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How to Get TRT: Telehealth Clinics vs. DIY Labs

A neutral, regularly-updated comparison of the top telehealth TRT clinics, budget to premium, by real monthly cost and whether the consult, prescription, medication and labs are actually included. Plus the cheapest route of all if you already have a prescriber. No affiliate money.

Last updated October 29, 2026Prices checked against listed sources · we take no affiliate commissions

The honest bottom line

A telehealth TRT clinic bundles the consult, prescription, labs and medication into one price, roughly $50–200/month depending on what is bundled, or a cash-pay clinic where you pay per piece. What actually differs is what is included, so compare that, not just the headline number. And the cheapest option is not on this list: if you already have a prescriber, you only need monitoring labs. Order those à-la-carte and skip the membership entirely.

How the models differ

These services are not priced the same way. Knowing which model you are looking at is half the comparison.

01All-inclusive membership

One flat monthly (or prepaid) fee bundles the consult, prescription, medication and labs. Simplest to budget; cheapest per month if you commit up front. Blokes, Fountain.

02Membership + separate meds

A monthly fee covers the provider and ongoing lab monitoring, but you pay for the medication on top, so read the real cost as membership plus drug. Hone.

03Cash-pay, à-la-carte

No subscription. You pay per piece: an intake or consult fee, labs at their own price, and medication through a pharmacy. Flexible and often thorough, but the total swings with your protocol. Marek, Defy.

04The DIY route

If you already have a prescriber, you do not need any clinic. You just need monitoring labs, which you can order à-la-carte for a fraction of a clinic bundle. That is the cheapest option of all.

At a glance

The clinics, compared

The nine telehealth clinics men actually compare, roughly cheapest all-in first. A strict price ranking is a little unfair because the models differ, so the two columns that matter most, whether labs and medication are in the price, are called out here. Full detail on each is below.

Telehealth TRT clinics: starting cost and what is bundled, roughly cheapest all-in first.
ServiceStarting costLabsMedication
Nuform HealthKit-based, no subscription$50/mo meds+ one-time $170 physician fee; labs extraÀ-la-carteIncluded (kit)
PeterMDPrepaid subscriptionFrom $79/mo$139/mo month-to-month; $109/mo on 6 monthsPartialIncluded
BlokesAll-inclusive membership$99–149/molowest with a 12-month prepayIncludedIncluded
TRT NationPay-per-use, no membership$99.99/momeds included; 2.5-month minimum; labs extraSeparateIncluded
HimsMembership + medication billed separately$49 membership + medsmedication from $49/mo; exact price only after intakePartialSeparate
Vita Bella HealthMembership, one core med included$117–129/mo+ one-time $99 consult; $117 needs a 12-month prepay ($1,399)PartialIncluded (one)
Fountain TRTFlat all-inclusive membership$199 / 4 wks≈ $150 / 4 wks on an annual prepayIncludedIncluded
Hone HealthMembership + medication billed separately$155/mo + medsplus a one-time $65 starter labPartialSeparate
Defy MedicalCash-pay, pay-per-serviceÀ-la-carteno membership feeÀ-la-carteSeparate
Marek HealthCash-pay optimization clinic$299 start + à-la-cartelabs + meds billed separatelyÀ-la-carteSeparate

The clinics

Every clinic in detail

What each price includes, what it prescribes, a realistic first-year cost, who it fits, and the catch worth knowing before you enroll.

Nuform Health$50/mo meds

Kit-based, no subscription

No monthly subscription. A one-time $170 physician fee unlocks 24/7 text and phone access, then medication is bought as kits: $200 per 4-month injectable kit, or $120/mo with hCG. Labs are billed separately at $95 (Male Basic Panel) or $195 (57-biomarker panel). Michigan-based; ships from US pharmacies.

  • One-time $170 physician access (24/7 text + phone)
  • Testosterone (injectable) shipped home
  • Injection supplies included in the kit
Labs À-la-carteBaseline and follow-up bloodwork are required and billed separately: a Male Basic Panel is $95 and a 57-biomarker panel is $195.
Medication Included (kit)Testosterone ships as a 4-month injectable kit: $200 ($50/mo), 200 mg/wk, supplies included; a 1-month kit with hCG/gonadorelin is $120/mo.
PrescribesTestosterone cypionate (injectable); enclomiphene as an alternative.
Realistic first year~$770/yr (fee + medication), plus labs
Best forOne of the lowest all-in medication costs if you are fine buying in multi-month kits and arranging your own labs.
  • Labs are extra: $95 for the Male Basic Panel or $195 for the 57-biomarker panel.
  • The site does not list which states it serves. Confirm yours before signing up.
PeterMDFrom $79/mo

Prepaid subscription

A prepaid subscription bundling the provider consult, medication and monitoring. Published pricing is $139/mo month-to-month, $109/mo on a 6-month plan, or $79/mo on a 12-month plan, with testosterone cypionate included. Bloodwork is sold separately from $247 and whether it is included in the plan is not stated, so confirm at intake. Testosterone cypionate ships to your door.

