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The cheapest online TRT programs in 2026

These programs prescribe testosterone itself (injections, gel, cream or capsules), ranked by the lowest monthly price each publishes.

Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. How we make money

Safety: testosterone is a Schedule III controlled substance with DEA prescribing rules, and a boxed warning applies to testosterone gel or cream. Read before you start

At a glance

Program Score
Best value MangoRx From $149/mo 8.0
Top pick LifeMD From $199/mo 8.4

By the RxLineup editorial team · 2 providers scored on 5 published criteria · Prices checked

· How we rate

Advertiser disclosure

RxLineup earns a fee when you click a link to a provider and complete a qualifying step. Only providers that pay us appear in our rankings and reviews. Our guides also name providers that don’t pay us, so you can see the whole market.

We don’t cover every program on the market. Prices change often, so confirm the details with the provider before you enroll.

Full disclosure

Best value

01

Rated 8.0 out of 10, Good

MangoRx

TRT all-inclusive from $149/month. Full refund if you don’t qualify.

From
$149/mo
Treatments
Testosterone injections Compounded
Video visit
Confirmed On its own pages
Membership
None
  • Lab test at LabCorp or Quest before your provider decides
  • One-on-one video consultation with a licensed TRT specialist
  • Follow-up at 30 days with updated labs, and a check-in at 3 months
Check eligibility with MangoRx (opens in a new tab)

on mangorx.com

Read the MangoRx review

Pricing details and fine print
Starting price
$149, compounded testosterone cypionate injection with lab work, provider visits and shipping
Testosterone injections
$149/mo
Enclomiphene
Not offered
Membership
No membership and no mandatory subscription. Lab work, provider visits and medication are covered by one monthly price.
Insurance
No insurance required.
Guarantee
Full refund if you don’t qualify for TRT.
Availability
46 states and Washington, D.C.; not Alabama, Alaska, Arkansas or Mississippi
02

Top pick

Rated 8.4 out of 10, Very good

LifeMD

$49 to start (home lab panel and video visit). Xyosted $199 a month cash, or $25 with eligible insurance.

From
$199/mo
Treatments
Xyosted, Testosterone injections, Testosterone gel or cream No compounded products
Video visit
Confirmed On its own pages
Membership
None
Insurance
Accepted
  • At-home hormone lab panel: 11 markers, including total and free testosterone, estradiol, PSA and hematocrit
  • Private 1:1 video visit with a licensed provider, about 20 minutes, with evening and weekend times
  • FDA-approved Xyosted, testosterone cypionate or testosterone gel, if prescribed
Check eligibility with LifeMD (opens in a new tab)

on lifemd.com

Read the LifeMD review

Pricing details and fine print
Starting price
$199, Xyosted (FDA-approved testosterone enanthate auto-injector) at its cash price; the $49 start for the lab panel and video visit is billed once, and cypionate and gel prices aren’t published
Testosterone injections
Price not published
Enclomiphene
Not offered
Membership
No membership described for testosterone care. The $49 start covers the lab panel, the video visit and a treatment plan; medication is billed separately.
Insurance
Insurance accepted for some services. Its order page lists Xyosted at $25 a month with eligible commercial insurance, through the maker’s savings offer, which excludes Medicare and Medicaid; $199 a month without.
Availability
Testosterone therapy not available in Alabama, Arkansas, Connecticut, Delaware, Hawaii, Louisiana, Minnesota, Missouri, New Hampshire, North Dakota, Pennsylvania, Rhode Island or South Carolina (its affiliate terms)

Prices are as each provider advertised them when we checked and can change at any time. Testosterone is a Schedule III controlled substance, and a prescription needs lab tests that confirm low levels. Enclomiphene is not FDA-approved. Where it is offered, a compounding pharmacy prepares it. Because testosterone is a Schedule III controlled substance, prescribing it by telemedicine without an in-person visit relies on a DEA and HHS temporary rule that runs through December 31, 2026 (90 FR 61301), and it needs a live video visit with the prescriber. A prescription is required and is at the clinician’s discretion.

