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
Marek Health
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.
- Starting price
- $299
- Consult model
- Video and asynchronous messaging
- Prescriber
- MD/DO + NP/PA
- Labs
- Billed separately
- Insurance
- Cash pay
- Availability
- 50 states
- Cancellation
- By email or written request
- Founded
- 2020 · Pontiac, MI
Pricing
Treatment pages show '$299' next to the Guided Optimization steps (coach assessment, lab analysis, a 25-minute licensed-provider consult, monthly coach check-ins) but never say whether it is one-time or recurring. They also state 'minimum $450 lab panel purchase required'. Medication prices are not published.
| Marek Health | $299 entry feePublished entry/membership fee. Required labs, prescriptions and supplements are billed separately. Main site specifies a $450 minimum lab purchase; confirm the selected package and current terms. |
|---|
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Named care team includes MDs and DOs (e.g. Medical Director Steven Campbell, MD) alongside DNPs, FNPs and a PA-C
- No set subscription plans; FAQ says clients can cancel whenever they want
- Detailed published monitoring requirements: follow-up labs at 6-12 weeks, then every 6 months, plus an annual in-person physical
- Trustpilot 4.9 from 989 reviews; BBB A+ with 2 complaints in 3 years
Watch out for
- Lab panel is a separate purchase (minimum $450) and outside lab results are not accepted to start
- Medication prices are not published, and the meaning of the $299 figure is not explained
- All web sales are final and non-refundable
- Requires an in-person physical exam from an outside clinician every 12 months
Cancelling
FAQ: 'we don't offer any set subscription plans and you can cancel whenever you want.' Cancellation & Refund Policy: 'All Marek Health web sales are final and non-refundable'. The booking payment is a non-refundable deposit toward the provider exam. Appointment changes need 24 hours' notice by email, text or phone, or a fee of up to $50 may apply; no-shows may also be charged up to $50.
Where it is available
FAQ: Guided Optimization 'is available in all 50 states across the United States. However, specific treatments and diagnostics may be limited to certain states.' DC is not mentioned in the FAQ (the sign-up form's state list includes DC).
OneTwenty
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.
- Starting price
- $499/yr membership
- Consult model
- Unconfirmed
- Prescriber
- Unconfirmed
- Labs
- Included
- Insurance
- Cash pay
- Availability
- 49 states
- Cancellation
- Self-serve online
- Founded
- Unconfirmed
Pricing
The annual membership includes a 101-marker baseline panel plus three targeted 20-40 marker follow-up panels, device integration, AI health score, a health coach and custom supplements. Prescription medications are billed monthly or quarterly 'from $49/mo, on top of the annual membership'. The site says 'Founding pricing ends at public launch', so $499 may be a founding-member rate.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Four lab panels a year (101-marker baseline plus three follow-ups) are included in the membership price
- Price is published up front: $499/yr ($749/yr in NY/NJ), with medications 'from $49/mo'
- Lists 49 states (all but Rhode Island)
Watch out for
- The annual membership is non-refundable after a 7-day window, and only if no service has started (3% fee applies)
- Not a medical practice: prescriptions come from unnamed third-party telehealth providers, and the site does not say whether they are physicians or NPs or whether visits are by video
- Early-stage company: it opened a closed beta of 25 founding members in December 2025, and the site says founding pricing ends at public launch
- No direct insurance billing (HSA/FSA reimbursement only)
Cancelling
Payment and Refund Policy (updated 2026-07-28): cancel via the option in account settings or by emailing support@onetwenty.com. The annual membership renews automatically. A refund is available only within 7 days of purchase and only if no service has started, minus a 3% fee. After that the annual fee is non-refundable, except for a discretionary prorated refund if no lab is reachable. Medication add-ons are non-refundable once prescribed.
Where it is available
Site FAQ: 'available in 49 states except for Rhode Island'; NY and NJ carry a higher fee ($749/yr) because of state lab-draw rules. DC not mentioned.
Hone Health
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.
