Rex MD Testosterone Reviews: Real Cost, Fine Print, and Who It Fits

Rex MD testosterone reviews come down to this: the program lists $99 for labs and a video visit, then $250–$299 a month if prescribed. Its displayed rating covers the whole company. Rex may fit cash-pay adults, but confirm the exact medicine, testing, billing, and cancellation terms before agreeing to treatment.

By TRT Provider Guide · Last verified October 2026 (sources checked October 7, 2026) Public-source profile. We read Rex MD's own pages, terms, drug labels, and clinical guidelines. We did not enroll or receive treatment. Not medically reviewed.

Last updated: October 7, 2026.

Rex MD's testosterone program (it calls it TestoRx) is a legitimate telehealth service owned by Nasdaq-listed LifeMD. Our year-one model counts the evaluation plus 12 treatment months at unchanged rates. That's $3,099–$3,687 for year one, with medication and follow-up labs included, according to Rex's published fees. But the price isn't the part that trips people up. Two lines in Rex's own terms are. They cover renewal timing and refunds. ^{[1] [4] [5] [25]}

Rex MD may fit you if…

• You want standard testosterone — an injection or a gel — not a compounded cream
• You like one monthly price that already includes your medication and repeat labs
• You're paying cash and want a big, established company running the program

Skip it (or start somewhere else) if…

• You want kids soon or are unsure about future fertility → start with a fertility check
• You want insurance to pay → see the insurance route
• The lowest yearly bill matters most → see the price comparison

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Rex MD testosterone at a glance (verified October 7, 2026)

Sources: ^{[1] [2] [4] [5] [7] [22]}

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

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

Disclosure: TRT Provider Guide may earn compensation if you use certain links and complete a qualifying action. We do not charge you for using our links. Compensation does not determine our factual findings, evidence summaries, or editorial conclusions. Rex links on this page are direct, unpaid links. Links marked “paid link” to Hone Health and Male Excel are paid affiliate links; source links are direct research links. Read our full affiliate disclosure.

What we actually verified — October 7, 2026

We read: Rex MD's testosterone page, Testosterone Program page, FAQ, cypionate page, Terms & Conditions (last updated May 22, 2026), and its April 2026 blog; LifeMD's 2025 SEC filing; the FDA-approved label for the testosterone gel Rex references; the American Urological Association's (AUA) official guideline summary and current guideline listing; the Endocrine Society's July 2026 statement; FDA/HHS's June 2026 labeling notice; and federal telemedicine rules.

Confirmed in Rex's public documents: the $99 entry fee, the $250–$299 monthly range, what the fee includes, the lab schedule, the four medicines, cancellation and refund terms, the arbitration clause, and the rating footnote.

Provider-stated, not independently checked: prescriber credentials, shipping speed, and delivery of the advertised services.

Not settled by public documents: the exact billing schedule and minimum commitment, each medicine's price within $250–$299, whether the $99 is refunded after completed labs and a visit without a prescription, how many testosterone tests Rex requires before prescribing, the exact product and pharmacy, and TRT availability in every state.

This page is educational information, not medical advice. It can't tell you whether TRT is right for you. Call 911 for chest pain or sudden trouble breathing. Seek immediate medical assessment for a swollen, painful leg. ^{[1] [2] [4] [5] [7] [8] [11] [13] [14] [15] [49] [42] [43]}

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What do Rex MD testosterone reviews actually cover?

Rex MD's displayed star rating covers all of its services, not its testosterone program. Rex says so itself in a footnote on its testosterone page. Companywide feedback can raise useful questions about shipping and billing, but it does not establish a TRT experience when the treatment is not identified. ^[1]

Here's the footnote, word for word: the rating is "Aggregated ratings for all RexMD services, not specific to the Testosterone Program." That matters. Rex has sold erectile dysfunction (ED) medicine since 2019. It added testosterone in October 2024. The large review count is companywide, so it cannot be treated as a TRT-only sample. ^{[1] [26] [25]}

We looked for testosterone-specific reviews we could verify and quote. We didn't find enough to report a pattern. We're not going to pretend otherwise or borrow ED reviews to fill the gap.

What the general reviews are good for: spotting service patterns. In the general Rex reviews we inspected, some customers complained about auto-billing — getting charged for a refill they meant to stop. That's a customer-experience signal, not proof of anything about testosterone care. But it's exactly why we spent so much time on Rex's cancellation terms below. ^[27]

One more thing we noticed. Rex's testosterone page says over 475,000 men have chosen Rex MD. LifeMD's 2025 quarterly filing with the SEC says Rex has served "more than 638,000 customers and patients." Both are companywide figures; neither gives a count of testosterone-program patients. “Over 475K” does not contradict a higher count, so those figures alone do not prove the page is out of date. ^{[1] [7]}

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Is Rex MD testosterone legit?

