state confirmed — before or after I'm charged? Please list the initial charge, ongoing membership, medication, tests, visits, supplies and shipping, with the full first-year estimate. If my state turns out not to be covered after I've paid, what is refunded and what isn't? How do I cancel, when does it take effect, and what happens to a pending refill charge?
5. Is the treatment format I'm interested in (injection / cream) available in my state, and which pharmacy dispenses it? Please identify the exact product and ingredients, whether it is FDA-approved or compounded, and whether the pharmacy can ship it to my address.

Thank you.

If you're in Washington, D.C., add this: "Your FAQ lists exclusions by state and your locations page mentions the District of Columbia. Can you prescribe to a patient located in D.C.?"

If you're already on testosterone somewhere else, add this: “I'm currently prescribed testosterone by another provider. What records, tests and visits do you need to evaluate continued care, and what should I discuss with my current clinician to avoid a gap?”

Male Excel publishes a Patient Care phone line at (833) 625-3392 and a contact form on its website. We didn't test either, so we can't tell you how fast they reply. ²⁸

Use the public form for general access questions. Ask for the patient portal or another appropriate channel before sending medical records or lab results.

→ Send your state question to Male Excel — this goes to the company's public contact page, not a signup form.

What the published billing and refill terms do — and do not — settle

Issue	What the checked source says	What to get in writing
Canceling	The hormone FAQ says no long-term contract and cancellation at any time. Terms still govern charges already due or processed.	The cancellation method, effective date and last charge.
Refill timing	The FAQ describes 60-day supplies and a renewal message 48 hours before billing and shipment processing.	Your next assessment, charge date and expected delivery; an automatic notice is not proof a refill can be prescribed.
Refunds	The FAQ says prescription-medication sales are final. General terms describe fees as nonrefundable except where stated and allow some issues to be handled case by case.	Whether a test, consultation, membership or pending order is refunded if your state cannot be served.
The advertised guarantee	Separate terms describe a refund of the first three months of membership fees, subject to completing the 90-day protocol, documented adherence and the provider's assessment. A request is due within 30 days after that period.	Whether you meet those conditions. It is not a general refund of medication, testing or shipping, and it does not establish a refund for a state-coverage rejection.
Pharmacy	The FAQ names AnazaoHealth and WellDyneRx-FL. The terms say Male Excel cannot send your prescription to a different pharmacy.	Which pharmacy will fill your exact product and whether it can dispense and ship to your location.

These are published terms, not a cancellation, support or pharmacy-license test. A billing cancellation and a clinician-guided treatment plan are separate matters. ¹¹⁸²⁹

What if you move, travel, or need a refill?

A move needs a fresh check, and an existing prescription doesn't settle future access. For each appointment, your actual location matters; pharmacy delivery to an address is a separate question. Tell your provider before you move, not after. ⁶¹⁸

Don't leave this until your next appointment or refill.

If you're moving, tell Male Excel before you go, not once you're unpacked. Ask three things: whether your new state is covered for your treatment, whether new tests or a new prescription will be needed, and how to plan continuity. Then ask for your records regardless of the answer.

If you're travelling, the question is where you'll physically be for your next appointment. If you'll be in another state on the day, ask first. Also confirm any changed delivery address separately. ⁶¹⁸

If you're moving to one of the eleven excluded states, use the same continuity steps above: get an answer in writing, get your records, and ask your treating clinician to plan the handoff before your supply runs out.

What we can't tell you is how Male Excel handles any of this in practice, because we haven't been through it. Ask, and get it in writing.

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What if Male Excel doesn't serve your state?

If you're in one of the eleven excluded states, Male Excel's current hormone statement does not support starting there. Another telehealth provider authorized in your state, a local prescriber, or a specialist may be a better care route. Fertility plans or a complex health history can make the specialist route the right first stop. ¹⁶²⁰

We'd rather lose you here than have you waste a month.

