Royal Medical Center TRT Cost in 2026: Plans and First-Year Math

Royal Medical Center TRT cost is advertised at $75, $89, or $195 a month: $900, $1,068, or $2,340 for twelve unchanged fees. These are fee subtotals, not complete quotes. Consider it for cash-pay injections; insurance needs, fertility plans, state licensing, and unconfirmed charges can change the right choice. ¹

Last verified September 2026 · By TRT Provider Guide · Editorial research, not clinically reviewed · How We Review TRT Providers

That's the price. It's the easy part.

The harder question is who will actually write your prescription, and whether that person is authorized to treat you where you live. We pulled the public licensing records. What they show is below, and it's worth two minutes before you hand over a card number.

Prices from Royal's "Testosterone Cypionate – Program Options" page, checked by us September 23, 2026. The 12-month column assumes the price doesn't change. It is a fee subtotal, not a guaranteed total. ¹

What can change your number: add-on charges, the renewal rate, and what your plan actually covers. State authorization, fertility plans, and a need for a covered FDA-approved product can change whether Royal is the right option at all. Billing two months at once would change your first payment, not necessarily the yearly total.

Best for / Royal is a fit to consider if: you're a cash-pay adult man with low testosterone confirmed by proper testing, you want one flat price with labs and visits folded in, and you're comfortable with injections and any required video or in-person examination. Royal still needs to confirm your exact plan and approve care.

Not for you if: you need an insurance-covered FDA-approved prescription (see the insurance route), you're trying to have a child soon (see fertility), or Royal can't identify a prescriber authorized to treat you (see licensing). A licensed clinician must decide whether TRT is appropriate; this comparison does not establish eligibility.

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. It doesn't replace an evaluation by a licensed clinician. If you have chest pain, trouble breathing, sudden weakness, or a sudden change in vision, call 911. ¹⁷

Affiliate disclosure: TRT Provider Guide has affiliate relationships with Male Excel and Hone Health and may earn a commission when readers use partner links in our provider guides. The Royal links here go directly to Royal's public pages. Read our affiliate disclosure.

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How much does Royal Medical Center TRT cost per month?

Royal Medical Center's TRT plans are advertised at $75, $89, or $195 a month on its current program-options page. All three include testosterone cypionate injections, labs, physicals, and provider consultations, according to Royal. The higher plans add an estrogen blocker ($89) or an estrogen blocker plus gonadorelin or enclomiphene ($195). ¹

Here's the plain-English version of each plan.

$75 — testosterone only. Testosterone cypionate is a long-acting injectable form of testosterone. This is the simplest plan and the lowest-priced of Royal's three listed TRT plans. ^{1 17}

$89 — testosterone plus an estrogen blocker. Royal's shop lists this plan as "Testosterone/Anastrozole." Anastrozole is a drug that lowers estrogen. (More on whether you need it below.) ^{3 18}

$195 — the comprehensive plan. Everything in the $89 plan, plus gonadorelin or enclomiphene. Royal says these help the testes keep working while you're on testosterone. The prescription depends on your clinician's assessment, not just which bundle you pay for. That is Royal's stated purpose, not a verified promise to protect fertility. ^{1 15}

Why you may have seen $119, or a different "starting" price

Royal's public pages don't all match. We lined them all up so you don't have to open six tabs:

The pages don't establish why the wording differs or which renewal price applies to your agreement. The mismatch is a reason to ask for written terms, not proof of hidden charges.

But the difference is real money. If someone quotes you $89 for month one and $119 after that, your year costs $1,398, not $1,068. That's $330. So ask one question before you pay: "What will I be charged in month one, and what will I be charged in month two?" Get the answer by email. This is a hypothetical quote calculation, not a verified Royal renewal offer.

Add-on medications Royal sells separately

Royal's men's catalog lists these outside the plans. These are non-testosterone medications, not TRT: ⁵

Royal's FAQ says hCG is "sometimes prescribed," depending on your labs and goals. If it's added, ask whether it's inside your plan price or on top of it. ⁸

Royal's price-beat guarantee

Royal's homepage promises to beat a competitor's price by 25% if you find "another clinic that is equal to ours for a better price." We did not find public rules explaining how "equal" is judged or how to claim it. If you plan to use it, ask for the rules in writing first. ⁶

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What does Royal Medical Center TRT cost for a full year?

