TTRT Picks
AlphaMD online TRT clinic review
Rank #17 of 39

AlphaMD Review (2026)

7.2/10from $98/mo on a 12-month plan paid upfront · injections, enclomiphene, HCG✓ Verified 2026-11-01

Independently researched · scored on our public 5-criteria methodology

Online TRT from $98/mo with medication and supplies included. But every tier requires a multi-month commitment, including the one called monthly.

Summarize this page with

Short answer

AlphaMD scores 7.2/10 (#17 of 39 clinics). AlphaMD lists $98/mo on a 12-month plan paid upfront. That is its lowest tier, and the commitment behind it is real: the plan is billed upfront and is not refundable once it starts, so the monthly figure is not what you hand over on day one. There is also a flagged concern. See Is AlphaMD legit? below.

Our verdict

AlphaMD earns 7.2/10 and ranks #17 of 39 TRT clinics we've scored. Online TRT from $98/mo with medication and supplies included. But every tier requires a multi-month commitment, including the one called monthly.

How much does AlphaMD cost?

AlphaMD starts at $98/mo on a 12-month plan paid upfront on an annual plan ($129/mo billed month-to-month, no commitment). Verified 2026-11-01.

Paying annually saves about $372/year versus billing month-to-month.

$98/mo requires a 12-month commitment and $109/mo a 6-month one, and AlphaMD's billing help says prepaid plans "are paid upfront for the full term". The tier labelled "Monthly" still requires three months, so there is no true month-to-month option at any price. The page also states "Pricing may adjust depending on your goals & dosage": the $129 plan covers doses up to 200 mg a week, and higher doses cost $132.75 to $162.75 a month. Initial labs are covered when ordered through its lab partner Assist Health (not yet in New York, New Jersey or Rhode Island); follow-up labs are paid by the patient. A 20% military and first-responder discount is published.

Cancelling
Charged on a recurring basis until you cancel, before the cut-off shown at checkout. Membership fees cancelled within 72 hours are refunded in full if no services were requested; clinical fees are non-refundable once the consult is done. Membership fees cancelled within 72-hours will be refunded in full so long as no Services have been requested or rendered. (alphamd.net, read Oct 15, 2026)

Plans and prices

Plan or itemPriceTerm or what it is
12-Month Commitmentenclomiphene$129/mo12 months
6-Month Commitmentenclomiphene$139/mo6 months
3-Month Commitmentenclomiphene$159/mo3 months
HCG 10,000 IU$300 one-timeTerm not stated

AlphaMD's own figures, read up to Oct 12, 2026 on alphamd.net, alphamd.net.

Classified as “"From" price”. See how we classify every clinic's price →

Sources: Pricing verified on alphamd.net

Your first charges with AlphaMD

What leaves your card and when, on the cheapest plan we price, if a clinician approves you. Figures marked “our arithmetic” are worked out from AlphaMD's own prices.

  1. At checkout$1,176The whole 12-month term(our arithmetic)
  2. After 12 monthsNot publishedRenewal for the next term. The renewal price isn't published; check before it renews

The term total is $98 × 12 months, our arithmetic from AlphaMD's per-month figure.

From AlphaMD's prices, read 2026-11-01.

What AlphaMD's ads say, and what the fine print says

Each row sets a claim from AlphaMD's sales pages beside its terms or another of its own pages, as we read them. Only the places where the two differ are shown.

TopicOn the sales pageIn the terms or elsewhere on its site
How you pay$98/moits terms, read 2026-11-01Charged $1,176 at checkout: the whole 12-month term (our arithmetic from its prices)its terms, read 2026-11-01

AlphaMD’s starting price over time

When we first checked on Sep 18, 2026, the starting price was $98, and it hasn’t changed since.

A change can be the clinic moving its price or us correcting an earlier reading. The full series for every clinic is in price-history.csv.

What changed since we last checked

No change to AlphaMD’s plan rows or list of states in our record since we started recording them. Changes to its starting price are in the section above.

A change can be AlphaMD moving a price, or us reading a page we hadn’t read before or correcting an earlier reading. Dates are when the change entered our record.

