Rex MD Testosterone Cost: What to Budget for Year One
Rex MD testosterone cost starts at $99 for a lab panel and a video visit. If prescribed, treatment costs $250–$299 a month. Evaluation plus 12 payments totals $3,099–$3,687 at unchanged rates, before any extra required services. Rex MD doesn't take insurance. Confirm your medication price and billing dates before paying.
That's the headline. But Rex MD's own pages leave three money questions open: which medicine costs $250 versus $299, the exact dates your card is charged, and how the refund policy applies to the $99 evaluation. We compared Rex MD's program pages, FAQ and terms to answer what can be answered — and to hand you the exact questions for the rest.
Prices from Rex MD's Testosterone Program and FAQ, checked October 7, 2026. Rex MD calls the $99 "discounted from $199." The subtotal excludes any separately quoted required services; it is not a complete individual quote.
Rex MD may fit you if you are an adult man seeking evaluation for low testosterone and want an injection or gel, a cash-pay bundle, scheduled lab work, and no insurance paperwork. Confirm the exact product and price in your quote.
Start somewhere else if you need insurance to pay or plan to have children in the next year or two. If your priority is the lowest total price or frequent live visits, compare full quotes and appointment terms first.
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 in the United States and needs a valid prescription. For chest pain or sudden shortness of breath, seek emergency care now. New pain and swelling in one leg need prompt medical attention. Blood-clot warning signs.
Disclosure: Provider links on this page are ordinary, unpaid links. TRT Provider Guide has affiliate relationships with Male Excel, Taurus Meds and Hone Health elsewhere on the site and may earn a commission from clearly marked paid links. It doesn't change what we publish. Read our affiliate disclosure.
Knowing the evaluation plus 12 payments runs about $3,100 to $3,700 before extra required services, does Rex MD still fit your budget? If so, check the numbers on Rex MD's own page before you go further.
👉 See Rex MD's current testosterone program pricing
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.
🔎 What we actually verified
We checked the published prices, terms and product information on October 7, 2026. We verified the cost calculations ourselves and checked medical claims against primary sources; the care and service promises remain provider-stated.
Checked: October 7, 2026
Public sources we checked: Rex MD's testosterone page, Testosterone Program page, FAQ, Terms and Conditions (last updated May 22, 2026), cypionate, gel and sermorelin product pages, Notice of Privacy Practices (updated March 10, 2026), and a Rex MD blog article updated April 29, 2026. We also checked DEA, FDA, HHS and CDC sources; Endocrine Society guidance; the AUA's published recommendations and AUA/ASRM fertility guidance; current drug labels; LifeMD's announcement and live XYOSTED page; Male Excel, Taurus Meds and Hone pricing information; and GoodRx and Labcorp price listings.
Provider-stated details confirmed in the published text: the $99 first visit; the $250–$299 monthly range; no insurance accepted; required labs at 3 months and every 6 months after; labs at Quest, Labcorp or an at-home kit; free two-day shipping; a signature required for testosterone deliveries; prescription medication can't be returned; phone cancellation rules; and an arbitration clause.
Rex MD says, but we couldn't independently confirm: that the first visit is normally $199; that it serves all 50 states; that all its providers are board-certified.
Not established in the public pages we checked: the price of each medicine; exact recurring charge dates; a testosterone-specific state list; the pharmacy and product for an individual prescription; whether a second baseline testosterone test or earlier monitoring is included; and any minimum number of required payments.
What we did not do: We didn't sign up, pay, take a test, or call support for this page. This is a public-source cost guide, not a hands-on review. Our method is How We Review TRT Providers.
How much does Rex MD testosterone cost per month and per year?
Rex MD lists $99 once for your first lab panel and video visit, then $250 to $299 a month if a provider prescribes treatment. Twelve monthly payments plus the $99 comes to $3,099 at the low end and $3,687 at the high end, before any extra required services. Twelve more monthly payments would add $3,000 to $3,588 if prices hold.
The "$99" number is real, but it's the door, not the house. Here's what the bill looks like depending on how long you stay.
Rex MD cost by number of monthly payments
Our math: $99 + (monthly price × number of payments). Assumes Rex MD's published prices don't change and excludes any separately quoted required services. It's a planning number, not a quote for your specific medicine or a verified calendar of charges.