At Royal's listed prices, twelve monthly fees total $900 on the $75 plan, $1,068 on the $89 plan, and $2,340 on the $195 plan. Those are fee subtotals that assume the monthly price never changes. Add-on medications or a promotional price that rises after month one would change the total; a different billing interval alone changes when you pay. ¹

When could the $195 plan cost less than separate add-ons?

This one's worth thinking through. The $195 plan includes gonadorelin or enclomiphene. Bought separately, enclomiphene is listed at $150. ^{1 5}

If that $150 is a monthly price, then $89 + $150 = $239 a month. That's $44 more than the $195 bundle. Over a year, it's $528 more.

So here's the rule: compare the bundle only after your prescriber has explained which medication, if any, is appropriate and Royal confirms the same product, supply period and extra cost. The $75 and $89 plan fees are $1,440 and $1,272 lower per year than $195, respectively, but the plans contain different drugs. Confirm the $150 billing period before you do this math with real money.

How Royal bills: monthly, or two months at once?

We did not find Royal's billing interval in the public pages reviewed. One customer reported two-month billing in a Trustpilot review posted September 1, 2024:

"You will be billed for 2 months at time" — Phil Scott II, Trustpilot, September 1, 2024; experience dated August 31, 2024 (one customer’s report; not verified by us) ¹³

If that's still how it works, your first charge on the $195 plan could be $390, not $195. Same yearly total, bigger first bite. Ask.

Your money before you're approved

Royal's program-options page says two important things, in its own words: payment "does not guarantee treatment or a prescription," and if you're found medically ineligible, "your program payment will be refunded." ¹

That's a meaningful protection, and we give Royal credit for printing it. But it's narrow. It covers being turned down; it does not establish your refund rights if you change your mind later. We did not find the post-approval cancellation terms in the public pages reviewed (more below).

Build your own year-one number

Use this before you call. Fill in only what Royal confirms in writing. Leave anything unconfirmed marked "unknown" — don't count it as free.

If an upfront payment covers the first two months, count those months once, not again as an extra fee. Your complete first-year cost is the sum of all confirmed required charges, less confirmed credits; it remains unknown while required charges are unresolved.

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What does Royal's monthly fee include — and what isn't written down?

Royal says every TRT plan includes testosterone, provider consultations, labs, physicals, and medication; its FAQ also describes supplies, and its $195 TRT page advertises free shipping. The public pages we checked do not define the full lab panel, later testing cadence, how an out-of-state patient completes the physical, or post-approval cancellation terms. Those are the gaps to close before your first charge. ^{1 7 8}

We separated Royal's published inclusions from the questions its public pages leave open:

What "labs" should mean

This matters because "labs included" can mean one test or ten. The Endocrine Society calls for compatible symptoms or signs plus consistently low testosterone, confirmed with repeat early-morning fasting testing using accurate assays. Its July 2026 statement specifies at least two tests and describes a common threshold near 300 ng/dL — a guide, not a universal diagnosis. One low number isn't a diagnosis. ^{14 15}

Once treatment starts, monitoring usually includes your testosterone level and your hematocrit (the share of your blood made of red blood cells, which testosterone can push up). PSA (prostate-specific antigen, a prostate blood test) and prostate monitoring depend on age, risk and a discussion with your clinician. Blood pressure also matters: FDA-required testosterone labeling warns about increases. ^{15 25}

So ask Royal by name: "Which tests are in my baseline panel, which are in the 90-day follow-up, and how often after that?"

A 90-day treatment check is not a substitute for confirming the diagnosis before treatment. For the steps to discuss, see TRT blood tests.

A low price should not bypass a medical risk review. A history of prostate or breast cancer, high hematocrit, untreated severe sleep apnea, or a recent heart attack or stroke needs clinician assessment before a treatment decision. Primary care, urology or endocrinology may be the right starting point. ¹⁵

Do you know your plan and what it covers? Good — that's most of the cost question answered. To see Royal's current options side by side, see Royal Medical Center's current program options and pricing, or call 1-800-625-3837.

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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.

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Who prescribes at Royal Medical Center, and are they licensed in your state?