  • Provider consult + prescription
  • Testosterone cypionate shipped home
  • Lab monitoring (confirm coverage at intake)
Labs PartialBloodwork is sold separately from $247 on their blood-work page; whether monitoring labs are included in the plan is not stated, so confirm at intake.
Medication IncludedTestosterone cypionate (200 mg/mL) is included in the plan price. An oral enclomiphene option runs $278 per 2-month supply.
PrescribesTestosterone cypionate (injectable); enclomiphene (oral) as an alternative.
Realistic first year$948/yr (12-month plan)
Best forOne of the lowest all-in yearly prices, if you commit to the 12-month plan.
  • Not available in Alabama or Idaho.
  • Whether labs are fully included is not spelled out on the pricing page. Confirm at intake.
  • Marketed broadly (performance, weight loss, "live longer"). You are buying licensed TRT, not the surrounding claims.

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Blokes$99–149/mo

All-inclusive membership

A flat monthly subscription (now under the merged "Joi + Blokes") that bundles clinician visits, testosterone shipped to your door, quarterly labs, 1:1 coaching and unlimited messaging. Three tiers: $99/mo on a full-year prepay, $129/mo for six months, or $149/mo on the Flex plan, which is a 3-month commitment ($447 up front), not month-to-month.

  • Clinician visits + prescription
  • Testosterone (injectable) shipped home
  • Quarterly monitoring labs
  • 1:1 health coaching + unlimited messaging
Labs IncludedQuarterly labs included at every tier.
Medication IncludedTestosterone shipped as part of the subscription, no separate drug bill.
PrescribesTestosterone cypionate (injectable); cream / capsule referenced as alternatives.
Realistic first year~$1,190/yr (annual prepay) to ~$1,790/yr (Flex, four 3-month blocks)
Best forThe lowest all-in price if you will commit six to twelve months up front.
  • Cannot ship TRT to 16 states: AL, AR, CT, DE, GA, HI, LA, MN, MO, MS, NC, ND, OK, PA, RI, SC.
  • Brand recently merged into "Joi + Blokes". Old domains redirect; expect some churn.
TRT Nation$99.99/mo

Pay-per-use, no membership

No membership fee: you pay $99.99/mo for the testosterone therapy itself (medication included), with a 2.5-month minimum purchase. Labs are billed separately. An oral enclomiphene option is also $99.99/mo.

  • Provider consult + prescription
  • Testosterone (injectable) included in the monthly price
Labs SeparateBloodwork is billed separately: a $129 TRT bloodwork panel through their lab-orders page. They also accept outside labs.
Medication IncludedThe $99.99/mo is the testosterone-therapy price with medication included, sold in a 2.5-month minimum block (about a $250 minimum order). California pricing may vary.
PrescribesInjectable testosterone; enclomiphene (oral) as an alternative.
Realistic first year~$1,200/yr (medication), plus labs
Best forA no-membership, pay-as-you-go option if you would rather avoid a subscription commitment.
  • 2.5-month minimum purchase (about a $250 minimum order).
  • Labs are extra.
  • Reported unavailable in a few states (AL, AK, AR, MO, HI). Confirm.
  • California pricing may vary.

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Hims$49 membership + meds

Membership + medication billed separately

Re-checked on Hims' own pages November 10, 2026. A Hims TRT membership ($49 fee at checkout; the page does not say how often it recurs) covers provider care, dosage adjustments, 24/7 messaging and two lab tests a year. Medication is billed on top, monthly or upfront, from $49/mo, with the exact price shown only after the intake and labs. Four options since the October 21, 2026 launch of injectables: compounded testosterone cypionate (twice-weekly subcutaneous), generic testosterone cypionate (once-weekly intramuscular), Kyzatrex oral testosterone, and Testosterone Rx+ (enclomiphene plus supplements, with or without tadalafil). Enclomiphene is quoted from $99/mo on a 10-month prepay. Canceling the membership also cancels any active medication plan.

