TRT Buyer Guide

Cost · First year, 2026 edition

What a year of online TRT costs — and when the money actually leaves your account

17 prescription TRT records1 confirmed first-year total7 publish a checkout amount
Prices checked Oct 26, 2026Every figure links to the page it came fromHow the records are built

Across 17 prescription TRT records read in October 2026, exactly 1 publishes both a complete monthly price and the amount charged before treatment, so exactly 1 closes to a first-year total: RexMD, at $3,099. The other 16 are not cheap. They are unfinished, and this page prints precisely which number each one is missing.

In one sentence

Of 17 online TRT programs priced in October 2026, only 1 publishes every number a first year needs — 7 state what is due at checkout, 7 name a required fee they never price, and 7 publish no charge at all.

1 of 17
Programs with a confirmed first-year total

complete monthly price plus a published starting charge

7 of 17
Publish what is due before treatment

a one-time fee, a prepaid term, or a membership at checkout

$49 – $447
Published cash due at checkout

the money that moves before any medication arrives

7 of 17
Name a required fee and never price it

the single biggest reason a total is withheld

The number nobody shows you

A monthly rate tells you what a program costs to keep. It does not tell you what it costs to start. 7 records publish that second number, and it ranges from $49 to $447 for reasons that have nothing to do with the monthly price — an intake fee, a workup, or a whole quarter collected up front. Of the 5 records that publish both a checkout amount and a recurring charge, 1 also prices every mandatory fee.

The confirmed total

One program publishes every number a first year needs

RexMD is the only record in this edition that publishes a monthly price with every mandatory fee already inside it and the amount charged before the first month of treatment. Everything on the rest of this page exists because that combination is rare: 1 of 17 records clear both conditions.

The formula, applied once

first year = (complete monthly × 12) + published starting charge

Printed only where both terms are established. Sixteen records stop before this point, and the next section names exactly what each one is missing.

Read the source page

RexMD

First-year total confirmed

Formulation not established · read Oct 26, 2026

Complete monthly pricemedication, provider consultations and subsequent labs, on the lowest published rate
$250 /mo
Twelve months at that ratemonthly figure × 12, assuming the rate does not change
$3,000
Plus the starting chargeInitial lab tests and provider consultation
$99

First-year total

$3,099

At the top of the provider’s published subscription range the same arithmetic gives $3,687. The low end is the recorded figure and the full range travels with it; a midpoint is never used.

This is arithmetic on published terms, not a quote. What it does not include: a dose change that re-prices the plan, a second year, or any charge the provider has not published.

When the money is actually taken

n = 17 · records read October 2026

Two different numbers sit in every row below. The checkout column is what a provider states is due before treatment, in its own words. The monthly column is a calculation a reader can re-run. They are kept apart because a prepaid quarter and a monthly fee are not the same kind of number, even when one divides neatly into the other.

Sorted by the published checkout amount, then by monthly charge. Not a ranking.

  • Hims & HersOct 26, 2026

    Injectable

    Due at checkout

    $49

    Taken at checkout; the billing period for it is not published

    A membership taken at checkout
    Recurring charge, as published
    Compounded injectable from $79/mo, medication only
    Documented commitment
    No commitment published
    Monthly equivalent
    $79 /momembership excluded
    First-year total
    Not calculableNot all-in · membership excluded
    Source page
  • Taurus MedsOct 26, 2026

    Formulation not established

    Due at checkout

    $49

    Initial test and consultation offer, published separately from the monthly rate

    A one-time charge before treatment
    Recurring charge, as published
    $149/mo, plus a $49 initial test and consultation
    Documented commitment
    No commitment published
    Monthly equivalent
    $149 /molabs unpriced
    First-year total
    Not calculableNot all-in · labs unpriced
    Source page
  • KeepsOct 23, 2026

    Formulation not established

    Due at checkout

    $49

    Introductory offer covering the blood work panel, consultation and plan

    A one-time charge before treatment
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • RexMDOct 26, 2026

    Formulation not established

    Due at checkout

    $99

    Initial lab tests and provider consultation

    A one-time charge before treatment
    Recurring charge, as published
    $250–$299/mo subscription including medication
    Documented commitment
    No commitment published
    Monthly equivalent
    $250 /moall-in · every mandatory fee priced
    First-year total
    $3,099complete monthly × 12, plus the starting charge
    Source page
  • Male ExcelOct 26, 2026