Spread over those 12 payments, that's about $258 to $307 a month once you fold in the $99.
The billing question Rex MD doesn't settle
Rex MD's own pages describe the program three ways. The price note calls it a "monthly subscription." The cost FAQ says the fee covers quarterly shipments of your treatment. And the general FAQ says your billing period depends on your treatment schedule.
Quarterly shipments do not tell you when your card will be charged. Ask Rex MD for the amount and date of each charge. Rex MD's Terms say recurring fees are charged in advance.
Shipment timing and billing timing can differ. Not knowing when you'll be charged can be a problem. Ask before you pay — it's question #3 in our checklist below.
Is $3,000+ a year more than you planned for? That's worth knowing now, not after your first charge. If you're not sure online TRT is even the right starting point for you, sort that out first.
👉 Map the care route that fits your budget with Find My TRT Path
Find My TRT Path is educational and non-diagnostic. It doesn't confirm low testosterone, decide medical eligibility, or guarantee a prescription.
What does Rex MD's $250–$299 a month include?
Rex MD says its monthly fee covers your prescribed medication, quarterly shipments, ongoing lab tests, and at least one video visit with your provider each year. You can also message your provider. The $99 first visit is separate, and Rex MD doesn't publish which medicine costs what.
That bundle is the real product. You're not just buying a vial or a pump — you're buying the prescription, the follow-up blood work, the visit, and the delivery in one bill.
Included vs. not included
Source: Rex MD Testosterone Program, FAQ and product pages, checked October 7, 2026. A two-day shipping service is not a promise that your order arrives two days after intake; the FAQ says overall timing can vary.
How many lab draws you get
By our count from Rex MD's stated routine schedule, that means three planned lab draws in year one: the baseline (inside the $99), one at about month 3, and one at about month 9. After that, the routine schedule is two a year. A repeat diagnostic test or earlier medicine-specific checks could add draws; ask what your price covers.
Rex MD says those follow-up labs are required, not optional. That's a good thing. Testosterone can raise your hematocrit — the share of your blood made of red blood cells — and your PSA, a prostate blood marker. Hematocrit needs monitoring. PSA testing depends on your age, risk and the plan agreed with your clinician. The American Urological Association recommends testosterone testing every 6 to 12 months during ongoing therapy, but some medicines need earlier checks. The 1.62% gel label is one example. Ask whether those checks are included.
Which Rex MD medication are you actually paying for?
Rex MD's testosterone program lists four medicines within a $250–$299 monthly range, without a separate price for each. Testosterone cypionate and gel are TRT; Clomid and sermorelin are not testosterone. Ask which one your quote covers before paying for the ongoing program.
This matters for your money. If you came for TRT, you want to know you're paying TRT prices for TRT.
Rex MD's four options, side by side
Checked October 7, 2026 against Rex MD's program and product pages, the Clomid label, the Xiromed gel label, and FDA application 210835. Approval of a product does not establish which product Rex MD will dispense to you.
FDA-approved means the FDA reviewed that exact finished product for safety, effectiveness and quality before it was sold. Compounded means a pharmacy prepared it for a prescription without that product-level review. FDA explains the difference. Neither label tells you whether a medicine is right for you. But they aren't the same thing, and you deserve to know which one you're buying.
One claim to read carefully
Rex MD's program page says its support treatments can help "without impacting fertility." The Clomid label itself says there are no adequate, well-controlled studies showing clomiphene works for male infertility, and it notes reports of testicular tumors and breast enlargement in men using it. The label says the cause-and-effect link between clomiphene and the tumor reports is unknown.
That doesn't mean Clomid is wrong for every man. It means a fertility decision belongs with a urologist or reproductive urologist, not a support-drug checkout. More on that below.
If you want testosterone replacement, ask this before your first treatment charge: "Which medicine are you prescribing, who makes it, and what's my exact monthly price for it?"
How do Rex MD billing, cancellation and refunds really work?
Rex MD's Terms of Use say sales are final unless stated otherwise, prescription medication can't be returned or refunded, and phone cancellation is available at (866) 294-3772. Its renewal clause uses an unclear 12-hour window, so confirm the exact deadline and time zone. Rex MD's FAQ describes an ineligibility refund; get the policy for your evaluation in writing.