Route 1 — another online provider authorized in your state. Confirm the exact program, clinician, appointment location and dispensing pharmacy before paying. Apply the same scepticism you just applied here — “available in all 50 states” is a marketing claim until the provider and its actual care pathway support it. Our online-vs-local care guide helps compare the routes.

Route 2 — a local prescriber. Primary care, urology, or endocrinology. An in-network clinician may be a better starting point when insurance matters; ask your insurer separately about visits, tests and the prescribed product. When an in-person evaluation is needed, a local clinician may also make that step easier. Wait times and coverage vary — local is not always slower, and online is not always cash-pay.

Route 3 — a specialist first. If children are in your near-term plans, if your labs are genuinely unusual, or if you have a significant medical history, start here no matter what your state allows.

On Taurus Meds, our second provider partner: we did not find a public state-by-state TRT list on the homepage and terms checked for this page. On a page about state availability, that's not enough to name it as the replacement for an excluded state. If you're considering it, ask support and get the exact state and treatment answer in writing first. ³⁰

→ Use Find My TRT Path — answer a few questions about testing, fertility plans, budget, insurance, care setting and treatment preferences, and get the care route and questions to investigate next. It's free, educational, and non-diagnostic — it doesn't diagnose low testosterone or guarantee you a prescription. Read our privacy policy.

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Will Male Excel's state list change again?

Male Excel's published coverage can change, but we cannot predict whether or when it will. Separately, the current federal extension for qualifying controlled-substance telemedicine prescribing runs through December 31, 2026. That date concerns a prescribing pathway without a prior in-person exam, not the end of all online TRT care. ¹⁴³¹

Here's the situation as of today, from the primary sources.

The rule currently in effect is the Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications, issued jointly by the DEA and HHS and published in the Federal Register on December 31, 2025. It amends 21 CFR 1307.41 and it runs from January 1 through December 31, 2026. Under it, a DEA-registered clinician can prescribe Schedule II–V controlled substances by video without a prior in-person exam, provided the rule's conditions are met. ¹⁴ Prescriptions must be for a legitimate medical purpose, within usual professional practice, and meet other applicable federal and state requirements. A questionnaire alone is not this video-based pathway.

The DEA has proposed a Special Registrations for Telemedicine and Limited State Telemedicine Registrations framework. A proposed pathway is not permission to prescribe under its proposed terms. We did not verify a final effective replacement that settles this reader's January 2027 access. ¹⁴

What that means for January 1, 2027: don't assume the temporary pathway will continue unchanged. It also does not mean testosterone care through a lawful in-person or other applicable care pathway disappears.

And we want to be direct about something. This is not a countdown, and we're not going to dress it up as one. Anyone telling you to “lock in before the rules change” is selling. Federal and state requirements both matter, and neither is a reason to rush a medical decision.

What it is good for is a question. Ask any clinic you're considering — Male Excel included — what its plan is for January 2027, and get the answer in writing. That's a fair question and the answer tells you a lot.

The verification date on this page is September 9, 2026. Ask for a fresh access answer when your state, appointment location or prescribing rules change.

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What did we actually verify?

What we actually verified: this is a comparison of public statements checked on September 9, 2026, not a patient test. The state totals are our calculations from the provider's exclusions; they are not independent confirmation of every clinician, appointment or shipment.

Checked on Male Excel's own live pages: the hormone-treatment exclusions in its FAQ and homepage; the different ED exclusions; the Our Locations directory, including addresses under excluded states and the Nashua address filed under Nebraska; the in-person-exam disclosure; the testing descriptions; treatment formats and the conflicting Triclozene ingredients; prices, membership, refill and refund terms; the published pharmacy names; and the Patient Care phone number. The comparison also uses Excel Medical's coverage statement explicitly dated June 17, 2025. ^{12345121618232829}

