TRT & men’s hormones telehealth
Who prescribes testosterone online, what it costs, and whether labs are included.
16 providers offer this. 4 include labs in the price. 0 accept insurance. Figures reflect what each provider publishes. * = provisional score.
Highest-scored providers
#1 Marek Health 7.1 
Blokes 6.3 
OneTwenty 9.2*
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.
Read the review → #2 Blokes 6.3 Men in one of the 34 eligible states who are willing to prepay several months of TRT to get a lower monthly price that includes medication and follow-up labs.
Read the review → #3 OneTwenty 9.2* 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.
Read the review →Ranked guides
Best online TRT clinics 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. 7 ranked TRT clinics with bloodwork included Lab work is where TRT telehealth pricing gets opaque. These clinics bundle the initial and follow-up panels into the membership so the headline price is the real one. 4 ranked
All providers
| Clinic | Score | Consult | Labs | Prescriber | Insurance | From |
|---|---|---|---|---|---|---|
| Marek Health A telehealth clinic built around comprehensive bloodwork and physician-guided hormone optimisation, with TRT, peptide therapy and GLP-1 programmes. Known for an unusually deep lab panel. | 7.1 | Hybrid | Extra | MD/DO + NP/PA | Cash | $299 |
| Blokes A men’s telehealth clinic offering TRT, peptide therapy, GLP-1 weight loss and sexual health, with a sister brand for women. | 6.3 | Hybrid | Extra | MD/DO + NP/PA | Cash | $99/mo TRT on a 12-month plan |
| OneTwenty Also offers Bloodwork-led longevity and hormone optimisation telehealth, with physician-guided TRT, GLP-1 weight management and peptide therapy built on comprehensive lab panels. | 9.2* | — | Included | — | Cash | $499/yr membership |
| Male Excel A men’s telehealth provider offering TRT, ED treatment and weight loss with at-home testing. | 8.2* | — | Included | — | Cash | $99/mo membership |
| Rex MD Also offers A men’s telehealth provider offering ED medication, TRT and weight-loss treatment. | 7.6* | Async | n/a | — | Cash | $2/dose |
 Defy Medical One of the longest-running hormone telehealth clinics, offering TRT, HRT for women, peptide therapy and sexual health treatments with physician oversight. | 6.9* | Video | Extra | MD/DO + NP/PA | Cash | Under $175/mo average for TRT in year one |
 Hone Health A large men’s hormone telehealth provider offering at-home lab testing, TRT and enclomiphene protocols, with a subscription model and physician video consults. | 6.9* | Video | Extra | MD/DO | Cash | $65 initial lab test |
 Fountain TRT A testosterone-focused telehealth clinic with bundled lab work, physician prescribers and a single-tier subscription. | 6.8* | Hybrid | Included | — | Cash | $199 per 4 weeks |
 Maximus A men’s health telehealth brand offering TRT and enclomiphene protocols, a GLP-1 weight-loss programme, and hair and sexual health products. | 6.8* | Hybrid | Extra | MD/DO | — | $99.99/mo |
 Ways2Well A functional-medicine telehealth clinic offering bloodwork-driven hormone optimisation, TRT, peptide therapy and GLP-1 weight loss. | 6.8* | Video | Included | — | Cash | $125/mo Core care plan |
| TRT Nation A TRT telehealth clinic with a flat monthly subscription that includes medication and supplies. | 5.9* | — | Extra | — | — | $99.99/mo testosterone |
 Opt Health A men’s preventive-health telehealth provider combining comprehensive bloodwork with TRT and sexual health treatment under a physician. | 5.4* | Video | Extra | MD/DO + NP/PA | Cash | $95/mo |
 Craft Medical A TRT telehealth clinic with physician consults and a subscription that includes medication. | 4.6* | Video | — | — | — | $99 lab order to start |
 Gameday Men’s Health A franchise network of men’s health clinics offering TRT, weight loss and ED treatment, with in-clinic visits and some telehealth follow-up. | Not scored | — | — | MD/DO + NP/PA | Cash | $199/mo |
 Henry Meds Also offers A telehealth provider known for lower-cost GLP-1 weight-loss programmes, also offering TRT, through a flat monthly subscription. | Not scored | Hybrid | — | — | Cash | $179/mo all-in |
| PeterMD A physician-only TRT telehealth clinic with a pay-as-you-go model rather than a subscription, and a weight-loss programme. | Not scored | — | Extra | — | — | $79/mo on an annual plan |
Head-to-head comparisons
Tools for this decision
What these clinics prescribe
Reference records for the compounds offered in this category. Mechanism, dosing ranges, evidence level and regulatory status for each.
