RESOURCE · TRT CLINICS

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 July 14, 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+ $170/yr physician fee; labs extraÀ-la-carteIncluded (kit)
PeterMDPrepaid subscriptionFrom $79/mo$948/yr all-in on the 12-month planPartialIncluded
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
HimsPrepaid planFrom $99/moenclomiphene, on a 10-month prepayPartialIncluded
Fountain TRTFlat all-inclusive membership$199 / 4 wks≈ $150 / 4 wks on an annual prepayIncludedIncluded
Hone HealthMembership + medication billed separately$129–155/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$250 intake + 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 $170/year 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. Baseline labs are arranged locally and billed separately. Michigan-based; ships from US pharmacies.

  • $170/yr 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 but arranged at a local lab and billed separately — the cost is not published.
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 and the price is not published — budget for them separately.
  • 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. $79/mo on the 12-month plan (billed as roughly $948 total), $109/mo for six months, or $139/mo month-to-month. Testosterone cypionate ships to your door.

  • Provider consult + prescription
  • Testosterone cypionate shipped home
  • Lab monitoring (confirm coverage at intake)
Labs PartialReported to include monitoring labs and to accept recent outside labs, but it is not itemized on the pricing page — 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, $149/mo month-flexible.

  • 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)
Best forThe lowest all-in price if you will commit six to twelve months up front.
  • Cannot ship TRT to 16 states (incl. NY, NJ, PA, NC, GA, CT, LA, MN, MO, MS, SC, RI…).
  • 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 (about $129 reported — confirm) and 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.

HimsFrom $99/mo

Prepaid plan

A prepaid multi-month plan bundling medication, provider check-ins and monitoring. The $99/mo headline needs the longest (10-month) prepay; shorter 3- and 5-month plans cost more per month. Pricing for the oral testosterone option only appears after you complete the online assessment.

  • Provider consult + prescription
  • Medication (oral testosterone or enclomiphene)
  • Provider messaging + check-ins
  • Lab monitoring (confirm coverage at signup)
Labs PartialReported bundled by most sources, but it is not clearly stated — confirm at signup.
Medication IncludedMedication is included in the prepaid plan price.
PrescribesEnclomiphene (a SERM, for secondary hypogonadism) and Kyzatrex (oral testosterone). No injectable testosterone yet — announced for 2026, not live as of this update.
Best forA recognizable brand for men who fit oral testosterone or enclomiphene — not for anyone who specifically wants injections.
  • Does not offer injectable testosterone (the traditional TRT standard) — yet.
  • Pricing is opaque until you finish the online assessment.

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$129–155/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 "Plus" tier runs ~$129–135/mo; a "Premium" comprehensive tier ~$149–155/mo.

  • 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~$1,900–2,700/yr (membership + injectable testosterone)
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 year~$3,000 or less (Year 1), ~$2,400 Year 2+ — Defy’s own published estimate
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$250 intake + à-la-carte

Cash-pay optimization clinic

A $250 one-time intake (credited toward your first visit) gets platform access with no advertised recurring membership fee (a minority of sources report a recurring charge — confirm at intake); labs and medication are then à-la-carte. 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 panels ~$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~$2,500–4,500/yr (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.

LabsOne comprehensive 100+ biomarker panel per year is the core product (down from a prior $499/yr, 4-panel tier).
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 prescribes only oral testosterone or enclomiphene, not injections. 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?

Hims is a prepaid plan that currently prescribes oral testosterone (Kyzatrex) or enclomiphene and does not yet offer injectable testosterone. Hone is a membership-plus-medication clinic that does prescribe injectable testosterone, cream and troches, with ongoing lab monitoring included — but the medication is billed separately from the membership, so budget for both. Hims is simpler and brand-forward; Hone is a fuller prescribing clinic if you specifically want injections.

Does Hims prescribe injectable testosterone?

Not as of this update. Hims prescribes oral testosterone (Kyzatrex) and enclomiphene (a SERM). Injectable testosterone was announced for 2026 but is not live yet. If injections are what you want, Hone, Fountain, Marek, Defy and Blokes all prescribe injectable testosterone today.

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 $250 intake, deep à-la-carte lab panels ($495–1,950), a dedicated health coach plus a prescriber, and medication billed separately — a realistic year runs $2,500–4,500. 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 Stackeddd.

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.

Get Stackeddd on the App Store

Prices checked July 14, 2026 — clinic pricing shifts and is often only shown after an intake, so always confirm the current cost at the provider. Stackeddd 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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