Checked from primary and official sources: testosterone's Schedule III status; the DEA/HHS Fourth Temporary Extension through December 31, 2026; HHS guidance on cross-state practice; Alabama's telehealth controlled-substance requirements and assisted-video pathway; repeat-testing and fertility guidance; FDA information on compounded drugs; clomiphene labeling; and official information on enclomiphene's lack of approval. ^{61314152022242526}

Checked on third-party pages: the figures on Feel30, TRT Picks and PolicyLab; the lack of a state answer in the inspected Viking comparison; and the March 14 ACCESS Newswire release's advice to verify access during intake. Those pages are evidence of what was published there, not authority for Male Excel's current service area. ^7891011

Provider-stated, not independently verified: the at-home testing process, Excel Medical Labs' CLIA certification, promised provider access, and the 60-day assessment and six-month testing cadence. We did not verify individual appointment availability, clinician credentials, laboratory certification or pharmacy licenses. No medical-outcome claim is being validated by this state table.

What we could not confirm, and are not asserting:

• Whether Male Excel serves Washington, D.C. or any U.S. territory for the hormone treatment a particular reader needs.
• When or why Alabama and Minnesota entered the exclusion list, or whether any particular existing patient lost service.
• At which step of signup state access is confirmed, or what a rejected applicant would actually be refunded.
• Which exact injectable testosterone preparation a patient would receive, or whether Triclozene would contain clomiphene or enclomiphene.
• Whether a separate early-morning confirmatory test is required and included in the quoted starting package.
• Whether coverage differs by treatment format, clinician, pharmacy or new-versus-existing-patient status.
• The full individual first-year bill, including any extra tests, visits, medication changes, shipping or taxes.

What this research does not establish: we did not measure billing complaints or test whether a state check occurs before a charge. Do not read the absence of a complaint finding here as proof that the signup process cannot go wrong.

How this page was made: researched and written by TRT Provider Guide from provider pages, provider terms, federal rules and state board sources, following our documented method, How We Review TRT Providers. This is editorial research. It has not been reviewed by a clinician. We did not complete an intake, purchase treatment, test customer support, or audit any clinician or pharmacy license.

Corrections: if something here is out of date, tell us. We'll fix it and note what changed. Our editorial standards explain how evidence and corrections are handled.

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What else should you know about Male Excel state availability?

The current hormone-treatment statement covers 39 states by exclusion, with D.C. unresolved. The answers below separate that published coverage from your clinical evaluation, payment terms and ongoing access. ¹

What states does Male Excel cover?

Thirty-nine states fall within its hormone-treatment statement. Male Excel excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire and Rhode Island, per its own FAQ checked September 9, 2026. ¹

Is Male Excel available in all 50 states?

No. Male Excel's own hormone FAQ publishes an eleven-state exclusion list. A general nationwide description does not override it. ¹

Is Male Excel available in Washington, D.C.?

Unconfirmed for hormone treatment. Its FAQ answers in terms of states and doesn't mention D.C. Its locations page lists an address there. Ask before you pay. ¹⁵

Why isn't Male Excel available in my state?

The checked pages do not explain each exclusion. State rules, the prescriber's authority to practice and program or pharmacy limits can affect access, but we did not verify which reason applies to your state. ¹⁶¹⁸

Did Male Excel stop serving any states in 2026?

We could not confirm that timeline or how existing patients were affected. Alabama and Minnesota are in the current hormone exclusion list but not in the nine-state lists published by Feel30 and PolicyLab. That difference alone does not prove when service changed. ¹⁷⁸

Can Male Excel prescribe ED medication in states where it can't prescribe testosterone?

Its published lists show that difference in eight states: Alabama, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, New Hampshire and Rhode Island. ED care still has its own evaluation and prescription requirements; it is not a substitute for a low-testosterone evaluation. ¹³

Are there states where Male Excel offers testosterone but not ED medication?

Yes — North Dakota and South Carolina are within the hormone statement but excluded by the ED statement. That describes the provider's published programs, not a guaranteed prescription. ¹⁴

Does my online TRT doctor have to be licensed in my state?