Rex MD's marketing pages and its Terms don't always say the same thing. We put them side by side, with other source checks where they matter.
What Rex MD's pages say vs. the terms and other source checks
How to cancel Rex MD testosterone
- Call (866) 294-3772. Rex MD lists live agents Monday through Friday, 9:30 a.m. to 6:30 p.m. Eastern.
- Call well before renewal, during support hours. Confirm the exact cancellation deadline and time zone for your account.
- Ask for a cancellation confirmation by email.
- Write down the date, time and the name of the person who helped you.
- California and New York customers, plus Vermont customers whose initial subscription is at least one year, can also cancel through the member portal or by email, per the Terms.
What you agree to when you sign up
Rex MD's Terms include mandatory arbitration through the American Arbitration Association and a class-action waiver. You can opt out of those dispute rules by sending written notice within 30 days of first using the site. If that matters to you, read the dispute-resolution section early. (We're not lawyers, and this isn't legal advice.)
How to get your medical records
Rex MD's Notice of Privacy Practices (updated March 10, 2026) says you can ask, in writing, to see or get a copy of your health information. The notice lists a HIPAA Privacy Officer at 1-800-660-3548. If you ever switch providers, request your lab results and visit notes before you cancel.
What public reviews say about billing
Rex MD's Trustpilot profile displayed 4.7 from 5,263 reviews across its services when checked October 7, 2026. A September 19 review by Scott reported a refill charge after cancellation; Rex MD replied on September 21 that it was reviewing its procedures. Other reviews praise support. These are individual customer reports, not verified account histories, a measure of how often problems happen, or a testosterone-program rating.
Why do other sites show different Rex MD prices?
You'll find Rex MD prices of $34.99, $49 and $99 around the web, but they refer to different products or offers. As of October 7, 2026, Rex MD's own program pages list $99 to start and $250–$299 a month if prescribed. Check what the price covers before comparing it.
We tracked down where each number comes from.
The lesson: check the product, the date and the current offer together. Old pages can stay online after a price changes.
Is Rex MD testosterone worth the price?
Rex MD may be worth the price if you value its published care bundle. If you already have a doctor who will test, prescribe and monitor you, some pharmacy coupon prices for generic testosterone are under $50 per listed package, before visits and labs. Rex MD says its $250–$299 monthly range includes prescribed medication, scheduled labs, an annual video visit, and delivery.
Here's the honest trade.
Rex MD does not promise unlimited live visits with a clinician. It promises at least one video visit a year, plus messaging. Male Excel says its $99 monthly membership includes unlimited e-visits with a dedicated provider, but that does not establish unlimited live video visits. If frequent face time is your priority, ask both providers about live appointments and any extra fees. See how Male Excel compares.
Rex MD lists a monthly bundle rather than a separate membership charge: the medicine, your follow-up labs at month 3 and every 6 months, the annual visit, and two-day shipping. Its testosterone options are a cypionate injection or generic gel; the safety information names a 1.62% gel marketed by Xiromed, but confirm the product you would receive. For the man who wants a normal prescription on a normal schedule without chasing a local doctor, that's the point.
What the pieces cost on their own
If a clinician manages your care separately, here's what some of the parts can cost in cash:
Medicine prices vary by pharmacy, ZIP code and the prescription. The package sizes identify the price examples; they are not recommended doses or assumed monthly supplies. A single total-testosterone test is not a full diagnostic or monitoring panel, and coupon prices are not insurance prices.
The medicine is cheap. The hard part is the clinician. If you have one, use them — our testosterone gel cost guide shows what pharmacy prices really look like. If you don't, that gap is what Rex MD is charging to fill.
Does one bill for the prescription, labs and follow-up sound like what you're after? Rex MD's first step is the $99 online questionnaire, lab visit and video call. A provider decides whether treatment is appropriate — the $99 doesn't guarantee a prescription.
👉 Review Rex MD's $99 lab and video visit
Bring the 8 questions further down to your visit.
How does Rex MD's cost compare with other online TRT options?