  • Provider care + prescription if eligible (membership)
  • Two lab tests per year + provider review (membership)
  • 24/7 messaging + dosage adjustments (membership)
  • Medication billed separately, from $49/mo
Labs PartialThe membership includes two qualifying lab tests per year (the first is diagnostic). The at-home Men's Core Panel kit is $69 one-time; Hims credits the $69 toward a future purchase if you return the kit within 30 days.
Medication SeparateBilled separately from the membership, monthly or upfront depending on plan. Hims says treatment starts at $49/mo and the price depends on which medication you are prescribed; per-medication prices are not published.
PrescribesInjectable testosterone cypionate, compounded (subcutaneous) or generic (intramuscular), both added October 2026; Kyzatrex (oral testosterone); enclomiphene (Testosterone Rx+).
Best forA recognizable brand that now covers injectable, oral and enclomiphene options, if you accept that the medication price only appears after intake.
  • Membership and medication are billed separately; "from $49/mo" is the cheapest medication, not your total.
  • Per-medication pricing (injectable vs oral vs enclomiphene) is not published; it appears after the online assessment and labs.
  • Canceling the membership also cancels any active medication plan.

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Vita Bella Health$117–129/mo

Membership, one core med included

A Scottsdale, AZ-based telehealth membership bundling provider visits every 90 days, one core medication (testosterone, enclomiphene or B12) shipped to your door, provider messaging and injection supplies. Two billing options, both plus a one-time $99 consult: $129/mo month-to-month with a 3-month minimum ($179/mo in California), or $117/mo on a prepaid annual membership ($1,399/yr). Labs are billed separately (from $89). Confirm coverage in your state at intake.

  • Licensed-clinician visits every 90 days + prescription
  • One core medication (testosterone, enclomiphene or B12) shipped home
  • Provider messaging + injection supplies
Labs PartialLabs are billed separately: essential labs start at $89 on the monthly plan. The annual prepay includes a free essential lab panel (or a discounted comprehensive panel).
Medication Included (one)One core treatment is included at no extra charge: testosterone, enclomiphene, or B12. Testosterone blends, creams, hCG/gonadorelin and any other medication are sold separately at member pricing.
PrescribesTestosterone (injectable); enclomiphene as an alternative.
Realistic first year~$1,500/yr + labs on the annual prepay ($1,399 plus the $99 consult); ~$1,650/yr + labs paying monthly
Best forA lower-cost membership bundling one medication and monitoring (labs extra), if you are comfortable vetting a newer, marketing-heavy clinic at intake.
  • Labs are billed separately (essential labs from $89); the annual prepay includes an essential panel.
  • Monthly plan has a 3-month minimum, and California is $179/mo.
  • Marketing leans on self-promotional superlatives ("#1", "100% 5-star"). Treat those as advertising, not evidence.
  • State availability is quiz-gated. Confirm it at intake.

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Fountain TRT$199 / 4 wks

Flat all-inclusive membership

A flat, no-frills all-in membership: $199 per four weeks on the no-commitment starter tier, dropping to roughly $167 or $150 per four weeks on longer prepay. Covers medication, initial and follow-up labs, video consults, 24/7 SMS support and shipping. Urologist-founded.

  • Video consults + prescription
  • Testosterone (injection or cream)
  • Initial + follow-up labs
  • 24/7 SMS support + shipping
Labs IncludedInitial + ongoing labs included; one source notes an at-home draw may add ~$55.
Medication IncludedMedication bundled into the base fee; ancillaries (AI, tadalafil) are extra ~$30–40/mo each.
PrescribesTestosterone cypionate, topical cream, or enclomiphene; anastrozole and tadalafil as paid add-ons.
Realistic first year~$1,800/yr (annual prepay) to ~$2,600/yr (starter)
Best forThe simplest all-in bundle with no contract, if you do not need a broad ancillary or peptide menu.
  • Not the same company as "Fountain Life" (the Diamandis longevity clinic), different service entirely.
  • Some Trustpilot reports of billing continuing after cancellation. Cancel carefully.
Hone Health$155/mo + meds

Membership + medication billed separately

A monthly membership (physician visits + ongoing biomarker monitoring) with medication billed SEPARATELY on top, so the true cost is membership plus the drug. The hormone-therapy membership is the $155/mo "Premium" tier; a separate $25/mo "Basic" tier has no hormone therapy.

