TRT Nation vs Hone Health: Which One Fits You?

TRT Nation vs Hone Health is a trade between payment models. TRT Nation advertises the lower base rate, with a 2.5-month minimum and separate lab bills. Hone charges monthly, with medication extra and listed follow-up labs included. Your full quote, testing needs, state and fertility plans can change the better fit.

This comparison covers U.S. adult men seeking care for possible testosterone deficiency.

Published offers checked October 8, 2026: TRT Nation and Hone.

By TRT Provider Guide · Last verified: October 2026 (sources checked October 8, 2026) · Editorial research, not clinically reviewed

Last updated: October 8, 2026.

That's the short answer. Three things can flip it:

• Your state. Each company serves states the other doesn't.
• Whether low testosterone has actually been confirmed.
• Whether you want kids soon.

And the biggest difference between these two isn't the monthly price at all. It's what happens before a doctor says yes, and what you're out if one says no. We'll get to that in a minute.

Best for, at a glance:

• Hone Health is worth checking if you want monthly membership billing, follow-up labs included, and a $45 first test on Plus. The full bill still includes confirmation where charged, membership and medication. (Plus is listed in 35 states; men's Premium in 34.)
• TRT Nation is worth checking if you want the lower advertised base rate, can budget for separate labs, and you're fine buying 2.5 months at a time. Ask whether it will accept any recent results you have. (Not offered in Alabama, Alaska, Arkansas, Hawaii or Missouri; North Dakota is unclear. Age 24 and up.)
• Start somewhere else if you're trying to have a baby now or soon. The same goes if you live in Alabama, Alaska or Arkansas, or if a complicated health history is driving the decision. Start with the relevant clinician; TRT Provider Guide's Find My TRT Path tool can help you prepare your questions.

See Hone's current Plus and Premium pricing →

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.

Educational information, not medical advice. Only a licensed clinician can decide whether testing or treatment is right for you.

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What we actually verified

Checked on October 8, 2026. We read both companies' official pages:

• price pages and plan pages
• lab pages and testing schedules
• state lists
• medication pages
• cancellation and refund policies
• terms of service
• help-center articles

We also checked their public Trustpilot and Better Business Bureau profiles. Then we compared medical claims against the FDA, the DEA, the American Urological Association (AUA) and the Endocrine Society.

What we confirmed from the companies' own pages:

• prices and lab fees
• TRT Nation's 2.5-month minimum
• Hone's monthly billing and its first-month refund rule
• state lists
• testing requirements and follow-up lab schedules
• medication menus and compounded-drug labels
• cancellation and refund wording
• legal company names, and the medical practices Hone names

What the companies say but we couldn't independently check:

• Hone's statement that follow-up labs are included and that its labs are accredited
• both companies' LegitScript status (the lookup wouldn't load)
• TRT Nation's statement that it offers unlimited consultations

What stayed unclear:

• who TRT Nation's prescribers are
• which pharmacy fills either company's prescriptions
• the complete diagnostic and follow-up testing bill for a specific patient
• whether North Dakota and Washington, D.C. are served by TRT Nation

What we did not do: We did not sign up, buy medication, get a prescription or time either company's support team. This is a researched comparison, not a hands-on review. Our process follows How We Review TRT Providers.

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TRT Nation vs Hone Health: what are the main differences?

Both offer online testosterone care with virtual visits and medication shipped to your home. TRT Nation's basic injectable offer has a 2.5-month minimum, with labs extra. Hone charges a monthly membership that includes follow-up testing, and bills medication separately.

Hone Health vs TRT Nation — checked October 8, 2026

Sources: TRT Nation treatment page, FAQs 2026, cancellation policy and cost article. Hone membership overview, Plus plan, payment breakdown, state list and cost article. Year-one estimates are our math, shown in full below.

One quick trap to clear up: Hone's $25 "Basic" plan does not include testosterone treatment. You'll see it on Hone's homepage. Men's TRT runs through Plus ($135) or Premium ($155).

Review TRT Nation's treatment pricing · Compare Hone's membership plans

Both links open the company's own page, so you can check our numbers against theirs.

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.

Map the care route that fits your situation → Find My TRT Path is educational. It doesn't diagnose low testosterone, decide eligibility or guarantee a prescription.

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Which should you choose: TRT Nation or Hone Health?

Choose by your situation, not the sticker price: both companies publish a repeat-testing requirement. TRT Nation is worth checking for its lower base rate; Hone is worth checking for monthly billing with follow-up labs included. If you want children soon, start with a urologist instead of either one.

