Male Excel vs Rex MD: Which Online TRT Program Fits You?
Male Excel vs Rex MD comes down to one trade. Male Excel's published starting shot plan costs about $2,727 plus shipping in year one, versus $3,099–$3,687 at Rex MD. Male Excel uses compounded testosterone; Rex MD says its TRT options are FDA-approved. Rex MD bundles medication and follow-up labs into its monthly price. Neither takes insurance.
That answer flips in three important cases: you live in one of the 11 states Male Excel doesn't serve, you want kids soon, or low testosterone hasn't been properly confirmed yet. Rex MD also does not publicly map each testosterone option to the $250 or $299 monthly price, so you may not know your exact ongoing price until a treatment is prescribed.
Affiliate disclosure: We earn a commission if you start with Male Excel through our links. We earn nothing from Rex MD. That doesn't change what we report, and below you'll see exactly when Rex MD is the better pick.
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.
This page is educational information, not medical advice. Testosterone is a Schedule III controlled substance and needs a valid prescription. If you have chest pain, trouble breathing, or a swollen, painful leg, get urgent care.
Male Excel vs Rex MD at a glance
Everything below comes from each company's own pricing, program, FAQ, safety, and terms pages. We checked them on October 12, 2026. Rex MD's terms and full FAQ were last checked on October 7, 2026.
Male Excel or Rex MD: which one should you choose?
Neither is better for everyone. Male Excel fits men who want the lower year-one starting price, frequent provider contact, and a cream or daily-shot option, and who are comfortable with a compounded-testosterone model whose published starting prices include thyroid medication. Rex MD fits men who want the FDA-approved TRT model Rex MD advertises, a conventional lab-draw option, and one monthly price that includes medicine and follow-up labs.
Here's the fast version.
Male Excel is likely your pick if:
- Price is a big deal and you want the lower total.
- You want to reach the same provider often, not once a year.
- You'd rather do a finger-prick test at home than visit a lab.
- You like the idea of a cream, or a tiny daily shot instead of a bigger twice-weekly one.
Skip Male Excel if:
- You want the FDA-approved TRT model Rex MD advertises. Confirm the exact product that would be dispensed.
- You do not want thyroid medication included unless your clinician finds it appropriate. Male Excel's pricing cards bundle it with the starting injection and cream prices, while its current homepage says thyroid medication is used when clinically appropriate.
- You live in Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, or Rhode Island.
Rex MD is likely your pick if:
- Rex MD's FDA-approved TRT positioning matters more to you than the lower published starting price.
- You prefer a conventional Labcorp or Quest blood draw; Rex MD's current product pages also mention an at-home testing option.
- You want one bill that covers medicine, labs, and shipping.
Skip Rex MD if:
- You want the lower price.
- You want regular face-to-face check-ins. Rex promises one video visit a year.
- You want to know your exact monthly price before you pay. Rex says $250 to $299 "depending which medication is prescribed," but doesn't say which drug costs what.
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 biggest difference: compounded vs FDA-approved testosterone
Male Excel's testosterone shot and cream are compounded, so those preparations are not FDA-approved and FDA does not review them for safety, effectiveness, or quality before marketing. Rex MD offers testosterone cypionate and a 1.62% gel and describes its TRT options as FDA-approved. The exact cypionate manufacturer is not named on the public page, so treat that FDA-status statement as provider-stated for the product you would actually receive.
We'll be straight with you. This is the one thing to understand before anything else.
What "compounded" means. Compounding is when a licensed pharmacist, physician, or qualifying outsourcing facility combines, mixes, or alters ingredients for a patient's needs. Compounded drugs are not FDA-approved, which means FDA does not review their safety, effectiveness, or quality before marketing. Male Excel says the same about its compounded medicines. You'll see the word "bioidentical" on Male Excel's site, but that does not make a compounded product FDA-approved.
What Rex MD offers instead. Rex MD's TRT menu is testosterone cypionate injection and a 1.62% testosterone gel. Rex MD says its TRT options are FDA-approved. Its gel safety information points to Xiromed, while its public cypionate page does not name the manufacturer. Ask which exact product and manufacturer would be dispensed before treating the program-level FDA claim as a fact about your prescription.
So here's the trade.