Before you sign up with AlphaMD

Each line is from AlphaMD's own pages or a public record, with the date we read it. Where we hold no reading, the line is left out rather than guessed. Commitment and cancellation terms are in the cost section above.

What the price covers
Injection supplies: included. AlphaMD's page: “Medication & Supplies Included” (alphamd.net, read Oct 7, 2026)
States served
AlphaMD's own pages disagree about which states it serves: “I live in Hawaii. Is your service offered in my state? Yes, all 50 states.” versus “AlphaMD, an online platform available across all 50 states in the USA, offers exactly that.” versus “Licensed providers on the AlphaMD platform can prescribe in the vast majority of them, though there are a few in the south that give us problems sometimes”. Confirm yours at intake. (alphamd.net, read Oct 9, 2026)
Lab work
Before you start: included. Follow-up: billed separately. (alphamd.net, read Oct 12, 2026)

Check your state and budget

From AlphaMD’s own pages as recorded in its review. A monthly figure for a plan billed every few weeks or months is our arithmetic.

Compare two AlphaMD plans

A: 12-Month Commitment (enclomiphene)B: 6-Month Commitment (enclomiphene)
Price as published$129/mo$139/mo
Works out to a month$129$139
First 12 months$1,548 ($129 × 12)$1,668 ($139 × 12)
Commitment12 months6 months
What it coversNot stated on the rowNot stated on the row
Read onOct 12, 2026Oct 12, 2026

Over the first 12 months, B costs $120 more than A, by the arithmetic shown.

Twelve-month figures assume the price holds and you stay the full year; they leave out anything billed separately.

Questions to ask AlphaMD at intake

Each one is here because AlphaMD’s pages left it open when we read them.

  1. How do I cancel, and is anything refunded if I stop partway through a plan? We didn't find AlphaMD's cancellation terms on the pages we read.
  2. Does my price change when my dose goes up? Its plan prices don't say whether they hold at higher doses.
  3. How do I reach a clinician between visits, and how fast do they reply? We didn't find a published support or messaging commitment.

Quick facts

Our score7.2/10
Starting price$98/mo on a 12-month plan paid upfront
Treatment typesinjections, enclomiphene, HCG
AvailabilityNot published. Check before you sign up
Insurance“Unless expressly stated otherwise services are offered on a cash-pay basis and are not billed to insurance.” (alphamd.net, 2026-10-16)
Overall rank#17 of 39
Price verificationVerified 2026-11-01

Is AlphaMD legit?

How we checked it for this review.

AlphaMD operates on alphamd.net.

Watch out for

Follow-up labs are not included: the first panel is due about 10 weeks after you start and then every 6 to 12 months, at a price shown only at checkout. Cancelling or pausing first collects any balance on medication already shipped, per AlphaMD's billing help (checked 2026-10-12).

“Testosterone deficiency doesn't kill people as far as we know but it is really an important symptomatic condition that affects quality of life.”

Dr. Shalender Bhasin, MD. Lead investigator, TRAVERSE trial (largest randomized cardiovascular-safety study of TRT to date, ~5,200 men, New England Journal of Medicine, 2023). More on TRT safety →

Who is clinically responsible

AlphaMD names a clinician on its own pages. That is the clinic describing itself, not an independent endorsement. No licensed clinician is on record commenting on this clinic anywhere we could find. Where a name matched a single entry in the public NPPES registry with a corroborating specialty, we say so.

Choose AlphaMD if

  • + Lower monthly price matters to you
  • + You're looking for injections
  • + You're looking for enclomiphene

Skip AlphaMD if

  • − Its own pages disagree about which states it serves
  • − Follow-up labs are billed separately

AlphaMD pros & cons

What we like

  • + Medication and supplies bundled into the monthly fee
  • + Initial lab panel covered through its lab partner (not yet in NY, NJ or RI)
  • + Publishes its lab review cadence: results reviewed within 1 to 3 business days
  • + 20% military and first-responder discount published

What could be better

  • − Its own pages disagree about which states it serves
  • − Follow-up labs are billed separately

Score breakdown

Price & Value (25%)7.0
Clinical Oversight (25%)7.5
Treatment Options (20%)7.5
User Experience (15%)7.0
Transparency & Trust (15%)7.0

How AlphaMD works

  1. 1. Online intake. Complete a medical questionnaire about your symptoms and health history. Our list of the signs of low testosterone shows what the questions cover.
  2. 2. Bloodwork. Because testosterone is a Schedule III controlled substance, you'll do lab testing (at-home kit or a local lab). Never a questionnaire-only prescription.
  3. 3. Clinician review & delivery. A licensed clinician reviews your labs and, if appropriate, prescribes treatment shipped discreetly to your door, with ongoing monitoring.