Find your row:

These are our editorial conclusions from the verified facts on this page. They're not medical advice and not scores.

Does the smaller first-test payment sound like you? Hone Plus starts with a hormone test you take at home, followed by a doctor's review.

See how Hone's $45 Plus test works →

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TRT Nation vs Hone Health: what will you really pay in year one?

TRT Nation has the lower advertised base rate, but the published pages do not establish one complete first-year price for either provider. The table below separates annualized costs from package payments and shows how Hone's bill changes with medication spending. Your required tests, supply period and extra fees still need to be included.

Here's the thing about any "$99 a month" price tag: it's only useful if you know what it covers and when you pay it. So we did the math both companies leave to you.

What TRT Nation's "$99" actually means

TRT Nation's treatment page lists testosterone at $99.99 a month, with a 2.5-month minimum purchase. That's about $250 per block. Its FAQ page says the plan includes:

• a 2.5-month supply of testosterone cypionate
• an estrogen blocker (anastrozole)
• syringes
• "unlimited consultation and follow-ups"

Labs are not included. TRT Nation's standard lab panel costs $129 for new or existing patients. Its pages agree on a first follow-up around 10 weeks, but differ on later timing. It says California pricing "may vary." One code was 20% off on the day we checked. We leave promotions out of yearly totals because their conditions and duration can differ.

What Hone's price actually means

Hone separates the membership from the medicine. Plus is $135 a month; Premium is $155. Hone's own payment breakdown describes each as an annual program ($1,620 or $1,860) charged 1/12 each month, which you can cancel at any time. Follow-up testing is included in the membership, per Hone.

Medication is billed on its own. Hone's injection price starts at $28 per vial, and its cost article shows the monthly bill can be $28, $112 or more depending on how much your doctor prescribes. Hone says injection supplies and delivery are included in the medication price.

Year-one cost, side by side

How to read this:

• These are cost models, not complete personal quotes. The TRT Nation annualized row is different from cash paid for packages. The Hone examples count twelve membership payments plus entry tests; twelve medicine charges need not cover the same period. Add only costs not already included in a quoted package or medicine price.
• Three TRT Nation panels is an example, not a testing recommendation. Its lab-order page offers a $129 standard panel to new and existing patients. A second diagnostic test or extra monitoring may add charges. Accepted outside results may avoid buying a new initial panel from TRT Nation; the outside tests themselves are not necessarily free.
• Confirm the package's actual supply period. The package examples assume 2.5 calendar months per purchase. Get the charge, supply period and payment dates in writing before using those totals as a budget.
• Hone's confirming test isn't always $45. One Hone article lists the Plus lab confirmation at $45, another at $50, and $80 if done at home. Hone also says repeat testing is free when clinically necessary. Ask which applies to you.
• The Hone fee alternatives change the subtotal. With $50 laboratory confirmation, Plus is $1,715 before medication/extras; with $80 home confirmation, it is $1,745. If Hone confirms that diagnostic confirmation is included at no extra fee, Plus is $1,665 and Premium is $1,925. These are different policy scenarios, not promised discounts.
• Some Hone prescriptions are filled as 28-day supplies. Twelve fills cover 336 days; thirteen cover 364. Count the actual fill prices and payment dates for the period you need, rather than assuming one extra $28 charge completes the year.
• The models exclude any applicable missed-appointment fee, extra testing or other one-off charges. Confirm which apply to your plan. An hCG offer is not a reason to add hCG to treatment.

Cost inputs: TRT Nation pricing and lab orders; Hone Plus, Premium, confirmation schedule, retesting policy, medication prices and 28-day supplies. Calculations are ours.

What the numbers tell you: TRT Nation has the lower advertised base rate. A complete savings claim needs both written quotes for the same period, with required tests and the actual medication supply included.

The number that matters more: what you're out if a doctor says no

This is the part most comparisons skip.

Some TRT Nation reviewers report being asked to pay or being charged before their provider visit. The complaint record also matters: a BBB dispute about a pre-visit $200 charge is now marked resolved after a refund, and TRT Nation says it refunded an older lab-related dispute. These are individual reports and company responses, not proof of what will happen to you. Get TRT Nation's refund promise in writing before you pay for a block. (Trustpilot; BBB complaint records.)

Hone does not have the lower advertised base price. If that is your top priority, TRT Nation is worth checking first. Hone Plus offers a smaller first step: a $45 test and initial consultation. And Hone says it gives back your first membership fee if its doctor says no. But $45 is not a cap on what you may pay before final approval. Hone's patient-journey page puts membership, medication and confirmation charges at checkout before the confirmation review; its Plus page describes membership activation after confirmation. Ask which sequence applies and what happens to every charge if treatment is declined. (Patient journey; Plus plan.)