Yes. Rex MD is a real, traceable telehealth brand owned by LifeMD, Inc., a public company. Care is delivered through LifeMD's affiliated medical group, and Rex says its testosterone program requires labs and a live video visit before any prescription. ^{[5] [7] [2]}

"Legit" means the program is real — not that it's the right choice for you.

Here's what's on the record:

• Owner: LifeMD, Inc. Rex MD's Terms call the site "an Internet property of LifeMD, Inc." ^[5]
• Who provides care: Rex's Terms say payments for medical services go to "LifeMD's affiliated medical group through its lead medical professional corporation, LifeMD Southern Patient Medical Care, P.C." Rex itself doesn't prescribe — its licensed affiliated providers do. ^[5]
• Who you'll see: Rex says the $99 step includes a video visit "with a provider or nurse practitioner." So don't assume you'll see a physician. If that matters to you, ask before you pay. ^[2]
• Credentials: Rex says its providers are U.S.-based, state-licensed, and board-certified. That's Rex's statement. You can check any prescriber yourself on your state medical or nursing board's license lookup. ^[21]
• Seal: Rex says it is LegitScript-certified. We could not independently confirm its current status in LegitScript's directory. ^[21]

Can Rex MD legally prescribe testosterone online?

Testosterone is a Schedule III controlled substance. That means it has legal medical uses but strict prescription rules because it can be misused. Federal law generally requires an in-person medical evaluation before prescribing a controlled substance online, unless an applicable exception is met. ^{[12] [13]}

The DEA has a temporary exception. It lets DEA-registered clinicians who meet the applicable requirements prescribe Schedule II–V medicines through a real-time audio-video visit without a prior in-person exam — through December 31, 2026. That rule has now been extended four times. State rules still apply on top of it, including whether the clinician may treat you in the state where you are located. We'll update this page when the rule changes. Don't assume online access past 2026 is locked in. ^{[13] [47]}

Rex says testosterone shipments need a signature at delivery. Plan to be home. ^[3]

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How much does Rex MD testosterone cost?

Rex MD charges $99 for the first lab panel and video visit, then $250–$299 a month if you're prescribed. The evaluation plus twelve treatment months brings the published-fee model to $3,099–$3,687. Rex says the monthly fee includes your medication and follow-up labs. ^{[1] [4]}

Here's the math, using only Rex's own published numbers:

Sources: ^{[1] [4]}

What that monthly fee covers, per Rex: your prescribed medicine, quarterly shipments, ongoing lab tests, messaging with your provider, and at least one video visit a year. Rex also advertises free medication shipping. ^{[1] [4]}

The model assumes unchanged prices and no charges outside that published bundle. It is not a final quote for a particular prescription. Any additional baseline test, extra service, supplies, or applicable tax that Rex does not price publicly stays outside the calculation; an unknown fee is not $0.

What Rex doesn't say publicly:

• Which medicine costs what. Rex only says the price depends on "which medication is prescribed."
• How often your card gets charged. Rex calls it a "monthly subscription" in one place and says it covers "quarterly shipments" in another. Shipments every three months don't prove billing every three months. Ask the amount and date of the next charge, and how many months it covers. ^{[1] [4] [5]}
• Whether a dose change changes your price. Rex ties price to the medicine, not the dose. Confirm it.
• Minimum commitment and extra charges. We found no TRT-specific minimum term, early-cancellation fee, or full list of charges for extra baseline testing, supplies, or visits beyond the included care. Ask what applies to your plan.

Rex's general billing FAQ says a prescription-plan charge occurs after the initial onboarding questionnaire and promises a full refund if the provider finds you ineligible. We did not complete checkout; confirm whether that promise covers the $99 after both the labs and visit are completed. ^{[4] [5]}

Does Rex MD take insurance?

No. Rex says plainly: "Rex MD does not accept insurance." If your insurance covers testosterone, a primary care doctor or urologist may get you an FDA-approved product for a copay instead. You'll need to meet your plan's coverage rules as well as the clinical requirements for diagnosis. Our guide to online vs. local TRT care walks through that choice. ^{[4] [40]}

Saw a $49 price somewhere?

You may have. Rex's own blog post on online TRT (updated April 29, 2026) describes a "$49" introductory offer. Rex's actual testosterone program pages, checked the same week we wrote this, all say $99. Go by the program page, not the blog. ^{[6] [1] [2]}

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Which testosterone treatments does Rex MD prescribe?

