Best for lab-heavy, physician-led care, month to month: Hone Health
Our score 8.5/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 9.6
- Support and cancellation (10%)
- 5.0
Plan priced: Premium membership + testosterone injections. Prices checked Oct 7, 2026 · source
What they offer: TRT injections; Testosterone cream; Testosterone troches; Enclomiphene; Clomiphene; Anastrozole; Menopause HRT: estradiol patch/gel, bi-est cream, progesterone (oral and cream), vaginal estradiol/estriol; Testosterone for women (injection, cream); Weight-loss medications; Lab testing (50+ biomarkers).
How care works: $65 initial test, 50+ biomarkers, at 2,000+ Quest locations, or a free at-home draw where available. Premium retests every 3 months. Prescribers: Physicians through Broad Health, an independent physician-owned medical group. Does not accept insurance. FSA/HSA may apply.
The catch: Treatment needs the $155/mo Premium membership on top of medication.
Pros
- Low-cost $65 entry test with physician consult
- Broad hormone menu for men and women
- Trustpilot 4.8 (12,371 reviews)
Cons
- Treatment needs the $155/mo Premium membership on top of medication
- Recent Trustpilot reviews mention membership costs as a surprise
Best for lowest published injection rate (12-month plan): PeterMD
Our score 7.9/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
First charge
not published
Plan priced: Injections, 12-month plan. Prices checked Oct 7, 2026 · source
What they offer: TRT injections; Oral option: enclomiphene (marketed as 'Oral TRT'); HCG; Sermorelin; GLP-1 (semaglutide, tirzepatide); Lab panels; Women's products (separate line).
How care works: In-person blood draw at Quest ('no at-home kits'). Results in 5–7 business days. Follow-up labs about 90 days after starting. Prescribers: US-licensed physicians. Reviews mention nurse practitioners. Cash-pay. Site says FSA/HSA eligible with all plans.
The catch: $79/mo needs a 12-month plan, and there are no refunds once medication ships.
Pros
- Lowest published TRT injection rate in this set ($79/mo on a 12-month plan)
- Medication and membership included in TRT plan price
- Enclomiphene, HCG and sermorelin available
Cons
- $79 rate needs a 12-month commitment
- Strict no-refund policy once medication ships
- Trustpilot shows 'profile removed' for getpetermd.com (as of 2026-10-07)
- Not available in AL or ID
Best for an all-in subscription with a choice of form: Ulo
Our score 7.3/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
Plan priced: TRT subscription. Prices checked Oct 7, 2026 · source
What they offer: TRT: injection, topical cream, oral troches; Enclomiphene (for younger men).
How care works: Requisition at partner labs, included. Own labs (Quest/LabCorp) from the last 6 months accepted. Prescribers: Licensed / board-certified providers. Not stated (cash subscription).
The catch: Billing starts at signup, before you're approved.
Pros
- Labs and follow-ups included
- LegitScript seal
Cons
- Billing starts at signup, before approval
- Trustpilot profile (4.6, 67) mainly covers the hair-loss business
Best for bilingual (Spanish and English) care: Tuyo Health
Our score 6.8/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 9.0
- Support and cancellation (10%)
- 5.0
Plan priced: Testosterone, 12-month plan (billed yearly). Prices checked Oct 7, 2026 · source
What they offer: Testosterone (injectable or oral; may be compounded); Sermorelin; GLP-1; Primary care (bilingual).
How care works: $99 initial labs + doctor visit, then $99 every 3 months. Prescribers: Board-certified physicians. Latino-founded, fully bilingual team. Cash-pay for this program. Out-of-network claims only for primary care.
The catch: The lowest rate is billed $1,188 upfront; 20 states.
Pros
- Spanish/English bilingual care
- Transparent tiered pricing
- Trustpilot 4.5 (101 reviews)
Cons
- Lowest price billed $1,188 upfront
- 20 states
Best for one all-inclusive monthly price: Henry Meds
Our score 6.6/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 8.8
- Support and cancellation (10%)
- 5.0
Plan priced: Compounded TRT (cream, pill or injection). Prices checked Oct 7, 2026 · source
What they offer: TRT: compounded injection, cream or pill; Kyzatrex oral TRT (FDA-approved); Aromatase inhibitor (no extra cost if prescribed); Menopause HRT: compounded body cream, vaginal cream; FDA-approved patch, tablets; Testosterone for women (add-on); GLP-1.
How care works: Labs included in TRT pricing. Collection method not stated on the pages read. Prescribers: Licensed healthcare providers through independent professional entities. No insurance needed (cash-pay).