If the smaller first-test payment and monthly membership fit what you're looking for:

See Hone's current membership pricing and what each plan includes →

Comfortable with the package payment and want to check the lower base rate? Review TRT Nation's current treatment pricing.

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Does TRT Nation or Hone Health serve your state?

The published lists overlap in 34 states, though in New York only Hone's Premium plan is listed. Ten more states appear outside TRT Nation's exclusions but not on Hone's men's lists; Hone lists Hawaii and Missouri, which TRT Nation excludes. Neither lists men's care in Alabama, Alaska or Arkansas, and North Dakota is unclear at TRT Nation.

All 50 states, checked October 8, 2026

In this table, TRT Nation coverage means the state is not excluded by its reviewed lists; it is not independent confirmation of every clinician or treatment. Hone coverage means the specific men's plan is listed.

* TRT Nation says California pricing "may vary." Washington, D.C. isn't named on TRT Nation's lists and is not listed for either Hone men's plan.

Sources: TRT Nation homepage and FAQs 2026; Hone service availability by state (updated September 4, 2026).

Two cautions:

1. A state on a list isn't a prescription. A clinician still has to decide you're a fit. They also must be allowed to treat you in the state where you're physically located during the visit (HHS).
2. These lists change. Check again on the day you sign up.

If your state is on Hone's list:

Check Hone's current state-by-state availability →

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How does testing work at TRT Nation and Hone Health?

U.S. guidelines say low testosterone should be diagnosed from symptoms or signs plus consistently low results on separate early-morning tests, never from one number. Hone requires two readings and recommends testing before 10 a.m. TRT Nation's cost-and-process article also says it follows a two-morning-test protocol; its complete diagnostic bill needs confirmation.

What the guidelines actually say

• The Endocrine Society says diagnosis needs symptoms or signs plus consistently low, accurately measured testosterone. It should be based on at least two early-morning, fasting tests. It adds: "Symptoms alone are not diagnostic of hypogonadism" (July 2026 statement).
  • Hypogonadism is the medical name for when the body doesn't make enough testosterone.
• The American Urological Association calls a total testosterone below 300 ng/dL a "reasonable cut-off." It says diagnosis should come from two early-morning tests on separate occasions (AUA guideline, published 2018; AUA's explanation of its recommendations).
  • Total testosterone is all the testosterone in your blood.
  • ng/dL is the unit labs use to report it.

Why two tests? Testosterone swings from day to day and hour to hour. Two morning results protect you from starting a long-term treatment because of one bad day.

No single number diagnoses you. A clinician looks at your symptoms, your results and what's causing them.

Testing at TRT Nation

• First panel: $129, drawn at Labcorp or Quest. It checks total testosterone, a CBC, a CMP, estradiol, and PSA for men over 40.
  • A CBC (complete blood count) includes your hematocrit, the share of your blood made of red blood cells. Testosterone can raise it.
  • A CMP is a comprehensive metabolic panel, which checks blood chemistry, including kidney and liver markers.
  • Estradiol is a form of estrogen.
  • PSA is a prostate blood test.
• You choose your lab when you pay and can't change it afterward.
• Outside labs: accepted. TRT Nation's main FAQ says "typically within 120 days." Its homepage and FAQs 2026 page say "up to 6 months old." At-home test results are not accepted.
• Follow-up labs: after the first 10 weeks of treatment, then 6 months later, then yearly (per its FAQs 2026 page). Its main FAQ anchors the six-month interval to the first lab appointment, while its cost article describes six-monthly testing once stable. Confirm your written schedule.
• Second confirming test before treatment: its cost-and-process article says it follows a two-morning-test protocol. Confirm how the second test is ordered and billed.

Testing at Hone

• Plus: starts with an at-home finger-prick kit ($45). It measures:
  • total testosterone and calculated free testosterone
  • SHBG (sex hormone-binding globulin, a protein that holds testosterone in the blood)
  • LH (luteinizing hormone, the brain's signal to make testosterone)
  • estradiol
  • two liver enzymes
  • albumin, a protein in the blood
• Premium: starts with a broader lab draw ($65). Hone directs most patients to Quest and Arizona patients to Sonora Quest.
• Confirming test: Hone states, "Two readings are required to confirm low T status," and cites the AUA. The confirming test is taken about two weeks after the first. On Plus, it adds PSA, hematocrit and prolactin checks. Prolactin is a hormone that can help a clinician assess the cause of low testosterone.
• Timing: Hone recommends collecting your sample "before 10:00am" and fasting 10 to 12 hours.
• Follow-up labs: on Plus, at months 3, 6, 9, 12 and 18. Hematocrit and PSA are checked at months 6, 12 and 18. Premium lists labs at months 3, 6, 9, 12, 18 and 24. Its core follow-up panel includes a CBC, including hematocrit, and PSA at each listed follow-up; Plus does not list those checks at months 3 and 9. These are published schedules, and a clinician may order different or extra tests.
• Outside labs: accepted if done within the last 90 days and they include the right markers. You still have to buy Hone's initial test bundle.