    Topical

    Due at checkout

    $99

    One-time online medical consultation, required before treatment

    A one-time charge before treatment
    Recurring charge, as published
    $132/mo cream, 60-day supply billed every other calendar month
    Billed alongside
    $99/mo membership billed alongside
    Documented commitment
    No commitment published
    Monthly equivalent
    $231 /moshipping unpriced
    First-year total
    Not calculableNot all-in · shipping unpriced
    Source page
  • Marek HealthOct 26, 2026

    Formulation not established

    Due at checkout

    $299

    One-time intake fee covering the initial medical provider exam

    A one-time charge before treatment
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • Blokes (Joi + Blokes)Oct 26, 2026

    Injectable

    Due at checkout

    $447

    First quarter billed up front at $149/mo

    A whole term, collected up front
    Recurring charge, as published
    $149/mo billed quarterly
    Documented commitment
    Billed quarterly at $149/mo; $129/mo on 6 months; $99/mo on 12 months
    Monthly equivalent
    $149 /molabs unpriced
    First-year total
    Not calculableNot all-in · labs unpriced
    Source page
  • Hone HealthOct 26, 2026

    Injectable

    Due at checkout

    Not published

    No starting charge published

    Not published
    Recurring charge, as published
    Injectable from $28/mo, medication rate, plus a required membership
    Documented commitment
    No commitment published
    Monthly equivalent
    $28 /momembership excluded
    First-year total
    Not calculableNot all-in · membership excluded
    Source page
  • Peter MD (Peter Uncaged)Oct 26, 2026

    Injectable

    Due at checkout

    Not published

    No starting charge published

    Not published
    Recurring charge, as published
    $139/mo on the one-month plan
    Documented commitment
    One-month plan price; $109/mo requires six months ($654 total) and $79/mo requires twelve months ($948 total)
    Monthly equivalent
    $139 /molabs unpriced
    First-year total
    Not calculableNot all-in · labs unpriced
    Source page
  • Fountain TRTOct 26, 2026

    Topical

    Due at checkout

    Not published

    No starting charge published

    Not published
    Recurring charge, as published
    From $199/mo, published as a flat all-inclusive monthly fee
    Documented commitment
    No commitment published
    Monthly equivalent
    $199 /moall-in · every mandatory fee priced
    First-year total
    Not calculableMonthly figure complete · no starting charge published
    Source page
  • Maximus (Maximus Tribe)Oct 26, 2026

    Injectable

    Due at checkout

    Not published

    No starting charge published

    Not published
    Recurring charge, as published
    $199.99/mo on the one-month plan
    Documented commitment
    None on the one-month plan; $149.99/mo requires three months and $99.99/mo requires six
    Monthly equivalent
    $199.99 /molabs unpriced
    First-year total
    Not calculableNot all-in · labs unpriced
    Source page
  • AlynMDOct 26, 2026

    Formulation not established

    Due at checkout

    Not published

    No amount published on the pages read

    Not published
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • Defy MedicalOct 23, 2026

    Formulation not established

    Due at checkout

    Not published

    No amount published on the pages read

    Not published
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • LifeMDOct 23, 2026

    Injectable

    Due at checkout

    Not published

    No amount published on the pages read

    Not published
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • ReformHRTOct 23, 2026

    Formulation not established

    Due at checkout

    Not published

    No amount published on the pages read

    Not published
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • RegenX HealthOct 23, 2026

    Formulation not established

    Due at checkout

    Not published

    No amount published on the pages read

    Not published
    Recurring charge, as published
    No monthly charge published
    Documented commitment
    First three months of therapy paid before a free month is added
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableNo charge published on the pages read
    Source page
  • Titan TRTOct 23, 2026

    Injectable

    Due at checkout

    Not published

    No starting charge published

    Not published
    Recurring charge, as published
    $159 for a 30-day supply
    Documented commitment
    No commitment published
    Monthly equivalent
    Not derivableno monthly equivalent can be derived
    First-year total
    Not calculableCharge published without a billing interval — a supply period is not a billing period
    Source page

A checkout amount is not automatically a first payment. Where a provider states a term but not how it is collected, the record says so rather than assuming the term is paid up front. Where a membership is taken at checkout but its billing period is unpublished, the amount is shown and the recurring figure is withheld.