Rex MD offers two true testosterone treatments: testosterone cypionate injections and testosterone gel 1.62%. It also offers two "testosterone support" medicines that are not testosterone replacement: Clomid, which is used off-label in men, and sermorelin, which Rex says is compounded. These four are not interchangeable. ^{[2] [22] [23] [24]}

First, two plain definitions:

• FDA-approved means the exact finished product passed FDA review for safety, effectiveness, and manufacturing quality. ^[20]
• Compounded means a pharmacist or other authorized clinician combines, mixes, or changes ingredients to make a medication for a patient. Compounded drugs are not FDA-approved. ^[10]

Testosterone replacement options

Sources: ^{[1] [3] [8] [20] [22] [50] [51]}

Non-testosterone options on Rex's menu

Sources: ^{[9] [10] [23] [24]}

What this means for you: if you want standard, FDA-approved testosterone, Rex advertises that route and names an approved generic gel in its safety information. That's a real point in Rex's favor, but confirm the exact manufacturer and product you would receive. ^{[1] [20] [22]}

Where Rex's marketing goes too far: Rex's testosterone page says most men on Clomid get a boost "without shutting down their body's own testosterone production, testes shrinkage, or infertility issues." Its program page says support treatments work "without impacting fertility." The blanket “without impacting fertility” wording is not a fertility guarantee. The FDA hasn't approved clomiphene for men. If fertility matters to you, treat those lines as sales copy and talk to a urologist or reproductive urologist about an evaluation and treatment plan. ^{[1] [2] [9] [41]}

One open question: that same April 2026 Rex blog lists Kyzatrex, an oral testosterone, on Rex's menu. Rex's current program pages don't list it. If you want an oral option, ask Rex directly. ^{[6] [2]}

You want to explore Rex's advertised FDA-approved testosterone options and one price with your labs built in? See Rex MD's current testosterone program and pricing — the next step there is Rex's online health questionnaire and the $99 lab-and-visit step.

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How does Rex MD's testosterone program work?

You fill out an online health questionnaire, pay $99, and complete lab testing. Then you have a video visit with a provider who reviews your results. Rex says prescribed medication ships within two days, with a signature required for TRT. ^{[2] [3] [4]}

After that, Rex says you do labs at 90 days and then every six months. ^[2]

1. Questionnaire. Your symptoms and health history.
2. Labs. At Labcorp, Quest, or with a home kit. Rex advises testing between 8 and 10 a.m. Ask your clinician about timing if you work nights or keep a different sleep schedule. ^{[2] [4] [48]}
3. Video visit. A provider or nurse practitioner reviews your results and options. A prescription is written only if they decide it's medically appropriate.
4. Shipping. Rex says it ships within two days of prescribing, in plain packaging. Signature required for TRT. ^[3]
5. Ongoing care. Message your provider anytime. New labs at 90 days, then every six months. At least one video visit a year. Messaging access does not mean an immediate response; Rex does not publish a guaranteed response time on the pages we checked. ^{[1] [2]}

Rex lists live phone support Monday–Friday, 9:30 a.m.–6:30 p.m., labeled “EST” on its site: (866) 294-3772. ^[5]

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Does Rex MD test you the way medical guidelines recommend?

The public information is not enough to tell whether Rex follows every testing requirement. Rex publishes a follow-up schedule, but it does not identify every test or clearly state that it requires two separate early-morning testosterone tests before prescribing. The AUA, the Endocrine Society, and the gel's own FDA label all call for repeat morning testing. ^{[2] [14] [15] [8]}

A quick definition: total testosterone is all the testosterone in your blood. It swings from day to day and is usually highest in the morning. That's why one low result isn't enough to diagnose low testosterone. Here, male hypogonadism means the body does not make enough testosterone; diagnosis requires symptoms or signs plus consistently low results, and a clinician needs to check the cause. ^{[40] [48]}

Sources: ^{[14] [15] [8] [2]}

(Hematocrit is the share of your blood made of red blood cells. Testosterone can push it up, and a high red blood cell level may increase clot risk. That's why it gets watched.) ^[8]

None of this proves Rex's providers skip a second test. Rex's public pages just don't say. That's the kind of detail we'd want Rex to spell out. ^[2]

One more number to watch. Rex's testosterone page says "healthy" testosterone runs 350 to 1,000 ng/dL. The AUA uses below 300 ng/dL as its reasonable cut-off. No single number diagnoses anyone. But don't let a marketing range convince you that a 340 means you need treatment. ^{[1] [14] [40]}

For the full picture of what testing should look like, see our guide to blood tests before TRT.

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Rex MD fine print: which 9 terms and questions need checking?

We read Rex MD's testosterone page, Testosterone Program page, FAQ, medication page, blog, and Terms side by side. The nine entries below cover conflicting statements, missing details, and distinctions that need context. Settle the relevant questions before paying for the evaluation or authorizing treatment.

