Peter MD vs Fountain TRT: Yearly Cost, Labs, and Which One Fits You (2026)

Peter MD vs Fountain TRT favors Peter MD for its lower published program price: $948 for 12 months, before labs. Fountain Pro costs $1,799 every 48 weeks, plus a separately stated $35 assessment. Fountain offers bundled monitoring and a written unused-prepayment refund policy. State access, testing, fertility needs, and refund exclusions can change the choice.

By TRT Provider Guide · Editorial research, not medically reviewed · Last verified October 2026 (provider pages, prices, and policies checked October 15, 2026)
Last updated October 15, 2026 · Last reviewed October 15, 2026

That's the short answer. But "cheaper" isn't the whole story here. When we checked, Trustpilot had removed the profile for getpetermd.com. And at Peter MD, the medication purchase is final once it arrives; a refund for unused prepaid months is not promised. Peter MD's live FAQ also says TRT requires at least six months, even though it offers monthly billing. We'll show you those limits, plus the billing quirk that makes Fountain look cheaper than it is.¹²³

Pause here if your low testosterone hasn't been properly evaluated, or you're trying to have a child soon. A long treatment prepayment should not come before the right evaluation. Jump to why.

• Peter MD may fit you if you want the lower published program price, are comfortable paying separately for clinician-ordered labs, and can confirm care in a state its coverage notice does not exclude.
• Fountain may fit you if you prefer required monitoring labs, video visits, and support bundled into the program fee, value its written policy for unused prepaid care, and can confirm care in one of its 25 listed states. The assessment and some lab services are separate.
• Neither treatment plan is your next step if your diagnosis isn't confirmed, fertility is a near-term goal, or you need insurance or Medicare to pay. In Alabama, Peter MD excludes care and Fountain's two live state lists conflict; confirm an appropriate local option rather than assuming access.⁴⁵⁶⁷

Peter MD vs Fountain TRT at a glance

Provider-stated prices and policies checked October 15, 2026. These are our calculations from published prices, not complete personal quotes. Unknown fees are left out, not counted as $0. Fountain's $35 assessment comes from its dated company response, not a checkout test.^{4891011112513142315}

Want to see the source pages yourself? See Peter MD's current TRT plans → · See Fountain's current plan prices → (direct information links)

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.

What we actually verified (October 15, 2026): We read both companies' pricing pages, lab product pages, FAQs, terms, refund policies, telehealth consent, and Trustpilot profiles. We checked medical and legal claims against the FDA, DEA, Endocrine Society, and American Urological Association, and did all the cost math ourselves. We did not buy either program, order labs, have a visit, or contact support. Full details below.

This page is educational information, not medical advice. For chest pain, sudden trouble breathing, or sudden weakness or trouble speaking, call 911. An online subscription is not emergency care.¹⁶

This comparison covers adult men being evaluated for testosterone deficiency. It does not apply the same diagnostic framework to women, adolescents, or gender-affirming care, and it is not a guide to nonmedical or athletic use.

Jump to: Which to pick · Real yearly cost · States · Labs · Diagnosis · Medication · Who treats you · Fertility · Canceling · Reviews and claims · Insurance and 2026 rules · If neither fits · Before you pay · FAQ

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Peter MD vs Fountain TRT: which one should you pick?

Peter MD has the lower published program price for readers comfortable paying for labs separately and checking prepayment terms. Fountain may fit readers who value bundled monitoring and video follow-ups, plus a written refund policy for future undelivered prepaid care. State, diagnosis, fertility plans, and the final written quote can override either pick.^49101113

Here's how we'd sort it if a friend asked us.

Editorial fit judgments based on the provider facts and guidelines cited on this page—not a finding about your medical eligibility.

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. It doesn't diagnose you, confirm low testosterone, or decide whether you'll be prescribed treatment.

Not sure which row is you? Map your care route with Find My TRT Path →

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How much does Peter MD cost vs Fountain TRT for a full year?

Peter MD's 12-month plan plus one starting and one follow-up panel totals $1,167.50, but that is not a complete first-year quote. Fountain's program rates annualize to $1,954.27, $2,168.27, or $2,594.11; adding its provider-stated $35 assessment gives comparison subtotals of $1,989.27, $2,203.27, or $2,629.11. Additional testing, state exceptions, and the actual payment calendar still matter.^49101114

Why "$79 vs $199" is the wrong comparison

The two headline prices don't measure the same thing.

Peter MD's $79 is a month, but only if you prepay 12 months ($948 up front). Peter MD says medication and membership are included. Labs are not. They're sold separately.⁴⁹¹⁰

Fountain's $199 isn't a month at all. It's charged every 4 weeks. Thirteen periods cover 364 days, not a full 365-day year. In our example with the first charge on day 0 and unchanged automatic renewals, a 14th charge lands on day 364. Fountain's lower advertised equivalents, about $150 and $167 "per 4 weeks," only come if you prepay 48 or 12 weeks.¹¹

One price leaves out labs. The other runs on a shorter clock. Put them on the same ruler before judging the gap.

Peter MD: what a year adds up to

Plan prices from Peter MD's TRT page; lab prices from its two lab product pages; 90-day follow-up from its program page. Shipping is advertised as free. The six-month row assumes a second $654 term, which the public page does not guarantee. The monthly row prices 12 months of service, not a confirmed debit schedule. Not included: diagnostic repeat testing, any missing baseline tests, further monitoring, dose-related price changes, hCG, or a separate cream quote.⁴⁸⁹¹⁰

If your clinician also wants the same $124.50 panel near the 12-month mark, that makes $1,292 on the 12-month plan, before other missing costs. Lab timing is a clinical decision, not a budget slider. A repeat test to confirm the diagnosis is separate from a follow-up test during treatment.⁷¹⁷

Watch the monthly plan's first bill. Peter MD's TRT page says the monthly plan is "billed every month." Its other testosterone page says "billed two months then monthly." That could mean $278 on day one, not $139. Ask before you check out.⁴⁸

Monthly billing does not mean a one-month commitment. Peter MD's live payment FAQ says TRT programs require at least six months. If that applies to the $139 offer, six payments total $834 before labs, not just one $139 payment. Get your minimum term in writing before relying on a quick exit.²

Its price page also contradicts itself. The monthly plan card shows a "$1068 total." Twelve months at $139 is $1,668, which is the "regular price" printed elsewhere on the same page. The monthly card also advertises "yearly savings." The $139 monthly rate cannot save money against the same $139 baseline. We used $1,668.⁴

Fountain: what a year adds up to

¹ Plan price × 365 ÷ days covered (336, 84, or 28). A comparison rate, not an invoice. ² Assumes unchanged prices, automatic renewal, and payment at the start of each period, from day 0 through day 364. All three exclude the separate $35 assessment, paid at-home upgrades, and any state lab exceptions.^11121814

Add the assessment to your entry budget. Fountain's September 26, 2026 company reply says its initial assessment costs $35 and includes labs and a video visit. At the stated plan prices, assessment plus the first program payment totals $1,834 for Pro, $534 for Standard, or $234 for Starter. They may be separate charges on different dates. Adding that one assessment to the modeled program cash above gives $3,633, $2,530, or $2,821 during the example, before exceptions or optional upgrades.¹⁴

Why is Pro's cash column so much higher? Pro covers 336 days. Your second $1,799 charge lands 29 days before your one-year mark, and it buys most of year two. That's advance payment, not a second year's worth of cost packed into year one.