Male Excel's published testosterone options are compounded, not FDA-approved. If an FDA-approved testosterone product is your top priority, Rex MD is the better fit (we're not paid by Rex), but confirm the exact product that would be dispensed. Male Excel offers a small daily shot and a compounded cream, pairs them with unlimited e-visits, and costs $372 to $960 less in year one at published starting prices before Male Excel shipping.
For a lot of men paying cash, that's a trade worth making on purpose. You just deserve to make it with your eyes open.
Does that trade sound right for you? Take Male Excel's free symptom assessment → Free to start. The $99 consult and home test come next. A licensed provider decides whether to prescribe. Not available in 11 states.
Want FDA-approved testosterone instead? Go to Rex MD's Testosterone Program → Still not sure? Get your personalized action plan with Find My TRT Path →
How much does Male Excel cost vs Rex MD?
Both programs cost $99 to start. If you're treated, Male Excel's first year is about $2,727 plus shipping for the starting shot plan ($2,871 for cream). Rex MD's first year is $3,099 to $3,687, depending on the monthly program price tied to the prescribed treatment. Public pages do not support a clean apples-to-apples 90-day cash-flow comparison, so year-one cost is the more reliable comparison.
Most comparisons stop at "$99 vs $99." That number tells you almost nothing. Here's the full math, using the same formula for both.
Year-one and year-two cost
Formula: $99 start + 12 months of required fees + 12 months of medication. Published starting prices checked October 12, 2026. Year-two and two-year figures below are illustrations that assume today's starting rates and prescribed costs do not change.
The math, so you can check us:
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Male Excel shot: $99 + (12 × $99) + (12 × $120) = $2,727
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Male Excel cream: $99 + (12 × $99) + (12 × $132) = $2,871
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Rex MD: $99 + (12 × $250) = $3,099, or $99 + (12 × $299) = $3,687
Why we use year-one cost instead of a 90-day comparison
Male Excel publishes medication as a 60-day supply billed every other month. Rex MD publishes a $250–$299 monthly program price but its public Testosterone Program pages do not clearly map each medication to a price or establish a matching billing cadence. That makes a 90-day cash-outlay comparison easy to distort.
Which end of Rex's range you land on still matters. At $250 a month, Rex is $372 more in year one before Male Excel shipping. At $299, it's $960 more. Ask which monthly price applies to the treatment being considered before you enroll.
Costs that aren't on the first screen
- Male Excel shipping: "plus shipping and handling" on every price card. The amount isn't published.
- Male Excel dose changes: Male Excel says any change in dose changes your cost. A higher dose is the most likely reason your bill goes up. Each $10 a month adds $120 a year.
- Rex MD billing rhythm: Rex publishes a monthly program price, but we could not confirm a testosterone-specific charge cadence from its public pages.
- Both: no insurance billing. Male Excel says its plans are HSA/FSA eligible. Rex doesn't say. Check with your plan administrator before counting on it.
Run your own numbers
You need three numbers:
- Male Excel: $99 + ($99 × months) + (your medication price × months) + shipping.
- Rex MD: $99 + (your quoted monthly price × months).
- Subtract. If the gap is under $400 a year, the price difference probably shouldn't decide this for you. The medicine type should.
Want the line-by-line versions? See our Male Excel cost breakdown and Rex MD testosterone cost guide.
Lower year-one cost what you came for? See Male Excel's current TRT pricing →
What medicine do you actually get?
Male Excel advertises compounded testosterone cypionate as a small daily shot and compounded cream twice a day; its published starting prices bundle those options with thyroid medication. Rex MD advertises testosterone cypionate injections and a 1.62% testosterone gel. Both companies also offer non-testosterone oral options, but those are not testosterone replacement therapy.
Daily shots vs twice-weekly shots
On the schedules each company advertises, that's about 365 small shots a year at Male Excel versus about 104 at Rex MD. Male Excel says daily dosing keeps levels steadier. Some men like the routine. Others hate the idea of a needle every morning. Your provider sets your actual schedule and dose, and this page won't tell you how to dose.
Cream and gel: the transfer warning
Any testosterone you rub on your skin can rub off on women and children. Both companies publish the same core steps: apply where a T-shirt covers, wash your hands right away, keep the spot covered, and wash it before skin-to-skin contact. If you have young kids at home, factor that in. Read more about testosterone cream transfer risk.