Rex MD's evaluation-plus-12-payment subtotal is $3,099–$3,687. Other providers publish lower partial or starting-price figures, but their fees, medication costs and billing schedules differ. Compare the same items before deciding which route costs less for you.
Twelve-payment cost models, same columns for every option
These are different cost models, not a ranking of complete bills. Rex MD: $99 + 12 × $250–$299. Male Excel: $99 + 12 × ($99 + $120 or $132). Taurus: $49 + 12 × $149, subject to the offer and any applicable fee. Hone: $45 + 12 × $135 + a $45–$80 confirmatory test, before medicine. Missing costs are not $0. Sources and differences are explained below.
Rex MD vs. LifeMD's XYOSTED program — same parent, different offer
This one surprised us. LifeMD, the company that runs Rex MD, announced in June 2026 an exclusive program for XYOSTED, a branded, FDA-approved testosterone enanthate auto-injector for weekly use under the skin. Its June 22 announcement described a July launch in 37 states at about $249 a month, covering medicine and care, with no insurance required.
But the current LifeMD XYOSTED page says the program is available and medication cost is separate. It does not establish the same all-in price as the announcement. If a weekly auto-injector appeals to you, ask whether you can access the program and get a current quote for care, labs and medicine. Confirm your state too; the announcement's launch list is not a current availability check.
Rex MD vs. Male Excel
Male Excel's injection model is $372 to $960 below Rex MD's published twelve-payment subtotal, before shipping, extra testing, prescription changes, and differences in refill billing. Male Excel says its $99 membership includes a dedicated provider and unlimited e-visits. Ask whether those visits are live video, messages, or both.
What you should know before choosing it:
- It doesn't prescribe hormones in 11 states: Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire and Rhode Island (Male Excel FAQ, checked October 7, 2026).
- Its published plans include a thyroid tablet alongside testosterone. Ask why a clinician would prescribe it for you and what monitoring it adds.
- Male Excel describes daily injections just under the skin. Confirm the prescribed format; this is a description of its program, not an injection schedule for you.
- Its topical option is a compounded cream, not an FDA-approved gel. If you specifically want a generic 1.62% gel, Rex MD fits you better.
- Shipping is extra, and medication cost may change with the prescription. Male Excel describes 60-day medication supplies billed every other month, so its advertised monthly rate is not a verified calendar of charges.
Male Excel's safety information also discusses desiccated thyroid, made from animal thyroid glands. FDA says animal-derived thyroid products are not FDA-approved. Ask which thyroid drug you would receive; the bundle alone does not answer that. The Male Excel cost guide examines the price components in more detail.
"Male Excel is more cost effective than many of the clinics around me and much more convenient." — Dan, identified by Male Excel as a verified patient, on Male Excel's pricing page. Published by Male Excel. We did not verify the experience or whether the reviewer received an incentive. It isn't a promise of any result.
Want to compare Male Excel's lower advertised starting subtotal and unlimited e-visits — and you live outside those 11 states? Male Excel's first step is a free online assessment. Confirm the full quote and type of visits; a clinician still decides whether treatment is right for you.
👉 Take Male Excel's free online assessment
Rex MD vs. Taurus Meds
Taurus Meds advertises a free testosterone test on its homepage. A separate offer lists $49 for blood work and consultation, then $149 a month if prescribed. That offer says no membership fee, but its terms describe a $17.99 fee per billing period unless otherwise stated at purchase. Get the charges for your offer in writing.
The $49 offer produces a $1,837 advertised subtotal for evaluation plus 12 monthly payments, before any applicable extra fees. Its medicine descriptions also conflict: the page describes testosterone gel as an injection. That does not establish the actual product you would receive. Confirm the medication, formulation and approval status with the clinician.
A free-test advertisement does not settle who receives it, when a charge occurs, or what the later program costs. It's a poor fit if you need a firm price before you start anything and cannot get a consistent written quote.
Want to compare Taurus Meds without guessing which offer applies?
👉 Review Taurus Meds' pricing and fee questions
Rex MD vs. Hone Health
Hone Health builds its program around lab testing and a membership, with medication priced on top. Its Plus plan lists a $45 starter test and $135 monthly membership. Its pages disagree on the confirmatory test: the Plus page lists $45 at a lab, while the TRT lab schedule lists $50; both list $80 at home. Both pages were updated September 29, 2026.
