Best Online TRT Clinics (2026): Compared on Cost, Labs & Care

Disclosure: MultiGen Wellness is one of the clinics compared here. We checked every other clinic’s price on its own website in October 2026 and linked the page we used. Prices change, so confirm on the clinic’s site before you sign up.

Searching for the best online TRT clinic usually turns up “top 10” lists with star ratings and prices nobody sourced. This guide compares nine well-known US telehealth clinics on what actually changes your care and your bill: how the clinic charges, what labs cost, which medications it offers, and its limits. Every competitor number links to that clinic’s own page.

The right clinic for one man is not the right clinic for another. Someone chasing the lowest monthly price, someone who wants deep lab testing, and someone protecting his fertility will each choose differently. Use the table to narrow it down, then the checklist to vet your pick.

Quick answer

• Low published monthly prices: PeterMD ($79/mo on a 12-month plan, which its site says includes medication), Maximus ($99.99/mo on a 6-month plan) and TRT Nation ($99.99/mo, 2.5-month minimum purchase). Read the plan terms and lab fees first.
• Lowest membership fee: Hone Health’s Basic membership, with medication priced separately.
• Pay-as-you-go with no monthly fee: Defy Medical and Marek Health.
• Self-pay, per-visit pricing with a licensed provider visit included at the start: MultiGen Wellness.

How we compared clinics

We only included clinics whose pricing and care model we could check on their own website in October 2026. For each one we recorded:

• Model: monthly membership, all-inclusive subscription, prepaid plan, pay-as-you-go, or per-visit.
• Published price: the starting price shown on the clinic’s site, with a link.
• Labs: whether lab cost is published and what it includes.
• Medications: the testosterone forms and related drugs the clinic lists.
• Notable limits: minimum purchases, state availability, or fees billed separately.

No star ratings. If a clinic does not publish a number, we say “not published.”

Best online TRT clinics compared: master table

All prices are as published on each clinic’s site, price checked Oct 2026. “From” prices are the lowest listed and often require a longer plan.

Clinic	Model	Published starting price	Labs	Medications listed	Notable limits
Hone Health	Membership plus medication	Basic $25/mo or Premium $155/mo, plus medication; injectable testosterone cypionate from $28/mo plus membership	Initial biomarker test listed at $65 (shown as discounted from $165)	Testosterone cypionate injections, testosterone cream, testosterone troches, clomiphene, anastrozole	Medication is billed on top of membership; its cypionate is compounded
TRT Nation	Monthly program	Injectable testosterone $99.99/mo; TRT plus HCG $180/mo	TRT panel $129 (total T, CBC, CMP, estradiol, PSA); recent outside labs may be accepted	Testosterone injections, enclomiphene, HCG	2.5-month minimum purchase on injectable plans; California pricing may vary
PeterMD	Prepaid or monthly plan	Injectable testosterone $139/mo monthly, $109/mo on a 6-month plan, $79/mo on a 12-month plan	Base health panel listed at $95	Injectable testosterone; HCG offered as an add-on	6- and 12-month plans are billed up front
Defy Medical	Pay-as-you-go, no monthly fee	Itemized prices not published; average estimate under $175/mo in year one, about $125/mo after	Included in the estimate; itemized price not published	Estimate includes testosterone and a weekly aromatase inhibitor	Estimate is not a price guarantee; quotes through a patient advocate
Marek Health	Pay-as-you-go, no subscription	$299 one-time intake; average spend about $135/mo in year one, about $70/mo in year two and later	Labs from $450	Not itemized; treatments purchased separately (estimated $80 to $200/mo)	Highest published startup cost in this comparison ($299 intake plus labs from $450)
Hims	Membership plus medication	$49 membership fee, plus medication: compounded testosterone cypionate from $79/mo, generic testosterone cypionate from $159/mo, oral Kyzatrex from $179/mo	Membership includes two qualifying lab tests per year (at-home kit)	Injectable and oral testosterone; separate enclomiphene-based “Rx+” product	Not available in all states; labs and a prescription required
Maximus	Plan-based protocol	Injectable testosterone $199.99/mo monthly, $149.99/mo on 3 months, $99.99/mo on 6 months; enclomiphene and cream from $99.99/mo; oral from $149.99/mo	At-home lab test part of evaluation; separate price not published on protocol page	Injectable testosterone, testosterone cream, oral testosterone, enclomiphene	Lowest price needs the 6-month plan; may vary by state
Fountain TRT	All-inclusive monthly fee	From $199/mo, including medication, video visits and ongoing support	Blood test at a partner lab; lab cost not published	Topical testosterone cream	Operates in 20 listed states
MultiGen Wellness	Per-visit, self-pay	$247 to start (includes your first provider visit), then $97 per visit	Not published here; ask which panel you need and what it costs	Testosterone therapy as prescribed by your licensed provider; medications priced separately	Does not bill insurance; does not take HSA/FSA cards directly