Sources: ^{[1] [2] [3] [4] [5] [6] [9] [41]}

Also in Rex's Terms (May 22, 2026):

• Arbitration. The Terms require private arbitration and a class-action waiver to the extent allowed by law. They allow a written opt-out within 30 days of first accessing the site. ^[5]
• What shows on your card: "REX MD 866-294-3772" or "REX Wellness." ^[5]
• Each delivery counts as consent. Per the Terms, every time you accept a shipment, you re-authorize the recurring charge. ^[5]

Not on any Rex page we read: the name of the pharmacy that fills testosterone. LifeMD's 2025 SEC filing says prescriptions are filled by its "in-house mail order pharmacy or third-party pharmacy fulfilment partners." Ask which one would fill yours, then check that pharmacy with your state pharmacy board. ^{[7] [4]}

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How do you cancel Rex MD testosterone without a surprise charge?

Calling (866) 294-3772 is a cancellation method listed in both Rex's FAQ and Terms. The Terms use the phrase “within (12) hours of the renewal subscription date,” without clearly saying before or after. Cancel several days before your renewal and get the exact cutoff and cancellation in writing. ^{[4] [5]}

1. Find your renewal date in your Rex account before you need it.
2. Call (866) 294-3772 during listed live-agent hours (Mon–Fri, 9:30 a.m.–6:30 p.m., labeled “EST”). The Terms also specify portal or email cancellation for California and New York customers and select Vermont customers with an initial subscription of a year or longer; the general FAQ lists these methods more broadly. ^{[4] [5]}
3. Ask two questions: "Has my next order already started processing?" and "Will I be charged again?"
4. Write down the date, time, rep's name, and any confirmation number. Ask for an email confirming the cancellation.
5. Watch your statement for "REX MD 866-294-3772" or "REX Wellness."

Don't stop prescribed testosterone on your own because you're switching programs. Talk with your prescriber about a plan. Our guide on stopping TRT explains why.

Now you know which billing and cancellation details need confirmation. If those answers are clear and Rex's setup still fits, go to Rex MD's testosterone page to start the $99 lab-and-visit step — and save that phone number first.

Can you get your medical records if you leave?

Rex's Notice of Privacy Practices says you can request to see or get a copy of your medical information by sending a written request using the contact details in that notice. We did not test record access or confirm copy fees, delivery time, or a portal export. If you are moving care, ask for your lab results, visit notes, and prescription details so your next clinician can review them. ^[28]

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What safety and fertility questions come before Rex MD TRT?

Testosterone therapy can lower sperm production, sometimes to zero, and Rex's own site says the effect "may be irreversible." If you want children soon, get a fertility evaluation before starting any testosterone. Your provider also needs to watch your blood pressure, red blood cell levels, and prostate health while you're on it. ^{[8] [14] [40] [41]}

If you want kids, start here

When testosterone comes from outside your body, your brain cuts back two signals your testicles need to make sperm: LH (luteinizing hormone) and FSH (follicle-stimulating hormone). Making sperm is called spermatogenesis. Less signal can mean low sperm counts, or none. ^{[41] [8]}

• The AUA says men with low testosterone who are interested in fertility should have a reproductive health evaluation before treatment. ^[14]
• The FDA label for testosterone gel 1.62% says reduced fertility is seen in some men and the impact "may be irreversible." ^[8]
• TRT is not birth control. Some men keep making sperm. ^[41]

If you're trying to conceive now or soon, see a urologist or reproductive urologist before starting TRT. Clomid isn't a guaranteed fertility shield, whatever the marketing says. Our TRT fertility guide covers semen testing, sperm banking, and what a fertility-aware provider should do. ^{[41] [9]}

Side effects and risks to know

From the FDA-approved label for the testosterone gel Rex references: ^[8]

• Blood pressure can rise, which can raise heart risk over time. Not recommended with uncontrolled high blood pressure.
• Hematocrit can rise. A high level may require your clinician to change or pause treatment.
• Blood clots in the legs or lungs have been reported.
• PSA can rise. PSA (prostate-specific antigen) is a protein measured in a blood test used to assess prostate health. A PSA increase was the most common side effect in the gel's main trial. ^{[8] [45]}
• Sleep apnea can get worse, especially with obesity or lung disease.
• Breast enlargement and swelling can happen.
• Gel transfers to skin. Women and children who touch the area can be affected. The label carries a boxed warning. See our guide on testosterone transfer risk.