The clinician must be licensed or otherwise legally authorized to practice where you are physically located during the visit. HHS describes several pathways; the provider's headquarters and the pharmacy's address do not settle the question. ⁶

Can I use an address in another state to get around it?

No. Male Excel's terms require accurate information and your actual location during the appointment. A different address does not establish lawful access. ¹⁸

If my state is covered, will I be approved?

Not automatically. Approval depends on testing, your health history and clinical judgment, and Male Excel's own site says an in-person exam may be required depending on DEA and state law. ¹²

Do I have to pay before I find out whether my state is covered?

Male Excel describes its hormone assessment as free to complete, and the company points state-availability questions to it. We didn't complete an intake, so we can't confirm exactly when the state question appears. If you're unsure, message support first. ²²⁸

Do I need an in-person visit to start TRT online?

Under the current federal extension, qualifying video-based prescribing without a prior in-person exam remains possible through December 31, 2026, subject to its conditions. State rules can add requirements, and Male Excel's own site says an exam may still be needed. ¹⁴¹⁵²

Will online TRT still be available in 2027?

December 31, 2026 is the end date of the current temporary federal pathway, not a blanket ban on online TRT after that date. We did not verify a final effective replacement that settles how a new patient could start without a prior in-person exam in January 2027. Ask about the provider's plan, including any in-person evaluation. ¹⁴³¹

Does Male Excel take insurance?

No. It states it does not accept insurance, and that FSA, HSA or HRA funds may be usable for reimbursement. Its terms also restrict submitting program claims to insurance. Check your benefit administrator's rules; access to an account is not a promise that every charge qualifies. ¹¹⁸

What does Male Excel cost if my state is covered?

The published starting figures are a $99 per month medical membership plus a $99 initial consultation package with an at-home test, with medication billed separately starting at $120 per month for the injection package and $132 per month for the cream package, plus shipping. The pricing page describes both medication packages as including thyroid treatment; whether that is appropriate is a separate clinical decision. These are starting package prices, not a verified testosterone-only quote. ¹²¹⁶

Published starting-price model	Injection package	Cream package
Required membership per month	$99	$99
Advertised medication package per month	$120	$132
Combined monthly starting amount, before extras	$219	$231
Initial consultation and at-home test package	$99	$99
12 billing months plus initial package, before extras	$2,727	$2,871

The calculations are $99 + 12 × ($99 + $120), and $99 + 12 × ($99 + $132). The medication page describes 60-day supplies billed every other month: six 60-day supplies cover 360 days, not a full 365-day year. Actual charge dates, prescribed amounts, extra diagnostic tests, required in-person visits, shipping and taxes can change the first-year bill; these figures are not complete personal first-year totals. ¹⁶¹⁸

Ask for a written quote that closes those gaps. The Male Excel cost guide explains the bill in more detail; use the state list on this page for this September 9 coverage check.

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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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This page is educational information, not medical advice. Testosterone is a Schedule III controlled substance in the United States and requires a valid prescription and clinician supervision. If you have chest pain, shortness of breath, signs of a blood clot, or another urgent symptom, seek urgent or emergency care rather than a telehealth visit. ¹³¹⁴³⁴

Related: Online vs. local TRT care · Male Excel cost · TRT testing · Fertility-first care · How We Review TRT Providers

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Sources checked September 9, 2026

Provider sources establish what the provider publishes, not individual medical eligibility or a license audit. Third-party comparisons are cited only where we discuss their own published claims.

