TTRT Picks
Enhanced online TRT clinic review
Rank #21 of 37

Enhanced Review (2026)

6.8/10from $99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult · injections, cream, enclomiphene✓ Verified 2026-10-12

Independently researched · scored on our public 5-criteria methodology

Testosterone injections, cream and enclomiphene from $99 a month on a 12-month plan or $119 on three months, with prices shown only after a quiz and a $49 start fee that covers the first labs and consult.

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Summarize this page with

Short answer

Enhanced scores 6.8/10 (#21 of 37 clinics). $99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult is what Enhanced charges today, but its own page never says whether that rate holds. We looked for a sentence confirming it rises, or confirming it doesn't, and there is neither. Treat it as unconfirmed rather than fixed, and ask before you give a card. There is also a flagged concern. See Is Enhanced legit? below.

Our verdict

Enhanced earns 6.8/10 and ranks #21 of 37 TRT clinics we've scored. Testosterone injections, cream and enclomiphene from $99 a month on a 12-month plan or $119 on three months, with prices shown only after a quiz and a $49 start fee that covers the first labs and consult.

How much does Enhanced cost?

Enhanced starts at $99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult on an annual plan ($119/mo billed month-to-month, no commitment). Verified 2026-10-12.

Paying annually saves about $240/year versus billing month-to-month.

Enhanced shows its prices after you complete its free quiz, which asks for an email or phone number first, and choose a treatment (owner screenshots, 12 October 2026). Testosterone injections and cream: $189/mo on a 1-month plan, $119/mo on a 3-month plan billed quarterly, $109/mo on a 6-month plan billed every six months, $99/mo on a 12-month plan billed annually. The injection 1-month plan is shown as Sold Out, so injections currently need at least a 3-month prepayment ($357). Enclomiphene: $159/mo monthly, then the same $119 / $109 / $99. Medication is charged when the prescription is approved. A $49 start fee covers the first lab work and physician consult; the Terms say it is refunded only if your intake is rejected before those services are made available. The struck-through prices ($291, $245, $198) and the headline "only $119/mo forever" are marketing anchors, not discounts: the lower $109 and $99 tiers sit on the same screen. Follow-up lab costs are not stated.

Classified as “Rate holds? Not stated”. See how we classify every clinic's price →

Sources: Pricing verified on owner quiz screenshots 2026-10-12 (18.19.33.png injections, 18.19.30.png cream, 18.06.11.png enclomiphene)

Quick facts

Our score6.8/10
Starting price$99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult
Treatment typesinjections, cream, enclomiphene
AvailabilityNot published. Check before you sign up
Overall rank#21 of 37
Price verificationVerified 2026-10-12

Is Enhanced legit?

How we checked it for this review.

Watch out for

Its quiz asks for an email or phone number before it shows prices. The price screen also shows struck-through prices ($291, $245, $198) and "only $119/mo forever" beside its $109 and $99 tiers: treat the figure you select as the price, not the struck-through one as a saving. The injection 1-month plan is Sold Out, so injections start with a $357 quarterly charge. The $49 start fee covers the first lab work and physician consult; Enhanced's Terms say: "Once your medical intake has been approved and these services have been made available to you, the fee is non-refundable, including if you elect not to complete your lab work, schedule or attend your consultation, or continue treatment, or if a prescription is ultimately not issued." If intake is rejected or not completed before those services are made available, the fee is refunded. The Terms also say testosterone and other controlled substances are not eligible for the 90-day money-back guarantee. The Terms do not state how renewal or cancellation works, and the only Trustpilot review (August 2026, 1 star) complains that orders could not be cancelled. The "Verified Patient" testimonials cannot be verified.

“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 →

Choose Enhanced if

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

Skip Enhanced if

  • − User Experience scores lower (5.0/10)
  • − Transparency & Trust scores lower (6.0/10)
  • − Clinical Oversight scores lower (7.0/10)

Enhanced pros & cons

What we like

  • + Three formats: injections, cream and enclomiphene, all at $119 a month on a 3-month plan
  • + The $49 start fee covers the first lab work and physician consult, and medication is charged only after a prescription is approved
  • + Names its operator (Enhanced US LLC) and its prescriber networks (OpenLoop Healthcare Partners and Beluga Health)

What could be better

  • − User Experience scores lower (5.0/10)
  • − Transparency & Trust scores lower (6.0/10)
  • − Clinical Oversight scores lower (7.0/10)

Score breakdown

Price & Value (25%)7.5
Clinical Oversight (25%)7.0
Treatment Options (20%)7.5
User Experience (15%)5.0
Transparency & Trust (15%)6.0

How Enhanced works

  1. 1. Online intake. Complete a medical questionnaire about your symptoms and health history.
  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.
Get started with Enhanced →

Frequently asked questions

How much does Enhanced cost?

Enhanced starts at $99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult (verified 2026-10-12). Final cost depends on your protocol and medication.

Do I need bloodwork for online TRT?

Yes. Testosterone is a Schedule III controlled substance, so reputable clinics require lab work and ongoing monitoring. Never a questionnaire-only prescription.

Is Enhanced available in my state?

Enhanced does not publish a state-by-state availability list we could verify, so we don't claim one. Confirm with the clinic before you pay. Telehealth TRT rules vary by state.

Alternatives to Enhanced

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

Male Excel

8.1
Top-rated partner

from $99/mo · daily microdosing, cream

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

Verified 2026-10-05

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1st Optimal

8.1

from $169/mo · injections, peptides

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Watch: Rate holds? Not stated

Rugiet

7.9

from $139/mo · injections, topical cream

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Watch: Rate holds? Not stated

Hone Health

7.9
Needle-free option

from $155/mo · injections, cream

Verified 2026-10-05

Watch: Membership excludes medication

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Defy Medical

7.9

Price on consultation · injections, cream

Price on consultation

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Helpful tools

Ready to get started with Enhanced?

6.8/10 · from $99/mo on a 12-month plan billed annually; $119/mo on a 3-month plan billed quarterly ($357), the shortest injection plan while the 1-month plan is sold out; $49 start fee covers the first lab work and physician consult · Not published. Check before you sign up

Get Started →

Top picks

Male Excel

8.1

from $99/mo

1st Optimal

8.1

from $169/mo

Rugiet

7.9

from $139/mo

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 2026-10-12. Scores are derived from our documented methodology and are never influenced by affiliate commissions. Educational information only. Not medical advice.