Side by side, with the entry fee included

These compare a defined Peter MD lab scenario with Fountain's annualized program rate plus its stated assessment. They are not complete personal quotes, identical medicines, or identical care. Additional Peter MD testing can shrink or reverse a gap; Fountain state exceptions or upgrades can enlarge it. No guaranteed savings claim follows from this table.

That last row is the one that surprised us. Peter MD's monthly scenario still comes in under Fountain's lowest prepaid rate plus assessment. It's close, about $102, and a second $124.50 follow-up panel at Peter MD would flip it. That's a narrow enough margin to get both complete quotes before choosing a 48-week prepayment.

When your next Fountain charge actually posts

Say you start on October 15, 2026. If nothing changes, your next Fountain charge falls on:

• November 12, 2026 on Starter, then every 28 days
• January 7, 2027 on Standard
• September 16, 2027 on Pro

Fountain's terms say subscriptions renew automatically unless you cancel before the period ends, and price changes take effect at your next period, with notice. Peter MD's 12-month plan says "option to renew monthly after initial term," and its auto-bill policy says auto-renewing products keep charging until you cancel. Ask Peter MD in writing whether your plan renews automatically at the end of the 12 months.¹⁸⁴¹

Put your renewal date in your calendar the day you sign up.

Costs neither headline shows

• Fountain's evaluation charge. Fountain's September 26 company reply states $35 for the initial assessment, including labs and a video visit. It says people who decide not to proceed can ask support for a full refund. Its return policy also describes offer-specific evaluation guarantees. Confirm the assessment and refund terms for your purchase.¹³¹⁴
• Fountain's lab exceptions. Labs are included "except where prohibited by state law." Its separate live fountaintrt.com terms also say the lab may bill your insurance or bill you directly. One July 2026 reviewer reported a separate lab bill after a promotional offer; that is an individual report, not proof of the current policy. Ask whether a separate bill can arise in your state.¹²¹⁹²⁰
• Fountain at-home blood draws. Offered as a paid upgrade over a Labcorp visit. The price isn't published.¹¹
• Peter MD's hCG add-on. $301 at checkout, $412 if added later.⁸
• Peter MD's insurance lab requests. Peter MD charges a $25 processing fee per insurance-related lab request. That fee does not establish that your plan covers the test.⁹
• Peter MD dose changes and cream. Peter MD's pages show a cream option but no cream price, and don't say whether a higher dose costs more. Ask.⁸

The one honest catch we'd want to know

Peter MD doesn't put labs inside its price. For required monitoring bundled into a program fee, the Fountain section below is worth comparing. But Fountain's assessment, state exceptions, and home-draw upgrades mean it is not a promise of one number with nothing to add later. Peter MD's $95 panel names LH, FSH, and PSA, which makes part of the quote easier to check. With just the two listed panels, its annual-plan subtotal is about $822 below Fountain Pro's annualized rate plus assessment. Get the missing tests priced before treating that as your savings.^910111214

Decision point: price

• Comfortable paying for labs separately and want the lower published program price? See Peter MD's current TRT plans →
• Prefer required monitoring and visits bundled, with assessment and exceptions checked separately? See Fountain's current plan prices →

(Direct information links. A clinician decides whether treatment is right for you.)

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Which states do Peter MD and Fountain TRT serve?

Peter MD's TRT notice excludes Alabama and Idaho, leaving 48 states not excluded, but its listed lab panels also exclude New York and New Jersey. Fountain's current TRT FAQ lists 25 states, while its separate live website lists a different 20. Comparing Peter MD's exclusions with Fountain's current FAQ gives 24 states in common, 24 supported only by Peter MD's notice, Idaho only on Fountain's list, and Alabama excluded or unlisted; Washington, D.C. is not established by these notices.⁴⁹¹⁰⁵⁶

These are each company's own published lists, checked October 15, 2026. A list isn't a promise of an appointment.

* Peter MD's program notice does not exclude New York or New Jersey, but its new-patient and follow-up lab products explicitly exclude both. That is not confirmation that a clinician or an alternative lab path is available to you. ** Alabama, Connecticut, Georgia, and Tennessee appear on Fountain's separate fountaintrt.com site but not its current fountain.net FAQ. Let Fountain's intake confirm before you pay.⁴⁹¹⁰⁵⁶

The New York and New Jersey lab gap

This is an easy detail to miss. Peter MD's program notice does not exclude New York or New Jersey, but its listed lab products do. Peter MD says it may use your existing results if you've had labs in the past six months. Otherwise, ask the clinician to confirm an acceptable lab route and its cost before you prepay. Recent results still need to meet the clinician's evaluation and testing requirements.⁸⁹

Fountain lists both states and advertises monitoring labs in its fee, subject to its state-law exception. Confirm the initial assessment and any separate lab bill for your state.¹²⁵¹⁴

"Limited availability" states at Peter MD

Peter MD's lab pages say lab access is limited in Alaska, Hawaii, Montana, Nebraska, North Dakota, South Dakota, Vermont, and West Virginia, plus Minnesota for the new-patient panel. It asks people there to call 772-800-6133 first.⁹¹⁰

Moving or traveling?

State rules follow where you are during care, not just your shipping address. Fountain's consent says you may be asked to confirm your physical location at a visit. If a move or a long trip is coming, ask before buying a long plan.²¹²²

Decision point: state coverage

• In Idaho, New York, or New Jersey and want to ask about bundled monitoring? Check Fountain's published state list →
• In a state supported only by Peter MD's notice? Review Peter MD's new-patient lab panel and state notes →

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What labs does each include, and are they the right ones?

Peter MD sells a $95 new-patient panel that lists total and free testosterone, LH, FSH, and PSA, plus a $124.50 follow-up panel with PSA, a blood count, estradiol, and testosterone. Fountain says its $35 assessment includes initial labs and that required monitoring is bundled, subject to state-law exceptions, but does not publish a complete panel list on the checked pages. Neither company's public offer fully explains which repeat diagnostic tests are required and included.^9101214

A few terms, in plain words:

• Total testosterone: all the testosterone in your blood.
• Free testosterone: the small share not bound to proteins.
• LH and FSH (luteinizing hormone and follicle-stimulating hormone): signals from the pituitary gland in your brain that tell the testes to work. They help show where a problem starts.
• Hematocrit: the share of your blood made of red blood cells, measured on a CBC (complete blood count). Testosterone can raise it.
• PSA (prostate-specific antigen): a blood marker used in prostate checks.