Clinic profiles

Short notes on each clinic, in the same order as the table, so you can judge which is the best online TRT clinic for your situation.

Hone Health

Hone uses a membership model: Basic at $25 per month or Premium at $155 per month, with medication billed on top. Injectable testosterone cypionate is listed from $28 per month plus membership, and the initial biomarker test at $65. The page notes its cypionate product is compounded. Source: Hone Health testosterone pricing (price checked Oct 2026).

Worth knowing: Add membership and medication together for your real monthly cost.

TRT Nation

TRT Nation advertises injectable testosterone at $99.99 per month, enclomiphene at $99.99 per month and TRT plus HCG at $180 per month. Injectable plans carry a 2.5-month minimum purchase. Its TRT blood panel is $129 and covers total testosterone, CBC, CMP, estradiol and PSA. Its FAQ says recent labs from your own doctor may be usable in many cases, and that it serves most, not all, US states. Sources: TRT Nation treatment pricing, TRT Nation lab orders and TRT Nation FAQs (price checked Oct 2026).

Worth knowing: The lab panel is a separate charge, so your first-month cost is higher than the monthly price.

PeterMD

PeterMD prices injectable testosterone in three plans: $139 per month on its monthly plan, $109 per month on a 6-month plan, or $79 per month on a 12-month plan. The 6- and 12-month plans are billed up front. The site says medications are included. A base health panel is listed separately at $95, and HCG is offered as an add-on. Sources: PeterMD men’s TRT pricing and PeterMD testosterone plans (price checked Oct 2026).

Worth knowing: The lowest monthly figure means paying for a full year at once. Ask about the refund policy before you prepay.

Defy Medical

Defy charges no monthly fee; you pay for each service when you buy it. It does not publish itemized prices, but estimates that a male TRT patient averages under $175 per month in year one and about $125 per month after, covering testosterone, a weekly aromatase inhibitor, labs and consultations. Defy calls this an estimate, not a price guarantee. Source: Defy Medical pricing (price checked Oct 2026).

Worth knowing: Ask for a written quote for your exact plan, since the estimate depends on dose, delivery method and add-on medications.

Marek Health

Marek is pay-as-you-go with no subscription. It lists a $299 one-time intake (a 45-minute coach consultation and custom lab panel design) and labs from $450. It estimates average spend at about $135 per month in year one and about $70 per month after, with treatments bought separately at an estimated $80 to $200 per month. Source: Marek Health pricing (price checked Oct 2026).

Worth knowing: This is the most lab-heavy option here. Confirm which parts of your care come from a licensed prescriber and which from a coach.

Hims

Hims offers testosterone replacement therapy. It lists compounded testosterone cypionate from $79 per month, generic testosterone cypionate from $159 per month and oral Kyzatrex from $179 per month, billed on top of a $49 membership fee. The membership includes two qualifying lab tests per year by at-home kit. Its “Testosterone Rx+” (enclomiphene, tadalafil and supplements) is not testosterone itself. Hims says it is not available in all states. Source: Hims testosterone treatment (price checked Oct 2026).

Worth knowing: Hims says canceling the membership also cancels any active medication plan.