Already on prescribed TRT? TRT Nation says it does not require current TRT patients to lower their testosterone to join. Ask the new clinician which prior diagnostic records, current labs and refill dates it needs for a transfer of care. (TRT Nation transfer FAQ.)

How the two compare on testing:

Is a finger-prick test as good as a blood draw? Hone says its accredited labs checked its panels against standard blood draws. We couldn't verify that independently. If you'd rather have a standard draw, Premium starts with one through Hone's listed lab network, and the Plus confirming test can be done at a lab.

Testing sources: TRT Nation lab orders and FAQs 2026; Hone Plus schedule, Premium schedule, lab-draw locations, fasting instructions, home collection instructions, lab validation statement and outside-lab policy.

Want to review Hone's testing requirements and schedule?

Review Hone's lab requirements and testing schedule →

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What medication do you actually get?

Hone's own product page says its testosterone injection is compounded and not FDA-approved. The TRT Nation pages we reviewed do not identify the approval status or pharmacy for the exact testosterone a patient would receive. One of its FAQ pages says medications come from "licensed U.S. compounding pharmacies."

FDA-approved vs compounded: the plain difference

• An FDA-approved drug is a specific product. The FDA reviewed it for safety and effectiveness, and it carries an FDA label.
• Compounding prepares or alters a medication for a patient's medical needs. The FDA says plainly: "Compounded drugs are not FDA-approved." The agency doesn't review them for safety, effectiveness or quality before they are marketed (FDA).

A pharmacy being "licensed" or "FDA registered" doesn't turn a compounded drug into an approved one. And a compounded drug isn't "the same as" or "a generic of" an approved product. That's not a knock on either company. It's what you're buying, and you deserve to know it.

What each company tells you about its medication:

Medication sources: TRT Nation plan details and pharmacy wording; Hone injection page, men's catalog, pharmacy-network statement and brand policy.

The anastrozole line matters. TRT Nation's plan description bundles an estrogen blocker into the supply. Whether you need one is a decision for your clinician. Ask before assuming it's part of your treatment.

Testosterone formats

• TRT Nation: testosterone injections.
• Hone: testosterone injections, testosterone cream, and a testosterone troche (a tablet that dissolves in your mouth).

Non-testosterone medicines

TRT Nation also sells enclomiphene (a pill) and a TRT + hCG plan. Hone also offers enclomiphene and clomiphene. These are separate medicines; hCG in a combined plan is not testosterone.

If you need a specific approved medicine or insurance

Hone allows use of an outside pharmacy while membership continues, but it does not handle prior authorizations and does not guarantee that your plan will pay. Confirm the exact medicine, pharmacy and insurance requirements before choosing this path. TRT Nation's insurance handling was not established in the pages reviewed. (Hone pharmacy policy; insurance policy.)

Testosterone is a controlled substance

In the U.S., testosterone is a Schedule III controlled substance (21 CFR 1308.13). It requires a valid prescription from an authorized clinician. Hone also says its controlled-medication deliveries require a signature; that is a delivery detail to confirm with the dispensing pharmacy. A questionnaire or a payment never guarantees a prescription.

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What if you want kids? Read this before you start

Testosterone taken as treatment can lower sperm production; the AUA says it should not be prescribed to men currently trying to conceive. TRT Nation sells a testosterone-plus-hCG plan, while Hone's current men's treatment catalog does not list hCG. If having children soon matters, see a urologist or reproductive urologist before choosing either company.

Why testosterone affects fertility

When testosterone comes from outside your body, your brain can slow its own signals to your testicles. Those signals also drive sperm production. The FDA label for testosterone cypionate says spermatogenesis may be suppressed at large doses (DailyMed). Spermatogenesis is your body making sperm.

The guidelines are direct about it:

• The AUA says men interested in future fertility should be counseled first, and testosterone "should not be prescribed to men who are currently trying to conceive."
• The Endocrine Society recommends against testosterone therapy in men planning fertility in the near term (2018 guideline).