Provider statements checked October 15, 2026.^{8910231112614}

What this means for you: Peter MD gives you named tests to check against the clinician's order. Ask whether CBC (including hematocrit) is in that order, since its two pages describe the starting panel differently. A longer list alone does not prove that a panel covers your full evaluation.

At Fountain, the published monitoring bundle does not answer every testing question. Ask for the initial and follow-up test lists, repeat-test costs, and your state's exceptions in writing before you prepay.

Peter MD also sells pricier "optimization" panels from $247 to $549. Its $95 panel is the one linked to starting treatment on the checked pages; that does not mean every patient needs only that panel.⁹²³

Decision point: labs

• Going with Peter MD? Review its new-patient lab panel before checkout →
• Going with Fountain? Ask for the full lab list for your state in writing, using our copy-and-send message.

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How is low testosterone confirmed before either one prescribes?

The American Urological Association says a diagnosis needs symptoms or signs plus two early-morning total testosterone tests on separate days, with 300 ng/dL a reasonable cutoff in support. The Endocrine Society also requires symptoms or signs and consistently low results, confirmed with a repeat morning fasting test. One number alone is never a diagnosis.⁷²⁴²⁵

This matters more than price.

The American Urological Association says:²⁵

• Total testosterone below 300 ng/dL is a reasonable cutoff to support a diagnosis.
• The diagnosis should rest on two early-morning tests on separate days.
• You also need symptoms or signs, like low sex drive or changes in erections.

The Endocrine Society says:⁷²⁴

• Diagnosis needs symptoms or signs plus consistently low, accurately measured testosterone.
• Confirm it with a repeat early-morning fasting test.
• In men with confirmed low testosterone, LH and FSH help show whether the cause is in the testes or the brain.

No single number is a diagnosis. Not 300, and not any other.

Where each company stands

Peter MD says its $95 panel "will tell the provider if you qualify for treatment." It also says that if you've had labs in the past six months, "there's no need to repeat labs." That's convenient. But one old result isn't the repeat confirmation the guidelines describe. Ask how your clinician will confirm it.⁸⁹⁷²⁵

Fountain says your provider orders and reviews labs, and treatment follows only if results support it. It doesn't publish a second-test rule either. One August 2026 reviewer reported that Fountain told him his levels were healthy and didn't sell him treatment. That's one person's report, not proof of every patient's process.⁵¹⁵

If your levels come back "normal": don't shop for a clinic that will prescribe anyway. Symptoms of low testosterone overlap with poor sleep, depression, thyroid problems, and some medications. A primary care doctor or endocrinologist can help sort that out. See our blood-test guide for the questions to ask.⁷

Already on TRT and changing providers? Bring your original diagnostic results, recent monitoring, and treatment records. A clinician should decide which new tests are needed; this is not a reason to interrupt prescribed treatment to recreate an untreated lab result.

Decision point: not sure your diagnosis is solid?

Use Find My TRT Path to see which kind of care fits first → It's free and educational. It doesn't diagnose you.

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What will they prescribe, and is it FDA-approved or compounded?

Both companies advertise testosterone cypionate injections and testosterone cream; each also offers enclomiphene, which is not testosterone and is not FDA-approved. The checked public pages do not identify the exact approved or compounded testosterone product that would be assigned to a given patient. Peter MD names two pharmacies in its terms; Fountain's terms permit pharmacy choice.^4826111827

Testosterone treatment formats

Non-testosterone drugs and add-ons

Provider statements checked October 15, 2026.⁴⁸¹¹

"Oral TRT" isn't oral testosterone

Peter MD's menu calls enclomiphene "Oral TRT." It isn't. Enclomiphene doesn't replace testosterone. It nudges your brain to signal your testes to make more. Enclomiphene is not FDA-approved as a standalone drug. Compounding it does not make it approved. Fountain sells it too, but lists it as a separate option rather than as TRT.²⁷⁸¹¹

FDA-approved oral testosterone does exist. It's a different product. See our guide to oral TRT providers.²⁸

FDA-approved vs compounded

"Compounded" doesn't mean unregulated. State pharmacy boards and the FDA have oversight roles that depend on the facility and activity. But it isn't the same as FDA-approved, and a strength like "200 mg/mL" doesn't tell you which kind you're getting.²⁹

Who fills it

• Peter MD names Absolute Pharmacy (Lutz, Florida) and Partell Pharmacy (Las Vegas, Nevada) in its terms. It also says prescriptions go "to a pharmacy of the patient's choosing." We did not establish a current license record for either pharmacy or which one would fill a given order.²⁶
• Fountain doesn't name a dispensing pharmacy on the pages we checked. Its terms and consent say you can send a prescription to any pharmacy you choose. But the medicine is bundled into the fee, and Fountain doesn't publish a lower price if you fill it elsewhere.¹⁸²¹

A pharmacy disclosure also needs context. FDA's public action index records a warning-letter closeout for Absolute Pharmacy in Lutz on July 14, 2021. It also lists a warning letter for Partell in March 2019 and a closeout on June 16, 2020. The Partell letter described past compounding deficiencies. Those dated actions and closeouts are not proof of a current violation, a defective current prescription, or which pharmacy will fill your order.³⁰³¹

Ask both: "What exact product will I get? Is it FDA-approved or compounded? Which pharmacy location fills it?"

Shots or cream?

Cream means no needles, but it can transfer testosterone to other people through skin contact. Fountain's consent warns about this, and topical testosterone safety information describes exposure risks for women and children. Injections do not pose that skin-transfer risk, but have their own risks and need clinician instruction. How to use either is your clinician's and pharmacist's job. See our treatment-format guide for the trade-offs.¹⁹³²

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Who treats you, and how fast can you reach them?

Fountain names four contracted medical groups, and its separate live consent page allows nurse practitioners and physician assistants. Its current consent describes clinical telehealth as 8 hours a day, 5 days a week, separate from the advertised 24/7 text support. Peter MD advertises "unlimited provider access," a free consultation, and licensed physicians reviewing labs, but no clinical hours or response times were established on the checked pages.^482311182119

Provider statements checked October 15, 2026.^{482326116182119}

Peter MD's contact page lists existing-patient support Monday–Friday, 9 a.m.–5 p.m., and new-patient support daily, 7 a.m.–7 p.m. The page labels both times EST. These are customer-support hours, not a promised response from your prescriber.³³

A note on Fountain's "24/7": that's the support team. Clinical care has its own hours. If you need a prescriber, not a scheduler, ask who answers and when.