The pills aren't TRT
Clomiphene and enclomiphene do not replace testosterone. Rex calls Clomid "testosterone support." Clomiphene citrate is FDA-approved for ovulatory dysfunction in women; using it in men is off-label. FDA has stated that there are no FDA-approved drug products containing enclomiphene citrate.
Male Excel's current pages conflict on Triclozene. Its pricing page calls the active drug clomiphene citrate, while its dedicated Triclozene page calls it enclomiphene citrate. The pricing page also shows $95 in one place and $120 in another. Because the drug identity matters, ask Male Excel to confirm the exact active ingredient and price before choosing this option.
Why is there a thyroid pill in Male Excel's price?
Male Excel's current published starting prices for testosterone injections and cream include a daily desiccated thyroid tablet, while its homepage says thyroid medication is used when clinically appropriate. Male Excel says it manages testosterone, thyroid, and estrogen together. Its safety information says the thyroid medicine is for hypothyroidism, is not an Orange Book product, and should not be used for weight loss. Rex MD's standard testosterone offer does not list thyroid medicine.
This is the detail most people miss. Male Excel's published $120 starting injection price includes testosterone plus thyroid medication. That does not prove every patient is prescribed thyroid medication, because Male Excel's current homepage says thyroid medication is used when clinically appropriate.
Male Excel's view is that thyroid function affects how you respond to testosterone. That's their protocol. But the prescription decision still belongs to the clinician, and here's what Male Excel's own safety information says about the tablet:
- It's desiccated thyroid, made from animal thyroid glands.
- It's "not an Orange Book product." That means it hasn't gone through the FDA's equivalence ratings.
- It's meant to treat hypothyroidism (an underactive thyroid).
- It should not be used for weight loss.
The FDA has said animal-derived thyroid drugs aren't FDA-approved.
One Male Excel customer on Trustpilot described being told at first to take their regular thyroid medicine and Male Excel's, 30 minutes apart. That's one person's experience, not proof of a policy. It's still a good reason to speak up if you already take thyroid medicine.
Ask these before you pay:
- Do my labs show a thyroid problem?
- Can my plan be testosterone-only?
- What's the price without the thyroid tablet?
- How will you monitor my thyroid while I take it?
We couldn't find a published testosterone-only price. If that matters to you, get the answer in writing.
How do the blood tests and follow-ups compare?
Male Excel mails a finger-prick blood-spot kit that checks five markers, then advertises reviews every 60 days and blood testing every 6 months. Rex MD's main Testosterone Program uses Labcorp or Quest and its current product pages also mention an at-home option; it requires follow-up labs at 90 days and every 6 months after. Rex gets an earlier published lab recheck after treatment starts; Male Excel publishes more frequent check-ins.
A few terms, in plain words:
- Estradiol is the main form of estrogen. Men make some too.
- DHEA-S is a hormone from the adrenal glands.
- Free T3 is an active thyroid hormone.
- PSA (prostate-specific antigen) is a blood marker doctors watch for prostate problems.
What the medical guidelines ask for
One test isn't a diagnosis. The American Urological Association (AUA) says a total testosterone below 300 ng/dL is a reasonable cutoff in support of diagnosis, but diagnosis also requires symptoms or signs and two separate early-morning total testosterone measurements. The Endocrine Society likewise recommends symptoms or signs plus unequivocally and consistently low testosterone, confirmed with a repeat morning fasting total testosterone measurement.
Neither program says on its public pages that it requires that second test before prescribing. Ask: "Will you confirm a low result with a second morning test before you prescribe?" More on why: Do you need two low testosterone tests for TRT? and the best time of day to test testosterone.
How each program describes the role of labs
This is a real difference, and it's worth knowing which process you're buying.
- Male Excel says it uses symptoms, health history, and lab data. Its current homepage says every protocol begins with advanced lab testing, but also says that when clinically appropriate its providers may prescribe based on symptoms and health history before lab results arrive.
- Rex MD says lab testing comes before the video consultation and helps its clinician decide whether prescription treatment is appropriate.
That is not the same as the diagnostic standard in AUA and Endocrine Society guidance. If your low testosterone has not been confirmed with appropriate repeat early-morning testing, ask how the clinician will establish the diagnosis before testosterone is prescribed.