- Starting price
- $65 initial lab test
- Consult model
- Live video consult
- Prescriber
- MD/DO
- Labs
- Billed separately
- Insurance
- Cash pay
- Availability
- Unconfirmed
- Cancellation
- By email or written request
- Founded
- 2020 · New York, NY
Pricing
The first step is a $65 50+ biomarker test plus physician consult; the how-it-works page also shows a $25 onboarding fee next to the $25 Basic plan. Basic ($25/mo) covers testing every 6 months and lets you buy consults. Premium ($155/mo) adds testing every 3 months, physician consults and all treatments. Medication is extra, e.g. testosterone injections 'From $28/mo + membership', testosterone cream 'From $60/mo + membership', enclomiphene 'From $42/mo + membership'.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Prices for membership tiers, the initial lab test and most individual medications are listed on the site
- Initial consult is a live 45-minute video visit with a licensed physician
- Trustpilot 4.8 from 12,416 reviews; BBB A+ and accredited
- Broad menu covering TRT, fertility-preserving options (enclomiphene, clomiphene), weight loss, ED, hair loss and menopause
Watch out for
- Medication is billed on top of the membership, so total TRT cost is roughly $28-60/mo in medication plus $155/mo Premium
- Initial bloodwork is a separate $65 purchase, not bundled into the membership
- Fees paid are non-refundable under the Terms of Use
- 125 BBB complaints filed in the last 3 years (per BBB profile)
Cancelling
Terms of Use: subscriptions auto-renew. Cancel before the end of the current period via a help-center request form, by calling (833) 444-4483, or by emailing support@honehealth.com. The account closes at the end of the billing period. 'Your subscription can be cancelled at any time, but any fees paid to Hone or its affiliated-medical practices are not refundable.' The homepage says 'No commitments. Cancel anytime.' Lab fees are billed at the lab's rates and refunds are up to the lab.
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.
- Starting price
- Under $175/mo average for TRT in year one
- Consult model
- Live video consult
- Prescriber
- MD/DO + NP/PA
- Labs
- Billed separately
- Insurance
- Cash pay
- Availability
- Unconfirmed
- Cancellation
- No subscription to cancel
- Founded
- Tampa, FL
Pricing
Defy's FAQ estimates male TRT averages under $175/month in the first year and about $125/month after that. The estimate covers testosterone, a weekly aromatase inhibitor, labs and consultations, and Defy says it is not a price guarantee. There is no monthly fee: consultations, labs and medications are each paid for when bought. No consultation fee is published on Defy's site.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- No subscription, monthly fee or contract; patients pay only for the services they buy
- Initial consultations by secure video last up to one hour, and follow-ups up to 30 minutes
- Care team of physicians, physician assistants and nurse practitioners, plus an in-person clinic in Tampa
- Trustpilot score of 4.8 from 4,221 reviews
Watch out for
- No consultation, lab or medication prices on the main site; only an average monthly TRT estimate
- Does not accept insurance of any kind (it provides a superbill on request)
- Its Peptide Therapy service page features BPC-157, TB-500, Epitalon, KPV and MOTS-c, which are on FDA's 503A Category 2 safety-risk list
- BBB rating of C- (not accredited), with 4 complaints in the last 3 years
Cancelling
No subscription or contract: 'Defy Medical doesn't lock patients into subscriptions or contracts', and charges are due when a service is purchased, so there is no recurring plan to cancel. Appointments cancelled with less than 24 hours' notice, and no-shows, may be charged the full consultation fee. Sales are generally final. Lab orders are refundable only before specimens are submitted, and dispensed medications are not refundable.
Where it is available
Says telemedicine is offered in 'most states throughout the US' without listing them. Its lab-ordering site (testdefy.com) says on-demand lab testing is not offered in NY, NJ, PA, RI or MA. The ToS says controlled-substance prescriptions are not sent across state lines.
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.
- Starting price
- $199 per 4 weeks
- Consult model
- Video and asynchronous messaging
- Prescriber
- Unconfirmed
- Labs
- Included
- Insurance
- Cash pay
- Availability
- 20 states
- Cancellation
- By email or written request
- Founded
- Jacksonville, FL
Pricing
The all-inclusive membership covers medication, shipping, concierge support, provider visits and required lab monitoring ('except where prohibited by state law'). Starter is $199 billed every 4 weeks, Standard $499 billed every 12 weeks, and Pro $1,799 billed every 48 weeks (about $150 per 4 weeks). The initial evaluation (labs plus a 20-minute video visit) carries a 'Pay nothing if not qualified' guarantee, but its price is not shown on the site.
| Fountain TRT | $199/month, as low asProvider describes medication, video visits and ongoing medical support as included. Confirm current eligibility, laboratory fees and enrollment terms. |
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Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- One membership fee covers medication, provider visits and ongoing lab monitoring
- Requires a live 20-minute video visit before prescribing, with follow-up visits every 3-6 months
- Clinical program led by a board-certified urologist (Doron Stember, MD, Chief Medical Officer)
- Prepaid 12- and 48-week plans lower the effective monthly cost (about $150 per 4 weeks on the Pro plan)
Watch out for
- Price of the initial evaluation (labs plus video visit) is not published
- Limited footprint: the published list covers 20 states
- Medication menu is TRT-only (injections, cream, enclomiphene) plus two add-ons
- No published refund terms for the prepaid multi-week plans
Cancelling
fountaintrt.com FAQ: 'You can cancel at any time.' The Fountain Vitality Terms of Use (updated April 3, 2024) say subscriptions auto-renew unless cancelled before the end of the current period 'by Contacting Us' (text, phone or support@fountain.net), and the account closes at the end of the billing period. The site gives no refund terms for the prepaid 12- and 48-week plans.