Royal names one physician on its About page: Dagoberto Rodriguez, MD, whose Florida medical license is clear and active. Your clinician must be licensed or otherwise authorized under the rules of the state where you're located, and we did not verify a complete Royal clinician-by-state roster. Ask Royal who will prescribe for you, then check that person's authorization with the appropriate state board. ^{9 10 26}

This is also part of the answer to "Is Royal Medical Center legit?" Royal publishes a clinic address at 1000 E Hillsboro Blvd, Suite 102, in Deerfield Beach, Florida, a named physician and a named pharmacy group. Its customer reviews are mostly positive. None of that proves that a particular prescription is appropriate or lawful in your state. And its named physician has a public licensing record you should know about. ^{9 10 13}

What the public record shows

We read these records directly from the Florida Department of Health and the Oregon Medical Board on September 23, 2026.

What this means for you

Let's keep this in proportion. The Oregon order is from 2021, and the other-state entries are dated 2022; the profile also contains the later Florida status noted above. His Florida license is active today. These records do not establish how Royal treats patients now, or the present license status of every clinician who works there. ^{10 11 12}

What the record does tell you is that state licensing at an online clinic isn't a formality. Testosterone is a Schedule III controlled substance — a drug the federal government regulates more tightly than an ordinary prescription because it can be misused. A valid prescription and the required state and federal prescribing authority are still necessary. ^{26 27 28}

We did not verify which Royal clinicians cover which states. Customer reviews mention other staff and clinicians, but a review is not a license record. A national ordering website also does not prove that a clinician can treat you in every state. ^{13 26}

So the fix is simple, and it's in your hands.

How to check your prescriber's license

1. Ask Royal for the full name of the clinician who will prescribe for you.
2. Search that name on the appropriate state licensing board’s website. For a physician, use the state medical board directory or DocInfo, run by the Federation of State Medical Boards. For a nurse practitioner, check the nursing board. Ask the relevant board about any separate telehealth authorization. ^{26 40}
3. Confirm current authorization in your state, and read any listed restrictions or board actions. An active license and a disciplinary history can appear together.

If Royal can't give you a name, that's your answer.

Need the prescriber's name before you pay?

A named medical director is not the same as knowing your assigned prescriber. We did not verify that Male Excel identifies each patient's prescriber before payment. Ask either clinic for that name and state authorization; a local practice where you book a named clinician is another care route.

Male Excel also costs more at its published starting rates: the consultation, membership and medication arithmetic reaches $2,727 for injections or $2,871 for cream, before shipping and any other unconfirmed charges. These are advertised-rate subtotals, not complete first-year quotes. Its cream is compounded, and its conditional refund guarantee covers membership fees only. A higher price does not settle the prescriber question. ^{31 32 33}

Need to choose a named clinician before paying? Compare online and local TRT care.

Would you rather keep the lowest price and ask Royal the license question yourself? That's a reasonable call. Use the question list below.

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Is Royal Medical Center's testosterone compounded or FDA-approved?

Royal doesn't identify the exact testosterone product a given patient will receive. Its website says a provider may prescribe a compounded drug as an alternative to an FDA-approved product, and it names Belmar Pharma Solutions as its dispensing pharmacy group. Compounded drugs are not FDA-approved; ask for the exact product before enrolling if FDA approval is a requirement. ^{1 16}

FDA-approved means the FDA reviewed the product's safety, effectiveness, and manufacturing before it could be sold. Compounded means a pharmacy prepared the drug, often for an individual prescription, without that FDA approval of the finished preparation. Compounding is permitted when applicable legal requirements are met. It just isn't the same thing, and the two should never be treated as identical. ¹⁶

Credit where it's due: Royal prints a compounding disclosure on the product pages we checked and names its pharmacy group. That is useful disclosure, but it does not identify your exact prescription or filling location. ^{1 2 3 4}

Which Belmar pharmacy fills your prescription?

Belmar runs two kinds of facilities. Its own website says its 503B outsourcing facilities make batches for office use, while its 503A pharmacies fill individual prescriptions. Ask Royal which exact Belmar location fills yours and verify that pharmacy’s authorization to dispense to your state. The group name alone does not settle that question. ²⁴

FDA-approved testosterone and compounded testosterone are different products

Non-testosterone medications: what else comes in the package

Keep these separate in your head. Each is a different drug with a different regulatory status. None of the medications in the next table is testosterone replacement therapy.

For anastrozole, clomiphene or hCG, approval of a named manufactured product does not make a compounded preparation FDA-approved. Ask what will actually be dispensed. ¹⁶

Enclomiphene’s compounding status: an FDA advisory committee voted in 2022 against adding enclomiphene citrate to the 503A Bulks List. FDA’s list updated May 14, 2026 still places it in Category 1, substances under evaluation. The advisory vote is not a finished-drug approval or, by itself, a final nationwide compounding ban. ^{21 22}

Do you have to take the estrogen blocker?