The catch: Age limits apply (testosterone: men 35 to 65), and multi-month plans may require paying the balance.
Pros
- One flat price including labs and visits
- Covers men's and women's hormones
- Trustpilot 4.4 (12,532 reviews)
Cons
- Testosterone age limits: men 35–65, women 35–60; HRT 35 to under 60
- Multi-month plans may require paying the remaining balance
- Kyzatrex not available in California
Best for lowest kit price if you already have recent labs: DudeMeds
Our score 6.2/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 0.0
Plan priced: Testosterone Only Commit Kit, paid quarterly. Prices checked Oct 7, 2026 · source
What they offer: TRT injections (testosterone cypionate); Anastrozole; HCG (Pregnyl); Enclomiphene; Clomiphene; Kyzatrex (listed 'Coming Soon'); GLP-1; NAD+.
How care works: At-home kit ($149), LabCorp requisition ($99), or upload labs from the last 6 months. Prescribers: US-licensed MDs, DOs, NPs or PAs (independent network). Does not take insurance (Terms of Sale). Cash-pay.
The catch: 3-month minimum, and labs cost extra unless you upload your own.
Pros
- Low entry TRT price ($79/mo)
- Clear kit pricing, HCG available
Cons
- 3-month minimum medication commitment
- Labs not included
- Trustpilot 2.3 (11 reviews)
- Legal pages disagree on state of incorporation (FL vs DE)
Best for one monthly price in its 14 states: MangoRx
Our score 6.2/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 0.0
- Patient sentiment (10%)
- 5.7
- Support and cancellation (10%)
- 10.0
Plan priced: Testosterone Treatment. Prices checked Oct 7, 2026 · source
What they offer: TRT (compounded testosterone; injection shown in page image); 'Prime' oral testosterone tablet (separate product); GLP-1/weight loss (separate); ED and hair products (separate).
How care works: In person at LabCorp/Quest per the product page. The FAQ also offers SpotDX at-home kits ($75/$100) or your own labs from the last 30 days. Prescribers: Board-certified physicians in a third-party network. 'Insurance is not accepted nor required.'
The catch: Its own pages disagree on whether labs are inside the $149.
Pros
- Single published price
- LegitScript certified
Cons
- Only 14 states
- Unclear whether labs and medication are in the $149
- Trustpilot 4.4 from only 18 reviews
Best for large lab panels before treatment: Ways2Well
Our score 6.1/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
First charge
not published
Minimum term
not published
What they offer: Testosterone (where allowed); Hormone optimization; Peptide therapy; Comprehensive lab panels; In-clinic services in Austin, TX.
How care works: Quest. Outside labs not accepted. Prescribers: Licensed physicians/clinicians (telehealth). Not contracted with insurers. HSA/FSA accepted.
The catch: Medication prices are not published, and testosterone is blocked in 13 states.
Pros
- Deep lab panels and longevity focus
Cons
- Testosterone blocked in 13 states
- Medication prices not published
- Trustpilot 2.5 (108 reviews)
Best for bundled-lab TRT and month-to-month sermorelin: BrightMeds
Our score 5.9/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 9.4
- Support and cancellation (10%)
- 5.0
First charge
not published
Minimum term
not published
Plan priced: TRT at '$75 per week'. Prices checked Oct 7, 2026 · source
What they offer: TRT: subcutaneous injections, oral, cream; Enclomiphene (mentioned); Sermorelin (compounded); GLP-1 weight loss.
How care works: Free blood test (title says 'free labs for a year'). Collection method not stated. Prescribers: Licensed US physicians (state-licensed clinicians). Not stated (cash-pay).
The catch: The TRT price appears only as '$75 per week' in page metadata.
Pros
- Low-cost sermorelin ($129/mo)
- Labs included
- Trustpilot 4.7 (1,076 reviews)
Cons
- TRT price shown only weekly, in page metadata
Best for needle-free cream with urologist oversight: Fountain TRT
Our score 5.8/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 0.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: All-inclusive membership ('as low as'). Prices checked Oct 7, 2026 · source
What they offer: Testosterone cream (topical).
How care works: Blood test at a partner lab, reviewed by a Fountain doctor. Prescribers: Urologists who specialize in men's health. Co-founder Doron Stember, MD. Cash-pay (marketing says no insurance hassle).
The catch: Cream only, 20 states, and the trial/lab cost is not published.
