Health guides · TRT & men’s hormones
The best online TRT clinics, scored on what you can verify
Telehealth clinics that prescribe testosterone replacement, ranked on licensed states, whether labs are included, who actually prescribes, and how hard it is to leave. Not on who pays us most.
Ranked first on the six-criterion rubric, at 7.1/10.
From $299 Best with labs included
The initial lab panel is inside the published price.
From $499/yr membership Best physician-led
Prescriptions come from physicians (MD or DO) only.
From $65 initial lab testQuick comparison
| # | Provider | Score | From | Labs | Prescriber | States | Cancel |
|---|---|---|---|---|---|---|---|
| 1 | Marek Health | 7.1 | $299 | Extra | MD/DO + NP/PA | 50 | By email or written request |
| 2 | OneTwenty | 9.2* | $499/yr membership | Included | — | 49 | Self-serve online |
| 3 | Hone Health | 6.9* | $65 initial lab test | Extra | MD/DO | — | By email or written request |
| 4 |  Defy Medical | 6.9* | Under $175/mo average for TRT in year one | Extra | MD/DO + NP/PA | — | No subscription to cancel |
| 5 |  Fountain TRT | 6.8* | $199 per 4 weeks | Included | — | 20 | By email or written request |
| 6 |  Maximus | 6.8* | $99.99/mo | Extra | MD/DO | — | Minimum term or retention process |
| 7 | TRT Nation | 5.9* | $99.99/mo testosterone | Extra | — | 44 | Minimum term or retention process |
* Provisional: one or two criteria could not be verified from the provider’s published pages and are left out of the average. Provisional scores rank below fully verified ones.
The ranking
Data-driven clients who want extensive lab panels and coach-led, provider-supervised hormone optimization, and who will pay out of pocket without a clear upfront total.
+Named care team includes MDs and DOs (e.g. Medical Director Steven Campbell, MD) alongside DNPs, FNPs and a PA-C
−Lab panel is a separate purchase (minimum $450) and outside lab results are not accepted to start
People who mainly want frequent longevity lab testing and wearable data tracking, accept an upfront non-refundable annual fee, and treat prescriptions as an optional add-on.
+Four lab panels a year (101-marker baseline plus three follow-ups) are included in the membership price
−The annual membership is non-refundable after a 7-day window, and only if no service has started (3% fee applies)
Men or women who want a physician-led video consult and regular biomarker retesting across hormones, weight and longevity, and are fine paying a membership plus medication.
+Prices for membership tiers, the initial lab test and most individual medications are listed on the site
−Medication is billed on top of the membership, so total TRT cost is roughly $28-60/mo in medication plus $155/mo Premium
Self-pay patients who want long video consultations and a la carte hormone, weight-loss or peptide care without a subscription, and who can tolerate unpublished per-visit pricing.
+No subscription, monthly fee or contract; patients pay only for the services they buy
−No consultation, lab or medication prices on the main site; only an average monthly TRT estimate
Men in one of the listed states who want an all-inclusive TRT membership with video visits and urologist-led protocols, and who don't mind that the evaluation fee isn't published.
+One membership fee covers medication, provider visits and ongoing lab monitoring
−Price of the initial evaluation (labs plus video visit) is not published
Men who want fertility-sparing testosterone options such as enclomiphene or oral T with published prices, and who are comfortable committing to a multi-month plan.
+Per-protocol monthly prices, lab kit prices and plan-length discounts are all published
−Lowest prices require 3-12 month commitments, and the remaining months are owed if you cancel mid-term
On record: FDA (CDER Office of Compounding Quality and Compliance) warning letter to Maximus Health, Inc. dba Maximus: maximustribe.com claims for compounded semaglutide and tirzepatide were found false or misleading, including implied FDA approval and 'FDA approved pharmacies' (MARCS-CMS 730095, June 8, 2026).
TRT Nation
5.9*Men in an eligible state who want low-cost testosterone or enclomiphene with simple product pricing and can supply their own recent labs. Weigh the weak review scores first.
+Published product prices with no separate membership fee: testosterone or enclomiphene at $99.99/mo
−Low Trustpilot score: 2.1 from 31 reviews
Also reviewed, not yet scored
We could not verify enough of these providers’ published terms to score them. They are not ranked.
- PeterMD: Price-focused men seeking low-cost injectable TRT who are comfortable paying separately for labs and checking state availability and refund terms before buying.
Not ranked, and why
- Gameday Men’s Health
- A franchise clinic network with in-person visits. Not primarily telehealth, so not comparable on this rubric.
Head-to-head comparisons
Tools for this decision
How we ranked these
Every clinic is scored on the same published rubric. Paid relationships are labelled in the table and in each entry. Facts come from each provider’s own pricing, FAQ and terms pages, with regulator and court records where they exist. Scores are produced by a fixed table, so the same facts always give the same score. See the rubric.
Best online TRT clinics: FAQ
What is the best online trt clinics provider?
Marek Health ranks first, scoring 7.1/10 on our six-criterion rubric. Data-driven clients who want extensive lab panels and coach-led, provider-supervised hormone optimization, and who will pay out of pocket without a clear upfront total.
How were these providers ranked?
Every provider is scored on the same six weighted criteria: licensed states (20%), labs included (20%), prescriber credentials (15%), cost transparency (15%), cancellation friction (15%) and formulary breadth (15%). Facts come from each provider’s published pages, checked October 18, 2026. Scores marked * are provisional because one or two criteria could not be verified.
Which of these include lab work in the price?
OneTwenty, Fountain TRT include the initial lab work in their published pricing. The others bill labs separately or did not publish it.
Do any of these providers have regulatory or legal issues?
Maximus has a public regulatory or legal record, such as an FDA warning letter or lawsuit. Details and sources are on each review page.
Do providers pay to be on this list?
No. Placement is set by the rubric score. Where a provider pays us a referral fee, its link is labelled “Paid link”, and that does not change its score.