Bottom line on monitoring: Rex MD gives you a clearer early safety check at 90 days. Male Excel gives you more frequent contact. Neither one is "better medicine" based on what's published. They're built differently.
How much time do you get with a provider?
Male Excel's $99 membership includes unlimited e-visits with the same provider, check-ins every 60 days, and unlimited messages with its support team. Rex MD lets you message your provider anytime and includes at least one video visit a year. If you want frequent scheduled check-ins, Male Excel publishes the more frequent cadence.
A promise isn't a measurement. We didn't time either company's replies. What we can say is what they've committed to in writing, and on paper Male Excel publishes more frequent scheduled touchpoints.
You can check any prescriber's license on your state medical board's website. Ask for your provider's full name.
Want a provider you can actually reach between refills? Start Male Excel's free assessment and book your consult →
Is Male Excel or Rex MD available in my state?
Male Excel says its medical providers prescribe hormone treatment in every state except Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island. Rex MD says its service reaches all 50 states but does not publish a testosterone-only state list. Federal telemedicine flexibilities can allow controlled-substance prescribing without a prior in-person exam through December 31, 2026 when federal and state requirements are met.
If you're in one of those 11 states, Male Excel is off the table. Rex MD is the option here worth checking, or map your other options with Find My TRT Path.
Will I need to see someone in person?
Maybe. Male Excel's footer says that under DEA and state laws, your testosterone plan "may require an in-person medical exam." Its FAQ also says care is delivered entirely online. Rex MD's testosterone pages don't mention in-person exams.
The bigger picture: testosterone is a Schedule III controlled substance. DEA and HHS have extended the federal telemedicine flexibilities through December 31, 2026. Under those flexibilities, a DEA-registered practitioner may prescribe Schedule II–V controlled substances by telemedicine without a prior in-person medical evaluation when the rule's conditions are met and the prescription also complies with federal and state law. After that date, the rules may change.
Can you cancel? Can you get a refund?
Both programs let you stop future renewals, but their refund language differs. Male Excel advertises "no contract, cancel anytime"; its prescription refund policy says sales are final, while its Excel Advantage Guarantee can refund three months of membership fees if its conditions are met. Rex MD's terms say sales are final unless otherwise indicated, while its FAQ says patients found ineligible after initial onboarding receive a full refund.
What Male Excel's guarantee really covers
The Excel Advantage Guarantee is real, but it's narrow:
- You must stay on the protocol for 90 days in a row and follow your provider's plan.
- If your symptoms don't improve, you can ask for a refund of three months of membership fees. At $99 a month, that's up to $297.
- It does not cover medication.
- You must ask within 30 days after the 90 days end, and you may need to show you followed the plan.
- Male Excel can change it for new members.
That's not nothing. Rex MD doesn't offer anything like it. Just don't read "results guaranteed" as "full refund."
One tip for either company
Cancel before the renewal cutoff, and keep the confirmation. Rex MD's current terms say automatic-renewal orders must be cancelled at least 12 hours before the renewal date to avoid shipment and charges. Male Excel's terms also include an arbitration clause and a 30-day written opt-out process at legal@excelmedical.com.
Feel better knowing you can stop anytime and have a guarantee behind the membership? Check whether Male Excel serves your state →
What if you want kids?
Testosterone therapy can suppress sperm production. If you are trying to conceive now, the AUA says exogenous testosterone should not be prescribed, and the Endocrine Society recommends against starting testosterone when fertility is planned in the near term. A urologist or reproductive urologist may be the better starting point. Clomiphene use in men is off-label, enclomiphene has no FDA-approved drug product, and neither comes with a fertility guarantee.
This one overrides price, convenience, and everything else on this page.
When you take testosterone from outside your body, your brain can tell your testicles to slow down. That includes making sperm (doctors call this spermatogenesis). The AUA says men who are trying to conceive shouldn't be prescribed testosterone. The Endocrine Society recommends against starting it in men planning a family soon.
Both programs offer non-testosterone oral options. Rex MD offers Clomid (clomiphene), while Male Excel's live pages conflict on whether Triclozene contains clomiphene or enclomiphene. Treat company fertility claims as marketing claims, not guarantees. These drugs are not testosterone replacement therapy; clomiphene is not FDA-approved for men, and FDA says there is no FDA-approved enclomiphene drug product. Nobody can promise you will keep or regain fertility.