The refused totals

Why 16 offers cannot be added up

An annual total needs two published numbers. Where either is missing, this page prints the amount that does exist and names the field that does not. A blank is recorded as unknown, never as zero — a fee counted at zero makes a program look cheaper than one that published the same fee honestly.

The four groups below are mutually exclusive and cover every incomplete record in the edition. Each row links to the record that shows the field in context.

Repeating annual cost only

1 record

Every mandatory fee inside the monthly figure is priced, but the provider publishes no starting charge. The repeating annual cost is shown; the first-year total is not closed.

  • Fountain TRT$199 /mo

    Monthly figure complete · no starting charge publishedOct 26, 2026

Cannot be totalled — a required fee is unpriced

7 records

A monthly charge exists, but at least one mandatory fee carries no published amount. The known monthly figure is shown on its own and no annual figure is derived from it.

  • Hone Health$28 /mo

    Not all-in · membership excluded · unpriced: membershipOct 26, 2026

  • Hims & Hers$79 /mo

    Not all-in · membership excluded · unpriced: membershipOct 26, 2026

  • Peter MD (Peter Uncaged)$139 /mo

    Not all-in · labs unpriced · unpriced: lab workOct 26, 2026

  • Taurus Meds$149 /mo

    Not all-in · labs unpriced · unpriced: lab workOct 26, 2026

  • Blokes (Joi + Blokes)$149 /mo

    Not all-in · labs unpriced · unpriced: lab workOct 26, 2026

  • Maximus (Maximus Tribe)$199.99 /mo

    Not all-in · labs unpriced · unpriced: lab workOct 26, 2026

  • Male Excel$231 /mo

    Not all-in · shipping unpriced · unpriced: shipping and handlingOct 26, 2026

Cannot be totalled — no billing interval

1 record

A charge exists but no billing interval was published. A supply period is not a billing period, so no monthly or annual figure is derived.

  • Titan TRTNot published

    Charge published without a billing interval — a supply period is not a billing periodOct 23, 2026

Cannot be totalled — no charge published

7 records

No charge appears on the pages read. Recorded as not established, never as zero and never as the cheapest option.

  • AlynMDNot published

    No charge published on the pages readOct 26, 2026

  • Defy MedicalNot published

    No charge published on the pages readOct 23, 2026

  • KeepsNot published

    No charge published on the pages readOct 23, 2026

  • LifeMDNot published

    No charge published on the pages readOct 23, 2026

  • Marek HealthNot published

    No charge published on the pages readOct 26, 2026

  • ReformHRTNot published

    No charge published on the pages readOct 23, 2026

  • RegenX HealthNot published

    No charge published on the pages readOct 23, 2026

The trap in an annualised guess

Multiplying a medication rate by twelve produces a number that looks finished. When a mandatory fee has no published amount, that number is missing the same fee twelve times and reads as a cheap program rather than an incomplete one. On this page the multiplication is the last step, not the first.

Records that publish a price but no term

A supply period is not a billing period. Where a provider prices a 30-day supply without stating how often it is charged, no monthly equivalent exists and no annual figure is derived from it. Treating the two as the same thing is the most common way a cost comparison goes wrong.

Where the money goes

Four charges sit outside the advertised rate

An online TRT bill is built from a medication charge plus up to four other things. Each one is counted below exactly as it appears in the records: an amount where one is published, and a named gap where one is not.

What counts as a charge here

Only a charge a buyer must pay to receive treatment. An optional extra — a discounted upgrade, a promotional workup the provider does not state is the full required panel — is recorded as an offer and never added to a total.

015 of 17

The consultation or intake

5 records publish a one-time charge taken before medication arrives — an intake, a consultation, a workup. 3 of those bundles explicitly include lab work in the same charge. The rest either fold the consultation into the monthly figure or leave it unpriced, and an unpriced intake cannot be added to a total.

024 unpriced

Required bloodwork

4 records state that lab work is required and publish no amount for it. Another 1 states that labs sit inside the recurring charge. Where a panel is required but unpriced, the monthly figure stops being a treatment cost: it is the medication rate with a known commitment attached.

033 records

A membership billed alongside

3 records publish a membership that runs beside the medication charge. For two of them the applicable amount or billing period is not published, so the all-in figure is withheld rather than guessed. Where a membership is taken at checkout, that amount is shown in the timing table and the recurring figure is not.

041 unpriced

Shipping and handling

1 record states that shipping and handling apply and publishes no figure. It is a small line that withholds a large conclusion: a total cannot be called complete while one mandatory charge has no amount on it.