Pros
- Urologist-led
- Needle-free cream
- Simple all-inclusive price
Cons
- Cream only
- 20 states
- Trustpilot profile redirects to fountain.net (4.4, 398); may not be the same business
Best for oral-first protocols built around enclomiphene: Maximus
Our score 5.5/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: Injectable testosterone. Prices checked Oct 7, 2026 · source
What they offer: Enclomiphene; Injectable testosterone; Oral testosterone; Testosterone cream (combination protocols); HCG (added by doctor to injectable protocol); Sermorelin; GLP-1 (Mounjaro pen); At-home labs.
How care works: At-home lab test at intake. Separate yearly Maximus Labs panels are optional. Prescribers: Board-certified physicians. No insurance needed. HSA/FSA eligible.
The catch: The best price needs a 12-month commitment, and program payments are non-refundable.
Pros
- Enclomiphene and HCG protocols on the menu
- 24/7 doctor messaging included
- Trustpilot 4.4 (~1K reviews, seen on Trustpilot 'people also looked at')
Cons
- Best price needs a 12-month commitment; payments non-refundable
- Plans auto-renew for the same term
- Compounded medications (not FDA-approved)
Best for coaching plus large lab panels: Marek Health
Our score 5.3/10 (rubric)- Cost transparency and value (25%)
- 2.5
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 9.6
- Support and cancellation (10%)
- 5.0
First charge
not published
Minimum term
not published
What they offer: TRT injections; Testosterone cream; GLP-1s; Therapeutic peptides; Self-service lab panels; Health coaching.
How care works: Custom panel ordered after coach intake (minimum $450). Collection method not stated. Prescribers: Licensed medical providers (partner physicians). Does not work with insurance. FSA/HSA may work.
The catch: $450 minimum lab purchase to start, and the monthly price is not published.
Pros
- Coaching plus deep lab work
- Trustpilot 4.8 (985 reviews)
Cons
- High upfront lab minimum ($450)
- Monthly price not published
- Non-refundable sales
Best for a big-brand, needle-free enclomiphene start: Hims
Our score 4.3/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 0.0
- Access (15%)
- 0.0
- Patient sentiment (10%)
- 5.8
- Support and cancellation (10%)
- 0.0
Plan priced: Enclomiphene, 10-month plan paid upfront. Prices checked Oct 7, 2026 · source
What they offer: Enclomiphene (oral, compounded); Enclomiphene + tadalafil + supplements ('Testosterone Rx+'); At-home lab testing.
How care works: At-home lab kit with prepaid overnight return to a CLIA-certified lab. Recheck at 3 months. Prescribers: Licensed healthcare providers. Some states need a video visit. Insurance not required. Hims & Hers does not take FSA/HSA.
The catch: No testosterone yet, and $99/mo needs a 10-month plan paid upfront.
Pros
- Big consumer brand, LegitScript-certified
- At-home lab kit
- Oral, needle-free option (enclomiphene)
Cons
- No testosterone itself yet; FAQ says no TRT injections
- Lowest price needs a 10-month upfront payment
- No FSA/HSA
- Trustpilot 2.9 (9,508 reviews)
Best for BHRT plus peptides, quoted individually: Evolve Telemed
Our score 3.9/10 (rubric)- Cost transparency and value (25%)
- 0.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 6.7
- Support and cancellation (10%)
- 0.0
First charge
not published
Minimum term
not published
What they offer: TRT injections; Testosterone cream; Peptide therapy; Women's BHRT/menopause; Thyroid.
How care works: LabCorp (buy through Evolve), or outside labs with the required markers. Prescribers: Physicians (for example, a board-certified gynecologist). Does not accept insurance. HSA/FSA accepted.
The catch: No published prices.
Pros
- Free consultation
- Men and women
Best for a-la-carte care for experienced patients: Defy Medical
Our score 3.7/10 (rubric)- Cost transparency and value (25%)
- 0.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 9.6
- Support and cancellation (10%)
- 5.0
First charge
not published
Minimum term
not published
What they offer: TRT (injections, creams, pellets); HCG; Peptides (sermorelin and others); Women's BHRT/menopause; Semaglutide/tirzepatide; On-demand lab tests; Thyroid, ED, hair loss.
How care works: Order labs online and draw at a lab. Results in 5–10 business days. Prescribers: Medical providers led by Medical Director Dr. Justin Saya. Extended 1-hour consults. Not stated on the pages read. Cash-pay model.
The catch: No published price list, only a first-year average.
Pros
- No subscription
- Extended 1-hour consults
- Trustpilot 4.8 (4,192 reviews)
Cons
- No published price list
- Reviews mention appointment wait times
Listed but not ranked (the pages we read don't show both a licensed prescriber and an evaluation before prescribing): TRT Nation, Gameday Men's Health, Joi + Blokes.