An estrogen blocker is listed in the $89 and $195 plans. Whether you need it is a medical question for your prescriber, not a pricing question. In a Trustpilot review updated February 16, 2026, Matthew Beachy reported a disagreement over an estrogen-blocker recommendation; we did not verify his labs or the clinical reasoning. ^{1 13}

Ask before you choose a plan: "What lab result or clinical reason would make you add an estrogen blocker, and is it a separate medicine or part of a compounded preparation?" If there's no clear answer, ask the prescriber to explain the options, including whether the $75 plan fits your actual care needs. Do not choose or change a medication just to fit a price tier.

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Will Royal Medical Center TRT affect your fertility?

It can. Testosterone from outside the body can lower or stop sperm production (spermatogenesis), and no program can promise to protect or restore fertility. Royal adds gonadorelin or enclomiphene to its $195 plan and says they help maintain natural function, but anyone planning children should discuss fertility with a qualified clinician before treatment. ^{1 15 39}

The Endocrine Society recommends against starting testosterone therapy in men planning fertility in the near term. Plans for children later still belong in the conversation; neither infertility nor recovery on a set schedule can be predicted for an individual from a program description. ^{15 39}

Royal's marketing says its testicular stimulant "preserves natural testosterone production," and one of its pages says clomiphene can "increase sperm volume." Those are Royal's claims. Clomiphene, enclomiphene, and hCG are not TRT, and they aren't interchangeable with it. Enclomiphene has never been FDA-approved. Paying $195 instead of $75 is not a fertility plan. ^{4 7 19 20 23 39}

If near-term fertility is part of your decision, your next step is a reproductive urologist, not a cheaper or pricier bundle. Not sure where you fit? Map your care route with Find My TRT Path. Read more about TRT and fertility.

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Does Royal Medical Center take insurance, HSA, or FSA?

Royal advertises flat cash prices, but we did not verify insurer billing or HSA/FSA paperwork for these plans. We couldn't find whether Royal provides itemized receipts or a letter of medical necessity for an HSA or FSA claim. To use insurance, check an in-network clinician and a covered FDA-approved prescription first; that clinician may be local or online.

If you have insurance, ask about coverage for the clinician, the exact FDA-approved testosterone product and the required lab work. Check any prior-authorization requirement, copays and deductible with your insurer. Then compare your confirmed out-of-pocket total with Royal's written quote, not just its $900–$2,340 fee subtotals.

To use an HSA or FSA, ask Royal for an itemized receipt showing medical services and medication separately, and ask your account administrator which expenses qualify and what documentation is needed. Request a letter of medical necessity if the administrator requires one. A bundled membership payment is not automatically a qualified expense just because a provider accepts the card. ³⁰

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Can you cancel Royal Medical Center, and what if you're not approved?

Royal's program-options page says your program payment will be refunded if you're found medically ineligible. We did not find post-approval cancellation or refund terms in the public pages reviewed. Customer reports raise questions about two-month billing and missed-appointment fees, so get the applicable rules in writing before your first charge. ^{1 13}

Here's what we found, both sides included:

• If you're turned down: Royal says your program payment is refunded. Ask which payments count, whether anything is deducted, and how long it takes. ¹
• Missed appointments: A July 23, 2024 Trustpilot reviewer reported a $40 charge for a missed visit. In its September 11, 2024 public reply, Royal said patients are charged only after multiple missed appointments. We did not verify a current fee schedule. ¹³
• Early cancellation: We did not verify an early-cancellation fee. Ask for the terms that apply to your agreement.

Before your first charge, get these five answers in writing

1. Is there a minimum commitment?
2. How do I cancel — phone, email, or portal — and how much notice do you need?
3. Is my final charge prorated, or is a full two-month cycle billed?
4. What happens to medication that's already been shipped?
5. How do I get copies of my labs and prescriptions if I leave?

There is a published records-access route. Royal's privacy policy says patients may request access to their health records and lists its Privacy Officer at 844-965-0305. Ask for the request process, any applicable fee and how records can be sent to your next clinician. The policy is an access statement, not proof that we tested its response time. ²⁹

One more thing. Cancelling a billing plan isn't a medical plan. If you're already on testosterone, talk with your prescriber — or your next one — about continuity before you stop. Keep your lab results so a new clinician isn't starting from zero.