Twelve membership payments plus the starter and one confirmatory test total $1,710–$1,745 before medication. Hone lists cypionate from $28 per vial; that is not a monthly medicine price. Ask for the number of vials, refill schedule and full-year quote before comparing with Rex MD.
👉 Review Hone Health's published Plus fees
Rex MD vs. your own doctor
If you have insurance that covers testosterone and a doctor willing to manage it, ask for a quote for that route first. Your total depends on the deductible, visits, labs, medicine and any prior-approval rules. Ask your insurer what documentation it needs, and see what TRT blood tests should cover before your visit.
Who should choose Rex MD — and who should start somewhere else?
Rex MD may fit an adult man seeking low-testosterone evaluation who wants an injection or gel, a cash-pay bundle, scheduled labs, and no insurance hassle. Start elsewhere if you need insurance to pay or want to protect near-term fertility; compare full quotes and visit access if price or live appointments matter most. Those needs can point to different care routes.
See yourself in more than one row? That's normal. A quick sort beats guessing.
👉 Find the TRT route that fits my situation
What happens after you pay Rex MD's $99?
Rex MD describes an online questionnaire, lab work and a video visit before a prescription decision. The $99 covers evaluation; if prescribed, the advertised medication program adds $250–$299 a month. Rex MD says routine follow-up labs occur at 3 months and every 6 months after that.
Here's the path, with the money attached to each step.
- Online questionnaire. You answer questions about symptoms and health history.
- $99 charged. Rex MD's FAQ says you're charged once you finish the onboarding questionnaire.
- Lab work. At Quest Diagnostics, Labcorp, or an at-home kit. Rex MD advises a draw between 8 and 10 a.m., when testosterone is highest.
- Video visit. A provider reviews your results and options with you.
- Prescription — or not. A provider decides. No questionnaire guarantees a prescription.
- First treatment charge. The published rate is $250–$299 a month, depending on the medicine. Confirm the charge amount, billing interval and first renewal date.
- Shipping. Rex MD says it ships within two days. Someone must be home to sign for testosterone.
- Month 3 labs, then every 6 months. Included, per Rex MD.
- At least one video visit a year. Messaging in between.
One test usually isn't enough
The American Urological Association says low testosterone should be diagnosed only after two total testosterone tests on separate days, both drawn early in the morning, along with symptoms or signs. It uses a level below 300 ng/dL as a reasonable cut-off — but no single number is a diagnosis on its own. The Endocrine Society also calls for consistently low results, repeat morning fasting testing and evaluation of the cause.
Rex MD's $99 covers "a lab panel." Ask whether a second morning test is included if your first one comes back low. Our guide on whether you need two low testosterone tests explains why this matters.
Can Rex MD prescribe testosterone by video?
Federal rules currently permit qualifying video prescribing of testosterone; your state and clinician still matter. The DEA extended its telemedicine rules through December 31, 2026. They let DEA-registered clinicians prescribe controlled medicines like testosterone through an audio-video visit without seeing you in person first. Prescriptions still have to follow federal and state law, and a state or clinician can still require an in-person visit. We'll update this page when the rule changes.
Does Rex MD take insurance, HSA or FSA for testosterone?
Rex MD says plainly that it does not accept insurance. Its pages don't confirm how HSA or FSA payments are handled, so check with Rex MD and your plan administrator before you count on them. If your insurance covers testosterone, compare the cost through your own doctor and pharmacy.
A few practical notes:
- Ask Rex MD for an itemized receipt that separates care from medicine. Ask your HSA or FSA administrator which documents it needs.
- Some sites claim Rex MD is "100% FSA eligible." We didn't find that statement on Rex MD's own pages, so we're not repeating it as fact.
- LifeMD's June announcement described a self-pay XYOSTED launch and plans for insured access later. Ask about current coverage; the announcement does not establish today's insurance terms.
What should you ask Rex MD before you pay?
Before paying for evaluation, ask Rex MD about medicine prices, billing dates, refunds, repeat testing, pharmacies, state access and cancellation. The exact prescription comes after clinical evaluation, so confirm the medication-specific quote again before the ongoing program begins. The eight questions below separate those two decisions.
