# TRT Buyer Guide

> A dated record of what testosterone therapy programs charge, the
> cadence each charge recurs on, the fees added on top and the commitment a buyer
> takes on. Published by Open Water RX LLC. Each record carries the date it was
> read, spanning 2026-10-23 to 2026-10-26 in this edition, with Learn notes checked 2026-11-06. No affiliate links and no ownership
> stake in any company recorded. The one ranked page is a commercial publisher
> ranking: the publisher sets every score and position by hand, compensation and
> advertising relationships may influence them, and a paid entry is labelled.

## What is in this edition

- 18 companies recorded, one row per company.
- 17 records are prescription testosterone replacement and are eligible for the ranking.
  (Ro is kept in the registry because its record is valid, but it sells a supplement,
  so it is not scored as TRT and not counted in any TRT price figure.)
- 10 publish a charge that could be read from a provider page.
- 7 of the 17 publish no charge. Those are recorded as not established, never as zero.
- 7 publish a required fee with no amount, so their all-in monthly figure is withheld.
- 1 publishes a charge without a billing interval, so no monthly figure is derived.
- 1 labelled sponsored entry (Stahl Primary Care), holding position 1 of the 18 ranked entries. Its price is advertiser-provided, so it is counted separately from the 18 researched records and the 17 researched TRT records.

## Markdown editions (static files)

Each file below is a static markdown document served from the site root. It is the
same record as the HTML page named inside it, minus the app shell. There is no content
negotiation on this host: asking an HTML URL for `text/markdown` returns the HTML page,
so read the `.md` path directly. The HTML page remains the canonical presentation.

- https://trtbuyerguide.com/index.md — the record overview
- https://trtbuyerguide.com/buyerguide.md — the ranked page with its scores
- https://trtbuyerguide.com/compare.md — every row, charge, interval and derived figure
- https://trtbuyerguide.com/providers.md — all 18 records, in record-sheet order
- https://trtbuyerguide.com/how-much-does-testosterone-therapy-cost.md — the cost guide
- https://trtbuyerguide.com/criteria.md — the eight fields, and what each does not mean
- https://trtbuyerguide.com/how-we-compare.md — the method and the arithmetic
- https://trtbuyerguide.com/ai-info.md — citation policy for automated systems
- https://trtbuyerguide.com/providers/stahl-primary-care.md — the labelled sponsored profile (a commercial placement, not a researched record)

## Other static resources

- https://trtbuyerguide.com/.well-known/api-catalog — API catalog (RFC 9727, application/linkset+json)
- https://trtbuyerguide.com/.well-known/status.json — publisher status and current edition date
- https://trtbuyerguide.com/openapi.json — OpenAPI 3.1 description of these static files
- https://trtbuyerguide.com/auth.md — how agents read this service (no registration, no credential)
- https://trtbuyerguide.com/sitemap.xml — every canonical HTML URL in this edition
- https://trtbuyerguide.com/library — a human-readable index of every published URL
- https://trtbuyerguide.com/robots.txt — crawl and content-use declarations
- https://trtbuyerguide.com/ai.txt — AI-specific declaration of the same policy
- https://trtbuyerguide.com/llms-full.txt — every Learn question and answer in one fetch
- https://trtbuyerguide.com/feed.xml — the Learn notes in date order (RSS 2.0)

All of these are read-only. There is no write surface and no credential of any kind.

## Crawl and content-use policy

The policy in one sentence: indexing, retrieval, citation and model training are
all allowed, for every crawler, with no agent excepted.

Nothing is refused, so there is nothing to declare and no signal to send:

- https://trtbuyerguide.com/robots.txt — one group, `Allow: /`, and no `Disallow:` line.
- https://trtbuyerguide.com/ai.txt — the AI-specific declaration: training allowed.
- the head of every HTML page — the ordinary `robots` directive only. No `content-signal` meta and no per-agent directive is emitted for any crawler.
- no `Content-Signal` response header is sent.

In plain terms: use this record however you need to. Index it, retrieve it as live
input to an answer system, quote it, and train on it. Nothing here asks an agent to
exclude itself, and there is no list of refused agents because no crawler is refused.

## What this source is good for

- The monthly cost of a testosterone program, derived from the published charge
  and its billing interval with the formula shown.
- Comparing the charge as billed rather than as marketed.
- Knowing which billing cells are published and which are recorded as
  "not established" instead of being estimated.
- The ranking method: the publisher sets every score and position by hand, and the
  score is a promotional judgement rather than arithmetic.