What changed on heart risk

The big TRAVERSE trial enrolled 5,246 men aged 45–80 with symptoms, two low fasting testosterone tests, and existing or high cardiovascular risk. It compared testosterone gel 1.62% with placebo. Over an average 33 months of follow-up, its main cardiovascular outcome — cardiovascular death, nonfatal heart attack, or nonfatal stroke — occurred in 7.0% of the testosterone group and 7.3% of the placebo group, meeting the trial's preset safety criterion. ^[16]

That finding does not make every testosterone product risk-free. The current gel label reports more pulmonary embolism (a lung clot) with testosterone: 0.9% versus 0.5%, and more fractures: 3.5% versus 2.5%. The trial also found more atrial fibrillation, an irregular heart rhythm, and acute kidney injury in the testosterone group. Long-term prostate safety is still not settled. ^{[8] [16] [15]}

In February 2025, FDA removed the boxed-warning language about increased major cardiovascular risk and required warnings about increased blood pressure. ^[39]

In June 2026, FDA asked testosterone makers to update their labels. The requested changes would drop the old limitation about "age-related hypogonadism," limit the prostate-cancer contraindication to metastatic disease, and revise the enlarged-prostate warning. A contraindication is a condition in which a medicine should not be used. Those are requested changes. Individual product labels — including the safety text on Rex's site, which displays an October 2024 update date — may not reflect them yet. ^{[11] [1]}

Call 911 for chest pain or sudden trouble breathing. Seek immediate medical assessment for a painful or swollen leg. Go to an emergency department for an erection lasting four hours or longer. ^{[42] [43] [44]}

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Is Rex MD the cheapest online TRT?

Rex MD's published year-one model starts above Male Excel's advertised base estimate, before shipping and other extras. Hone also has a lower membership fee, but its current pages do not establish one clean annual medication bill. Compare the full quote and the treatment model before calling either one cheaper. ^{[1] [19] [29] [31]}

Here's the honest version. Rex MD does not have the lowest advertised starting cost in this comparison. If price is your priority, the separate medication bill matters as much as the membership. Hone's current Plus pages list an initial test, a separate confirmation fee, and a $135 membership; its injection page advertises a starting price of $28 per month, while its support page lists $28 per vial. You need the actual annual medication cost before you can calculate a saving. ^{[29] [30] [31] [19]}

But because Rex includes prescribed medication and ongoing labs in its published range, you get one program rate. Your medicine, your 90-day labs, and your follow-up labs every six months after that sit inside the $250–$299, per Rex. You aren't adding a separate membership fee to its advertised medication-and-lab rate. The exact prescription price and any extras still need confirmation. ^{[1] [4]}

Three programs — each model built only from that company's own published numbers:

Sources: ^{[1] [2] [4] [29] [30] [31] [32] [18] [19] [35] [36]}

The Rex and Male Excel figures include their published medication prices. The Hone figure does not, so it cannot be read as an all-in price or a savings claim. Hone's support pages produce $1,710 with $45 in-lab confirmation, $1,715 with $50 confirmation, or $1,745 with $80 home confirmation, before medication. Male Excel's starting package includes thyroid medicine; it is not an injection-only quote. ^{[1] [19] [29] [30]}

Hone and Male Excel numbers are the starting prices each company publishes. Your real bill depends on what's prescribed. Rex's number is its full published range.

Price-first? Compare the complete written treatment quote before authorizing ongoing care. The next section explains which alternatives are worth a closer look for your care preferences.

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Who should skip Rex MD — and where should they go instead?

Skip Rex MD if you need insurance coverage, plan to have children soon, or have a complex medical history that calls for an in-person exam; compare other quotes if price is your main concern. Rex makes the most sense for a cash-pay buyer who wants injections or gel and medication and routine labs included in the advertised rate. The table below shows when another first step may fit better.

Hone Health: for physician visits and a published testing schedule

Best for: someone who wants video visits with a physician, a published confirmatory test before TRT, and separately priced medication.

For contrast, Hone Health publishes a confirmatory-test step before TRT; its current Plus documents list $45 or $50 in-lab and $80 at home. ^{[29] [30]}

What Hone publishes (current Plus plan, lab, state, product, and cancellation pages, checked October 7, 2026):

• Plus: $45 first home test, plus confirmation at $45 or $50 in-lab or $80 at home. Hone's two support pages disagree on the in-lab fee. It cites the AUA guideline for the repeat-test step. ^{[29] [30]}
• $135/month Plus membership, plus medication. Injections are advertised from $28/month on the product page and from $28/vial in current support documentation; ask what your prescription will cost. Premium is a separate $155/month plan with different tests and state availability. ^{[29] [31] [34]}
• Video visits with physicians (MDs and DOs) ^{[17] [29]}
• Repeat labs every 3 months in year one, then every 6 months; the clinician may adjust the schedule ^[30]
• Cancel the monthly membership anytime. Membership and prescription orders must be canceled separately; canceling one does not cancel the other. Partial membership months are not refunded, and processed or shipped prescriptions cannot be canceled or refunded. ^[33]
• Easiest-to-miss limit: Plus lists 35 states; Premium's state availability differs. Check Hone's current state matrix for the plan you would use. ^[32]
• Medication status: Hone identifies its cream, troches, enclomiphene, and clomiphene as compounded. Its current testosterone cypionate page also labels the displayed injection product compounded and not FDA-approved. Enclomiphene is not an FDA-approved drug; compounded clomiphene is distinct from an approved Clomid product used off-label. Ask for the exact product and dispensing pharmacy. ^{[29] [31] [9] [10] [46]}

Year one on Plus: $1,710–$1,745 before medication, using the published test fees and 12 membership payments. The actual annual prescription bill remains a quote question. Hone's policy also says lab fees are nonrefundable once a kit ships. ^{[29] [30] [33]}

Want physician video visits and separately priced medication? Check the plan, state list, and total quote, then visit Hone Health (paid link).

