Independent research · 12 clinics compared
The Best Online TRT Clinics, Compared for 2026
We scored every major testosterone replacement therapy provider on five weighted criteria — so you get real clinical oversight without overpaying. Prices re-verified monthly.
Prices verified 2026-06-04 · Scores never influenced by commissions
Editor's Pick · Verified 2026-06-04
One overall pick to start with
Defy Medical
from $200/mo · injections, cream, pellets, HCG
- ✓Physician-led, longest track record
- ✓Comprehensive bloodwork & protocols
- ✓Widest treatment range
Hone Health
8.1$129/mo · Seamless onboarding and at-home lab work; medication billed separately.
Read review →Peter MD
8.1$79/mo · All-inclusive bundles from as low as $79/mo on an annual plan — meds, labs and consults in one fee.
Read review →TRT Nation
8.0$99/mo · Flat $99/month with unlimited consultations included — the best entry price.
Read review →Male Excel
8.0$149/mo · Daily microdosing via cream — a different approach with solid clinical oversight.
Read review →Marek Health
8.0$225/mo · Data-driven optimization with 60+ biomarker panels — for men who want to track everything.
Read review →Hims
7.6$99/mo · Big-brand polish and a smooth app, but currently oral enclomiphene only — injectables expected in 2026.
Read review →1st Optimal
7.6$166/mo · Maps your hormones within metabolic, thyroid and lifestyle context — thorough, with higher upfront labs.
Read review →Keeps TRT
7.5$110/mo · Well-known brand (from hair loss) with a simple digital sign-up process.
Read review →Fountain TRT
7.4$199/mo · Exclusive focus on injectable TRT, with a clear clinical protocol.
Read review →NRG Clinic
7.4$185/mo · All-inclusive monthly subscription with consultations, labs and medication bundled together.
Read review →Ulo
7.3$159/mo · Accessible full-service TRT with a simple upfront subscription of around $159/mo.
Read review →Full rankings
All 12 clinics, scored and ranked.
Defy MedicalPick
$200/mo · injections, cream, pellets, HCG
The gold standard since 2013 — physician-led protocols and the widest range of ancillary medications.
Hone Health
$129/mo · injections, cream, at-home labs
Seamless onboarding and at-home lab work; medication billed separately.
Peter MD
$79/mo · injections, cream
All-inclusive bundles from as low as $79/mo on an annual plan — meds, labs and consults in one fee.
TRT Nation
$99/mo · injections, cream
Flat $99/month with unlimited consultations included — the best entry price.
Male Excel
$149/mo · daily microdosing, cream
Daily microdosing via cream — a different approach with solid clinical oversight.
Marek Health
$225/mo · injections, ancillaries, 60+ marker labs
Data-driven optimization with 60+ biomarker panels — for men who want to track everything.
Hims
$99/mo · oral (enclomiphene)
Big-brand polish and a smooth app, but currently oral enclomiphene only — injectables expected in 2026.
1st Optimal
$166/mo · injections, peptides, comprehensive labs
Maps your hormones within metabolic, thyroid and lifestyle context — thorough, with higher upfront labs.
Keeps TRT
$110/mo · injections, cream
Well-known brand (from hair loss) with a simple digital sign-up process.
Fountain TRT
$199/mo · injections
Exclusive focus on injectable TRT, with a clear clinical protocol.
NRG Clinic
$185/mo · injections, cream
All-inclusive monthly subscription with consultations, labs and medication bundled together.
Ulo
$159/mo · injections
Accessible full-service TRT with a simple upfront subscription of around $159/mo.
How we score
Every score is a weighted average derived from documented evidence — not opinion, and never influenced by affiliate payouts. If a verified price drifts from a provider's live page, our build blocks publication until the evidence is re-checked.
Frequently asked questions
How do you rank online TRT clinics?+
Each provider gets a weighted score (1–10) across five criteria — price, clinical oversight, treatment options, user experience and transparency. Scores come only from documented evidence and are never influenced by affiliate commissions.
How often are prices checked?+
We re-verify each provider's starting price against their live page on a rolling monthly cycle. If a verified price changes, our build refuses to publish until the evidence is updated.
Is online TRT legitimate?+
Reputable online clinics use licensed clinicians, require bloodwork, and provide ongoing monitoring. We weight clinical oversight heavily so safety-first providers rank higher.
Do you earn commissions?+
Yes — some links are affiliate links and we may earn a commission at no extra cost to you. This never affects our scores or rankings, which are methodology-only.