Our full 2026 ranking of seven US online TRT clinics, with prices, labs, treatment options and states checked against each clinic's own site.
Rank 1Why it’s here: The widest range of treatment options, an itemized price breakdown and physician-led care.
Rank 2Why it’s here: Best for one flat price with labs included. One all-inclusive fee covers visits, labs, medication and support.
8.1/10
Overall
Editorial 8.1 · Users n/a
No Trustpilot reviews yet
Rank 3Why it’s here: Best for budget all-inclusive TRT. $129/month includes provider visits, labs, medication, supplies and shipping.
Rank 4Why it’s here: Best for complex cases and peptide therapy. No subscription or contract; you pay only for services you use.
7.8/10
Overall
Editorial 7.8 · Users n/a
No Trustpilot reviews yet
Rank 5Why it’s here: Best for oral and needle-free options. Four protocols: injections, cream, oral testosterone, enclomiphene.
Rank 6Why it’s here: Best for lowest sticker price for injections. $99.99/month covers medication, supplies, shipping and consults.
Rank 7Why it’s here: Best for men who want to avoid TRT for now. Large national telehealth platform with wide state coverage.
The best online TRT clinics in 2026 are Hone Health (8.2/10), Fountain TRT (8.1/10) and Henry Meds (7.8/10), based on our scoring of price transparency, medical oversight, treatment options and coverage. Every clinic below requires lab work and a prescription, and none bills health insurance.
We checked each clinic's published prices, lab policies, treatment menus and state coverage on September 25, 2026. We haven't bought treatment from any of them; this is research-based. How we score.
| Criterion | Weight |
|---|---|
| Price transparency (full cost published, labs/meds included?) | 30% |
| Medical oversight (prescriber type, required labs, monitoring) | 30% |
| Treatment options (injections, topical, oral, enclomiphene) | 20% |
| Coverage and access (states, HSA/FSA, insurance) | 20% |
Sub-scores are on the about page.
Price: $135/month membership + medication (injections from $28/month)
Hone's membership covers physician consults through Broad Health P.A., lab testing and support; its itemized fee breakdown allocates $78/year to labs (Hone). It has the widest HRT menu we found: injections, cream, troches, enclomiphene, clomiphene and anastrozole. It accepts HSA/FSA cards.
Watch out for: medication is billed on top, so your real total starts around $163/month for injections. Some Trustpilot reviewers say this wasn't clear upfront.
Read our Hone review · Visit Hone Health
Price: $199 per 4 weeks; $167 or $150 per 4 weeks with prepay
One fee covers visits, labs (14+ biomarkers), medication and shipping, and it's the same whether you're prescribed injections, cream or enclomiphene (Fountain). The medical team is led by a board-certified urologist.
Watch out for: 4-week billing means 13 charges a year, and its FAQ lists about 25 states.
Read our Fountain review · Visit Fountain TRT
Price: $129/month all-in; $179/month for Kyzatrex oral
Henry includes visits, Quest labs, medication, supplies and shipping in its price, plus anastrozole when prescribed (Henry). It's one of the few online clinics offering Kyzatrex, an FDA-approved oral testosterone (not available in California).
Watch out for: Henry doesn't publish its states or prescribers' credentials. Multi-month plans may require paying the remaining balance if you cancel early.
Read our Henry review · Visit Henry Meds
Price: estimated under $175/month in year one, about $125/month after
Defy is a Tampa-based concierge clinic serving most states by telemedicine, with pay-per-service billing and no subscription (Defy). Its menu includes TRT, peptide therapy, ED treatment and weight loss. It has a 4.8/5 Trustpilot score from 4,000+ reviews.
Watch out for: estimates rather than a price list, so ask for an itemized quote.
Read our Defy review · Visit Defy Medical
Price: $99.99/month (injections, cream, enclomiphene); $149.99/month (oral)
Maximus offers four protocols with board-certified physicians, at-home labs and 24/7 care-team messaging (Maximus). It provides receipts for FSA/HSA reimbursement.
Watch out for: the best prices are tied to longer plans, the pricing page doesn't specify included labs, and states aren't published.
Read our Maximus review · Visit Maximus
Price: $99.99/month + $129 labs
TRT Nation covers injectable testosterone, supplies, shipping and unlimited consults, and serves every state except AL, AK, AR, MO and HI (TRT Nation FAQ). Outside labs are accepted.
Watch out for: a narrow menu (injections and enclomiphene) and a 2.1/5 Trustpilot score from 30 reviews, with complaints about upfront charges.
Read our TRT Nation review · Visit TRT Nation
Price: $99/month (10-month prepaid) to $199/month (3-month plan)
Hims currently prescribes enclomiphene, optionally with tadalafil. Its FDA-approved oral testosterone (Kyzatrex) and injections were still listed as "coming in 2026" on its testosterone page when we checked.
Watch out for: it isn't TRT yet, the lowest price needs 10 months upfront, and there's no HSA/FSA.
Read our Hims review · Visit Hims
We'll add clinics when we can verify their pricing, prescribing process and coverage.
Use this checklist no matter which clinic you choose:
For the full process, read how online TRT works.
Head-to-head comparisons: Hone vs Fountain · Henry vs Maximus · Hims vs Hone
TRT is not a treatment for normal aging. The FDA approves testosterone only for clinically diagnosed low testosterone and, since 2025, requires a class-wide warning about increased blood pressure (FDA). The TRAVERSE trials found no increase in major cardiovascular events but did find higher rates of pulmonary embolism and fractures in treated men (Endocrine Society). Full details: TRT side effects and risks.
FAQ
In our 2026 scoring, Hone Health ranks first (8.2/10), followed by Fountain TRT (8.1), Henry Meds (7.8), Defy Medical (7.8), Maximus (7.5), TRT Nation (6.7) and Hims (6.6).
Legitimate clinics require blood tests confirming low testosterone, an evaluation by a licensed clinician and a prescription filled by a licensed pharmacy. Avoid any service that sells testosterone without labs or a prescription.
You shouldn't. The Endocrine Society says low testosterone must be confirmed with at least two early-morning, fasting blood tests plus symptoms before treatment.
TRT prescribed after proper diagnosis and monitored with regular labs is an established treatment, but it has risks, including increased blood pressure, higher red blood cell counts, reduced fertility and worsening sleep apnea. Discuss them with a clinician.