Fountain's medical leader is not a promise that he will be your prescriber. Ask for your assigned clinician's name, credentials, state license, clinical appointment options, and any charge for extra visits.

What Fountain customers report (individual experiences, not typical results):

"transparent and exactly as advertised including pricing, on time refills" — Grant Pallan, Fountain TRT reviewer on Trustpilot, posted July 31, 2026; experience dated July 30, 2026

"Just rotated through NPs who barely know what they are talking about" — Max, 2-star Fountain TRT reviewer on Trustpilot, July 21, 2026

Wade Taylor's August 25, 2026 review reported a provider canceling about 40 minutes before his first visit, with the next opening about a week out. Fountain replied on September 24 that backup providers can usually help within a day or two, but said that timing is not guaranteed. These are a customer report and a company response, not tested appointment times.¹⁵

Why no Peter MD quotes? Peter MD's main Trustpilot profile was removed when we checked (more below). We don't reuse quotes a company picks for its own site.

Decision point: care style

If scheduled video follow-ups and round-the-clock text support are what you want, check whether Fountain serves your state →

What has to happen before a refill?

Neither company's checked public pages provide a complete, patient-specific refill timetable. Peter MD describes a 90-day review, while Fountain advertises two-day shipping; neither statement guarantees how long clinical approval, lab review, pharmacy preparation, or delivery will take.⁸¹¹

Ask how many days each prescription supplies, when the next lab and visit are due, who approves the refill, and whom to contact if it is held. Get that answer before your first shipment—not when it is running low.

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What if you want kids now or later?

Testosterone therapy can lower sperm production, sometimes a lot, and the Endocrine Society recommends against starting it in men planning a child in the near future. Peter MD sells hCG as a checkout add-on with wording that suggests it prevents shutdown, but no add-on guarantees protected fertility. If having a child matters soon, see a urologist or reproductive urologist before either program.⁷³⁴

When testosterone comes from outside your body, your brain turns down the signals (LH and FSH) that tell your testes to make sperm. Making sperm is called spermatogenesis. How much sperm production falls varies from man to man. Recovery after stopping isn't guaranteed, and there's no set timeline.⁷¹⁷³⁴

What each company offers

Peter MD displays this purchase-related pop-up on its public pages:

"This is the last time you'll see $301."

It offers one 10,000 IU vial of hCG for $301, or $412 if you add it later. That's a 37% markup for waiting. The pop-up says that with hCG started alongside TRT, "nothing shuts down." Peter MD's testosterone page also lists "Preserves fertility" as a feature in its format chart, and says enclomiphene preserves fertility. We found no evidence on its pages that backs a promise like that. hCG and enclomiphene may be options a clinician discusses. Neither is a guarantee.⁸³⁴

Fountain doesn't list hCG. It offers enclomiphene as a separate option. Its consent asks patients to tell their doctor if they're trying to conceive, because testosterone can reduce sperm production.¹¹¹⁹

Approval is a separate question. A specific hCG product such as Pregnyl is FDA-approved for selected cases of male hypogonadotropic hypogonadism—a hormone deficiency caused by inadequate pituitary signals. Using it simply as a fertility-protection add-on with TRT is not that labeled use. Clomiphene is approved for ovulatory dysfunction in women seeking pregnancy, but use in men is off-label; enclomiphene has no standalone FDA approval. These are not interchangeable with testosterone replacement or with a fertility evaluation.^27343536

Who should see a fertility specialist first

• You're trying to conceive now or soon.
• You've had trouble conceiving, or know you have a low sperm count.
• You've had testicular problems or surgery.

See our TRT and fertility guide for the questions to bring.

Decision point: fertility

Map the right specialist route with Find My TRT Path →

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Can you cancel, and do you get money back?

Both companies describe how to cancel future billing, but Peter MD's FAQ states a six-month TRT minimum. Its refund policy requires email at least 48 hours before an applicable renewal, makes received medication purchases final, and does not promise a refund for unused prepaid care. Fountain's current policy permits refunds for future undelivered prepaid care, excluding shipped medication and past treatment; a separate live Fountain agreement is more restrictive.^12181319

Policy wording checked October 15, 2026. A comparison of published terms, not a ruling on your legal rights.^{12637218132114}

Fountain's two refund statements. The return policy on fountain.net says future prepaid care can be refunded, but shipped medication and past treatment cannot. The separately live terms on fountaintrt.com say payments for services and medications are final, even if unused. Get the agreement for your purchase, and the refund math, in writing before you prepay $499 or $1,799.¹³¹⁹

What this means in practice: say you prepay a long plan and leave in month four. Fountain's current policy supports a refund for future undelivered prepaid care, not medication already shipped or care already delivered. At Peter MD, its policy does not promise a refund for unused prepaid care. Do not budget on getting that money back unless Peter MD confirms it in writing.

Peter MD has two cancellation instructions. Its FAQ names the Member Account page; its refund policy requires email more than 48 hours before renewal. Use the account option it describes and send the required email, then keep written confirmation. Ending renewal does not necessarily erase a current minimum commitment.¹²

How to cancel without surprises

1. Know your next charge date before you buy.
2. Cancel in writing and save the confirmation.
3. Ask what stops: the plan, the medication shipments, or both.
4. Don't stop medication on your own. Canceling is a billing step. Talk to a clinician before you stop or switch treatment.

Decision point: commitment

If a refundable prepay is your priority, review Fountain's plan terms before you choose a plan length →

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Can you trust their reviews and claims?

On October 15, 2026, Trustpilot's profile for getpetermd.com displayed a removal notice, while Peter MD's site still showed "4.9/5 Based on 20k+ Reviews." Fountain's live profile showed 4.4 from 398 reviews, below the 4.9 its site advertised, and combined reviews from more than its TRT program. Reviews can describe service; they do not establish medical safety, effectiveness, or your likely result.^381112315

The review check

Public pages checked October 15, 2026. A displayed seal is not an independent check of current certification, clinician licensure, or medication approval.^23381112315

What this does and doesn't mean. Trustpilot's removal notice does not identify the specific guideline involved, and we won't guess. A removed profile isn't proof of bad care. But it does mean you cannot verify Peter MD's star rating against that profile. Weigh that before handing over $948 up front.