Where it is available
The fountaintrt.com FAQ lists AL, AZ, CA, CO, CT, FL, GA, IL, IN, MI, NJ, NY, NC, OH, PA, TN, TX, VA, WA, WI and says 'We will be expanding to other states in the near future.' The current fountain.net TRT page publishes no state list.
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.
- Starting price
- $99.99/mo
- Consult model
- Video and asynchronous messaging
- Prescriber
- MD/DO
- Labs
- Billed separately
- Insurance
- Unconfirmed
- Availability
- Unconfirmed
- Cancellation
- Minimum term or retention process
- Founded
- 2020 · Los Angeles, CA
Pricing
Injectable TRT shows $199.99 on a 1-month plan, $149.99/mo on a 3-month plan and $99.99/mo on a 6-month plan (first month $49.99 as a limited-time offer). Oral testosterone + enclomiphene runs $249.99 / $199.99 / $149.99 per month. Protocol prices cover provider visits, medication and shipping, but not 'video consultations (where applicable)' or lab tests: the at-home testosterone test kit is $99.99, and the Maximus Labs panels are $199.99/yr or $349.99/yr.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Per-protocol monthly prices, lab kit prices and plan-length discounts are all published
- Offers fertility-preserving options (enclomiphene alone or combined with testosterone)
- Accepts recent outside bloodwork (within 6 months, with specified markers) in place of a new test
Watch out for
- Lowest prices require 3-12 month commitments, and the remaining months are owed if you cancel mid-term
- Lab testing is not included in the protocol price
- FDA warning letter (June 2026) over misleading claims about compounded GLP-1 products
- BBB rating B- (not accredited) with 19 complaints in the last 3 years
Cancelling
The lowest advertised prices require a 3-, 6- or 12-month 'Subscription Savings Plan'. Under the Program Terms, a member who cancels mid-term 'will remain responsible for fulfilling the payment obligations for the remainder of the commitment term', unless a provider documents a health reason. Cancellation requests go to support@maximustribe.com. Plans auto-renew for the same term unless cancelled before renewal via the member portal or support. The general terms say fees are non-refundable.
Where it is available
Says it 'serves clients across the United States'. GLP-1 programs are 'available in all 50 states and Washington, DC'. Maximus Labs testing is 'available in 47 states', excluding RI, NY and NJ. No state list is published for testosterone protocols.
- 2026-06 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). Source ↗
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.
- Starting price
- $99.99/mo testosterone
- Consult model
- Unconfirmed
- Prescriber
- Unconfirmed
- Labs
- Billed separately
- Insurance
- Unconfirmed
- Availability
- 44 states
- Cancellation
- Minimum term or retention process
- Founded
- 2019 · Tampa, FL
Pricing
TRT Nation pages list testosterone at $99.99/mo with a 2.5-month minimum purchase and different pricing in California, enclomiphene at $99.99/mo, and TRT + HCG at $180/mo. They state there is no membership fee on top of products. The lab panel (total testosterone, CBC, CMP, estradiol, and PSA for patients over 40) costs $129, or patients can submit outside labs up to 6 months old.
| TRT Nation | $99/month advertisedAdvertised TRT price. This is not an independently verified all-in quote; confirm labs, billing interval, supplies and eligibility directly. |
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Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Published product prices with no separate membership fee: testosterone or enclomiphene at $99.99/mo
- Accepts outside labs up to 6 months old instead of its $129 panel
Watch out for
- Low Trustpilot score: 2.1 from 31 reviews
- BBB rating B (not accredited) with 6 complaints in the last 3 years
- Labs cost extra ($129), and testosterone requires a 2.5-month minimum purchase
- Not available in several states (AL, AK, AR, HI, MO and possibly ND); minimum age 24
Cancelling
Not confirmed. Pricing requires a 2.5-month minimum purchase. TRT Nation's own comparison article and a customer review on its site describe the service as 'no contract'. No cancellation or refund policy text could be loaded.
Where it is available
Homepage (per search listing): operates in every state except Alabama, Alaska, Arkansas, Missouri, North Dakota and Hawaii. A separate TRT Nation article says 45 states (excluding AK, AR, AL, MO, HI). DC is not addressed.
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 20, 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.