If kids are in your plans, start with a fertility-aware specialist. Then come back to this choice. Read more: Does TRT affect fertility?
Planning a family? Use Find My TRT Path to get the questions to ask a specialist →
What the marketing says vs what the fine print says
Both programs make claims worth reading twice. Rex MD's 4.6-star rating covers all its services, not its testosterone program. Male Excel's "bioidentical" testosterone is compounded and not FDA-approved. We set each claim beside the document that tests it.
Neither company is hiding anything here. It's all on their own pages. It's just spread across footers, safety sections, and terms. We put it in one place.
None of this makes either program a bad choice. It tells you which questions to ask.
Is Male Excel legit? Is Rex MD legit?
Yes, both are operating telehealth brands connected to licensed clinical care. Male Excel is run by Male Excel Inc. dba Excel Medical, while medical care is delivered through affiliated medical groups. Rex MD is a LifeMD brand, and LifeMD remains Nasdaq-listed under LFMD. Both brands state that their clinicians are licensed where they practice. Legit doesn't mean right for you; the sections above decide that.
Male Excel is run by Male Excel Inc. (doing business as Excel Medical) in Charlotte, North Carolina. Its terms say Excel Medical itself isn't a healthcare provider. Your care comes from affiliated medical groups owned by licensed physicians. It says it has treated more than 100,000 patients. Its Trustpilot TrustScore is 4.5 out of 5, company-wide.
Rex MD belongs to LifeMD, Inc., which remains listed on Nasdaq under LFMD. Rex MD markets its testosterone care as the Rex MD Testosterone Program. Its broader customer counts and ratings cover the brand's services, not just TRT.
One warning: you may see pages selling "Male Excel TRT" capsules or supplements. That isn't Male Excel. Male Excel is a prescription program, not a pill you buy off a website.
Male Excel's site displays selected Trustpilot reviews, and Trustpilot currently shows a 4.5/5 company-wide TrustScore. We did not use testimonials or company-wide ratings as evidence of TRT safety, effectiveness, or typical results.
We couldn't find a set of public reviews just for Rex MD's testosterone program. Its star rating covers everything Rex sells.
Rex MD vs Male Excel: a quick decision guide
Choose by your top priority, not by the matching $99 start fee. Lower cost and more provider contact point to Male Excel. Rex MD's FDA-approved TRT positioning and its Labcorp/Quest lab pathway point to Rex MD. Fertility plans, an unconfirmed diagnosis, or insurance coverage can point away from both.
Neither one fits? That's a real answer, not a failure. A local primary care doctor or urologist who takes your insurance can be the cheapest route of all, especially for FDA-approved generic testosterone. Find My TRT Path helps you sort that out.
Ready to choose?
- Cost and provider access matter most? You've seen the trade. Start Male Excel's free assessment →
- FDA-approved medicine matters most? Go to Rex MD's Testosterone Program → (not an affiliate link)
Questions to ask before you pay either one
Ask these at intake, get the answers in writing, and save them. They cover the details neither company publishes clearly: your exact price, your exact medicine, and how your diagnosis gets confirmed.
For Male Excel:
- Can my plan be testosterone-only? What's the price without thyroid?
- How much is shipping on each 60-day order?
- Will you confirm a low result with a second morning test before prescribing?
- Will I need an in-person exam in my state?
For Rex MD:
- Which medicine puts me at $250 a month, and which at $299?
- Am I billed monthly or every three months?
- If I'm not eligible, will my $99 be refunded? Please confirm in writing.
- Which company makes the testosterone cypionate you dispense, and which pharmacy ships it?
For both:
- If fertility matters even a little, say so on day one.
- Ask how to get copies of your lab results.
What we actually verified
We read both programs' live pricing, program, testing, FAQ, safety, and terms pages on October 12, 2026. We also checked current AUA and Endocrine Society guidance, FDA compounding and testosterone information, FDA information on animal-derived thyroid medication and enclomiphene, DEA/HHS telemedicine rules, and DEA scheduling. We did not sign up, get treated, or test either company's support.
