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Is LifeMD legit? LifeMD reviews and complaints

An SEC-reporting company with an A from the BBB and FDA-approved testosterone only, alongside 827 BBB complaints in 3 years, most about billing.

By the RxLineup editorial team · Fact-checked against provider sites and FDA labels · Updated  · 6 min read

· How we rate

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In short

  1. LifeMD, Inc. is a Delaware company in New York that files quarterly reports with the SEC. It provides management services to the LifeMD Affiliated P.C.s, whose licensed providers prescribe, and also runs brands such as Rex MD.
  2. For testosterone, LifeMD prescribes only FDA-approved products: the Xyosted pen, testosterone cypionate injections and testosterone gel. It starts with an at-home lab kit and a video visit for $49.
  3. Xyosted costs $199 a month cash or $25 a month with eligible commercial insurance through the maker’s savings offer, as of Nov 9, 2026. Medication is billed separately from the $49 start.
  4. On Nov 9, 2026 LifeMD had a 3.9 TrustScore from 4,293 Trustpilot reviews, and an A from the BBB, where it is accredited, with 827 complaints in 3 years and 303 in the last 12 months.
  5. Its site shows a LegitScript seal that read Certified when we loaded it on Nov 9, 2026, and we found no FDA warning letter to LifeMD in the FDA’s database.
  6. Testosterone is a Schedule III controlled substance. Prescribing it online without an in-person exam rests on a DEA rule that runs through Dec 31, 2026.

The three highest-scored testosterone providers

Ranked by our published score.

  • 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.
  • Safety: Testosterone gel or cream carries a boxed warning for secondary exposure of children to testosterone gel. Read the safety information
  1. 01

    Our top pick for November 2026

    LifeMD

    FDA-approved testosterone with home labs and a video visit first

    Rated 8.4 out of 10, Very good

  2. 02
    MangoRx

    An all-inclusive injection price with in-lab testing

    Rated 8.0 out of 10, Good

  3. 03
    DudeMeds

    Commercially made testosterone with a lab panel in the plan

    Rated 7.4 out of 10, Fair

See all rankings

LifeMD is a legitimate telehealth company: it reports to the SEC as a public company, its affiliated medical practices provide the care, its site carries a LegitScript seal that read certified when we checked, and the Better Business Bureau accredits it with an A. For testosterone it prescribes only FDA-approved products, after labs and a video visit. The caution is its large complaint file, built mostly on membership billing. Here is what we confirmed on LifeMD’s own pages, SEC filings and review sites, as of Nov 9, 2026.

LifeMD is one of the providers that pay us when you sign up through our links. This page reports its public record in full, complaints included, and its place in our rankings comes from our published score.

Who runs LifeMD

LifeMD, Inc. is a Delaware corporation at 236 Fifth Avenue in New York. SEC records show it files quarterly reports, most recently on Aug 5, 2026, and that it was formerly named Conversion Labs, Inc. and before that Immudyne, Inc. Its about page describes it as a 50-state direct-to-patient telehealth company with a portfolio of brands; BBB lists Rex MD, Nava MD, Shapiro MD and Get Cleared among its other names.

LifeMD doesn’t practice medicine itself. Its terms (last updated Nov 17, 2025) say care comes from Affiliated Providers, and its about page says LifeMD, Inc. provides administrative and management services to the LifeMD Affiliated P.C.s. For testosterone, according to its pages:

  • You start with a male hormone lab panel, by an at-home kit or at a lab near you, with results back in 72 hours or less.
  • A licensed provider reviews your symptoms and labs in a video visit and prescribes if it’s clinically appropriate.
  • If prescribed, medication ships free, with check-ins, dose adjustments, unlimited provider messaging and ongoing lab monitoring.

Licensing, LegitScript and the FDA

LifeMD’s footer shows LegitScript seal 10012446, and when we loaded that seal from LegitScript’s server on Nov 9, 2026 it read “LegitScript Certified.” LegitScript’s own lookup form didn’t load for us, so the seal is what we checked. LegitScript checks how an online health business handles licensing and pharmacy rules; it isn’t a rating of the care you’ll get.