Maximus

Maximus prices protocols by plan length. Injectable testosterone is $199.99 for one month, $149.99 per month on a 3-month plan and $99.99 per month on a 6-month plan. Enclomiphene and cream start at $99.99 per month; oral testosterone at $149.99. Evaluation includes an at-home lab test. Sources: Maximus injectable TRT pricing and Maximus testosterone protocols (price checked Oct 2026).

Worth knowing: The headline price assumes the 6-month plan. Month-to-month costs about twice as much.

Fountain TRT

Fountain charges one flat fee from $199 per month, which it says includes medication, video visits and ongoing support. Treatment is a topical testosterone cream, after a blood test at a partner lab. Fountain lists 20 states where it operates. Source: Fountain TRT (price checked Oct 2026).

Worth knowing: The site does not say whether lab costs are part of the monthly fee, so ask.

MultiGen Wellness

MultiGen Wellness is a self-pay telehealth practice. It costs $247 to start, and that includes your first visit with a licensed provider. After that it is $97 per visit. Medications are priced separately, and your provider can order lab work as part of your evaluation. MultiGen does not bill insurance and does not take HSA/FSA cards directly. Besides TRT online, MultiGen also treats women’s hormones, peptides and GLP-1 weight loss.

Worth knowing: You pay for visits when you have them, not a monthly membership. That suits men who want regular time with a provider and a clear bill per visit. If you only want the lowest flat monthly price, another clinic’s prepaid plan may cost less.

Best for… quick picks

These picks are based only on each clinic’s published model and pricing, not on outcomes.

• Lowest published price if you can prepay a year: PeterMD ($79/mo on its 12-month plan).
• Low monthly price without a long prepaid plan: TRT Nation ($99.99/mo, 2.5-month minimum purchase, labs extra).
• Lowest membership fee: Hone Health Basic ($25/mo plus medication).
• No monthly fee at all: Defy Medical or Marek Health.
• Most extensive published lab testing: Marek Health (labs from $450).
• Prefers a cream, all-in monthly fee: Fountain TRT, if it serves your state.
• Wants a non-compounded, FDA-approved testosterone product: Hims lists generic testosterone cypionate and Kyzatrex.
• Wants to pay per provider visit, self-pay, with the first visit included: MultiGen Wellness.

The real cost: add it up before you choose

Headline prices rarely tell the whole story. To compare clinics fairly, add up your first year:

1. Startup: intake fee, first visit and first lab panel.
2. Monthly: membership or plan price, plus medication if billed separately.
3. Follow-up labs: panels per year and cost of each.
4. Visits: included or billed per visit.
5. Add-ons: HCG, estrogen management or supplies.

For a full cost breakdown, see our guide to testosterone therapy cost without insurance. If you hope to use insurance, read does insurance cover TRT first.

How to vet an online TRT clinic

Even the best online TRT clinic on paper should pass every point on this checklist.

1. It requires a real prescriber and real labs

Testosterone is a federally controlled substance listed in Schedule III (21 CFR 1308.13). That means you need a valid prescription from a licensed prescriber. A site that sells testosterone without a prescription, or skips lab work, is a red flag.

The Endocrine Society’s clinical practice guideline recommends diagnosing low testosterone only in men who have symptoms and consistently low levels, measured with a fasting morning total testosterone test and confirmed with a repeat morning test. A clinic that prescribes after a single test, or no test, is not following that standard.

2. You can look up the prescriber’s license

Ask who will write your prescription. The Federation of State Medical Boards runs DocInfo, a free tool that shows the states where a physician holds an active license and whether a state medical board has disciplined them. For a nurse practitioner or physician assistant, check your state’s nursing or medical board website. Ask whether the prescriber is licensed in the state where you are located.

3. It screens you before prescribing

The same Endocrine Society guideline recommends against starting testosterone in men planning fertility in the near term or with certain conditions, including breast or prostate cancer, a PSA above 4 ng/mL (or above 3 ng/mL in men at higher risk) without further urology evaluation, elevated hematocrit, untreated severe sleep apnea, uncontrolled heart failure, or a heart attack or stroke in the last 6 months (source). A good intake asks about all of these.