Our guide to getting TRT online legally covers each step, including the state rules that decide which clinics can treat you.

AlphaMD has no signup link here: see Male Excel (Top-rated partner · Needle-free option · 8.1/10 · from $99/mo membership; medication billed on top) →

Frequently asked questions

How much does AlphaMD cost?

AlphaMD starts at $98/mo on a 12-month plan paid upfront (verified 2026-11-01). Final cost depends on your protocol and medication.

What does AlphaMD's price include?

Injection supplies: included. AlphaMD's page: “Medication & Supplies Included” (Read 2026-10-07.)

Does AlphaMD require blood work, and who pays for it?

Yes: testosterone is a controlled substance and needs lab monitoring. Before you start: included. Follow-up: billed separately. (Read 2026-10-12.)

Is AlphaMD available in my state?

AlphaMD's own pages disagree about which states it serves: “I live in Hawaii. Is your service offered in my state? Yes, all 50 states.” versus “AlphaMD, an online platform available across all 50 states in the USA, offers exactly that.” versus “Licensed providers on the AlphaMD platform can prescribe in the vast majority of them, though there are a few in the south that give us problems sometimes”. Confirm yours at intake. (Read 2026-10-09.)

Does AlphaMD take insurance?

AlphaMD states “Unless expressly stated otherwise services are offered on a cash-pay basis and are not billed to insurance.” on alphamd.net (read 2026-10-16).

How do I cancel AlphaMD?

Charged on a recurring basis until you cancel, before the cut-off shown at checkout. Membership fees cancelled within 72 hours are refunded in full if no services were requested; clinical fees are non-refundable once the consult is done. AlphaMD's wording: "Membership fees cancelled within 72-hours will be refunded in full so long as no Services have been requested or rendered." (read Oct 15, 2026).

Alternatives to AlphaMD

Ranked by score, each labelled with what its published price actually covers. How we classify each label →

Male Excel

8.1
Top-rated partner · Needle-free option

from $99/mo membership; medication billed on top · daily microdosing, cream

A needle-free daily cream option. Testosterone cream applied twice a day; injections are offered too.

Verified 2026-11-01

Watch: Membership excludes medication

Affiliate link

1st Optimal

8.1

from $169/mo with a 120-day minimum, billed monthly · injections, peptides

Verified 2026-10-05

Watch: Rate holds? Not stated

Hone Health

7.9

from $155/mo membership; medication billed on top · injections, cream

Verified 2026-11-01

Watch: Membership excludes medication

Affiliate link

Defy Medical

7.9

Price on consultation · injections, cream

Price on consultation

Ulo

7.8

from $159/mo regular price, no long-term contract · injections, cream

Verified 2026-11-01

Watch: Rate holds? Not stated

Compare all by price →

About the treatments AlphaMD offers

Helpful tools

AlphaMD has no signup link. Our next pick is Male Excel.

Top-rated partner · Needle-free option · 8.1/10 · from $99/mo membership; medication billed on top

Visit Male Excel →

Top picks

Male Excel

8.1

from $99/mo membership; medication billed on top

1st Optimal

8.1

from $169/mo with a 120-day minimum, billed monthly

Hone Health

7.9

from $155/mo membership; medication billed on top

Alexandru Vieru · Founder & Editor

Alexandru Vieru is the founder and editor of TRT Picks. He independently researches and verifies every clinic's pricing, treatment options and policies, and maintains the 5-point scoring model used across the site. He is not a licensed medical professional. Every clinical claim is sourced to a primary reference (FDA, manufacturer pages, or peer-reviewed studies), and nothing here is medical advice.

Verified 2026-11-01. Scores are derived from our documented methodology and are never influenced by affiliate commissions. Educational information only. Not medical advice.