Compare every provider

All 2 providers on price, treatments and terms. Select a name for the full review.

All 2 providers in this ranking compared
Provider MangoRx review LifeMD review
Our score 8.0/10 8.4/10 Highest
Starting price $149/mo Lowest $199/mo
Testosterone injections $149/mo –
Enclomiphene Not offered Not offered
Treatments Testosterone injections Xyosted, Testosterone injections, Testosterone gel or cream
Membership None None
Insurance Self-pay Accepted
Next step Visit site for MangoRx (opens in a new tab) Visit site for LifeMD (opens in a new tab)

– Not published by the provider.

What it costs

  • 2 of the 2 providers here publish an all-in monthly starting price: $149 to $199 a month, with a median of $174. That includes the medication and any membership the provider requires.
  • A sale counts at its regular price, with the sale price shown beside it.

Every provider’s price, side by side: the testosterone price index.

Safety

Testosterone is a Schedule III controlled substance. Prescribing it online without an in-person exam relies on a temporary DEA and HHS rule that runs through December 31, 2026 (90 FR 61301), and it requires a live video visit with the prescriber and blood tests before you start.

One of these treatments carries an FDA boxed warning, the strongest warning on a label: testosterone gel or cream.

Testosterone gel or creamFDA-approved for primary hypogonadism (congenital or acquired) in adult males; Schedule III controlled substance
Boxed warning: secondary exposure. Children have shown signs of early puberty after touching skin where testosterone gel was applied, so wash your hands, cover the site and avoid skin-to-skin contact until it is washed. FDA label
Testosterone injectionFDA-approved for primary hypogonadism (congenital or acquired) in adult males; Schedule III controlled substance
No boxed warning on the cypionate label. FDA label

Not medical advice. A licensed clinician decides whether a treatment is right for you; read the full prescribing information before you start.

How we rated these providers

This list is ordered by all-in starting price, lowest first, with a sale counted at its regular price. Each provider keeps the same five weighted scores.

  1. Price & value 30%
  2. Clinical care 25%
  3. Medication options 20%
  4. Transparency 15%
  5. Experience 10%

The providers on this page pay us when you sign up through our links. How we rate

Plain shipping box on a sunny front step

The bottom line

Our top pick is LifeMD

FDA-approved testosterone only, with home labs and a video visit before prescribing and unlimited provider messaging after. Xyosted is $199 a month cash, and cypionate and gel prices aren’t shown until you’re in care.

Check eligibility with LifeMD (opens in a new tab) Read the review of LifeMD

Rated 8.4 out of 10, Very good

From $199/mo Xyosted (FDA-approved testosterone enanthate auto-injector) at its cash price; the $49 start for the lab panel and video visit is billed once, and cypionate and gel prices aren’t published

How online testosterone treatment works

Online testosterone clinics test your levels first, then prescribe testosterone injections or an alternative such as enclomiphene. Lab work, follow-up visits and memberships can cost more than the medication, so we compare the full monthly price and how often a clinician checks in.

You fill in a health questionnaire on the provider’s own site. A licensed clinician reviews it, often with lab results, and decides whether a treatment is right for you. If you are prescribed, a licensed pharmacy ships it, and most providers renew the prescription on a subscription.

Which treatment is which

Scroll sideways to see the full table

Treatment Active ingredient Form Status
Testosterone injection Testosterone cypionate or testosterone enanthate Injection into muscle (cypionate and enanthate) or under the skin (Xyosted) FDA-approved
Testosterone gel or cream Testosterone Gel or solution rubbed into the skin (FDA-approved), or a compounded cream FDA-approved
Oral testosterone Testosterone undecanoate Capsule FDA-approved
Enclomiphene Enclomiphene citrate Capsule or tablet, compounded Compounded; not FDA-approved
Clomiphene (Clomid) Clomiphene citrate Tablet FDA-approved; off-label here
hCG Human chorionic gonadotropin Injection into muscle FDA-approved
Anastrozole (Arimidex) Anastrozole Tablet FDA-approved; off-label here

FDA-approved or compounded?