4. It has a monitoring plan

The guideline calls for a standardized monitoring plan that checks symptoms and side effects, measures testosterone and hematocrit, and evaluates prostate cancer risk during the first year of treatment (source). Ask the clinic when follow-up labs happen and what they include. Some clinics also check estradiol; ask why and how they would manage it. See our guides on TRT blood work and managing estrogen on TRT.

5. It aims for normal levels, not maximum levels

The Endocrine Society suggests aiming for testosterone in the mid-normal range during treatment (source). Be cautious of any clinic that promises very high levels.

6. It tells you whether the medication is compounded

Some clinics in this comparison, including Hone Health and Hims, sell compounded testosterone. The FDA says compounded drugs are not FDA-approved and that it does not verify their safety, effectiveness or quality before they are marketed. Ask which pharmacy fills your prescription and whether an FDA-approved option is available.

7. It talks honestly about fertility

Testosterone therapy can lower sperm count and cause fertility problems, according to Cleveland Clinic. If you may want children, raise it at your first visit. Read TRT and fertility before you start.

8. The full price is in writing

Get the startup cost, monthly cost, lab cost and cancellation terms in writing. Still deciding between a local and a virtual clinic? See TRT clinic near me vs online TRT. For more questions to bring to your first appointment, see what to ask an online testosterone doctor. For red flags in detail, read is online TRT safe and legit.

Frequently asked questions

What is the best online TRT clinic?

There is no single best online TRT clinic for everyone. It depends on your budget, whether you can prepay, how much lab testing you want, injections versus cream, and whether the clinic serves your state. Compare the full first-year cost and confirm licensed prescribers and real labs.

How much does online TRT cost?

It varies by model. In October 2026, published starting prices included Hone Health’s $25 Basic membership plus medication from $28 a month, PeterMD from $79 a month on a 12-month prepaid plan, TRT Nation and Maximus from $99.99 a month, and Fountain from $199 a month. Some clinics charge for labs separately. MultiGen Wellness charges $247 to start, including the first provider visit, then $97 per visit, with medications priced separately.

Does Hims offer TRT?

Yes. As of October 2026, Hims lists compounded testosterone cypionate, generic testosterone cypionate and oral Kyzatrex, with medication billed on top of a $49 membership fee. It also sells an enclomiphene-based product that is not testosterone. Hims says it is not available in all states.

Is online TRT legit?

It can be. A legitimate clinic requires lab work, has a licensed prescriber write a real prescription, screens you for risks and schedules follow-up labs. Testosterone is a Schedule III controlled substance, so any site selling it without a prescription is not legitimate.

Do online TRT clinics take insurance?

Several clinics in this comparison, including Hims and Marek Health, say they do not take or bill insurance. MultiGen Wellness is self-pay and does not bill insurance or take HSA/FSA cards directly. Our guide on whether insurance covers TRT explains the options.

Do I need blood work to start TRT online?

Yes. The Endocrine Society recommends a fasting morning total testosterone test, confirmed with a repeat test, before diagnosis, plus follow-up testosterone and hematocrit checks on treatment.

What is the difference between a membership and per-visit pricing?

A membership charges a set monthly fee whether or not you see a provider, and medication is often extra. Per-visit pricing charges you when you have a visit. Add up a full year of each to compare.

Will TRT affect my fertility?

It can. Testosterone therapy can lower sperm count, and the Endocrine Society recommends against starting it in men planning fertility soon. Tell your provider if you want children.

How do I check if an online TRT doctor is licensed?

Ask for the prescriber’s name, then look them up on DocInfo from the Federation of State Medical Boards or on your state’s medical or nursing board website. Ask whether they are licensed in the state where you are located.

Talk to a licensed provider

If you want to see whether testosterone therapy makes sense for you, a licensed MultiGen Wellness provider can review your symptoms and discuss lab testing. It is $247 to start, including your first provider visit, then $97 per visit, with medications priced separately. Request a visit online or call 1-800-259-0015.