  • Physician consults + prescription
  • Ongoing biomarker lab monitoring
  • Care-team messaging
Labs PartialOne-time $65 starter panel; ongoing monitoring panels are then included in the membership.
Medication SeparateBilled on top: testosterone injections from ~$28/mo, cream/troches from ~$60/mo.
PrescribesInjections, cream, troches, clomiphene, enclomiphene, anastrozole (physician’s call).
Realistic first year~$2,200–2,650/yr (membership + medication + starter lab)
Best forA real prescribing clinic with bundled ongoing monitoring, if you are fine paying for medication à-la-carte.
  • Membership does NOT include the drug. Budget for both.
  • A separate ~$25/mo "Basic" wellness tier has no hormone therapy. Do not confuse the two.

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Defy MedicalÀ-la-carte

Cash-pay, pay-per-service

No subscription. You pay per piece: an initial physician consult ($250–350), per-visit follow-ups ($90–200), labs à-la-carte, and medication through a compounding pharmacy. One of the longest-established clinics in the space (operating since ~2011).

  • Initial ~30–60 min physician consult
  • Per-visit follow-ups (billed individually)
  • Prescription + compounded medication
Labs À-la-carteOrdered à-la-carte via LabCorp/Quest: ~$279 for a comprehensive initial panel (estimate).
Medication SeparateFilled via compounding pharmacy: ~$75–100/mo for a standard protocol (estimate).
PrescribesTestosterone (injection/cream), HCG, anastrozole, plus optional thyroid / DHEA / pregnenolone and custom compounding.
Realistic first yearUnder ~$2,100 (Year 1), ~$1,500 Year 2+ (Defy’s own estimate: under $175/mo, then about $125/mo)
Best forAn experienced, physician-heavy clinic with itemized billing, if you prefer paying per service over a flat subscription.
  • Cash-pay only; actual cost varies meaningfully by protocol.
  • In-person option only in Tampa, FL; telehealth otherwise.
Marek Health$299 start + à-la-carte

Cash-pay optimization clinic

A $299 one-time intake fee gets platform access. Marek's own pricing page states no subscription, no minimum commitment and no cancellation fee; labs (from $450) and medication are then à-la-carte. Marek's published average client spend is about $1,599 in Year 1 (~$135/mo) and ~$850/yr after that, with actual totals varying by protocol. Coaching-heavy: a dedicated health coach plus a licensed prescriber. Founder-driven (co-founded by Derek of More Plates More Dates).

  • Intake call + lab review + first provider visit
  • Ongoing: health coach + licensed prescriber
  • Minimum ~2 check-ins/year
Labs À-la-carteÀ-la-carte, with a $450 minimum lab panel; larger panels run ~$495 (comprehensive) to ~$1,950 (executive).
Medication SeparateBilled separately: testosterone ~$225–275/mo.
PrescribesTestosterone (injectable), HCG, anastrozole; broader menu on higher tiers.
Realistic first year~$1,599 Year 1, ~$850/yr after (Marek's own published average; protocol-dependent)
Best forDeep biomarker panels and hands-on optimization coaching, if you are fine paying à-la-carte.
  • Cash-pay, no insurance; the total varies widely by protocol and lab tier.
  • Cannot process labs for some states (NY/NJ/RI reported; verify before enrolling).

Pricing here can shift or is only shown after an intake. Confirm the current figure at the provider before you decide.

Named, but a different category

Two brands people search alongside these

These come up in the same searches but are not men’s-TRT clinics, so they are here described as what they actually are, not dropped into the ranking above.

Superpower$199/yr
Diagnostics / longevity membership

People search Superpower next to the TRT brands, but at its headline price it sells a comprehensive annual lab panel (100+ biomarkers), health scores and an AI coach: a testing-and-data product, not a testosterone prescription. A hormone-treatment pathway exists as a separate paid add-on layered on top. If you want testing, compare it against à-la-carte labs; if you want treatment, that is a separate clinical service.

Labs100+ biomarkers from one blood draw is the core product; a follow-up retest is a $99 add-on (offered free to new members at the time of this check). Pricing may vary in New York and New Jersey.
PrescriptionPrescriptions are NOT part of the base membership; a separate paid clinical add-on exists.
Best forA well-organized annual biomarker snapshot plus AI insights, for people who will act on results elsewhere.
HersFrom $79/mo
Women’s hormone therapy

The women’s-health sister brand to Hims. It is not a men’s-TRT option. It provides menopause / perimenopause hormone therapy (estradiol pill/patch/cream and progesterone), from ~$79/mo (oral) or ~$134/mo (patch), typically on a 12-month plan. It is listed here only because it shows up in the same brand searches; different hormones, different patients.