Every published one-time charge, with what it buys

5
  • Taurus Meds

    Initial test and consultation offer, published separately from the monthly rate

    $49
  • Keeps

    Introductory offer covering the blood work panel, consultation and plan

    $49
  • RexMD

    Initial lab tests and provider consultation

    $99
  • Male Excel

    One-time online medical consultation, required before treatment

    $99
  • Marek Health

    One-time intake fee covering the initial medical provider exam

    $299

What a documented commitment does to the price

3 records publish more than one term

A commitment is counted only where a provider publishes more than one term for the same program, each carrying its own price. A rate that requires six months is recorded as a six-month rate, never as an unrestricted monthly price. The reduction below is arithmetic between the shortest and the longest published term.

Blokes (Joi + Blokes)

−-50.51%

Oct 26, 2026

  • Quarterly billing$149 /mo

    Three months, billed as $447 up front

  • Six-month commitment$129 /mo

    Six months, billed as $774 up front

  • Twelve-month commitment$99 /mo

    Twelve months, paid as $1,188 up front

First-year total

Withheld

Not all-in · labs unpriced

Peter MD (Peter Uncaged)

−-75.95%

Oct 26, 2026

  • One-month plan$139 /mo

    No initial term

  • Six-month plan$109 /mo

    Six months, $654 total over the term

  • Twelve-month plan$79 /mo

    Twelve months, $948 total over the term

First-year total

Withheld

Not all-in · labs unpriced

Maximus (Maximus Tribe)

−-100.01%

Oct 26, 2026

  • One-month plan$199.99 /mo

    No initial term

  • Three-month plan$149.99 /mo

    Three months

  • Six-month plan$99.99 /mo

    Six months · First month $49.99 for new customers on this plan only, then $99.99/mo

First-year total

Withheld

Not all-in · labs unpriced

The discount is visible. The year is not.

All 3 records that publish commitment tiers leave at least one mandatory fee unpriced, so 0 of them close to a first-year total. A reader can see exactly how much a longer term cuts the monthly rate and still cannot see what the year costs, because the missing fee applies to every tier equally. Discounting a price does not complete it.

A prepaid term is cash, not a rate

1 record also publishes the amount collected up front for each term, beside the monthly rate. Those are the numbers a buyer actually hands over to start:

  • Blokes (Joi + Blokes): Three months, billed as $447 up front
  • Blokes (Joi + Blokes): Six months, billed as $774 up front
  • Blokes (Joi + Blokes): Twelve months, paid as $1,188 up front

Dividing that amount back into a monthly figure is a calculation, not a price. The monthly equivalent is shown in the timing table and labelled as derived.

Method

Five rules, applied to all 17 records

Each rule exists to stop a plausible number from being printed in place of a published one. The fourth rule is the one that stops sixteen of the seventeen totals.

The two numbers

due at checkout = published starting charge

first year = (all-in monthly × 12) + starting charge

Never substituted for each other. A monthly figure divided out of a prepaid term is a calculation, and it is labelled as one wherever it appears.

  1. 01

    Record the charge and the schedule as two separate facts

    The charge is what a provider bills. The schedule is when it bills it: every calendar month, every fixed number of days, a term collected up front, or nothing stated at all. A rate with no schedule is never converted into a monthly figure, because a supply period and a billing period are not the same thing.

  2. 02

    Read a term as a commitment, not as a discount

    Where a provider publishes several terms for one program, every tier is recorded with the commitment it requires, and the shortest commitment supplies the standing rate. A rate that only exists after six months is published as a six-month rate.

  3. 03

    Add a mandatory fee only when it has a published amount

    A membership, a lab panel or a consultation is added when the provider publishes a figure for it. Where a required charge has no amount, the monthly figure stays at known charges and the all-in figure is withheld. A missing amount is never counted as zero, and a promotional offer is never assumed to cover a required panel.

  4. 04

    Annualise the complete figure, then add the starting charge

    The monthly figure is multiplied by twelve as a calendar count, and the published amount taken before the first month is added once. Both terms must be established before a total is printed; either one missing stops the calculation where it stands.

  5. 05

    Carry the source and its read date on every row

    Records were read across Oct 23, 2026 to Oct 26, 2026, so each figure carries its own date rather than a single edition stamp. A figure without a source on this page is not published as verified.