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Is Royal Medical Center cheaper than other online TRT programs?

At $75 a month, Royal's testosterone-only plan has a $900 twelve-fee subtotal. That is lower than the published fees shown below, but the packages and missing costs differ. Price alone doesn't settle it: who prescribes, what's in the package, and how you cancel matter just as much. ^{1 31 34}

These are calculations from published prices, not equivalent packages or guaranteed total bills. Male Excel labels its medication prices as monthly equivalents for 60-day supplies billed every other month; six 60-day fills cover 360 days, not a full 365-day year. Confirm the actual charge dates and whether another refill falls inside your first year. Its advertised injection/cream bundles also include thyroid medication; that is a separate clinical decision, not a standard requirement for TRT. ³¹

If you're choosing by price, Royal's $75 plan has the lowest advertised fee in this comparison — as long as Royal confirms that price and what "labs" covers. Compare complete written quotes with the TRT cost guide.

If injections rule Royal out for you, Male Excel advertises a compounded testosterone cream. It is not an FDA-approved alternative, and the advertised fees are higher. Compare Male Excel's costs and billing terms before asking for a quote. For an FDA-approved treatment format, discuss covered products with a clinician instead. ^{31 32 16}

To check a published state list before signing up, Hone Health provides a state-by-state availability table. Not every state has access to its men's hormone-care plans. See Hone Health's service availability by state. State availability does not establish clinical eligibility. ³⁶

If you have insurance, check your in-network clinician and covered prescriptions first. Your out-of-pocket quote may be lower than a cash-pay bundle. To compare injection, topical and other formats without mixing them up, see TRT treatment options.

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What do Royal Medical Center reviews say about cost and billing?

Royal had a 4.5-star rating from 2,033 Trustpilot reviews when checked on September 23, 2026, with 10 reviews in the past 12 months. The score therefore mostly reflects older experiences. Positive examples praise the flat price, shipping and staff; negative examples raise billing, appointment-fee or prescribing-communication concerns. ¹³

A few things worth knowing about that 4.5:

• 89% of reviews are five stars and 2% are one star (Trustpilot, September 23, 2026). ¹³
• Royal's profile shows it asks customers for reviews and has a paid Trustpilot subscription. Those are platform disclosures, not proof that individual reviews are bought or that the rating is inflated. ¹³
• Only 10 reviews landed in the last 12 months out of 2,033 total. Recent experience is thin. ¹³

Here's the kind of praise that shows up, from a reviewer who said he'd been with Royal over five years:

"he gets my orders in so quickly and is so responsive" — Darvin Jackson, Trustpilot, April 28, 2026 (one customer's experience) ¹³

Other examples include a dispute over items a customer said did not arrive, a missed-appointment fee, and disagreement over an estrogen-blocker recommendation. Royal replied to several of these publicly. These are individual reports, not independently verified events or a measured complaint rate. ¹³

We use reviews for service and billing patterns only. They can't tell you whether TRT will work for you or whether it's safe for you. The quoted posts are displayed as unprompted reviews; that label does not verify the experience or establish every possible relationship between a reviewer and the clinic. ¹³

What other pages get wrong about Royal

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What should you ask Royal Medical Center before you pay?

The gaps in Royal's public pages concern which price applies to you, how billing works, which lab tests are included, who prescribes in your state, and how to cancel. Ask these 12 questions on the phone, then get the answers by email before your first charge.

Print this. Screenshot it. Bring it to the call.

1. Which plan am I being quoted — $75, $89, or $195 — and what will month two cost?
2. Am I billed monthly or every two months? What's my first charge, and on what date?
3. Which lab tests are included, at which lab company, and how often? Does that include the repeat early-morning testing needed to confirm a new diagnosis?
4. Is the 90-day follow-up lab inside my monthly price?
5. How do I complete the physical exam if I don't live in Florida, does it cost extra, and which visits must be in person or by video?
6. What is the full name of the clinician who will prescribe for me, and what authorizes that person to treat me in the state where I'll be located?
7. Is my testosterone an FDA-approved product or compounded? What is its exact name, supply duration, and filling Belmar pharmacy location?
8. On the $195 plan, will I get gonadorelin, enclomiphene or the clomiphene mentioned on your other page, and why?
9. What lab result or clinical reason would make you add an estrogen blocker? Is it separate or part of a compounded preparation?
10. How do my current or future plans for children change the evaluation and the clinician I should see?
11. How do I cancel, how much notice do you need, and is anything charged if I cancel early?
12. Is there a missed-appointment fee, and how does your 25% price-beat guarantee work?

