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Review · Top pick in testosterone

LifeMD review

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.

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

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

· 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
LifeMD logo

Rated 8.4 out of 10, Very good

How we score

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

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

Check eligibility with LifeMD (opens in a new tab)

on lifemd.com

Treatments
3, listed below
Insurance
Accepted
Membership
None
Video visit
Confirmed

What we like and what to watch

Strengths

  • FDA-approved testosterone only: Xyosted, cypionate or gel
  • At-home lab panel and a 1:1 video visit before prescribing
  • Unlimited provider messaging and ongoing lab monitoring
  • Xyosted $25 a month with eligible commercial insurance
  • Displays LegitScript certification

Drawbacks

  • Only Xyosted has a published price ($199 a month cash)
  • Medication is billed separately from the $49 start
  • Not available in 13 states, including Pennsylvania, Minnesota and Missouri
  • Its general FAQ says appointments aren’t refunded when a controlled substance is requested but not prescribed

Best for

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

How LifeMD scores

Scored out of 10 on our five weighted criteria. The overall score, 8.4, is their weighted average. How we rate

  • Price & value 30%

  • Clinical care 25%

  • Medication options 20%

  • Transparency 15%

  • Experience 10%

What it costs

LifeMD pricing, checked Nov 6, 2026
Item Price
Starting price 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 $199/mo
Testosterone injections FDA-approved; price not published –
Enclomiphene Not offered
Testosterone enanthate (Xyosted) Cash price for the medication, billed separately from the $49 start (lab panel and video visit; regular $199); $25 a month with eligible commercial insurance through the maker’s savings offer $199/mo
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 None
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 Accepted

– Not published by LifeMD.

How does that compare? See every provider’s price in our testosterone price index.

Treatments offered

Small amber medication vial on warm limestone

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.

What’s included

  • 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
  • Dose changes and refills by message, with ongoing lab monitoring
  • Free shipping on prescribed medication

How it works

Four steps, from blood tests and the live video visit the DEA rule requires to follow-up labs.

Plain shipping box on a sunny front step

  1. Order or book blood tests

    Two morning testosterone tests, plus the other labs the clinician asks for, before anything is prescribed.

  2. A live video visit with a licensed clinician

    LifeMD’s pages describe a video visit before testosterone is prescribed, as the DEA’s temporary telemedicine rule (through December 31, 2026) requires.

  3. If you’re prescribed, a licensed pharmacy ships it

    Testosterone is a Schedule III controlled substance, so refills follow the prescription’s limits.

  4. Follow-up labs and dose checks

    Repeat blood tests and visits to check your levels, blood count and dose.

Is LifeMD legit?

What LifeMD’s own pages show, checked on Nov 6, 2026. LegitScript and a named pharmacy are checks on who prescribes and who fills; neither rates the care.

Who prescribes
Testosterone: an online intake, then an at-home hormone lab panel (11 markers, including total and free testosterone, estradiol, PSA and hematocrit) and a private 1:1 video visit of about 20 minutes with a licensed provider, who reviews the results line by line before prescribing; afterwards dose changes and refills by message, unlimited provider messaging, ongoing check-ins and lab monitoring. Providers are from the LifeMD Affiliated P.C.s, its 50-state medical group; its men’s health clinicians include Dr. Doug Lucas, Dr. Anthony Puopolo (family medicine) and Dr. David Culpepper (internal medicine). LifeMD runs an affiliated pharmacy; the pharmacy that fills testosterone isn’t named. Video visit: confirmed on its own pages.
LegitScript
Displays LegitScript certification, a third-party check against licensing and pharmacy rules. It isn’t a rating of the care.
Pharmacy
Doesn’t name its pharmacy on its pages.
Prices
Publishes a price before you sign up.
Refunds and terms
Its general FAQ says appointments aren’t refunded when a controlled substance is requested but not prescribed.
Last checked
November 6, 2026, against 6 of its own pages.

What customers say about LifeMD

Ratings, complaints and FDA letters as each source showed them on Nov 6, 2026, good or bad. Scores and the order of each list come from our published rating method.