This is the most useful part of the page. Use the call to turn a price range into a written quote, then confirm any clinical decisions with the provider.
The 8 questions
- Which medicines do you offer, and which are FDA-approved products or compounded preparations?
- What does each medicine cost, and can I confirm my exact quote after the clinician makes a treatment decision?
- What is the amount and date of each charge, and is there a minimum number of payments?
- If I'm not prescribed anything, do I get my $99 back? Can you put that in writing?
- If my first test is low, is a second early-morning test included?
- Which pharmacy fills my prescription?
- Do you prescribe testosterone in my state, and will I need an in-person visit?
- Exactly when and how do I cancel before the next renewal, and can I get confirmation in writing?
Your Rex MD quote worksheet
Copy this. Fill it in on the call. Leave anything blank that they can't answer — a missing price is not $0.
Add the evaluation fee, every payment due within your chosen 12-month period, and separately required items; subtract only confirmed refunds. Use the actual billing and refill dates. Twelve advertised monthly rates may not equal all charges due in 365 days.
Got your questions ready? Rex MD's phone line answers Monday to Friday, 9:30 a.m. to 6:30 p.m. Eastern.
👉 Call Rex MD at (866) 294-3772 — or read Rex MD's current billing terms first.
What should you know about safety and fertility before paying?
Testosterone can lower sperm production, raise blood pressure, and raise your red blood cell count, so treatment needs monitoring. The FDA announced label changes in 2025 and requested further updates in June 2026; neither action makes testosterone risk-free. Talk through your own history and fertility plans with a clinician before paying for treatment.
Fertility comes first
Testosterone from outside the body can shut down your body's own sperm production — called spermatogenesis. Rex MD's own pages say the effect on fertility may be irreversible for some men. The American Urological Association says the long-term effects on sperm production should be discussed with men interested in future fertility.
We won't promise you'll become infertile, or that you won't, or that it comes back on any timeline. Nobody can. If kids are in your next couple of years, see a urologist or reproductive urologist before you sign up anywhere. Tell the clinician about future fertility plans even if children are further away; AUA/ASRM guidance covers current and future fertility. Our TRT and fertility guide goes deeper.
What the FDA changed — and what's still pending
Removing one warning didn't make testosterone risk-free. Blood pressure and hematocrit still need monitoring; discuss PSA testing based on your age, risk and treatment plan. Rex MD's displayed safety-information update date is October 15, 2024, before both announcements, although parts of its current text already mention blood-pressure risks. The date alone does not tell you which passages were updated. Use the current label for your prescription and your provider's advice.
The Xiromed gel label reviewed still contains the age-related limitation and prostate warnings. A requested label change does not establish personal eligibility or make cancer history something to ignore.
Who needs more than an online intake
If you have known or suspected prostate or breast cancer, a high hematocrit, untreated severe sleep apnea, recent heart attack or stroke, or a suspected pituitary or testicular problem, start with primary care, urology, endocrinology, or another relevant specialist, including in-person care when needed. A questionnaire can't clear those risks. The Endocrine Society's guidance explains why further assessment matters.
How we researched this Rex MD cost guide
We read Rex MD's own pages — the testosterone page, program page, FAQ, Terms of Use, product pages and privacy notice — on October 7, 2026, and recorded the advertised fees and conditions. We did the payment-count math ourselves, checked medical and regulatory claims against primary sources, and compared published prices from other programs.
We followed our method, How We Review TRT Providers. It keeps four things separate:
- Verified facts — our arithmetic and findings supported by primary medical, drug-label and regulatory sources.
- Provider-stated facts — advertised prices, included services, access and provider credentials. We confirmed the statements were published, not that every patient receives the same care.
- Customer-experience signals — attributable public reviews. These describe what people report. They don't prove a policy, how often a problem happens, or a result.
- Editorial judgment — our read on who Rex MD fits, built from the facts above.
We don't give providers scores or star ratings. We didn't sign up, pay, take a test or call Rex MD for this page, so this is a cost guide, not a hands-on review. If you spot something that's changed, tell us and we'll check it.