That doesn't mean treatment will make you infertile, and nobody can promise how or when fertility returns. It means this conversation should happen before you start.

What each company offers

Offer sources: TRT Nation treatment menu; Hone men's catalog, enclomiphene, clomiphene and clinical policy.

What these medicines are, and aren't

• hCG (human chorionic gonadotropin) has FDA-approved versions for certain men whose low testosterone comes from a pituitary problem (Novarel label). Since March 2020, the FDA has regulated hCG as a biologic (FDA transition notice). If you choose TRT Nation's hCG plan, ask which hCG product you'll receive and which pharmacy fills it.
• Compounded enclomiphene is not FDA-approved. FDA lists enclomiphene citrate among bulk substances under evaluation for compounding. That list is not a drug approval.
• FDA-approved clomiphene products are indicated for ovulatory dysfunction in women seeking pregnancy. Using those products in men is off-label (Clomid label). Hone's listed compounded clomiphene product is itself not FDA-approved.
• None of these is "natural TRT," and none guarantees your fertility. They work differently from testosterone, and whether one fits you is a clinician's call.

If a baby is part of your plan in the next year or two, your best first stop is a urologist or reproductive urologist, not a subscription. Our TRT and fertility guide explains the questions to take to that visit.

Map your fertility questions with Find My TRT Path →

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Is TRT Nation legit? Is Hone Health legit?

Both publish U.S. company identities and terms, but a business profile is not proof of clinical quality or a clinician's license. Hone names affiliated medical practices and has an A+ BBB rating; TRT Nation's BBB rating was B− on October 8, 2026. The clinician and dispensing pharmacy assigned to an individual reader were not verified.

Who's behind each company

• TRT Nation is run by Nation Medical Inc., based in Tampa, Florida. The pages we reviewed refer to "licensed provider(s)" but did not identify the clinician who would treat an individual reader.
  • Its About page says it has been around "for over a decade." The BBB lists its business start date as September 2019.
• Hone Health is run by Time Therapeutics, Inc., based in New York. Its terms name the affiliated practices that provide care: Broad Health P.A., Adrian Rawlinson, M.D., P.C. (Broad Health of California), Broad Health of NC, P.C., Ivee Medical PC, and IV Medical New York, P.L.L.C.
  • Hone says its doctors are licensed in each patient's home state. Its site names medical leaders, including James R. Staheli, D.O., medical director for Broad Health. We did not verify the clinician who would treat an individual reader.

How do you reach a clinician or the care team?

TRT Nation says its plan includes unlimited consultations and follow-ups, with care-team messaging between appointments. Its site lists phone support Monday through Friday, 10 a.m. to 5 p.m. Eastern. These are published service details, not measured response times. (Plan details; support information.)

Hone directs patients to book physician consultations through the app. It lists a 20-minute first visit, 10-minute routine follow-ups and 20-minute nonroutine visits; Premium follow-ups may be longer when the care plan calls for it. For the care team, Hone uses in-app messaging, not live chat. Some routine questions may receive an AI reply before staff follow-up. We did not verify appointment availability or response times. (Visit lengths; physician contact; care-team contact.)

Where the published terms need clarification

These differences can affect what you pay or whether you're eligible, so ask about them before you pay.

An annual program billed monthly can still allow cancellation at any time. A pharmacy can also be licensed, registered and involved in compounding; those descriptions do not prove a drug is FDA-approved. The cancellation pages may be describing different things—stopping renewal and ending access—so ask for both dates.

What reviews really tell you

Don't compare 4.8 and 2.1 head to head. The profiles differ greatly in review volume and collection method. Their scores describe submitted reviews, not comparative treatment safety or medical outcomes. Two useful questions are:

• What happened after the complaint? Both profiles currently classify their listed complaints as Answered or Resolved. Answered does not mean the customer accepted the outcome; Resolved means the complainant reported a satisfactory resolution.
• What are people upset about? Reports we reviewed include advance-payment and laboratory disputes at TRT Nation, and billing after pauses or cancellation at Hone. These examples do not establish which issue is most common.

Read the replies too. TRT Nation's August 2026 pre-visit payment dispute is marked resolved after a refund; it also reported a refund in an older lab dispute. In that August response, TRT Nation said it charges on the assumption that treatment will proceed and refunds if the patient or provider decides otherwise. A July 2026 Hone cancellation dispute was resolved with a partial refund, while a separate pause-related billing dispute remained contested.