Fountain's profile marks individual reviews as unprompted and includes both positive service reports and complaints about scheduling, an assessment charge after a quick cancellation, and a separate lab bill. Those examples are not a measured rate of good or bad care. Fountain's company reply identifies the $35 charge as a refundable assessment, not a cancellation penalty.¹⁵²⁰¹⁴

Claims we couldn't confirm

Peter MD:

• "Largest online healthcare clinic in North America" and "400,000+ patients served"
• "We guarantee to have the most affordable TRT in the nation," backed by a 20% price-match offer
• "Our Competitors $4,500+" average annual cost (no source given)
• "FDA-regulated care providers"—that wording does not establish a clinician's license or FDA approval of your treatment. State authorities license clinicians; FDA approval concerns specific products, not a clinic-wide approval.^48382922

Fountain:

• "#1 highest-rated online TRT service"
• Members "typically see their testosterone levels increase by 213%"
• Different member counts on different pages (1,700+, 4,800+, 5,000+, 7,000+)¹¹¹²

Where marketing and policy details need a second look

All checked October 15, 2026.^{4892115618132119}

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Will insurance, HSA/FSA funds, or 2026 telehealth rules change your choice?

Both programs are marketed as cash-pay; Peter MD advertises HSA/FSA eligibility and Fountain's separate terms describe providing a bill on request, without guaranteeing reimbursement. Testosterone is a Schedule III controlled substance requiring a valid prescription. The conditional federal telemedicine extension currently runs through December 31, 2026; state rules and the clinician's authority still apply.^381119394041

Insurance and HSA/FSA

• Peter MD says it's "FSA, HSA Eligible With All Plans." Its insurance option is limited to lab billing requests, for a $25 fee.³⁸⁹
• Fountain says "No insurance involved." Its older terms say it isn't enrolled with any insurer, including Medicare or Medicaid, and will give you a bill to submit yourself.¹¹¹⁹

An HSA is a health savings account; an FSA is a flexible spending arrangement. Whether either covers a charge depends on the expense and the applicable rules, not a company's label. If you need insurance to pay, ask an in-network primary care doctor or urologist about evaluation, covered treatment, and out-of-pocket costs. Our online vs local care comparison walks through that choice.⁴²

The telehealth deadline

Testosterone is a Schedule III controlled substance. That means federal law controls how it's prescribed, and you always need a valid prescription.³⁹

Federal law generally requires an in-person exam before prescribing controlled substances online, unless an applicable exception is met. A temporary DEA and HHS rule allows qualifying audio-video prescribing without a prior in-person visit through December 31, 2026, subject to its conditions. State requirements, prescriber authority, and your clinician's judgment still apply.⁴⁰⁴¹

Peter MD's own visit wording needs clarification. Its live FAQ says an in-person visit is required and ties that statement to May 11, 2023. That is not an accurate description of the current federal extension. A clinic can still require an in-person visit, so ask what Peter MD requires now, who provides it, and what it costs.²⁴⁰⁴¹

Why it matters for your plan: in the October 15, 2026 start-date example, Fountain's Standard plan renews on January 7, 2027, after that date. A Pro plan runs into September 2027. Peter MD's 12-month plan does too. Before you prepay into 2027, ask each company what happens to your prepaid time and ongoing care if an in-person visit becomes required. The temporary rule's end date is not proof that your care will stop.

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What safety checks apply to both providers?

The FDA's February 2025 label changes added blood-pressure warnings to testosterone products and removed boxed-warning language about increased heart-attack and stroke risk. Treatment still needs monitoring of testosterone, hematocrit, and blood pressure. The Endocrine Society recommends against starting testosterone in several situations that need a specialist first.⁷⁴³

• Blood pressure. FDA-required labeling now warns that testosterone products can raise blood pressure. Ask how yours will be checked.⁴³
• Hematocrit. Testosterone can raise red blood cell levels. The Endocrine Society guideline calls for checks before treatment, at 3–6 months, and then annually; its broader follow-up plan also calls for assessment at 12 months. Your clinician may need earlier or more frequent checks.⁷¹⁷
• Ongoing label changes. On June 18, 2026, HHS announced that FDA had requested age-related and prostate-related labeling changes. A request is not proof that every product label has already changed, and it does not remove the need for diagnosis or specialist review. Check the current label for the exact product you're prescribed.⁴⁴

The Endocrine Society guideline recommends against starting testosterone in men who plan a child soon, have breast or prostate cancer, have a prostate finding or PSA result that needs urologic evaluation, have a high hematocrit, have untreated severe sleep apnea, have severe urinary symptoms, have uncontrolled heart failure, had a heart attack or stroke in the past 6 months, or have thrombophilia—a condition that raises blood-clot risk. These are reasons for the appropriate clinician or specialist to assess you before a treatment purchase, not boxes a subscription or quiz can clear. Prostate history needs individual urologic advice, especially while product labeling is changing.⁷⁴⁴

Call 911 for chest pain, sudden shortness of breath, sudden weakness, or trouble speaking. An erection lasting more than four hours needs emergency care. An online subscription is not emergency care.¹⁶⁴⁵

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What is the bottom line on each?

Peter MD leads on published program price, not on a proven complete-care bill or clinical outcome. Fountain offers a different service bundle and a written policy for future undelivered prepaid care, but those benefits have costs and exclusions. Use the fit that survives your state check and written quote.

Peter MD is worth comparing first for its lower published program price. Its 12-month plan has the lowest advertised program rate here, its $95 starting panel names the included tests, and its program notice excludes only two states. The trade-offs are real: labs are separate, the FAQ states a six-month TRT minimum, received medication purchases are final, a refund for unused prepaid care is not promised, its Trustpilot profile was removed, and its marketing overstates what enclomiphene and hCG can guarantee. For deeper numbers, see our Peter MD cost breakdown.⁴⁹¹²³

Does that sound like your situation? See Peter MD's 12-month plan and lab options →

Fountain is worth comparing for bundled monitoring, video follow-ups, support, and its current policy for future undelivered prepaid care. In the stated annual-plan scenario, its Pro annualized rate plus assessment is about $822 above Peter MD's plan-plus-two-panels subtotal. You also get four-week-based billing, a separately stated $35 assessment, state-law lab exceptions, and 25 states on its current FAQ. See our Fountain TRT cost guide and Fountain TRT reviews.^111251314

If that fits what you're looking for, see Fountain's current plan prices →

(Direct information links, not paid referral links. A clinician decides whether treatment is appropriate.)

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What are the best options if neither one fits?

A different care route may fit when insurance, fertility, diagnostic needs, or state access rule out these offers. Start with an in-network clinician for covered care and the right specialist for fertility or complex evaluation. Male Excel is a cash-pay alternative with a different state list and testing model, not a solution to those medical or insurance disqualifiers.⁴⁶⁴⁷

Disclosure: TRT Provider Guide has commercial relationships with Male Excel and Taurus Meds and may earn a commission from qualifying referrals elsewhere on the site. The links below lead to our editorial pages. Fit comes first; the cost difference below is stated plainly.