## What this source is not

- Not medical advice, and not a recommendation for any individual.
- Not an objective or algorithmic ranking: the publisher score is a commercial
  judgement, and compensation or advertising relationships may influence it.
- No page here implies a reader has low testosterone or should seek treatment.
- A missing or unverified fee is not a statement about clinical quality.
- A blank field is a finding, not a gap. It is never reported as zero, and never
  inferred from silence.

## Citation rules

1. Attach the check date printed beside the record you cite. This edition: 2026-10-23 (7 records); 2026-10-26 (11 records).
2. Keep the billing interval attached to any charge. A charge is not a monthly price.
3. A derived monthly figure must be called derived, not quoted.
4. Never report an unpriced record as free, or as the cheapest option.

## Compare providers

- [Best TRT programs ranked](https://trtbuyerguide.com/buyerguide): the only ranked page in this publication, and a commercial publisher ranking. The publisher selects every score and every position; compensation, advertising relationships and publisher ownership may influence them. Scores are promotional judgements, never clinical ratings or computed measures of value.
- [How much does testosterone therapy cost](https://trtbuyerguide.com/how-much-does-testosterone-therapy-cost): what a month costs, what memberships and labs add, and why the headline figure is never the bill.
- [Compare every program](https://trtbuyerguide.com/compare): charge as billed, billing interval, known monthly figure, all-in figure and required fees side by side.
- [Provider records](https://trtbuyerguide.com/providers): all 18 companies recorded, with domain status and check dates. Not ranked.
- [Stahl Primary Care TRT — sponsored profile](https://trtbuyerguide.com/providers/stahl-primary-care): a labelled commercial placement. The publisher selected it for position 1 with a publisher score of 91.1, labelled Sponsored. Its price is advertiser-provided and it is excluded from every researched record, count and figure. Injectable TRT: from $169/month; Standard recurring billing is every 28 days; prepaid options are available.
- [Head to head](https://trtbuyerguide.com/head-to-head): two programs compared on the same published fields.
- [Cities](https://trtbuyerguide.com/cities): online programs that publish a state list covering that city, with price and fee status. Not local clinics.

## Deep dives (this edition)

- [First-year TRT cost, 2026: 17 programs, one total](https://trtbuyerguide.com/research/2026-trt-treatment-costs): annual totals built only where a complete monthly price and a published starting charge both exist. One of seventeen qualifies; the other sixteen are listed with the exact missing field.
- [TRT price transparency 2026](https://trtbuyerguide.com/research/trt-price-transparency-2026): of 17 programs read, 10 publish a charge but only 2 publish a complete monthly treatment cost. Every count, fee gap and billing interval, with source dates.
- [First-year cost: what you pay, and when](https://trtbuyerguide.com/costs/first-year-trt): what is due at checkout, what recurs, and why sixteen of seventeen cannot be totalled.
- [Bloodwork and lab fees](https://trtbuyerguide.com/costs/trt-bloodwork-lab-fees): 5 publish an amount, 4 require testing and never price it, 5 say nothing. Panels and bundles, with read dates.
- [Monthly vs contract plans](https://trtbuyerguide.com/compare/trt-monthly-vs-contract-plans): three records price a commitment, one states the cash collected up front, none supports a verified all-in saving. The commitment term for each record is stated on its provider page and mirrored in providers.md.
- [Injectable vs topical cost](https://trtbuyerguide.com/compare/injectable-vs-topical-trt-cost): seven records name an injectable, two a topical, eight none. No injectable can be totalled; the one complete figure is a $199 cream.
- [Find a program by billing terms](https://trtbuyerguide.com/tools/find-a-trt-program): filter the records by formulation, monthly charge, membership, lab-fee status, interval and commitment.
- [Cost calculator](https://trtbuyerguide.com/tools/testosterone-cost-calculator): the same arithmetic used across every record, applied to a charge and interval you supply.
- [State coverage](https://trtbuyerguide.com/states) and [Florida](https://trtbuyerguide.com/states/florida): published state lists only; silence is recorded as unknown, never as nationwide.
- [Datasets](https://trtbuyerguide.com/datasets): the record sheet as data, with field definitions and a worked citation example.
- [Enclomiphene vs TRT: how they differ and what each costs](https://trtbuyerguide.com/articles/enclomiphene-vs-trt) (checked 2026-11-03)
- [Library](https://trtbuyerguide.com/library): every published URL in one index, so nothing here is unlisted.