Two reviewers alleged that TRT Nation ended their care or account after negative public reviews: one on Trustpilot in July 2026 and one on BBB in April 2024. In the BBB case, TRT Nation disputed the account and cited a lapse in care, lab requirements and a refund. Those records do not establish why care ended. Hone's response to a phone-support complaint said calls were available on request; a reply does not establish how quickly a patient can reach someone.

Sources: TRT Nation Trustpilot, Hone Trustpilot, TRT Nation BBB profile, TRT Nation complaints, Hone BBB profile and Hone complaints. Counts are not adjusted for company size or transaction volume.

One more note. A review displayed on TRT Nation's own website still contains leftover writing instructions. So we didn't use on-site testimonials from either company.

Reviews describe individual experiences. They don't prove a company's policies, safety or medical results.

If Hone's named medical practices and monthly plan fit what you want to investigate:

Review Hone's Plus test and clinical program →

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What are you locked into? Cancellation, refunds and refills

TRT Nation sells 2.5-month blocks, reserves the right to refuse refunds, and says patients must request each refill. Hone bills monthly and lets you cancel or pause; its membership keeps billing even in months when no medicine ships. Hone does not offer partial-month refunds, but its policies describe specific refund exceptions.

For Hone, use the cancellation form linked in its refund policy, save the submission time, and contact support separately about pending medicine. The policy allows 1–2 business days for processing, treats the submission time as effective, and promises to refund membership charges made afterward. Confirm when access ends because its membership FAQ uses end-of-period wording.

To export Hone consultation history, use Account Menu → Consult History → Export. Its medical privacy notice also describes access and copy rights; an export of consult history is not proof that every part of your record is included.

How long does delivery take?

TRT Nation's main FAQ lists 1–3 business days for processing and shipment after approval, plus 3–5 for delivery. Its FAQs 2026 page instead says to expect medication within 10 business days after consultation. Hone asks for 3–5 business days of pharmacy processing before shipment and says shipping is free. These are provider estimates, not delivery guarantees; ask about your order before relying on a refill date. (TRT Nation FAQ; FAQs 2026; Hone shipping policy.)

Protect yourself at either company:

1. Get the price, and what's in it, in writing before you pay.
2. Ask what happens to your money if you're found not to be a candidate.
3. Cancel in writing and save the confirmation, with the time it was sent.
4. Check your card statement the next billing cycle.
5. Download your lab results and visit notes as you go, not when you leave.

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Will online TRT rules change after 2026?

Under current federal rules, appropriately DEA-registered clinicians can prescribe testosterone through a qualifying audio-video visit without a prior in-person exam, provided federal and state requirements are met. That temporary flexibility runs through December 31, 2026. If it isn't extended or replaced, online clinics may have to change how they start new patients.

• The rule: the DEA's fourth temporary extension of telemedicine flexibilities runs from January 1 through December 31, 2026 (Federal Register). The current permission is conditional; the prescribing clinician must meet the applicable requirements, and a website or questionnaire cannot guarantee a prescription.
• What it means for you: both operate under this federal framework, alongside applicable state requirements. Keep copies of your labs and visit notes. It's also worth knowing a local doctor or urologist you could see if the rules change.
• Date checked: October 8, 2026. Recheck the current federal rule before enrolling, especially as its end date approaches.

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Who should skip both, at least for now?

Online TRT isn't the right first step for everyone. If you're trying to conceive, or you have a history of prostate or breast cancer, get specialist assessment before starting testosterone. The same goes for a very high red blood cell count, untreated severe sleep apnea, a recent heart attack or stroke, or very unusual lab results.

Start with a urologist, endocrinologist or your primary care doctor if:

• you're trying to have a baby now or soon
• you've had prostate or breast cancer
• your hematocrit (red blood cell share) is already high
• you have severe sleep apnea that isn't being treated
• you've had a heart attack or stroke recently
• your labs point to a pituitary or testicular problem, or your symptoms are severe or unusual

The AUA, for example, says a hematocrit of 54% or higher during treatment needs action. It also says clinicians should consider holding off on testosterone if it's above 50% before treatment starts. The guidance calls for the cause of that elevated baseline result to be investigated. These are decisions for a clinician. (AUA guideline, page 426.)

Call 911 immediately for symptoms of a heart attack or stroke, such as chest pain, trouble breathing, sudden one-sided weakness or trouble speaking. Seek prompt medical assessment for a painful, swollen leg. (CDC: heart attack, stroke and blood clots.)

Live in Alabama, Alaska or Arkansas, or don't fit either company? Compare care routes in our online vs local TRT guide and other options in our guide to TRT providers with labs included. If you're still sorting it out:

Find the care route that fits your situation →

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What questions should you ask before you pay either one?