- Gonadorelin — Synthetic gonadotropin-releasing hormone, increasingly used alongside TRT to maintain testicular function.
- hCG — A placental glycoprotein hormone that mimics LH directly at the testis, the long-standing standard for preserving fertility on TRT.
- PT-141 — A melanocortin-4 selective agonist approved for hypoactive sexual desire disorder, acting centrally rather than vascularly.
- Semaglutide — A long-acting GLP-1 receptor agonist and the compound that reset expectations for pharmacological weight loss.
- Sermorelin — The first 29 amino acids of endogenous growth-hormone-releasing hormone, and the shortest fragment that retains full biological activity.
- Tesamorelin — A stabilised GHRH analog and the only growth-hormone secretagogue with a current FDA approval for a body-composition indication.
- Tirzepatide — A dual GIP and GLP-1 receptor agonist that produced greater weight loss than semaglutide in head-to-head trial data.
References
Regulatory and primary sources
- American Urological Association clinical guidelines ↗ · includes the testosterone deficiency guideline
- Endocrine Society clinical practice guidelines ↗ · includes testosterone therapy in men
- DEA Diversion Control: testosterone is a Schedule III controlled substance ↗ · why TRT prescribing has extra rules
- HHS: Telehealth for patients ↗ · what to expect from a telehealth visit
- FDA: BeSafeRx, buying medicine online safely ↗ · how to check an online pharmacy
- NABP: Safe.Pharmacy verified websites ↗ · pharmacy accreditation lookup
- FSMB DocInfo: physician license lookup ↗ · check a prescriber is licensed
- FTC: Endorsements, influencers and reviews ↗ · disclosure rules for affiliate links
Published literature
- Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline.J Clin Endocrinol Metab 2018.PubMed 29562364 · doi:10.1210/jc.2018-00229
- Global Consensus Position Statement on the Use of Testosterone Therapy for Women.J Clin Endocrinol Metab 2019.PubMed 31498871 · doi:10.1210/jc.2019-01603
- The effects and safety of testosterone replacement therapy for men with hypogonadism: the TestES evidence synthesis and economic evaluation.Health Technol Assess 2024.PubMed 39248210 · doi:10.3310/JRYT3981
- Testosterone replacement therapy in men with type 2 diabetes mellitus and functional hypogonadism -an Integrated Diabetes and Endocrine Academy (IDEA) consensus guideline.Diabetes Metab Syndr 2021.PubMed 34245961 · doi:10.1016/j.dsx.2021.102191
- Cardiovascular safety of testosterone replacement therapy in men: an updated systematic review and meta-analysis.Expert Opin Drug Saf 2024.PubMed 38553429 · doi:10.1080/14740338.2024.2337741
- Testosterone therapy and venous thromboembolism: A systematic review and meta-analysis.Thromb Res 2018.PubMed 30396049 · doi:10.1016/j.thromres.2018.10.023
- Guideline of guidelines: testosterone therapy for testosterone deficiency.BJU Int 2019.PubMed 31420972 · doi:10.1111/bju.14899
- Testosterone therapy in hypogonadal men: a systematic review and network meta-analysis.BMJ Open 2017.PubMed 29150464 · doi:10.1136/bmjopen-2016-015284
Literature retrieved from PubMed on October 18, 2026, favouring human studies and reviews. Numbered markers in the text show which paper supports which statement; uncited entries are background reading.