What to know about Male Excel (checked October 15, 2026): a $99 online consultation with an at-home hormone test, a required $99-a-month membership, and testosterone injections with thyroid medication advertised from $120 a month, plus shipping. The medication page describes both a 60-day supply and billing every other month; get the actual dates and charge for each supply in writing. Its FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island. It markets compounded medications; ask for the exact prescribed product and pharmacy.⁴⁶⁴⁷⁴⁸

Male Excel's advertised-price scenario totals $2,727 before shipping and other unpriced care: $99 entry + twelve $99 memberships + six assumed $240 supplies. That is not a verified 365-day bill: six 60-day supplies cover 360 days, and a strict 60-day renewal model would include a seventh supply on day 360, bringing those modeled charges to $2,967. Neither billing interpretation should be assumed from the monthly headline alone. Its advertised membership includes unlimited e-visits, but medication is paid separately in supply blocks. Our Male Excel vs Fountain TRT comparison explores the trade-offs.⁴⁶⁴⁷

The thyroid bundle is not a reason to add thyroid treatment. Ask what separate medical need supports it and what the testosterone-only quote would be. Thyroid treatment is not automatically part of treating testosterone deficiency; a clinician must evaluate each problem.⁷⁴⁹

• Comparing Male Excel's monthly membership and separate medication charges? Read our Male Excel pricing, testing, and terms review →
• Want to see the wider field? Read our guide to the best online TRT providers.
• Still unsure which kind of care fits? Use Find My TRT Path →

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Before you pay: what should you ask both companies?

Before paying either company, get your full first charge, renewal date, exact product and pharmacy, lab plan, and refund terms in writing. Two questions do most of the work: "How will you confirm low testosterone with repeat early-morning testing?" and "What exact product will I get, and is it FDA-approved or compounded?"

Ask Peter MD

1. Is my monthly plan's first charge one month ($139) or two ($278), and does your FAQ's six-month minimum apply to this offer?
2. Does my 12-month plan renew automatically after 12 months? At what price?
3. If I cancel a prepaid plan early, what part of undelivered medication or unused care is refundable?
4. Does my new-patient panel include a CBC (hematocrit)?
5. If my state is New York or New Jersey, can you treat me and arrange an acceptable lab path? What does it cost?
6. How will you confirm low testosterone with a second early-morning test?
7. Is my testosterone an FDA-approved product or compounded? What are its exact name and formulation, and which pharmacy location fills it?
8. Does a dose change, or choosing cream, change my price?

Ask Fountain

1. Is my initial assessment $35, does it include all required starting tests, and what are the refund terms for my offer?
2. Which labs are covered in my state? Could I ever get a separate lab bill?
3. What is on your "14+ biomarkers" list, and how do you decide whether hematocrit, PSA, or other tests are needed?
4. How will you confirm low testosterone with a second early-morning test?
5. If I prepay 12 or 48 weeks and cancel, how is my refund calculated? Which agreement applies?
6. What date does my next charge post, and for how much?
7. Who is my prescriber, and what are their credentials?
8. Is my testosterone FDA-approved or compounded? Which pharmacy fills it?

A message you can copy and send

Before I pay, please send me a full written quote for my state and treatment format. Please list the evaluation or consultation fee, the plan fee, medication, labs (including any separate lab bills), follow-up visits, and shipping. Please tell me my first charge, my next charge date, and how often I'll be billed.

Please also confirm the minimum commitment for my offer. Please tell me the exact product and formulation you would prescribe, whether it is FDA-approved or compounded, and which pharmacy location fills it. Please explain how you confirm low testosterone with repeat early-morning testing before treatment, which labs you check after treatment begins, when they are due, and what must happen before each refill. If I am already being treated, please explain which diagnostic and monitoring records you need for a safe handoff.

Finally, please explain your cancellation and refund terms, including what happens to prepaid time, and how I can get a copy of my medical records. I understand a clinician decides whether treatment is right for me.

Switching from another provider?

1. Get your lab results and clinical notes before you cancel the old one.
2. Tell the new provider exactly what you take now.
3. Let a clinician plan the handoff. Don't stop or change medication on your own.

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How did we compare Peter MD and Fountain TRT?

We read both companies' public pricing, lab, FAQ, policy, consent, and review pages on October 15, 2026, and did every cost and state calculation ourselves. Medical and regulatory statements use the primary or official sources listed below, including the FDA, DEA, HHS, Endocrine Society, and AUA/ASRM guidance. We did not buy either program, order labs, have a visit, or contact support.

We follow How We Review TRT Providers. It keeps four things separate: facts we confirmed, claims the companies make, what customers report, and our own judgment. It checks complete-cost components instead of repeating a teaser price; when a required cost is unknown, we publish a labeled subtotal rather than inventing a complete bill. We don't give providers numeric scores. See our editorial standards.

What we actually verified: October 15, 2026

Provider-stated facts checked on their public sites:

• Peter MD: plan prices and billing wording on two pages, the "$1068 total" error, $95 and $124.50 lab panels and contents, optional $247–$549 panels, lab state exclusions and "limited availability" states, 90-day follow-up, six-month outside-lab policy, treatment menu, the public hCG purchase offer, named pharmacies, refund and auto-bill policy, records-policy material, terms, the payment FAQ's six-month minimum and portal-cancellation wording, its dated in-person statement, and the separate support hours.^{48910231263837233}
• Fountain: three program prices and periods, the separate $35 assessment described in its September 26 company reply, stated inclusions and the state-law lab exception, treatment options, the conflicting 25- and 20-state lists, medical groups, telehealth hours, return policy, and terms.^{1112561813211914}
• Trustpilot: Peter MD's removal notice and Fountain's displayed score, merged-profile count, the quoted reviews, and relevant company replies. We didn't verify the underlying experiences.³¹⁵²⁰
• Male Excel (for the alternatives section): published entry, membership and medication prices, billing wording, exclusions, and compounding disclosures.⁴⁶⁴⁷⁴⁸

Medical and regulatory checks: diagnosis guidance; FDA statements on compounded drugs and enclomiphene; product labeling and AUA/ASRM fertility guidance; FDA's 2025 labeling changes and HHS's June 2026 request; testosterone's Schedule III status; the DEA/HHS telehealth extension through December 31, 2026; and the dated pharmacy actions and closeouts described above.^{724252927394041434430313435}

Our calculations: known-cost subtotals, annualized program rates, first-365-day payment scenarios, example renewal dates, and the 50-state comparison with D.C. kept separate.

Not confirmed: each patient's full test list and repeat-test charges; the assessment terms that would appear in a specific checkout; the exact testosterone product and filling pharmacy; current pharmacy licenses; assigned clinician credentials, availability, and refill timing; the minimum term in a specific Peter MD agreement and its refund of unused prepaid care; and unsupported marketing claims such as patient counts and the 213% figure.