Who runs Rex MD? Rex MD's Terms say the site is run by LifeMD, Inc. Its privacy notice lists LifeMD-affiliated medical groups — such as LifeMD Southern Patient Medical Care, P.C. — that provide the medical care. Rex MD says it is LegitScript-certified and that its providers are U.S. state-licensed. We did not independently validate the certification or an assigned clinician's license.
Rex MD testosterone cost: common questions
Rex MD's advertised starting fee covers evaluation, while prescribed treatment adds recurring charges. These answers explain the published terms and the questions that still need a personal quote.
How much is Rex MD TRT a month?
Rex MD charges $250 to $299 a month once a provider prescribes treatment, depending on the medicine. That comes after a one-time $99 first visit for labs and a video consult. Prices checked October 7, 2026.
Is the $99 the total Rex MD testosterone cost?
No. The $99 covers your first lab panel and video visit. If you're prescribed treatment, the monthly program adds $250 to $299. Evaluation plus 12 monthly payments totals $3,099 to $3,687 at unchanged rates, before any extra required services.
What does the Rex MD testosterone program include?
Rex MD says the monthly fee covers your prescribed medicine, quarterly shipments, ongoing lab tests, at least one video visit a year, and messaging with your provider. Shipping is free, but someone must sign for testosterone deliveries.
Does Rex MD take insurance for testosterone?
No. Rex MD says it does not accept insurance. If your plan covers testosterone, a local doctor and pharmacy may cost much less.
Is Rex MD testosterone HSA or FSA eligible?
Rex MD's own pages don't say. Check with your HSA or FSA administrator and ask Rex MD for an itemized receipt before you count on it.
How do I cancel Rex MD testosterone?
Call Rex MD at (866) 294-3772 well before renewal, during its published support hours. Its Terms use an unclear 12-hour window, so confirm the exact deadline and time zone. California and New York customers, plus Vermont customers whose initial subscription is at least one year, can also cancel through the member portal or by email.
Can I get a refund from Rex MD?
Rex MD's Terms say sales are final unless stated otherwise and prescription medicine can't be returned. Its FAQ says patients found ineligible get a full refund and other requests are case by case. Get any refund promise in writing.
What testosterone does Rex MD prescribe?
For testosterone replacement, Rex MD offers testosterone cypionate injections and a generic testosterone gel 1.62%. It also offers Clomid and compounded sermorelin as "testosterone support" — neither is testosterone.
Is Rex MD's testosterone FDA-approved?
Rex MD says its TRT is FDA-approved, and its gel safety text names Xiromed, which markets an approved generic 1.62% gel. Confirm the exact finished product on your prescription. Rex MD states its sermorelin is compounded and not FDA-approved; Clomid is approved for ovulatory dysfunction in women, with use in men off-label.
Does Rex MD do blood work?
Yes. You get labs before your first visit at Quest, Labcorp or with an at-home kit. While on treatment, Rex MD requires labs at 3 months and every 6 months after, and says they're included.
Is Rex MD available in my state?
Rex MD says it serves all 50 states, but it doesn't publish a testosterone-specific state list. Check during intake. Federal telemedicine rules permit qualifying video prescribing through December 31, 2026, subject to federal and state requirements; that does not confirm Rex MD can prescribe your medication in your state.
What is Rex MD TestoRx?
TestoRx is the name Rex MD's FAQ uses for its testosterone program. LifeMD launched it in October 2024. The program page calls it the Testosterone Program — same thing.
Why have I seen a $49 Rex MD price?
A Rex MD blog post, last updated April 29, 2026, still mentions a $49 introductory offer. Rex MD's current program page lists $99 to start. Go by the current offer at checkout.
Is there a cheaper alternative to Rex MD TRT?
Male Excel and Taurus publish lower starting-price models, but shipping, testing, offer-specific fees and billing dates can change the comparison. LifeMD's current XYOSTED page says medication costs extra, despite its earlier all-in announcement. If you have insurance and a willing doctor, get a quote for visits, labs and pharmacy costs before choosing a cash-pay bundle.
Will Rex MD testosterone affect my fertility?
It can. Testosterone can lower sperm production, and Rex MD's own pages say the effect may be irreversible for some men. If you want children soon, see a urologist or reproductive urologist before starting.
What is the next step after comparing Rex MD testosterone cost?