1. Male Excel — hormone-treatment FAQ. Published exclusions, treatment formats, refill process, insurance, pharmacy names and starter package.
2. Male Excel — homepage. Matching hormone exclusions, assessment description, testing, membership, monitoring, compounded-treatment description and in-person-exam disclosure.
3. Male Excel — ED treatment. ED-specific exclusions and separate evaluation requirements.
4. Male Excel — ED FAQ. Second program-specific source for ED coverage.
5. Male Excel — Our Locations. Directory addresses under excluded states and D.C.; Nashua, New Hampshire listed under Nebraska.
6. HHS — Licensing across state lines. Patient location and pathways for lawful cross-state practice.
7. Feel30 — Feel30 vs Male Excel. Evidence of its nine-exclusion, 41-state claim only; not proof of current Male Excel access.
8. PolicyLab — online TRT roundup. Evidence of its nine-exclusion statement only.
9. TRT Picks — Male Excel review. Evidence of its 44-of-51 statement only.
10. Viking Alternative — Male Excel comparison. Comparison dated August 28, 2026; no state-coverage answer in the inspected article.
11. ACCESS Newswire — Male Excel TRT Review 2026. March 14, 2026 distributed release; source identified as Male Excel. Used only to document its state-confirmation advice.
12. Excel Medical — homepage coverage FAQ. Parent-company coverage statement explicitly dated June 17, 2025; not the current Male Excel hormone baseline.
13. DEA — Drug Scheduling. Testosterone is listed in Schedule III.
14. DEA/HHS — Fourth Temporary Extension. Published December 31, 2025; qualifying prescribing pathway through December 31, 2026, including its conditions and discussion of proposed special registrations.
15. Alabama Board of Medical Examiners — Telemedicine. Controlled-substance requirements and qualifying assisted-video in-person-encounter pathway under Alabama law.
16. Male Excel — HRT costs. Initial package, injection and cream packages with thyroid, 60-day medication supply and separate shipping.
17. HHS — Right to access health information. Patient access to records and limitations; page reviewed July 31, 2026.
18. Male Excel — Terms and Conditions. Actual visit location, clinical evaluation, pharmacy restrictions, insurance, billing, shipping and refund terms; visible update July 2026.
19. Male Excel — at-home hormone test. Provider-described finger-prick blood-spot starter test.
20. Endocrine Society — Testosterone Therapy for Hypogonadism guideline. Symptoms or signs plus consistently low results, repeat morning fasting testing, fertility and clinical reasons not to start treatment.
21. Male Excel — testosterone cypionate injections. Offered treatment format; not independent proof of the exact dispensed preparation.
22. FDA — Understanding the Risks of Compounded Drugs. Compounded drugs are not FDA-approved.
23. Male Excel — Triclozene product page. Page describes enclomiphene with thyroid ingredients, unlike the clomiphene wording in the FAQ and pricing page.
24. DailyMed — Clomid prescribing information. Approved indication for ovulatory dysfunction in women seeking pregnancy; not an approved male low-testosterone indication.
25. FDA — Pharmacy Compounding Advisory Committee materials. June 8, 2022; enclomiphene drug-application history, PDF page 39. Not evidence of a later approval.
26. Operation Supplement Safety — Clomiphene and Enclomiphene. Official Department of Defense program; content current January 12, 2026. Confirms off-label use of clomiphene in men and lack of FDA approval for enclomiphene.
27. AUA/ASRM — Diagnosis and Treatment of Infertility in Men, Part II. Specialty guidance on exogenous testosterone, sperm production and fertility-focused care.
28. Male Excel — Contact. Public contact form and Patient Care telephone; not tested for response time.
29. Male Excel — Excel Advantage Guarantee terms. Membership-only guarantee, adherence conditions and request deadline; not a blanket refund policy.
30. Taurus Meds — homepage and terms. Homepage and terms inspected for a public state-by-state TRT list; none identified in those checked sources. Taurus terms.
31. HHS — Telemedicine flexibilities extended through 2026. Official explanation of the extension; does not establish an individual patient’s future access.
32. DailyMed — sildenafil prescribing information and tadalafil prescribing information. Prescription status and no DEA schedule for these ED medicines.
33. CMS — Clinical Laboratory Improvement Amendments. Federal laboratory-quality standards; not a verification of an individual laboratory's certificate.
34. MedlinePlus — Testosterone Injection. Warning signs that need prompt medical attention, including chest pain and shortness of breath.