LifeMD’s testosterone products are FDA-approved and made by drug makers, not compounded, so the 503A and 503B pharmacy question doesn’t apply to them. We searched the FDA’s warning letter database for “LifeMD” on Nov 9, 2026 and found no letter to the company.

Testosterone is a controlled substance

Testosterone is a Schedule III controlled substance, and each of LifeMD’s testosterone products is labeled CIII. Under federal law a clinician may prescribe a controlled substance remotely only after an in-person evaluation, with exceptions; the DEA and HHS have extended a telemedicine exception through Dec 31, 2026. Unless it is extended or replaced, the in-person requirement returns on Jan 1, 2027. Our guide to TRT telehealth rules explains the rule.

One inconsistency to know about: LifeMD’s general FAQ still says its affiliated providers don’t start or refill controlled substances, and that it doesn’t refund appointments where a controlled substance is requested but not prescribed, while its men’s health page offers all three testosterone products. Confirm with LifeMD that testosterone is available to you before you pay.

What LifeMD sells for testosterone

LifeMD prescribes three FDA-approved testosterone products for men with low testosterone caused by certain medical conditions (hypogonadism):

  • Xyosted, a weekly testosterone enanthate auto-injector pen.
  • Testosterone cypionate injections.
  • Testosterone gel 1.62%.

The Xyosted label warns that testosterone can raise blood pressure, which can increase cardiovascular risk over time, and that it isn’t recommended for men with uncontrolled high blood pressure; your provider should check it regularly. That warning used to be a boxed warning, the FDA’s strongest kind; the current label shows it was taken out of the box in March 2025 and kept in the warnings section. LifeMD also mentions clomiphene (Clomid), which isn’t FDA-approved to raise testosterone in men and can be prescribed for that only off-label.

What LifeMD costs

As of Nov 9, 2026, LifeMD’s testosterone order page shows:

What you pay forPrice
Labs and provider visit (at-home lab kit and a video visit)$49, billed once
Xyosted, with eligible commercial insurance$25 a month through the maker’s savings offer
Xyosted, cash$199 a month
Testosterone cypionate or gelNot published on that page

The $25 Xyosted price depends on the maker’s savings offer: it isn’t valid for prescriptions paid by federal or state programs such as Medicare or Medicaid, and the maker caps its benefit at $125 per fill. Medication is billed separately from the $49 start. LifeMD also sells a LifeMD+ membership at $19 a month for general care, which two recent BBB complaints say kept billing after they cancelled; check whether your checkout adds it. To compare, see our testosterone price index.

LifeMD reviews and complaints

Both read on Nov 9, 2026:

Scroll sideways to see the full table

SiteRatingVolumeNotes
Trustpilot3.9 out of 54,293 reviews73% five-star, 15% one-star; profile claimed, LifeMD invites customers to review and replied to 98% of negative reviews
BBBA, accredited since Sept 30, 2022827 complaints in 3 years, 303 in the last 12 monthsCustomer reviews average 2.79 out of 5 from 682 reviews

BBB notes that because of the volume of complaints it publishes only 1 in every 5 complaints it handles for LifeMD. The profile covers LifeMD’s headquarters and its corporate-owned locations.

The 10 complaints shown, filed from Mar 30 to June 28, 2026, are mostly about LifeMD’s weight loss program and memberships rather than testosterone, and they repeat three themes:

  • Billing after cancelling. Customers describe a $19 monthly membership or a program fee that kept charging after they cancelled.
  • What the fee covers. Two customers say they paid $447 for a 6-month weight loss plan believing it included medication, then learned the medication cost extra.
  • Paid, no care or medication. Others describe charges for medication that never arrived, or a program fee with no appointment.

LifeMD answered all 10, and BBB lists 5 as resolved. An A rating alongside 827 complaints means LifeMD responds to and closes complaints, not that few are filed.

Refunds and cancellation

  • Medication is final. LifeMD’s terms say prescription medications and supplements can’t be returned or refunded.
  • Subscriptions and memberships. You can cancel at any time and keep access until the end of the term you paid for, but there’s no prorated refund. If you’re found clinically ineligible at your first consultation, you may get a prorated refund of the unused part.
  • How to cancel. Cancel in the patient portal under your account’s billing page, or by email, and check the next statement to confirm the membership stopped.
  • Controlled-substance visits. Its FAQ says appointments aren’t refunded when a controlled substance is requested but not prescribed.

