How to get TRT online

You can get testosterone replacement therapy (TRT) online in four steps: a blood test, a visit with a licensed clinician, a prescription, and follow-up labs while you’re on it. The whole process usually takes one to three weeks. What changes from clinic to clinic is where you take the blood test, how you see the clinician, and what the monthly price includes. Here is each step, with what the clinics we track charge as of October 2026.

Step 1: Check whether TRT could fit you

TRT treats hypogonadism, which means low testosterone plus symptoms. The Endocrine Society guideline recommends diagnosing it only in men with symptoms and signs of testosterone deficiency and “unequivocally and consistently low” levels. Clinics usually ask about low sex drive, erectile problems, fatigue, low mood and loss of muscle.

The same guideline recommends against starting testosterone in men who:

• plan to father a child in the near term;
• have breast or prostate cancer, a palpable prostate nodule, or a PSA above 4 ng/mL (above 3 ng/mL in men at higher risk) without a urology evaluation;
• have a high hematocrit, untreated severe obstructive sleep apnea or severe urinary symptoms;
• have uncontrolled heart failure, had a heart attack or stroke in the last 6 months, or have a clotting disorder.

If fertility matters to you, read TRT and fertility first. Testosterone lowers sperm production, and alternatives such as enclomiphene work differently.

Step 2: Get your testosterone tested

Every testosterone label requires lab confirmation. The Depo-Testosterone label says to measure serum testosterone in the morning on at least two separate days, with both results below the normal range, before starting. The AUA guideline treats a total testosterone below 300 ng/dL as a reasonable cut-off. Our guide to normal testosterone levels by age explains the ranges.

Online clinics offer three ways to test:

• At home. Hims sends a lab kit with a prepaid return label. Hone Health lets you test at home or at one of 2,000+ partner labs. Maximus orders an at-home lab test. See clinics with at-home tests.
• At a lab near you. Rex MD and MangoRx send you to Labcorp or Quest, PeterMD to Quest, and Fountain TRT to a partner lab.
• Your own recent results. TRT Nation and PeterMD say they can use bloodwork you already have.

A baseline panel usually covers more than testosterone. TRT Nation lists total testosterone, a complete blood count, a comprehensive metabolic panel and estradiol, with PSA added depending on age, symptoms and history.

Step 3: See a clinician

With results in hand, a licensed clinician reviews them with your history. How that visit happens varies. Hone Health, Rex MD, Maximus and MangoRx hold a video consult, and Fountain TRT a telehealth video visit, before prescribing testosterone. TRT Nation’s pages describe video or phone consults, Marek Health a 25-minute consult with a licensed provider, and PeterMD a free virtual consultation, without saying the visit is by video. A phone call alone doesn’t meet the DEA rule for testosterone, so ask for a live video visit.

Testosterone is a Schedule III controlled substance. Under the DEA and HHS temporary rule (90 FR 61301), a DEA-registered practitioner can prescribe it without an in-person exam through December 31, 2026, as long as the prescription follows a real-time audio-video visit and meets the other conditions in the rule. If the rule isn’t extended or replaced, the Ryan Haight Act’s in-person exam requirement returns on January 1, 2027. Our telehealth rules guide covers what that means for you.

Some clinics have their own eligibility rules. Henry Meds treats men aged 35 to 65 whose labs meet its criteria. PeterMD’s TRT isn’t available in Alabama or Idaho, and Fountain TRT serves 20 states.

Step 4: Choose a treatment and a plan

If the clinician prescribes, you choose a form and a payment plan. The common options:

• Injections of testosterone cypionate, the most widely offered form. Generic cypionate is FDA-approved, but Hone Health, Maximus, MangoRx and TRT Nation say theirs is compounded.
• Gel or cream applied daily. Gels are FDA-approved and carry a boxed warning about transfer to children. Creams are compounded.
• Oral capsules such as Kyzatrex, which Henry Meds sells for $179 a month.
• Enclomiphene, a compounded pill that raises your own testosterone instead of replacing it.

Injections cost $79 to $183 a month, medication and any required membership included, at the clinics that publish an injection price, as of October 2026. The lowest comes with a condition: PeterMD’s $79 needs a 12-month plan billed upfront ($948), and Hone Health’s $28 injections cost $183 a month once its $155 Premium membership is added. Programs that include labs and visits in one price run from $129 (Henry Meds) to $299 a month (the top of Rex MD’s range). The TRT cost guide adds up a first year at each clinic.

Step 5: Receive your medication

Delivery times are published by a few clinics. Strut Health ships enclomiphene in about 2 business days. TRT Nation says most patients have medication within one week of approval. Henry Meds says most people receive it 8 to 10 business days after the visit, then a shipment every 45 days for injectables. Controlled substances can need an adult signature on delivery, TRT Nation notes.

Step 6: Keep up with follow-up labs

Testosterone needs monitoring. The cypionate label calls for periodic hemoglobin and hematocrit checks, and the AndroGel 1.62% label adds testosterone, PSA, liver tests and lipids. The Endocrine Society recommends checking symptoms, side effects, testosterone, hematocrit and prostate cancer risk during the first year.

Clinics schedule this differently:

What to have ready before your visit

A visit goes faster, and the clinician can judge safety better, if you bring:

• your symptoms and how long you have had them;
• every medicine and supplement you take;
• any history of prostate problems, breast cancer, blood clots, heart attack, stroke, heart failure or sleep apnea, the conditions the Endocrine Society lists as reasons not to start;
• whether you want children in the next few years;
• recent lab results, if you have them, since TRT Nation and PeterMD say they can use existing bloodwork.

Check the clinic serves your state before you pay for labs. PeterMD’s TRT isn’t offered in Alabama or Idaho, MangoRx and Henry Meds serve only certain states, and Fountain TRT serves 20.

Red flags when choosing a clinic

A legitimate clinic will never prescribe testosterone without lab work, and it will tell you whether a product is compounded or FDA-approved. Be wary of any seller that skips the clinician visit, ships testosterone without a prescription, or labels its products for research only. Every testosterone clinic we list is LegitScript certified. Compare them on our best online TRT clinics list, ordered by our published rating method.

The bottom line

Getting TRT online starts with two morning blood tests and a visit with a licensed clinician, and the first labs are either included or cost up to $129 at most clinics we track, with lab-heavy programs such as Marek Health charging more. Monthly prices run from $53 for injections with a membership to $299 for a program with labs and video visits included, as of October 2026. Online prescribing of testosterone without an in-person exam is allowed through December 31, 2026, so check what your clinic plans if the rule lapses. Start from our testosterone hub.