Also request the first-shipment estimate, the refill-request deadline, how to reach a clinician between visits, and the process for getting your records. A low monthly fee is not much help if you cannot get those basic service details.

Copy this email to Royal

Hello — I'm comparing your TRT programs before paying. Please send me a written breakdown of the plan you'd offer me: the first charge and its date, the billing interval, the ongoing monthly rate, and any required charge that isn't included. Please confirm which lab tests are included and how often, whether repeat testing to confirm a new diagnosis costs extra, how the physical exam works for someone outside Florida, the full name of the clinician who would prescribe for me and their authorization to treat me in my state, whether my testosterone is FDA-approved or compounded and which pharmacy fills it, the first-shipment estimate and refill process, any minimum commitment, how to cancel and how much notice you need, how to get my records, and your refund terms if I'm not medically approved. I understand any prescription depends on a clinician's review. Thank you.

Don't include your lab results or health history in a general inquiry email. Save those for your intake.

Got your questions ready? Contact Royal Medical Center for your written cost breakdown, or call 1-800-625-3837.

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Is it legal to get testosterone online in 2026?

Yes, when the prescription and care meet federal and state requirements. Testosterone is a Schedule III controlled substance, and the fourth temporary federal extension permits qualifying telemedicine prescribing without a prior in-person examination through December 31, 2026. It does not remove state authorization, clinical-assessment or other prescribing requirements. ^{26 27 28}

The U.S. Drug Enforcement Administration (DEA) and the Department of Health and Human Services (HHS) extended these telehealth flexibilities for a fourth time, covering January 1 through December 31, 2026. That matters to every online TRT buyer, not just Royal's. December 31 is this extension's end date, not a promise that the same rules will apply afterward. ²⁸

Two things the federal rule does not do: it doesn't override state practice rules, and it doesn't guarantee any clinic can treat you. Ask Royal which examination and visit format your clinician requires, including any in-person visit. There's no legal shortcut around a valid prescription, and any website offering testosterone without one is one to avoid. ^{26 28}

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What did we actually verify?

We compared Royal’s public prices, plan descriptions and disclosures with official licensing records and primary medical sources. This establishes what those sources say, not what a particular patient will be billed or the care they will receive.

What we actually verified — checked on September 23, 2026.

Sources we read directly: Royal's program-options page, All-Inclusive TRT page, $75 and $89 product pages, homepage, main TRT page, men's catalog, FAQ, About page, contact page and privacy policy; Florida's license verification and practitioner profile for ME58463; the Oregon Medical Board's 2021 stipulated order; Belmar's facility information; Royal's Trustpilot profile; official Male Excel and Hone pricing and policy pages; FDA materials and drug labels; Endocrine Society guidance; the Federal Register extension; HHS state-licensing guidance; and IRS account guidance.

Verified source contents: the prices and wording displayed on the reviewed pages; Royal's medical-approval and ineligibility-refund statements; its named pharmacy group; the official Florida license status; and the contents of the Florida profile and Oregon order. Training, certification and financial-responsibility entries are identified as profile disclosures, not independent credential or insurance audits.

Provider-stated (Royal's word, not independently tested): what each plan includes; lab and physical-exam schedules; shipping promises; and its no-hidden-fees claim.

Customer-experience signals (labeled, not verified): a 2024 two-month-billing report; a 2024 $40 missed-appointment report and Royal's reply; prescribing-communication complaints; and service-speed praise.

Our calculations: twelve-fee subtotals, the hypothetical $89-to-$119 quote, the conditional bundle comparison, and the limited published-fee comparison with Male Excel and Hone. Editorial conclusions: who should request a Royal quote and who should investigate a different care route.

What we could not confirm: your first charge or renewal agreement; all required first-year costs; post-approval cancellation/refund terms; the exact lab panel and repeat-test inclusion; the later monitoring schedule; out-of-state physical arrangements; response times and refill timing; a complete clinician-by-state roster; your exact finished medication and dispensing-facility license; HSA/FSA paperwork; and the About page's current teaching and hospital-leadership claims. We did not retrieve the underlying Florida order associated with the 2025 status entry.

What this page is not: a hands-on review. We didn't enroll, pay, or receive care. We are not a clinic, pharmacy, laboratory, insurer, or medical practice. Read How We Review TRT Providers.