Last verified: October 12, 2026
Sources we checked:
- Male Excel: pricing page, TRT program page (updated September 28, 2026), FAQ (updated September 7, 2026), at-home test page, terms and conditions (July 2026), Excel Advantage Guarantee terms
- Rex MD: testosterone page, Testosterone Program and product pages, FAQ, and terms
- AUA Testosterone Deficiency Guideline; Endocrine Society testosterone therapy guideline; FDA compounding/testosterone/thyroid/enclomiphene materials; DEA/HHS telemedicine extension through December 31, 2026; DEA scheduling; Clomid prescribing information
Facts we confirmed on the companies' own pages:
- Start fees, monthly prices, what's included, and medication prices
- Published treatment formats and schedules, and Male Excel's compounding disclosure
- The thyroid medication bundled into Male Excel's published starting injection and cream prices, plus its thyroid safety language
- Test type and markers; follow-up schedules (60-day check-ins and 6-month labs at Male Excel; 90-day then 6-month labs at Rex MD)
- Male Excel's 11 excluded states
- Refund, guarantee, and arbitration terms
- Rex MD's rating footnote
Provider-stated, not independently confirmed:
- Provider credentials and "same provider" continuity
- Male Excel's HSA/FSA eligibility
- Rex MD's general "all 50 states" statement and program-level "FDA-approved" TRT statement
- Patient counts
What we couldn't confirm:
- Male Excel's shipping cost and whether a testosterone-only plan exists
- Rex MD's price for each medicine, its testosterone-specific billing cadence, its dispensing pharmacy, and its cypionate manufacturer
- Whether either company requires an in-person exam in your state
- How fast either company actually responds
Editorial conclusions: the "pick this if" calls and the decision guide are our judgment, built from the facts above.
How we compared Male Excel and Rex MD
We followed our published method, How We Review TRT Providers. It keeps four things separate: facts we verified, facts the provider states, customer-experience signals, and our own conclusions. We calculate full cost instead of repeating a teaser price. We compare clinical eligibility, testing, provider access, state availability, treatment formats, medicine and pharmacy transparency, fertility handling, monitoring, total cost, cancellation, support, and how honest the claims are. We don't give numeric scores, and being on this site isn't an endorsement.
Prices and policies change. When they do, we re-check and update the date at the top. Spot something out of date? Our corrections policy explains how to tell us.
Male Excel vs Rex MD FAQ
Is Male Excel cheaper than Rex MD?
Yes, at starting prices. Male Excel's first year is about $2,727 plus shipping for the shot plan. Rex MD's is $3,099–$3,687. Public pages do not support a clean 90-day cash-flow comparison, so compare the full first year instead.
Is Male Excel's testosterone FDA-approved?
No. Male Excel says its compounded medicines are not FDA-approved or evaluated by FDA for safety, effectiveness, or quality. The word "bioidentical" does not change that regulatory status.
Is Rex MD's testosterone FDA-approved?
Rex MD says its TRT options are FDA-approved. Its 1.62% gel safety information points to Xiromed, but its public cypionate page does not name the manufacturer. Ask which exact product and manufacturer would be dispensed.
Why does Male Excel include thyroid medicine?
Male Excel's published starting injection and cream prices include thyroid medication, while its current homepage says thyroid medication is used when clinically appropriate. Its desiccated thyroid safety information says the drug is for hypothyroidism and is not for weight loss. Ask whether thyroid medication is clinically appropriate for you and whether a testosterone-only plan is available.
Does the Male Excel $99 membership include testosterone?
No. The $99 a month covers provider access, 60-day check-ins, and blood testing every 6 months. Medication is billed separately, from $120 a month for the shot plan.
Does Rex MD's monthly price include the medicine?
Yes. Rex MD's $250–$299 a month includes your prescribed medicine, ongoing labs, at least one video visit a year, and messaging.
Do I need blood work for Male Excel or Rex MD?
Both programs require laboratory testing as part of their published process. Male Excel uses a mailed finger-prick kit. Rex MD's main Testosterone Program uses Labcorp or Quest and its current product pages also mention an at-home lab option.
Which does more follow-up bloodwork?
Rex MD rechecks labs at 90 days, then every 6 months. Male Excel advertises blood testing every 6 months and a structured check-in every 60 days.
Do Male Excel or Rex MD take insurance?