FDA-approved products, including generics, are made by their manufacturers to an approved standard. Compounded products are prepared by state-licensed pharmacies for an individual prescription, often to combine ingredients or change the form. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

Testosterone is a Schedule III controlled substance, and a prescription needs lab tests that confirm low levels.

Enclomiphene is not FDA-approved. Where it is offered, a compounding pharmacy prepares it.

Because testosterone is a Schedule III controlled substance, prescribing it by telemedicine without an in-person visit relies on a DEA and HHS temporary rule that runs through December 31, 2026 (90 FR 61301), and it needs a live video visit with the prescriber.

What to look for in a provider

  • The monthly price for the treatment you want, and what it covers: the consult, refills and shipping.
  • A real clinical review. A licensed clinician should review your history before prescribing and order lab tests where the treatment calls for them.
  • A licensed US pharmacy, and a clear statement of which products are FDA-approved and which are compounded.
  • Terms you can live with. Check the subscription length, how to cancel and what happens if you are not prescribed.

Compare every testosterone provider side by side

See every testosterone provider’s score, monthly price and fine print on one page, ordered by our published rating method.

See all rankings

Questions, answered

What is the cheapest way to get TRT online?
Taking each program’s lowest ongoing monthly price for testosterone, with any membership included, the 2 programs that publish one run $149 to $199 a month, as of November 2026. The lowest prices usually come with a catch: a monthly membership on top of the medication, or a 6- to 12-month plan billed upfront. A month-to-month plan with labs included can cost less over a year if you stop early.

Are labs included in the price?
Sometimes. Some programs include lab work and visits in the monthly price, others charge a one-time lab fee or let you upload recent results. Testosterone labels require two morning tests below the normal range before you start, so budget for labs either way.

Does a cheaper TRT program skip the video visit?
It shouldn’t. Under the temporary DEA telemedicine rule, prescribing testosterone without an in-person exam needs a live audio-video visit, so a program that offers only a questionnaire isn’t following it. Ask how the visit happens before you pay, whatever the price. See TRT telehealth rules.

What does a year of online TRT cost?
At each program’s lowest ongoing monthly price, a year of testosterone comes to $1,788 to $2,388, before any lab fee or a first-month discount. Labs every 6 to 12 months add to that unless the program includes them.

Can I use my own lab results to save money?
At some clinics. TRT Nation and PeterMD accept recent bloodwork, and Maximus accepts results from the last 6 months that include the markers it lists. The results still need to show two low morning tests.

Is generic testosterone cypionate cheaper than compounded?
The drug itself often is: generic cypionate is FDA-approved and inexpensive at retail pharmacies with a prescription. Online programs price the whole service, including visits, labs and shipping, so compare the all-in monthly figure.

Guides

Sources (prices checked Nov 6, 2026)

  1. MangoRx: Testosterone support page (read Nov 6, 2026)
  2. LifeMD: Mens health labs page (read Nov 6, 2026)
  3. Testosterone gel or cream: AndroGel 1.62% (testosterone gel) label, Ascend Therapeutics (DailyMed, Nov 2025)
  4. Testosterone injection: Depo-Testosterone (testosterone cypionate) label, Pharmacia & Upjohn (DailyMed, Aug 2026)

Medical and regulatory sources

  1. Lincoff et al., Cardiovascular Safety of Testosterone-Replacement Therapy (TRAVERSE), N Engl J Med 2023
  2. DEA and HHS: Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities, 90 FR 61301 (Dec 31, 2025)
  3. eCFR: 21 CFR 1308.13, Schedule III (anabolic steroids, including testosterone)
  4. Testosterone enanthate injection label, Hikma (DailyMed, 2026)
  5. Xyosted (testosterone enanthate) label, Antares Pharma (DailyMed, Apr 2026)

Top pick · LifeMD

8.4/10 ·  From $199/mo

Check eligibility with LifeMD (opens in a new tab)