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What else should you know about Royal Medical Center TRT cost?

Royal’s three advertised monthly prices are clear, but a complete quote still depends on your plan, included care and billing terms. These answers separate the published fees from the details to confirm before paying.

How much is Royal Medical Center TRT a month? $75, $89, or $195, depending on the plan, per Royal's program-options page as of September 2026. ¹

What's the difference between Royal's $75, $89, and $195 plans? All include testosterone cypionate, labs, physicals, and provider visits, according to Royal. The $89 plan adds an estrogen blocker. The $195 plan adds an estrogen blocker plus gonadorelin or enclomiphene. ¹

How much does Royal Medical Center TRT cost per year? $900, $1,068, or $2,340 in twelve-fee subtotals at the listed prices, assuming the monthly price doesn't change. Add any required charge outside your agreement to reach a complete cost. ¹

Is Royal Medical Center TRT really all-inclusive? Royal says each plan covers its listed drugs, labs, physicals and visits. Its FAQ describes supplies, and the $195 TRT page advertises free shipping; confirm shipping for the lower-priced plans. hCG and standalone clomiphene or enclomiphene are sold separately, and the public pages do not define the complete lab panel. ^{1 5 7 8}

Does paying Royal guarantee I'll get a prescription? No. Royal says payment doesn't guarantee treatment or a prescription, and that a licensed provider must approve you. If you're found medically ineligible, Royal says your program payment is refunded. ¹

Where is Royal Medical Center located? Royal lists 1000 E Hillsboro Blvd, Suite 102, Deerfield Beach, Florida 33441. Its pages describe remote care and medication shipping, but this does not establish treatment availability in your state. Phone: 1-800-625-3837. ^{7 37}

What states does Royal Medical Center serve? We did not verify a complete clinician-by-state roster. Ask who will prescribe for you and check that person's current authorization in the state where you will be during care. ²⁶

Is Royal Medical Center legit? Royal names a physician whose Florida license is clear and active. The records also include the 2021 Oregon order, 12 self-reported 2022 action entries across nine other states, and a 2025 Florida obligations-satisfied status. These facts do not establish whether a particular treatment is right for you. Read the record above and verify your own prescriber. ^{10 11 12}

Which pharmacy does Royal Medical Center use? Belmar Pharma Solutions, a compounding pharmacy group, per Royal's website. ¹

Can I use lab work I already have? We did not find a public rule stating which outside results Royal accepts. Ask which tests it needs, how recent they must be, and whether any repeat test costs extra. A new diagnosis and a transfer of established care may require different review.

Does Royal Medical Center take insurance? Royal advertises flat cash prices. We did not verify insurer billing, network participation or whether your plan reimburses any part of the program; ask Royal and your insurer before relying on coverage.

Is there a Royal Medical Center promo code? We found no current code on the Royal pages reviewed. Royal does advertise a 25% price-beat guarantee — ask how to claim it and confirm the renewal rate in writing. ⁶

Will an existing patient pay the same as a new patient? We couldn't confirm that. If you're already a patient, compare your actual billing to your agreement rather than to Royal's current advertising.

Does Royal Medical Center TRT affect fertility? It can. Testosterone can lower sperm production. If you plan to have children soon, talk to a urologist or fertility specialist before starting. ^{15 39}

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

Find My TRT Path is educational and non-diagnostic. It doesn't confirm low testosterone, determine eligibility, or guarantee a prescription. It helps you map your situation to a care route and the questions to ask. Read the privacy policy before sharing personal information.

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About this page. Written by TRT Provider Guide, the independent decision resource for testosterone replacement therapy care. Editorial research, not clinically reviewed. Last verified September 23, 2026. Editorial standards · Authors and review status · Affiliate disclosure · Corrections.

Sources

Public pages and records checked September 23, 2026. A source confirms only the claim and scope described beside it; historical customer reports and orders keep their original dates.

1. Royal Medical Center — Testosterone Cypionate: Program Options — Published tiers, inclusions, medical-approval condition and medical-ineligibility refund statement.

2. Royal Medical Center — $75 product page — Visible $75 price, conflicting title/description wording, and follow-up requirements.

3. Royal Medical Center — Testosterone/Anastrozole Therapy: $89 — Visible plan heading and price; legacy wording and promotional URL.