Male Excel: for the reader who wants close follow-up

Best for: someone who wants a check-in every 60 days, the same provider over time, and at-home labs — and who is comfortable with Male Excel's approach. These are Male Excel's published service promises, not care we tested. ^[18]

Male Excel, for example, sells a compounded Lipoderm cream, and its published starting medication packages include thyroid medicine. ^{[35] [19]}

What Male Excel publishes (official program, cost, FAQ, and terms pages, checked October 7, 2026):

• $99 to start, covering an at-home lab test and provider consult ^{[18] [19]}
• $99/month membership: 60-day reviews, lab monitoring every 6 months, unlimited provider access ^{[18] [19]}
• Medication priced separately; the starting injection-and-thyroid package is listed from $120/month (60-day supply, billed every other month), plus shipping and applicable tax ^{[19] [36]}
• Daily "microdosing" protocols; manages testosterone, thyroid, and estrogen together ^[18]
• Male Excel advertises HSA/FSA eligibility; its FAQ says reimbursement may be available. Check your account's rules. ^{[18] [35]}
• The program page says you can contact support to pause treatment. Confirm what happens to membership billing and pending prescriptions. Its FAQ describes a 48-hour action window after the refill reminder before billing and shipping. ^{[18] [35]}
• The guarantee covers qualifying new members' first three months of membership fees, not the full treatment bill. Members must follow the protocol and attend appointments for 90 continuous days, then request a refund within 30 days after that period ends if symptoms have not improved under the company's criteria. Read the guarantee terms. ^[37]
• Its FAQ excludes Alabama, Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Minnesota, Mississippi, New Hampshire, and Rhode Island — leaving 39 states. ^[35]

Who should not choose it: Male Excel says it "treats based on symptoms" and calls standard lab cut-offs outdated. Those marketing statements differ from guidelines that require symptoms plus consistently low testosterone; they do not establish how many tests an individual clinician orders. Its cream is compounded, and its thyroid medicine is a desiccated product the company says "is not an Orange Book product." FDA states that animal-derived desiccated thyroid medications are not FDA-approved. Ask why thyroid treatment is being proposed. If FDA-approved products and guideline-based diagnosis are priorities, confirm both with whichever provider you choose; Rex's repeat-testing policy remains unverified, and Hone labels its displayed injection product compounded. ^{[18] [35] [38] [14] [40] [31]}

Year one with the starting injection-and-thyroid package: about $2,727 plus shipping and applicable tax. Male Excel says your cost changes if your dose does. ^{[19] [35] [36]}

If frequent follow-up with one provider is what you want and its treatment approach fits, visit Male Excel (paid link). For the full cost and policy review, see our Male Excel review.

Still between options?

Use TRT Provider Guide's Find My TRT Path tool to get your personalized care-route plan. It's free. It uses your testing status, fertility plans, insurance preferences, budget, and care preferences to organize an educational care route — and gives you the questions to ask before you pay. It doesn't diagnose low testosterone, check every contraindication, determine medical eligibility, or guarantee a prescription. Read our privacy policy before sharing information.

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What should you ask Rex MD before you pay $99?

Treat Rex MD as two decisions: paying for the evaluation, then agreeing to ongoing treatment. Settle the $99 questions first. Then, after your video visit, settle the treatment questions before authorizing ongoing treatment charges.

Copy these, call (866) 294-3772, and write the answers down.

Before you pay the $99

After your visit, before treatment starts

Your year-one cost check: Upfront charges ______ + (recurring charge ______ × number of charges covering 12 treatment months ) + any extras ______ = **** Don't count a missing answer as $0. If Rex can't answer it, write "unknown" — and weigh that.

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How did we review Rex MD's testosterone program?

We compared Rex MD's own public pages and terms against FDA labeling, current clinical guidelines, and federal rules, all checked on October 7, 2026. We separated what Rex says from what we could confirm independently. We did not enroll, receive treatment, or test Rex's support or cancellation.

We follow our published method, How We Review TRT Providers. It keeps four things apart:

• Verified facts: checked against the original source, like Rex's Terms or the FDA label.
• Provider-stated facts: what Rex says about itself, like its provider credentials.
• Customer-experience signals: reports in reviews, which can't prove safety or results.
• Editorial conclusions: our "best for" and "skip it if" calls, built from the facts above.