No. Male Excel says its plans are HSA/FSA eligible. Rex MD doesn't say. If your insurance covers testosterone, a local doctor and pharmacy may cost much less.
Which states does Male Excel not serve?
Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island.
Is Rex MD available in all 50 states?
Rex MD says its service reaches all 50 states, but it doesn't publish a testosterone-only state list. Confirm Testosterone Program availability during intake.
Can I cancel Male Excel or Rex MD anytime?
You can stop future charges with either one. Male Excel advertises no contract; Rex MD generally requires cancellation by phone and says renewal orders must be cancelled at least 12 hours before the renewal date to avoid shipment and charges. Past charges are generally non-refundable unless a stated exception applies.
Is "Male Excel TRT" a supplement?
No. Male Excel is a prescription telehealth program. Pages selling "Male Excel TRT" capsules aren't from Male Excel.
Can I switch from Rex MD to Male Excel, or the other way?
You can start a new intake with the other company, but the new clinician decides what testing, records, and treatment are appropriate. Ask how to transfer your medical records and lab results rather than assuming an existing prescription will carry over.
Which is better if I want kids?
Neither, at first. Testosterone can lower sperm production. See a urologist or reproductive urologist before choosing either program.
The bottom line
Male Excel vs Rex MD isn't a contest between a good company and a bad one. It's a choice between two different deals.
Male Excel gives you the lower published year-one starting price ($2,727 plus shipping), unlimited e-visits, and a cream or daily-shot option. Its published starting injection and cream prices bundle compounded testosterone with thyroid medication. Rex MD costs $372 to $960 more at published year-one prices, but it offers the FDA-approved TRT model it advertises, follow-up labs in the monthly price, and a specified 90-day lab recheck.
Pick the one whose trade you're happy to make. Then ask the questions above before you pay.
Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.
Last verified: October 2026. Male Excel and Rex MD pricing, products, testing, and policies were checked on October 12, 2026. Prices change; confirm current terms before you pay.
Educational information, not medical advice. This page has not been medically reviewed. Testosterone is a Schedule III controlled substance and requires a valid prescription from a licensed clinician. Don't start, stop, or change any treatment based on this page. For chest pain, trouble breathing, or a swollen, painful leg, get urgent care.
Sources
Accessed October 12, 2026, unless noted.
- Male Excel — Hormone Treatment Costs: membership, medication prices, billing, thyroid bundle, Triclozene prices, HSA/FSA, "Cancel Anytime."
- Male Excel — TRT Online (updated September 28, 2026): 60-day reviews, 6-month blood testing, same-provider care, symptoms-based approach, pause option, fertility FAQ.
- Male Excel — TRT FAQs (updated September 7, 2026): excluded states, results timing.
- Male Excel — At-Home Testosterone Test: blood-spot kit, five markers, compounding and in-person footer, thyroid safety information.
- Male Excel — Terms and Conditions (last updated July 2026): not a healthcare provider, medical groups, no insurance, all sales final, pharmacy rule, arbitration and opt-out.
- Male Excel — Excel Advantage Guarantee terms.
- Rex MD — Testosterone Rx: $99 start, $250–$299 price note, products and schedules, lab FAQ, insurance, rating footnote, safety information.
- Rex MD — Testosterone Program: lab timing guidance, 90-day and 6-month follow-up labs, provider follow-up, fertility information, and sermorelin compounding disclosure.
- Rex MD — FAQ and Terms (accessed October 7, 2026): cancellation, refunds, 50-state statement, arbitration.
- American Urological Association — Evaluation and Management of Testosterone Deficiency guideline.
- Endocrine Society — Testosterone Therapy in Men With Hypogonadism clinical practice guideline (2018).
- HHS and DEA — fourth temporary extension of telemedicine flexibilities for prescribing controlled medications through December 31, 2026; see also DEA's extension notice.
- U.S. Food and Drug Administration — Compounding and the FDA: Questions and Answers; Testosterone Information; FDA's actions to address unapproved thyroid medications; and FDA briefing material stating there are no FDA-approved enclomiphene citrate drug products.
- Clomiphene citrate — DailyMed prescribing information.
- DEA — Drug Scheduling: testosterone is listed as Schedule III.
- Nasdaq — LifeMD (LFMD) July 2026 Nasdaq event.
- Trustpilot — Male Excel.