LabsLabs are not required to start; optional at-home testing is a ~$30/mo add-on.
PrescriptionEstradiol + progesterone (prescribed off-label for perimenopause, per their own materials).
Best forWomen seeking menopause or perimenopause hormone therapy.

The cheapest route

Already have a prescriber? Skip the clinic.

Every clinic above is really selling you two things bundled together: a prescription and monitoring labs. If a doctor already manages your TRT, you only need the labs, and the same Free + Total testosterone, sensitive estradiol, CBC and metabolic panel that a clinic folds into a monthly fee can be ordered à-la-carte for well under $60 total. That is the cheapest path there is.

FAQ

Common questions

What’s the cheapest way to get on TRT?

If you are starting from scratch and need a prescriber, the cheapest licensed telehealth options now run about $50–100/month: Nuform is about $50/mo for medication plus a $170/year physician fee, PeterMD is about $79/mo all-in on its 12-month plan ($948/year), and TRT Nation is $99.99/mo with medication included. Bundled all-in memberships like Blokes ($99/mo on an annual prepay) and Fountain TRT (~$150 per 4-week period) sit just above them, and Hims, since October 2026, prescribes injectable testosterone cypionate as well as oral testosterone and enclomiphene, with medication (from $49/mo) billed on top of a $49 membership. The genuinely cheapest route, though, is if you already have a prescriber: then you skip the clinic entirely and only pay for monitoring labs, which you can order à-la-carte for $10–60 instead of a monthly membership.

Do telehealth TRT clinics include blood tests?

It varies, and it is the detail that most changes the real price. The all-inclusive memberships (Blokes, Fountain) bundle initial and ongoing labs. Hone includes ongoing monitoring but charges a one-time starter panel. The cash-pay clinics (Marek, Defy) do not include labs. You buy panels à-la-carte, which at Marek can run $495–1,950. Always confirm what is bundled before you compare a headline price.

Hone vs Hims: what’s the difference?

Both now bill a membership plus medication separately. Hims, since October 2026, prescribes injectable testosterone cypionate (compounded or generic) as well as oral testosterone (Kyzatrex) and enclomiphene, with a $49 membership fee and medication from $49/mo, the exact price shown only after intake and labs. Hone is a membership-plus-medication clinic that prescribes injectable testosterone, cream and troches, with ongoing lab monitoring included, but the medication is billed separately from the $155/mo membership, so budget for both. Hims is brand-forward with two lab tests a year in the membership; Hone publishes its medication prices (injections from ~$28/mo) and lists a wider menu, including cream, troches and anastrozole.

Does Hims prescribe injectable testosterone?

Yes, as of October 21, 2026. Hims added two injectable options: compounded testosterone cypionate as a twice-weekly subcutaneous injection, and generic testosterone cypionate as a once-weekly intramuscular injection, alongside its oral testosterone (Kyzatrex) and enclomiphene options. Pricing is a $49 membership fee plus medication billed separately from $49/mo, with the exact figure shown only after the intake and labs. Hone, Fountain, Marek, Defy and Blokes also prescribe injectable testosterone.

Why is Marek Health more expensive than a $99/month clinic?

Because you are not buying the same thing. A $99/month membership is a bundled, standardized package. Marek is a cash-pay optimization clinic: a $299 start fee, deep à-la-carte lab panels ($495–1,950), a dedicated health coach plus a prescriber, and medication billed separately. Marek's own pricing page puts average Year 1 spend at about $1,599 (~$135/mo) and ~$850/yr after that, protocol-dependent. It buys more monitoring and hands-on coaching, not the same protocol at a markup. Which is worth it depends on whether you want depth or the lowest flat bill.

Can I get TRT labs myself without paying a clinic?

Yes. If you already have a prescriber, you can order the exact same monitoring labs à-la-carte from direct-to-consumer providers, no membership required. A full Free + Total testosterone, sensitive estradiol, CBC and metabolic panel can cost well under $60 total that way, versus a clinic bundle. Our Lab Prices tracker compares those à-la-carte prices across providers; a clinic only makes sense when you also need the prescription and provider that come with it.

On TRT already?

Track it in Frontload.

Log your protocol, snap your lab PDFs into trend charts, and watch testosterone, estradiol and hematocrit move over time, whichever clinic (or prescriber) you use. Free to start.

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Prices checked October 29, 2026. Clinic pricing shifts and is often only shown after an intake, so always confirm the current cost at the provider. Frontload takes no affiliate commissions; this is a neutral resource comparing licensed telehealth services. Educational information only, not medical or financial advice.

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