Trustpilot
TrustScore 3.9 out of 5 from 4,293 reviews.Trustpilot page, checked Nov 6, 2026 (opens in a new tab)
Better Business Bureau
Profile for LifeMD, Inc. A rating, BBB accredited. 837 complaints in the last 3 years (304 in the last 12 months). BBB shows an alert: because of the volume of complaints, BBB publishes 1 of every 5 complaints handled through its conciliation process.BBB profile, checked Nov 6, 2026 (opens in a new tab)
FDA warning letters
None found in FDA’s warning-letter database on Nov 6, 2026.FDA database, searched Nov 6, 2026 (opens in a new tab)
Who runs it
LifeMD, Inc. Address on its own pages: 236 Fifth Avenue, Suite 400, New York, New York. A Nasdaq-listed company (LFMD). Care comes from the LifeMD Affiliated P.C.s, its medical group.Its own page, checked Nov 6, 2026 (opens in a new tab)

The fine print

Prices
As listed on lifemd.com when we checked on Nov 6, 2026. Prices change often and some are introductory, so confirm the total before you pay.
Refunds and guarantee
Its general FAQ says appointments aren’t refunded when a controlled substance is requested but not prescribed
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)
LegitScript certified
Yes

Alternatives

Other highly rated testosterone providers, highest score first, and how they compare head to head.

  1. 01
    MangoRx

    An all-inclusive injection price with in-lab testing

    Rated 8.0 out of 10, Good

    From $149/mo

    Visit site for MangoRx (opens in a new tab)
  2. 02
    DudeMeds

    Commercially made testosterone with a lab panel in the plan

    Rated 7.4 out of 10, Fair

    Price – Price not published

    Visit site for DudeMeds (opens in a new tab)

Guides to read before you choose

More on testosterone

All 3 testosterone reviews

Questions, answered

How much does LifeMD TRT cost?
As of November 2026, LifeMD’s order page shows $49 to start, for an at-home hormone lab panel and a 1:1 video visit (marked as $150 off a regular $199). If you’re prescribed Xyosted, the medication is $199 a month cash, or $25 a month with eligible commercial insurance through the maker’s savings offer. Prices for testosterone cypionate and gel aren’t published, and medication is billed separately from the visit.

Is LifeMD legit?
LifeMD, Inc. is a Nasdaq-listed telehealth company (LFMD) and shows LegitScript’s seal. Licensed providers of its affiliated medical group, the LifeMD Affiliated P.C.s, give the care. Testosterone is a Schedule III controlled substance, and LifeMD’s order page lists an at-home lab panel and a private video visit with a provider before anything is prescribed.

What does LifeMD say about prescribing controlled substances?
LifeMD’s pages say two different things. Its general FAQ says LifeMD-affiliated providers “don’t provide prescription initiations or prescription refills on controlled substances” and doesn’t refund appointments where one is requested but not fulfilled. Its men’s health page offers to “start FDA-approved testosterone replacement therapy from home” if clinically appropriate, after a video visit, and says Xyosted “is a controlled substance (CIII)”. Ask LifeMD to confirm before you pay.

Does LifeMD take 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.

What does LifeMD prescribe for testosterone?
LifeMD offers Xyosted, testosterone injections and testosterone gel or cream. A licensed clinician decides whether a treatment is right for you.

Can I cancel LifeMD?
Its general FAQ says appointments aren’t refunded when a controlled substance is requested but not prescribed

Is LifeMD available in my state?
LifeMD serves: 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).

What do customers say about LifeMD?
On Trustpilot, LifeMD has a TrustScore of 3.9 out of 5 from 4,293 reviews. The BBB gives LifeMD, Inc. an A rating (accredited), with 837 complaints in the last 3 years. Checked Nov 6, 2026.

Where is LifeMD located and who runs it?
LifeMD is run by LifeMD, Inc. Its own pages give the address 236 Fifth Avenue, Suite 400, New York, New York. A Nasdaq-listed company (LFMD). Care comes from the LifeMD Affiliated P.C.s, its medical group. Checked Nov 6, 2026.

Is LifeMD FDA-approved?
The FDA approves drugs, not telehealth companies, so LifeMD itself isn’t FDA-approved, and neither is any other telehealth company. Of what it prescribes, testosterone enanthate (Xyosted), testosterone injections and testosterone gel or cream are FDA-approved. A licensed clinician decides what, if anything, you’re prescribed.

Does LifeMD have a promo code?
On Nov 6, 2026, LifeMD’s own pages showed its testosterone start (an at-home hormone lab panel and a video visit) for $49, marked as a $150 saving on a regular $199; and the first month of its weight-loss program fee for $39 instead of $149. We don’t have a code of our own for LifeMD, so check the final price at checkout.

Sources (checked Nov 6, 2026)

  1. LifeMD: Mens health page
  2. LifeMD: Mens health labs page
  3. LifeMD: Membership page
  4. LifeMD: FAQ
  5. LifeMD: Terms
  6. LegitScript: certification check
  7. Trustpilot: LifeMD
  8. BBB profile: LifeMD, Inc.
  9. FDA warning letters database
  10. LifeMD offer page, checked Nov 6, 2026

LifeMD

8.4/10 ·  From $199/mo

Check eligibility with LifeMD (opens in a new tab)