The best online TRT clinics in 2026

Online testosterone clinics price lab work, memberships and follow-up visits differently, so the cheapest headline price is often not the cheapest year.

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	From	Score
Top pick LifeMD From $199/mo	$199/mo	8.4
Best value MangoRx From $149/mo	$149/mo	8.0
DudeMeds Price –	–	7.4

– Price not published.

By the RxLineup editorial team · 3 providers scored on 5 published criteria · Prices checked Nov 6, 2026

· 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

Our top pick for November 2026

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.

LifeMD, a Nasdaq-listed telehealth company, prescribes only FDA-approved testosterone: the Xyosted auto-injector, testosterone cypionate injections and testosterone gel. Care starts with an at-home 11-marker hormone lab panel and a 1:1 video visit with a licensed provider, $49 on its order page (marked down from $199). Xyosted is $199 a month cash, or $25 with eligible commercial insurance; cypionate and gel prices aren’t published, and medication is billed separately.

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

Rated 8.4 out of 10, Very good

From $199/mo Xyosted, all-in

Check eligibility

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)

Best value

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

Rated 8.0 out of 10, Good

From $149/mo Testosterone injections, all-in

Check eligibility

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

Rated 7.4 out of 10, Fair

DudeMeds

Price: – Price not published
Treatments: Testosterone injections, Enclomiphene, hCG Includes compounded options
Video visit: Confirmed On its own pages
Insurance: Self-pay

A live video visit and lab work before testosterone or enclomiphene
Core TRT lab panel in the plan: 16 biomarkers, including total and free testosterone, estradiol, a blood count and PSA
Commercially manufactured testosterone cypionate, not compounded, with injection supplies

Rated 7.4 out of 10, Fair

– Price not published

Check eligibility

on dudemeds.com

Read the DudeMeds review

Pricing details and fine print

Starting price: Prices show only after you choose a state and accept its terms and telehealth consent
Testosterone injections: Price not published
Enclomiphene: Price not published
Membership: No membership described. Each plan’s total, supply and inclusions show only after you choose a state and accept DudeMeds’ terms.
Insurance: Self-pay; DudeMeds doesn’t take insurance.

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

Scroll sideways to see all 3 providers

All 3 providers in this ranking compared
Provider	LifeMD review	MangoRx review	DudeMeds review
Our score	8.4/10 Highest	8.0/10	7.4/10
Starting price	$199/mo	$149/mo Lowest	–
Testosterone injections	–	$149/mo	–
Enclomiphene	Not offered	Not offered	–
Treatments	Xyosted, Testosterone injections, Testosterone gel or cream	Testosterone injections	Testosterone injections, Enclomiphene, hCG
Membership	None	None	–
Insurance	Accepted	Self-pay	Self-pay
Next step	Visit site for LifeMD (opens in a new tab)	Visit site for MangoRx (opens in a new tab)	Visit site for DudeMeds (opens in a new tab)

– Not published by the provider.

What it costs

2 of the 3 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.
1 provider doesn’t publish a price for it before you sign up.
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
EnclomipheneCompounded; not FDA-approved: There is no FDA-approved label, so there are no FDA-reviewed warnings or dosing.
hCGFDA-approved for selected cases of hypogonadotropic hypogonadism (low testosterone from a pituitary deficiency) in males: No boxed warning. The label states that hCG has not been demonstrated to be effective for obesity. 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

Every provider gets the same five weighted scores, and this list runs from the highest score down.

Price & value 30%
Clinical care 25%
Medication options 20%
Transparency 15%
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 Read the review

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.

Small amber medication vial on warm limestone

Questions, answered

What is the best online TRT clinic?

It depends on what you need. If price matters most, compare the monthly cost after any membership: testosterone injections run $149 a month with the medication included, at the one provider on this page that publishes an injection price. If you want FDA-approved medication, look for generic cypionate, gel or Kyzatrex rather than compounded products. Our ranked list shows how each provider scores on price, care, options, transparency and experience.

Is it legal to get testosterone online?

Yes, with a prescription from a licensed clinician. Testosterone is a Schedule III controlled substance. Online clinics can prescribe it without an in-person exam under a DEA and HHS temporary rule that runs through December 31, 2026 (90 FR 61301). Unless that rule is extended again or replaced, the in-person exam requirement returns on January 1, 2027.

Do online TRT clinics require blood work?

Every testosterone label requires two morning blood tests, on separate days, showing levels below the normal range before treatment starts. The testosterone providers on this page order labs or accept recent results. Some also schedule repeat labs: Rex MD, for example, includes them at 3 months and every 6 months after that.

How much does online TRT cost?

Testosterone injections cost $149 a month at the providers we track, as of November 2026, and none publishes one price for enclomiphene. Some of the lowest prices need a membership, a 6- to 12-month plan paid upfront, or separate lab fees, so compare the full first-year cost.

Is testosterone therapy safe for the heart?

In the TRAVERSE trial of 5,246 men aged 45 to 80 with low testosterone and heart risk, testosterone gel was no worse than placebo for heart attacks and strokes (7.0% vs 7.3%), though atrial fibrillation, kidney injury and lung clots were more common. See Lincoff et al., 2023.

How often do I need blood tests on TRT?

Usually at 3 to 6 months after starting and then once a year, checking testosterone, hematocrit (red blood cells) and, for many men, PSA. Clinics that include follow-up labs in the price save you arranging them yourself.

The best online TRT clinics in 2026

At a glance

LifeMD

MangoRx

DudeMeds

Compare every provider

What it costs

Safety

How we rated these providers

Our top pick is LifeMD