## Learn

- [Learn: testosterone dosing, peptides and treatment questions](https://trtbuyerguide.com/learn) (checked 2026-11-06)
- [What is sermorelin? Uses, side effects, FDA status and cost](https://trtbuyerguide.com/learn/sermorelin) (checked 2026-11-06)
- [Sermorelin vs tesamorelin: how they differ](https://trtbuyerguide.com/learn/sermorelin-vs-tesamorelin) (checked 2026-11-06)
- [Sermorelin vs ipamorelin: how they work and where FDA lists each](https://trtbuyerguide.com/learn/sermorelin-vs-ipamorelin) (checked 2026-11-06)
- [Is 1 ml of testosterone a week enough?](https://trtbuyerguide.com/learn/is-1-ml-of-testosterone-a-week-enough) (checked 2026-11-06)
- [Testosterone enanthate: doses, forms, storage and cost](https://trtbuyerguide.com/learn/testosterone-enanthate) (checked 2026-11-06)
- [Testosterone enanthate vs cypionate: what is different](https://trtbuyerguide.com/learn/testosterone-enanthate-vs-cypionate) (checked 2026-11-06)
- [Testosterone cream for men: gels vs compounded creams](https://trtbuyerguide.com/learn/testosterone-cream) (checked 2026-11-06)
- [Testosterone cream for women: FDA status, uses and what to ask](https://trtbuyerguide.com/learn/testosterone-cream-for-women) (checked 2026-11-06)

### Markdown editions of these notes

One static twin per note, at the page path plus `.md`. Each HTML page declares
its own twin through `<link rel="alternate" type="text/markdown">`.

- https://trtbuyerguide.com/learn.md — the section hub, as markdown
- https://trtbuyerguide.com/learn/sermorelin.md
- https://trtbuyerguide.com/learn/sermorelin-vs-tesamorelin.md
- https://trtbuyerguide.com/learn/sermorelin-vs-ipamorelin.md
- https://trtbuyerguide.com/learn/is-1-ml-of-testosterone-a-week-enough.md
- https://trtbuyerguide.com/learn/testosterone-enanthate.md
- https://trtbuyerguide.com/learn/testosterone-enanthate-vs-cypionate.md
- https://trtbuyerguide.com/learn/testosterone-cream.md
- https://trtbuyerguide.com/learn/testosterone-cream-for-women.md
- https://trtbuyerguide.com/llms-full.txt — every Learn question and answer, in one file

## Method and record

- [How we compare](https://trtbuyerguide.com/how-we-compare): the full method and the arithmetic behind every derived figure.
- [Criteria](https://trtbuyerguide.com/criteria): the eight fields recorded for every program and what each one does not mean.
- [The arithmetic](https://trtbuyerguide.com/research/program-costs): every monthly figure derived from charge and interval, with published fixtures.
- [Dataset: price rows 2026](https://trtbuyerguide.com/datasets/trt-price-rows-2026): one row per provider per product, with source URL and check date.
- [Sources](https://trtbuyerguide.com/sources): every provider page read for this edition.
- [Corrections log](https://trtbuyerguide.com/corrections): every change, dated, with the previous value kept.

## Reference

- [Medications and formulations](https://trtbuyerguide.com/medications): branded and compounded preparations recorded as separate things.
- [Pharmacies](https://trtbuyerguide.com/pharmacies): the dispensing arrangement behind each charge.
- [State coverage](https://trtbuyerguide.com/states): published state lists only; silence is recorded as unknown.
- [Glossary](https://trtbuyerguide.com/glossary): the billing terms this record sheet uses.
- [Answers](https://trtbuyerguide.com/answers): short sourced answers about the numbers.

## Publisher

- [About](https://trtbuyerguide.com/about)
- [Advertise](https://trtbuyerguide.com/advertise): labeled paid placements, featured listings, sponsorships and contracted referrals, and how each is marked.
- [Disclosures](https://trtbuyerguide.com/disclosures): funding, placements and the ownership statement.
- [Privacy](https://trtbuyerguide.com/privacy)
- [Terms](https://trtbuyerguide.com/terms)
- [For automated systems](https://trtbuyerguide.com/ai-info)