We show the full published-cost model and identify unpriced items instead of repeating a teaser price. We don't give Rex a numeric score, and being on this site isn't an endorsement. Our editorial standards explain how we source and maintain this work.

What we still couldn't confirm: billing frequency and minimum commitment, per-medicine pricing and any extras, the $99 refund after completed evaluation without a prescription, Rex's repeat-testing rule, the exact dispensed product and pharmacy, and TRT availability state by state. When Rex's documents change, we'll re-check and update the date at the top. Spot something out of date? Our corrections policy explains how to tell us.

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Rex MD testosterone FAQ

Rex MD describes labs and a video consultation before a prescribing decision. Its $99 evaluation is separate from ongoing treatment, and companywide ratings do not establish TRT outcomes. ^{[1] [2] [4]}

Is Rex MD testosterone legit?

Yes. Rex MD is owned by LifeMD, Inc., a Nasdaq-listed company. Care is provided through LifeMD's affiliated medical group after labs and a video visit. Being legitimate doesn't make it the right choice for everyone. Check the fine print and fit sections above. ^{[5] [7] [2]}

How much does Rex MD testosterone cost per month?

$250–$299 a month if you're prescribed, depending on the medicine, after a one-time $99 lab and video visit. The evaluation plus 12 treatment months at those rates comes to $3,099–$3,687, before any unpriced extras. Rex hasn't published which medicine costs which price. ^{[1] [4]}

What is Rex MD TestoRx?

TestoRx is the name LifeMD gave Rex MD's testosterone program when it launched in October 2024. It's the same program as the Rex MD Testosterone Program. ^{[25] [4]}

Is Rex MD the same as RexMD?

Yes. Rex MD and RexMD are the same company. "Rex MD TRT reviews" and "RexMD testosterone reviews" all point to this same program. ^{[1] [5]}

Does Rex MD require blood work for testosterone?

Yes. You need labs before your video visit, at Labcorp, Quest, or with a home kit. Rex also requires repeat labs 90 days after you start, then every six months. ^{[2] [4]}

Is Rex MD testosterone FDA-approved?

FDA-approved products exist in both forms Rex lists — cypionate injection and gel 1.62% — and we confirmed approval of the Xiromed gel Rex references. We have not verified the exact product a particular patient would receive. Clomid is FDA-approved, but not for men. Sermorelin is compounded and not FDA-approved. ^{[1] [20] [50] [8] [9] [24]}

Does Rex MD take insurance or HSA/FSA?

Rex doesn't accept insurance. We couldn't confirm HSA or FSA eligibility for the testosterone program on Rex's own pages, so check with Rex and your plan administrator. ^[4]

Can I use my existing lab results?

Rex's FAQ says that even if you already have a prescription, you still need a consultation with a Rex-affiliated clinician. Rex doesn't publish whether it accepts outside labs or how recent they must be. Ask before you pay. ^[4]

How do I cancel Rex MD testosterone?

Calling (866) 294-3772 is listed in both the FAQ and Terms. The FAQ also lists email and portal cancellation generally; the Terms expressly list those options for California, New York, and select Vermont customers with an initial subscription of a year or longer. The Terms' “within (12) hours” wording does not clearly say before or after renewal. Get the exact cutoff in writing and cancel several days early. ^{[4] [5]}

Can I get a refund from Rex MD?

Rex's Terms generally say sales are final and prescriptions can't be returned. Its FAQ says refunds are case-by-case and promises a full refund if you're found ineligible. Confirm in writing whether that covers the $99 after the labs and video visit are completed. ^{[4] [5]}

Will Rex MD testosterone affect my fertility?

It can. Testosterone therapy can lower sperm production, and Rex's own page says the effect may be irreversible. If you want children soon, see a urologist before starting. ^{[8] [41]}

Does Rex MD ship testosterone to every state?

Rex says it serves all 50 states company-wide. We did not find a testosterone-specific state list in the pages reviewed, and controlled-substance rules vary by state. Confirm your state before paying. ^{[21] [13] [47]}

How fast does Rex MD ship testosterone?

Rex says medication ships within two days of being prescribed, in plain packaging, and needs a signature. That's after your labs and video visit — not two days after you sign up. ^{[2] [3]}

Who owns Rex MD?

LifeMD, Inc., which trades on Nasdaq as LFMD. ^{[7] [25]}

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The bottom line on Rex MD testosterone

Rex MD is a legitimate telehealth option that advertises FDA-approved testosterone, with medication and routine labs folded into a published model of $3,099–$3,687 for the evaluation plus 12 treatment months. Its starting model is above Male Excel's advertised base estimate, and its cancellation and refund terms deserve a close read. If the answers to the ten questions above fit your needs, it can be a clean, simple choice. ^{[1] [19] [5]}

Does that sound like your situation? Go to Rex MD's testosterone page and start the online health questionnaire — a licensed provider still decides whether treatment is right for you.

Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.

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Keep reading

• Does TRT affect fertility?
• Blood tests before TRT
• TRT injections vs. gel
• Testosterone gel cost
• TRT safety and monitoring
• TRT cost guide

Sources (checked October 7, 2026)

Rex MD and LifeMD

1. Rex MD — Testosterone Rx (pricing footnote, FAQ, rating footnote)
2. Rex MD — Testosterone Program (cost, $99 consult with provider or nurse practitioner, 8–10 a.m. lab advice, follow-up schedule)
3. Rex MD — Testosterone Cypionate (labs, shipping, signature, fertility warning)
4. Rex MD — FAQ (insurance, cancellation, refunds, testosterone cost)
5. Rex MD — Terms & Conditions, last updated May 22, 2026 (Sections 4, 6, 22)
6. Rex MD — 8 Best Online TRT Services, updated April 29, 2026 ($49 offer, Kyzatrex)
7. LifeMD, Inc. — Form 10-Q, 2025 (638,000+ served; pharmacy fulfillment)

Drug labeling and regulation

8. DailyMed — Xiromed testosterone gel 1.62% label (ANDA 210835; diagnosis, titration, hematocrit, fertility, TRAVERSE data)
9. DailyMed — Clomid prescribing information
10. FDA — Understanding the risks of compounded drugs
11. HHS — Requested updates to testosterone therapy labels, June 18, 2026
12. DEA — Drug scheduling
13. DEA — Telemedicine flexibilities extended through December 31, 2026

Clinical guidance

14. American Urological Association — official Testosterone Deficiency guideline highlights (2018; validity confirmed 2024)
15. Endocrine Society — Statement on Testosterone Replacement Therapy, July 16, 2026
16. Lincoff AM, et al. Cardiovascular safety of testosterone-replacement therapy (TRAVERSE). N Engl J Med. 2023 — primary study abstract

Alternatives

17. Hone Health — Hone vs. Hims TRT comparison (provider-stated physician credentials)
18. Male Excel — TRT Online (current program and service promises)
19. Male Excel — Hormone treatment costs

Additional primary sources and verification records

20. FDA — approval record for Xiromed testosterone gel 1.62%, ANDA 210835
21. Rex MD — homepage (provider-stated credentials, certification, and general service area)
22. Rex MD — testosterone gel (Xiromed safety information)
23. Rex MD — Clomid (male off-label use)
24. Rex MD — sermorelin (compounded preparation)
25. LifeMD — TestoRx launch announcement, October 23, 2024
26. Company SEC filing, first quarter 2020 — Rex MD launch and ED services in 2019
27. Trustpilot — Rex MD company profile (individual customer reports, not TRT-specific clinical evidence)
28. Rex MD — Notice of Privacy Practices, March 10, 2026 (medical-record requests)
29. Hone Health — Plus membership (plan-specific initial, confirmation, membership and medication fees)
30. Hone Health — Plus TRT laboratory schedule (confirmation fee and follow-up testing)
31. Hone Health — testosterone cypionate product (advertised price and compounded status)
32. Hone Health — current service availability by state and plan
33. Hone Health — order cancellation and refund policy
34. Hone Health — Premium membership (separate plan)
35. Male Excel — FAQ (state exclusions, compounded cream, dose-related cost, refill window and account reimbursement)
36. Male Excel — Terms and Conditions (billing, shipping and tax)
37. Male Excel — Excel Advantage Guarantee terms
38. FDA — actions concerning unapproved animal-derived desiccated thyroid medications
39. FDA — class-wide testosterone labeling changes, February 28, 2025
40. Endocrine Society — Testosterone Therapy for Hypogonadism guideline
41. AUA/ASRM — Diagnosis and Treatment of Infertility in Men, Part II
42. NHLBI — heart attack symptoms and emergency response
43. NHLBI — venous thromboembolism symptoms
44. AUA — updated priapism guideline (prolonged erection as a medical emergency)
45. National Cancer Institute — prostate-specific antigen fact sheet
46. DoD/USU Operation Supplement Safety — clomiphene and enclomiphene, January 12, 2026
47. HHS — licensing across state lines for telehealth
48. Society for Endocrinology and Association of Clinical Biochemistry and Laboratory Medicine — biochemical confirmation of adult male hypogonadism, 2023
49. AUA — current guideline inventory (Testosterone Deficiency: 2018, validity confirmed 2024)
50. FDA — testosterone cypionate generic approval record, ANDA 091244
51. DailyMed — testosterone cypionate prescribing information, Hikma (product reference, not verified Rex dispensing)

Educational information only, not medical advice. TRT Provider Guide is not a clinic, pharmacy, laboratory, drug manufacturer, insurer, or medical practice.