4. Royal Medical Center — All-Inclusive TRT — The $195 plan, listed add-on alternatives, lab and physical-exam language.

5. Royal Medical Center — Men’s program catalog — Separate hCG, enclomiphene and clomiphene prices; other product listings.

6. Royal Medical Center — Homepage — Starting-price advertisement and qualified price-beat claim.

7. Royal Medical Center — Men’s TRT page — The $195 advertisement, supplies and shipping claims, and fertility-related marketing.

8. Royal Medical Center — Men’s FAQ — Provider-stated testing, consultations, supplies, support and hCG use.

9. Royal Medical Center — About — The physician named on Royal’s public website.

10. Florida Department of Health — License verification: ME58463 — License status, expiration and practice address; page displayed data as of September 22, 2026.

11. Florida Department of Health — Practitioner profile: Dagoberto Jesus Rodriguez — Pages 2–4: self-reported training and financial responsibility, Florida action-status entry, and other-state action entries.

12. Oregon Medical Board — September 16–October 15, 2021 Board Action Report — Pages 26–28: Rodriguez stipulated order, effective October 7, 2021.

13. Trustpilot — Royal Medical Center reviews — Dated profile snapshot and individually attributed customer reports; not medical or policy verification.

14. Endocrine Society — Statement on Testosterone Replacement Therapy — July 16, 2026 statement: symptoms, standardized assays, and at least two early-morning fasting tests.

15. Endocrine Society — Testosterone Therapy for Hypogonadism guideline resources — Diagnosis, cause assessment, fertility, risk factors and monitoring.

16. FDA — Understanding the Risks of Compounded Drugs — Compounded preparations are not FDA-approved; legal and quality distinctions.

17. Pfizer — Depo-Testosterone prescribing information — An FDA-approved testosterone cypionate product; formulation and safety information.

18. DailyMed — Arimidex prescribing information — Anastrozole’s approved indications and action.

19. Clomid — Prescribing information — Approved indication in women with ovulatory dysfunction; composition and action.

20. Organon — Pregnyl prescribing information — hCG action and approved indications, including selected male hypogonadotropic hypogonadism.

21. FDA — June 8, 2022 Pharmacy Compounding Advisory Committee minutes — Page 7: vote on enclomiphene citrate and the 503A Bulks List.

22. FDA — 503A bulk substances under evaluation — Updated May 14, 2026; enclomiphene citrate appears in Category 1. This is not finished-drug approval.

23. FDA — June 2022 Pharmacy Compounding Advisory Committee briefing materials — Enclomiphene review and regulatory background.

24. Belmar Pharma Solutions — 503B outsourcing facility information — Belmar’s distinction between office-use 503B supply and patient-specific 503A prescriptions.

25. FDA — Class-wide labeling changes for testosterone products — February 28, 2025 update, including blood-pressure warnings.

26. HHS — Licensing across state lines — State authorization pathways and patient-location considerations.

27. eCFR — 21 CFR 1308.13: Schedule III — Testosterone is listed among Schedule III anabolic steroids.

28. Federal Register — Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities — Conditions and December 31, 2026 expiration of the temporary prescribing authority.

29. Royal Medical Center — HIPAA Privacy Policy Statement — Effective February 24, 2026; access-to-records statement and Privacy Officer contact.

30. IRS — Publication 969 — HSA/FSA qualified-expense and documentation rules; not certification of Royal’s bundle.

31. Male Excel — HRT costs — Published consultation, membership and medication starting prices; 60-day supply and extra shipping terms.

32. Male Excel — FAQ — Compounded cream description and program information.

33. Male Excel — Excel Advantage Guarantee terms — Conditional membership-fee refund; not a refund of all treatment charges.

34. Hone Health — Membership overview — Updated August 31, 2026: Plus membership and initial-test prices; medication exclusion.

35. Hone Health — Retesting and confirmatory testing — Testing requirements and why a confirmatory step can change the starting budget.

36. Hone Health — Service availability by state — Published state-by-state program availability; not individual clinical approval.

37. Royal Medical Center — Contact — Public inquiry form, address and telephone number.

38. MedlinePlus — Hypogonadotropic hypogonadism — GnRH, pituitary hormones and testicular signaling.

39. AUA/ASRM — Diagnosis and Treatment of Infertility in Men, Part II (2020) — Mechanism of sperm suppression by exogenous testosterone; distinct non-testosterone therapies. Published in 2020.

40. Federation of State Medical Boards — State medical board directory — Official board links and the Federation’s consumer link to DocInfo.