Cite this page

Attribution a journalist can reuse unchanged

The citation carries the sample, the read dates and the two counts a reader needs to check the claim. Two conventions travel with it: a monthly figure derived from a charge must be called derived, and a medication rate must never be reported as the price of treatment.

TRT Buyer Guide, "What a year of online TRT costs, and when the money is taken," Open Water RX LLC. Sample: 17 prescription testosterone replacement records read Oct 23, 2026 and Oct 26, 2026; 7 publish an amount due before treatment and 1 closes to a first-year total. https://trtbuyerguide.com/costs/first-year-trt

Press and citation guidance

Published by Open Water RX LLC. Every figure is arithmetic on published terms as read from the provider pages dated on each row, and is not a quote from any provider.

The dataset behind this page

Nothing here is a second dataset. The rows this page counts are the published record sheet — charge as billed, billing interval, every required fee, source URL and check date — so the page links that dataset rather than republishing it. Correct a record there and every figure here changes with it.

The row datasetevery field, including nullsEvery source pagewith the date each was read
The full annual studyHow much pricing is actually publishedWhat a longer commitment does to the monthly chargeWhat a month costsThe full method

What this page does not claim

  • 01

    A published price is not a quote. A program can re-price after an intake, and a dose change can re-price the plan, so a total describes published terms on the date its source was read.

  • 02

    A first-year total is not a lifetime cost. It makes no claim about a second year, a dose escalation, or a program change mid-year.

  • 03

    No clinical, outcome or quality claim is made anywhere on this page, and none of these figures is a recommendation. Records are compared on published billing terms only.

  • 04

    Where a provider publishes a range, the low end drives the recorded figure and the full range travels with it. A midpoint is never used and an average is never converted into a rate.

  • 05

    Cash due at checkout mixes two different things by design: a one-time fee that buys an intake, and a prepaid term that buys medication. The label beside every amount says which one it is.

  • 06

    The single sponsored placement and the record held for approval are excluded from every count here. Their prices cannot move a figure on this page.

Records checked Oct 23, 2026 to Oct 26, 2026, each field dated to the pass that read it. Corrections are logged at the corrections log, and a corrected field reaches this page without anyone retyping a figure.

First-year cost questions

What people ask about a year of TRT

Each answer is dated to the record dates behind it. Nothing here is a clinical answer.

What does a full year of online TRT actually cost?

One of the 17 programs in this edition can be totalled to a first-year figure: RexMD, at $3,099 on its lowest published rate, or $3,687 if the top of its published range applies. The other 16 publish some of the numbers a total needs but not all of them, so any annual figure for them would be a guess with a dollar sign attached.

Checked Oct 23–26, 2026

Why can’t the rest be added up?

Four different things break the sum. 7 records name a mandatory fee and publish no amount for it, 7 publish no charge at all, 1 publish a charge with no billing interval, and 1 publish a complete monthly price but no starting charge. An annual total needs a complete monthly price and a published starting charge together, and a missing amount is never counted as zero.

Checked Oct 23–26, 2026

How much money is taken before treatment starts?

7 of 17 records publish an amount due before treatment, from $49 to $447. They are not the same kind of payment: 5 are one-time fees for an intake, a consultation or a workup, 1 is a whole term collected up front, and 1 is a membership taken at checkout whose billing period the provider does not publish. The label beside each amount says which one it is.

Checked Oct 23–26, 2026

Is the cheapest monthly rate the cheapest year?

Not on the evidence here. The lowest monthly figure in the edition is $28 at Hone Health, which is a medication rate with a required membership left unpriced. The lowest monthly price that includes every mandatory fee is $199 at Fountain TRT — about 7.1 times the headline rate. A first-year comparison also needs the starting charge, and only one program publishes all three numbers.

Checked Oct 23–26, 2026

Do prepaid plans really cost less over a year?

3 records publish more than one term for the same program, cutting the monthly rate by up to -50.51% between the shortest and the longest commitment. The discount is real and published. None of those 3 can be turned into a first-year total, because each leaves at least one mandatory fee unpriced — and that missing fee applies to every term equally, so a discount cannot complete a price.

Checked Oct 23–26, 2026

Are these annual totals quotes?

No. They are arithmetic on published terms as read on the date printed beside each record. A provider can re-price after an intake, a dose change can raise the charge, and nothing here models a second year. The figures exist so a reader can see which programs are comparable at all, not so anyone can budget against them as a quote.

Checked Oct 23–26, 2026