What we didn't do: buy either program, complete checkout, order labs, have a visit, test support or cancellation, or establish individual professional-license records.

How we calculated cost. Peter MD: plan-price assumptions + $95 new-patient panel + one $124.50 follow-up panel. Fountain's 365-day program rate: plan price × 365 ÷ days covered; the entry-inclusive comparison adds the provider-stated $35 assessment once. Fountain program cash: unchanged charges from day 0 through day 364, assuming automatic renewal. Unknown fees are excluded, not treated as zero. These compare stated payment structures and assumptions, not identical medicines, identical care, or guaranteed personal bills.

Spotted an error? Tell us through our corrections page. The verification date records when we checked. Prices and policies can change after that.

Before using any site tool, review our privacy policy. Do not enter personal lab values, medical records, or other identifying health information into Find My TRT Path.

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Peter MD vs Fountain TRT: what else should you know?

Peter MD's lower program price and Fountain's bundled monitoring answer different parts of the choice. These answers cover the remaining billing, testing, access, and treatment questions; none establishes medical eligibility or guarantees a prescription.

Is Peter MD cheaper than Fountain TRT?

Peter MD has the lower published program price. Its annual plan plus one $95 starting panel and one $124.50 follow-up panel totals $1,167.50, but that is not a complete first-year quote. Fountain Pro annualizes to $1,954.27 for the program, or $1,989.27 after adding its stated $35 assessment; additional testing and exceptions can change the comparison.^49101114

Is Fountain TRT $199 a month?

No. Its current Starter plan is $199 every 4 weeks. Thirteen periods cover 364 days; with the first debit on day 0 and unchanged renewals, our day-0-through-day-364 example includes a 14th debit. Lower advertised four-week equivalents require prepaying $1,799 for 48 weeks or $499 for 12 weeks.¹¹

Does Peter MD include labs?

No. Its new-patient panel is $95 and its follow-up panel is $124.50, both non-refundable. They aren't sold in Alabama, Idaho, New York, or New Jersey.⁹¹⁰

Does Fountain TRT include labs?

Fountain says its separate $35 assessment includes initial labs and a video visit. Required monitoring labs are included in the program except where prohibited by state law, and at-home blood draws are a paid upgrade. It does not publish a complete test list or resolve every possible separate lab charge on the checked pages.¹¹¹²¹⁴

Which states does Peter MD serve?

Peter MD's TRT notice excludes Alabama and Idaho, leaving 48 states not excluded; that is not confirmation of an appointment. Its listed lab products also exclude New York and New Jersey, and have limited availability in several other states. Washington, D.C. is not expressly established by those notices.⁴⁹¹⁰

Which states does Fountain TRT serve?

Its current FAQ lists 25: Arizona, California, Colorado, Florida, Idaho, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Montana, Nebraska, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, Washington, and Wisconsin. A separate live Fountain site lists a different 20, so confirm at intake.⁵⁶

Is Peter MD's "Oral TRT" testosterone?

No. It is enclomiphene, which is not testosterone replacement and has no standalone FDA approval. It acts on hormonal signals involved in the body's own testosterone production; that does not make it interchangeable with oral testosterone.⁸²⁷

Is the testosterone FDA-approved or compounded?

The checked pages do not identify the exact testosterone product a given patient would receive. Compounded preparations are not FDA-approved. Ask for the product name, formulation, manufacturer or compounding pharmacy, and filling location.²⁶¹⁸²⁹

Can I cancel Peter MD anytime?

Its FAQ states a six-month TRT minimum and describes a Member Account cancellation option. Its refund policy requires email at least 48 hours before an applicable renewal. Confirm the remaining commitment and effective cancellation date; received medication purchases are final and unused-care refunds are not promised.¹²

Can I get a refund from Fountain?

Fountain's current return policy permits refunds for future undelivered prepaid care, but not shipped medication or past treatment. A separate live Fountain agreement says payments are final, so get the terms and refund calculation for your purchase in writing. Its company reply also describes requesting a refund of the $35 assessment when you decide not to proceed.¹³¹⁹¹⁴

Does either take insurance?

Both market cash-pay programs. Peter MD advertises HSA/FSA eligibility and offers insurance-related lab requests for a processing fee; Fountain's separate terms describe providing a bill on request. Neither establishes that your insurer, HSA, or FSA will reimburse a particular charge.^938111942

Why was Peter MD's Trustpilot profile removed?

Trustpilot's notice says the business "goes against our guidelines," without identifying the specific guideline. We saw the notice on October 15, 2026. It does not establish care quality, but Peter MD's displayed 4.9/5 rating cannot be checked against that removed profile.³³⁸

Will TRT affect my fertility?

It can suppress sperm production, sometimes severely, and recovery isn't guaranteed. If you want children soon, see a urologist or reproductive urologist first. No add-on, including hCG, guarantees protected fertility or recovery on a set timeline.⁷¹⁷³⁴

Do I need an in-person visit?

Not necessarily under the conditional federal telemedicine extension through December 31, 2026. Your state, prescriber's authority, or clinical needs may still require an in-person visit. That date is not a guarantee of either uninterrupted online access or a care cutoff afterward.⁴⁰⁴¹

Is Fountain TRT the same company as FountainHRT?

They are programs under the Fountain brand: FountainTRT is marketed for men, while FountainHRT is a separate program for women. That branding does not mean the programs use the same evaluation or treatment plan.¹²

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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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Sources

Provider pages and the linked official materials were checked October 15, 2026. Older publication dates are identified where they matter; an older guideline or enforcement record is not a new event.

Footnotes

1. PeterMD — Refund and Auto-Bill Policy (modified March 19, 2026). https://getpetermd.com/refund-autobill-policy/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

2. PeterMD — How It Works: telehealth and payment FAQs, six-month TRT minimum, Member Account cancellation instruction, and dated in-person statement; checked October 15, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

3. Trustpilot — getpetermd.com (profile removal notice). https://www.trustpilot.com/review/getpetermd.com ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷

4. PeterMD — TRT plans and pricing. https://getpetermd.com/mens-trt/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹

5. Fountain — TRT FAQs (25-state list). https://fountain.net/trt-faqs ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

6. Fountain — Separate live TRT website (20-state list, monthly wording, and follow-up cadence). ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

7. Endocrine Society — Testosterone Therapy for Hypogonadism guideline resources. https://www.endocrine.org/clinical-practice-guidelines/testosterone-therapy ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴

8. PeterMD — Testosterone therapy page (monthly billing wording, $95 panel description, treatment formats, process, and public hCG purchase offer). ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹

9. PeterMD — New Patient Labs product page ($95; state restrictions; non-refundable; $25 insurance fee). https://getpetermd.com/product/initial-labs-free-and-total-testosterone/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³