A headline price isn't a quote. Before paying either company, get the full cost, testing rules, medication details and cancellation terms in writing. If a question goes unanswered, treat that answer as unknown, not as free.

Copy these, ask them, and write down the answers:

1. "Can you treat me in the state where I'll be during my visits?"
2. "What do I pay before I know whether treatment is right for me, and what happens to that money if it isn't?"
3. "Which tests do you need before treatment, how many, and what does each cost? Will you accept my existing results?"
4. "Please list every charge: program or membership, medicine, supplies, labs, visits, shipping and any other fees."
5. "How much is charged each time, on what dates, and how long does each medication supply last?"
6. "Is my medicine FDA-approved or compounded? Which pharmacy fills it?"
7. "Who reviews my results, and which tests are planned in my first year?"
8. "How do I reach a clinician between visits, and how fast should I expect an answer?"
9. "I may want children. How does that change your recommendation?"
10. "What do I need to do before each refill, and who do I contact about a delay?"
11. "How do I cancel, which charges are refundable, and will you confirm cancellation in writing?"
12. "How do I get copies of my labs, visit notes and treatment record?"

Extra questions for TRT Nation:

• When exactly is the 2.5-month block charged?
• Does the "full refund" promise in your cost article apply to me?
• What does each follow-up lab panel cost?
• Will I be prescribed the estrogen blocker listed in the plan?
• Do you serve North Dakota?

Extra questions for Hone:

• Which confirming-test price applies to me ($45, $50 or $80)?
• How much medication will I need, and what will that cost per month?
• When does my access end if I cancel mid-month?

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How did we compare TRT Nation and Hone Health?

We followed How We Review TRT Providers. That means reading each company's own pages, showing the assumptions behind full-year cost models instead of repeating a teaser price, and checking medical claims against the FDA, DEA, AUA and Endocrine Society. We labeled what we verified, what the companies say, what customers report and what we concluded.

• Verified (company documents, October 8, 2026): prices, lab fees, plan terms, state lists, medication menus and compounded labels, refund and cancellation wording, legal company names.
• Provider-stated (we couldn't independently confirm): included follow-up labs, lab accreditation, unlimited consultations, LegitScript certification, visit lengths. Hone lists a 20-minute first visit and 10-minute routine follow-ups.
• Customer-experience signals: Trustpilot and BBB reports, with material replies and outcomes included.
• Editorial conclusions: the "start with" recommendations and the bottom lines in each section. These are our judgment, based on the facts above.

This comparison doesn't score providers or award stars. Inclusion isn't endorsement. The linked sources and calculations support the figures on this page. Read more in How We Review TRT Providers and on our About page. For sourcing, site data practices and reporting an error, see our editorial standards, privacy policy and corrections process.

Date checked: October 8, 2026. Prices, state lists, policies and federal prescribing rules can change. Confirm the terms that apply to you before paying, and check the sources linked here for later updates.

Want deeper single-company detail? See our Hone Health TRT review, our Hone TRT cost guide, or run your own numbers in the TRT cost calculator.

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TRT Nation vs Hone Health: what else should you know?

These questions cover costs, testing, medication, cancellation and access. A provider's published offer still needs to be matched to your own quote and clinical evaluation.

Is TRT Nation cheaper than Hone Health?

TRT Nation has the lower advertised base rate. Our annualized example is $1,586.88 with three illustrative lab panels, before other required charges; package payments can differ. Hone Plus's $1,710 paid-confirmation example excludes medication. Compare complete quotes for the same period before treating either subtotal as your first-year bill.

Is TRT Nation really $99 a month?

The plan price is $99.99 a month, but you have to buy at least 2.5 months at a time, which is about $250. Labs are $129 extra unless TRT Nation accepts your own recent results.

How much does Hone Health cost for TRT?

Plus is $135 a month and Premium is $155 a month, plus medication. Testosterone injections start at $28 per vial, so the monthly cost depends on your prescription. Getting started costs $45 for the first test on Plus, or $65 on Premium.

Does Hone's $25 plan include testosterone?

No. Hone Basic ($25 a month) doesn't include hormone therapy. Men's TRT requires Plus or Premium.

Which one requires two blood tests before treatment?

Both publish a two-test requirement. Hone says two readings are required to confirm low testosterone. TRT Nation's cost-and-process article says it follows two separate morning blood tests. Confirm each provider's ordering process and charges before paying.

Can I use labs I already have?

Usually, with limits. TRT Nation accepts outside labs, but its pages say 120 days in one place and 6 months in another, and it won't take at-home tests. Hone accepts labs from the last 90 days with the right markers, but you still buy its initial test bundle.