Rex MD's testosterone program lists $99 to start and $250 to $299 a month if you're prescribed treatment — an evaluation-plus-12-payment subtotal of $3,099 to $3,687 at unchanged rates, before extra required services. Rex MD says the monthly bundle includes the prescribed medicine, scheduled labs, an annual video visit and delivery. It does not accept insurance or promise unlimited live visits; get the exact quote before deciding whether the bundle fits.
Before the ongoing program begins, get three answers in writing: which medicine and its exact price, the amount and date of every charge, and how the refund policy applies to your evaluation. Confirm the cancellation deadline too, and act well before renewal if you decide to leave.
Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.
Last verified: October 2026. Rex MD pricing, terms and product pages were checked on October 7, 2026. Prices and policies change without notice — confirm current terms at checkout.
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.
Sources
Accessed October 7, 2026.
- Rex MD — Testosterone Program: treatment list, cost FAQ, steps, lab schedule, 8–10 a.m. lab timing, price note.
- Rex MD — Testosterone page: $99 offer, $250–$299 price note, insurance, lab FAQ, aggregated rating note, safety information dated October 15, 2024.
- Rex MD — FAQ: TestoRx cost, refunds, cancellation, shipping, insurance, 50-state statement, provider credentials.
- Rex MD — Terms and Conditions (last updated May 22, 2026): automatic renewal, cancellation, 12-hour renewal clause, refunds, return policy, arbitration, LifeMD operator.
- Rex MD — Testosterone Gel and Testosterone Cypionate: shipping, signature requirement, monitoring, Xiromed safety information.
- Rex MD — Sermorelin: compounded, not-FDA-approved statement.
- Rex MD — Notice of Privacy Practices (updated March 10, 2026): records access, affiliated medical groups, privacy officer contact.
- Rex MD — 8 Best Online TRT Services (updated April 29, 2026): older $49 offer and Kyzatrex listing.
- DailyMed — Clomid (clomiphene citrate) label (updated January 31, 2025): indication and statements about use in men.
- FDA — Class-wide labeling changes for testosterone products, February 28, 2025.
- HHS — Requested updates to testosterone therapy product labels, June 18, 2026.
- DEA — Telemedicine flexibilities extended through December 31, 2026, December 31, 2025.
- American Urological Association — published recommendations for diagnosis and treatment of testosterone deficiency: AUA-issued guideline announcement, April 10, 2018.
- LifeMD — XYOSTED direct-to-patient self-pay program announcement, June 22, 2026; current LifeMD XYOSTED page: medication-cost disclosure.
- Male Excel — Hormone treatment costs, FAQ and terms: prices, medication billing, state list, visits, thyroid bundle and provider-published testimonial.
- Taurus Meds homepage, $49 offer, and terms, section 28: different starting offers, $149 monthly price and $17.99 billing-period fee clause.
- GoodRx — Testosterone cypionate and testosterone gel prices.
- Labcorp OnDemand — Total Testosterone Test: single-test sale and regular prices.
- Trustpilot — Rex MD reviews.
- DEA — Drug Scheduling: testosterone is Schedule III.
- DailyMed — Xiromed testosterone gel 1.62% and FDA application 210835: product approval, labeler, manufacturer and monitoring information.
- DailyMed — Testosterone cypionate injection: an approved product label, not confirmation of Rex MD's dispensed product.
- FDA — Understanding the risks of compounded drugs.
- Endocrine Society — Testosterone Therapy for Hypogonadism Guideline Resources: diagnosis, repeat morning fasting testing, assessment and monitoring.
- AUA/ASRM — Diagnosis and treatment of infertility in men, part II: sperm suppression, current or future fertility and off-label treatment context.
- CDC — About venous thromboembolism: urgent and emergency symptoms.
- Hone Plus membership and TRT lab schedule, updated September 29, 2026: membership, medication and confirmatory-test prices.
- FDA — Actions to address unapproved thyroid medications: animal-derived thyroid product approval status.
- LifeMD — TestoRx launch announcement, October 23, 2024.
- Medical News Today — Rex MD review, updated July 17, 2025: source of the supplement-price example only.
- FDA — XYOSTED prescribing information, revised July 2025: approved testosterone enanthate auto-injector and labeled route.