The bottom line

LifeMD is a legitimate, publicly reporting telehealth company that prescribes only FDA-approved testosterone after labs and a video visit, with a LegitScript seal that read certified and an A from the BBB. Its large complaint file is mostly about memberships and weight loss billing, so read every line of the checkout, cancel memberships you don’t need, and confirm testosterone is offered in your state before you pay for labs.

Other options

Our LifeMD review scores it against the other testosterone programs we list. To compare, see:

For the full picture of costs, read how much TRT costs.

Highest-scored testosterone providers

The three testosterone providers with our highest overall scores right now.

  • 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.
  • Safety: Testosterone gel or cream carries a boxed warning for secondary exposure of children to testosterone gel. Read the safety information
  1. 01

    Our top pick for November 2026

    LifeMD

    FDA-approved testosterone with home labs and a video visit first

    Rated 8.4 out of 10, Very good

  2. 02
    MangoRx

    An all-inclusive injection price with in-lab testing

    Rated 8.0 out of 10, Good

  3. 03
    DudeMeds

    Commercially made testosterone with a lab panel in the plan

    Rated 7.4 out of 10, Fair

See all rankings

Questions, answered

Is LifeMD legit?

Yes. LifeMD, Inc. is a publicly reporting company that files with the SEC, and licensed providers from its affiliated medical practices do the prescribing. Its site showed a LegitScript Certified seal on Nov 9, 2026, it is BBB accredited with an A rating, and we found no FDA warning letter to it. It also has a large complaint file: 827 BBB complaints in 3 years, mostly about billing and memberships.

How much does LifeMD testosterone therapy cost?

As of Nov 9, 2026, LifeMD charges $49 once for an at-home lab kit and a video visit with a provider. If you’re prescribed Xyosted, it costs $199 a month cash, or $25 a month with eligible commercial insurance through the maker’s savings offer. LifeMD doesn’t publish prices for testosterone cypionate or gel on that page.

Does LifeMD prescribe controlled substances?

For testosterone, yes: its men’s health page offers Xyosted, testosterone cypionate and testosterone gel, all Schedule III controlled substances. Its general FAQ, though, still says LifeMD-affiliated providers don’t start or refill controlled substances and that appointments aren’t refunded when one is requested but not prescribed. Confirm with LifeMD before you pay that testosterone is available in your state.

What are the most common LifeMD complaints?

The 10 complaints shown on LifeMD’s BBB page, filed from Mar 30 to June 28, 2026, mostly describe membership charges after cancelling, confusion over whether a weight loss plan included medication, and charges for medication that never arrived. BBB says it publishes only 1 in every 5 complaints it handles for LifeMD because of their volume.

Can I get a refund from LifeMD?

Prescription medications aren’t returnable or refundable. If you cancel a subscription or membership, you keep access until the end of the term, but there is no prorated refund, unless you’re found clinically ineligible at your first consultation, in which case you may get a refund of the unused part.

Sources

  1. LifeMD: men’s health and testosterone page (read Nov 9, 2026)
  2. LifeMD: testosterone labs and Xyosted order page (read Nov 9, 2026)
  3. LifeMD: about page (read Nov 9, 2026)
  4. LifeMD: terms and conditions, last updated Nov 17, 2025 (read Nov 9, 2026)
  5. LifeMD: FAQ (read Nov 9, 2026)
  6. SEC EDGAR: LifeMD, Inc. company filings, CIK 0000948320 (read Nov 9, 2026)
  7. LegitScript seal shown on lifemd.com, seal 10012446 (read Nov 9, 2026)
  8. Trustpilot: LifeMD reviews (read Nov 9, 2026)
  9. BBB: LifeMD, Inc. business profile (read Nov 9, 2026)
  10. BBB: LifeMD, Inc. complaints (read Nov 9, 2026)
  11. FDA: Warning letters database (searched Nov 9, 2026)
  12. Xyosted (testosterone enanthate) label on DailyMed (read Nov 9, 2026)
  13. DEA and HHS: Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities, 90 FR 61301 (Dec 31, 2025)

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