What happens if a doctor says I'm not a candidate?

Hone says it refunds the initial membership fee ($135 Plus, $155 Premium) if its physician determines after the first consultation that treatment is inappropriate. At TRT Nation, the cancellation policy reserves the right to refuse refunds, while a cost article describes a suitability-refund exception. Get the terms for each charge in writing before paying.

Does Hone Health offer hCG?

Hone's current men's treatment catalog does not list hCG or gonadorelin. TRT Nation offers a TRT + hCG plan for $180 a month, with a 2.5-month minimum. An offer does not establish that adding hCG is appropriate or that fertility will be preserved.

Is the testosterone FDA-approved?

Hone's injection page says its testosterone is compounded and not FDA-approved. The TRT Nation pages reviewed did not establish the exact dispensed product or its approval status. Ask either company exactly what you'd receive and which pharmacy fills it.

Do TRT Nation or Hone Health take insurance?

Hone says it's self-pay, but HSA and FSA cards may work; that is separate from insurance coverage. TRT Nation's insurance, HSA and FSA handling was not confirmed in the reviewed pages. Ask your insurer, clinician and pharmacy about the exact care and prescription.

Can I cancel Hone anytime?

Yes, it bills monthly and you can pause for up to 3 months. Hone does not offer partial-month refunds, but its policies describe specific refund exceptions. You have to cancel the membership and any pending medicine order separately.

Which states does neither company serve?

Neither serves men in Alabama, Alaska or Arkansas. North Dakota is unclear at TRT Nation, and Hone doesn't serve it.

Is TRT Nation legit?

Its terms identify Nation Medical Inc., with a Florida address and published prices. The assigned prescriber and dispensing pharmacy were not verified in this research. BBB showed B− on October 8, 2026, citing complaint volume and response delays; that is a business rating, not a clinical assessment.

Is Hone Health legit?

It's a New York company, Time Therapeutics, Inc., working with named physician practices. It holds an A+ BBB rating and a 4.8 Trustpilot score as checked October 8, 2026. Reports we reviewed include billing after cancellation; those reports and ratings do not establish clinical quality.

How old do you have to be for TRT Nation?

24 or older, according to TRT Nation's own pages.

Will online TRT still work after 2026?

The temporary federal rule allows qualifying DEA-registered clinicians to prescribe through audio-video care without a prior in-person exam through December 31, 2026, subject to other federal and state requirements. Whether it's extended or replaced will affect the framework both companies use. Check the current rule and the provider's requirements before enrolling.

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TRT Nation vs Hone Health: which should you look at first?

TRT Nation is worth checking first if the lower advertised base rate matters most, your state is served, and you're comfortable buying 2.5 months at a time. Hone Health is worth comparing if you prefer its monthly membership and published testing schedule. Both describe repeat testing, so that requirement does not establish a clinical-quality winner.

Hone's published features include:

• two required tests
• a $45 start
• monthly billing
• its stated initial-membership refund if the physician finds treatment inappropriate after the first consultation

If that's where you are, start here:

Review Hone's Plus test and membership details →

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

This page is educational information from TRT Provider Guide, the independent decision resource for testosterone replacement therapy care. It isn't medical advice, a diagnosis or a guarantee of a prescription. Prices, state lists and policies change. Check them with the company before you pay.

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Sources we checked (October 8, 2026)

TRT Nation:

• Testosterone therapy pricing
• FAQs 2026
• FAQ
• Homepage
• Cancellation policy
• Cost and process article
• Lab orders
• Terms and conditions

Hone Health:

• Membership overview
• Plus plan
• Premium plan
• Plus payment breakdown
• Premium payment breakdown
• Plus testing schedule
• Confirmatory testing
• Outside labs
• State availability
• Membership and medication billing
• Cancellation and refund policy
• 28-day supplies
• Visit lengths
• Injectable testosterone
• TRT cost article
• Terms
• Clinical policy

Reputation:

• Trustpilot: TRT Nation, Hone Health
• BBB: TRT Nation, Hone

Medical and regulatory:

• Endocrine Society 2026 statement
• Endocrine Society 2018 guideline
• AUA's published testosterone-deficiency recommendations (2018 release)
• AUA testosterone deficiency guideline (2018 journal version)
• FDA: compounding laws and policies
• Testosterone cypionate label (DailyMed)
• Novarel (hCG) label
• Clomid label
• 21 CFR 1308.13 (Schedule III)
• DEA fourth telemedicine extension
• HHS: licensing across state lines