10. PeterMD — Follow Up Labs product page ($124.50). https://getpetermd.com/product/follow-up-lab-work-cbc-sensitive-estradiol-free-and-total-testosterone/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵

11. Fountain — FountainTRT program and plans. https://fountain.net/trt ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷

12. Fountain — Homepage (membership inclusions, state-law lab exception, Trustpilot claim). https://fountain.net/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴

13. Fountain — Return & Refund Policy (updated April 3, 2024). https://fountain.net/return-policy ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

14. Fountain — Company response to Tang, September 26, 2026, on Trustpilot, page 2 (separate $35 assessment, initial labs and video visit, program inclusions, and assessment-refund statement). Provider-stated, not independently tested. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶

15. Trustpilot — Fountain merged profile (4.4, 398 reviews at the check; appointment and evaluation reports and company replies). ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷

16. National Library of Medicine, MedlinePlus — Testosterone Injection, urgent adverse-event symptoms. ↩ ↩²

17. Endocrine Society — Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline, 2018, including monitoring and fertility discussion. ↩ ↩² ↩³ ↩⁴

18. Fountain Vitality — Terms of Use (updated April 3, 2024). https://fountain.net/terms ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

19. Fountain — Separate live consent, privacy, and terms (NP/PA language, cash-pay and lab-billing terms, transfer warning, and refund conflict). ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³

20. Trustpilot — Fountain, page 2 (Grant Pallan, posted July 31 with July 30 experience; Max, July 21; Tang and Robert Morie reports). Individual experiences are not verified care outcomes or a representative sample. ↩ ↩² ↩³

21. Duval Medical, P.A. — Telehealth Informed Consent (updated July 24, 2024). https://fountain.net/telehealth-consent ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷

22. HHS Telehealth — Licensing across state lines. https://telehealth.hhs.gov/licensure/licensing-across-state-lines ↩ ↩²

23. PeterMD — Blood Work panels ($247 / $297 / $549). https://getpetermd.com/blood-work/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

24. Endocrine Society — Statement on Testosterone Replacement Therapy (July 16, 2026). https://www.endocrine.org/news-and-advocacy/news-room/2026/statement-on-testosterone-replacement-therapy ↩ ↩² ↩³

25. American Urological Association — Testosterone Deficiency Guideline, diagnostic statements 1–3. Full published guideline by Mulhall and colleagues, Journal of Urology 200 (2018), pages 423–432, also checked in its accessible full-text copy. ↩ ↩² ↩³ ↩⁴

26. PeterMD — Terms and Conditions, including pharmacy disclosure (modified June 10, 2026). https://getpetermd.com/terms-and-conditions/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

27. FDA — Pharmacy Compounding Advisory Committee transcript, June 8, 2022, printed pages 53–58 (enclomiphene approval status, evidence, and distinction from clomiphene). ↩ ↩² ↩³ ↩⁴ ↩⁵

28. FDA — Jatenzo (testosterone undecanoate) prescribing information, revised July 2025, page 1 (FDA-approved oral testosterone capsules; cited for product identity, not dosing advice). ↩

29. FDA — Understanding the Risks of Compounded Drugs. https://www.fda.gov/drugs/human-drug-compounding/understanding-risks-compounded-drugs ↩ ↩² ↩³ ↩⁴

30. FDA — Compounding: Inspections, Recalls, and Other Actions, entries for Absolute Pharmacy, Lutz, Florida, and Partell Specialty Pharmacy, Las Vegas, Nevada (historical actions and closeouts). ↩ ↩²

31. FDA — One Way Drug LLC dba Partell Specialty Pharmacy warning letter, website dated March 13, 2019; closeout listed June 16, 2020 in the FDA index. ↩ ↩²

32. National Library of Medicine, MedlinePlus — Testosterone Topical, secondary-exposure warning; Fountain's separate consent is the provider source for its cream warning. ↩

33. PeterMD — Contact Us, new- and existing-patient support hours, video-visit requirement, and insurance wording; checked October 15, 2026. ↩ ↩²

34. AUA/ASRM — Diagnosis and treatment of infertility in men, guideline part II, medical interventions, testosterone suppression, and non-testosterone therapies. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

35. DailyMed — Pregnyl prescribing information, Indications and Usage (selected male hypogonadotropic hypogonadism). ↩ ↩²

36. DailyMed — Clomid (clomiphene citrate) labeling, Indications and Usage; AUA/ASRM guidance supplies the male off-label distinction. ↩

37. PeterMD — HIPAA privacy page and its linked Policies, Procedures and Code of Conduct, printed pages 9 and 22 (medical-record access rights; request workflow and fee not established). ↩ ↩²

38. PeterMD — Homepage (ratings claim, patient count, HSA/FSA). https://getpetermd.com/ ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

39. DEA — Drug Scheduling. https://www.dea.gov/drug-information/drug-scheduling ↩ ↩² ↩³

40. DEA — Fourth temporary extension of telemedicine flexibilities through December 31, 2026. https://www.dea.gov/press-releases/2025/12/31/dea-extends-telemedicine-flexibilities-ensure-continued-access-care ↩ ↩² ↩³ ↩⁴ ↩⁵

41. Federal Register — Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities. https://www.federalregister.gov/documents/2025/12/31/2025-24123/fourth-temporary-extension-of-covid-19-telemedicine-flexibilities-for-prescription-of-controlled ↩ ↩² ↩³ ↩⁴ ↩⁵

42. IRS — Publication 969: Health Savings Accounts and Other Tax-Favored Health Plans, qualified medical expenses and health FSA provisions. ↩ ↩²

43. FDA — Class-wide labeling changes for testosterone products (February 28, 2025). https://www.fda.gov/drugs/drug-safety-and-availability/fda-issues-class-wide-labeling-changes-testosterone-products ↩ ↩² ↩³

44. HHS — FDA requests updates to testosterone therapy labeling (June 18, 2026). https://www.hhs.gov/press-room/fda-requests-updates-testosterone-therapy-labeling.html ↩ ↩² ↩³

45. National Library of Medicine, MedlinePlus — Tadalafil, serious adverse effects including an erection lasting longer than four hours; see also NIDDK's seek-care warning. ↩

46. Male Excel — Hormone Treatment Costs. https://maleexcel.com/treatments/hrt-costs/ ↩ ↩² ↩³ ↩⁴

47. Male Excel — TRT FAQs (excluded states). https://maleexcel.com/faq/ ↩ ↩² ↩³ ↩⁴

48. Male Excel — Current homepage, compounded-medication disclosure; its FAQ also identifies its compounded cream. ↩ ↩²

49. American Thyroid Association — Hypothyroidism, evaluation and replacement treatment of thyroid hormone deficiency. ↩