#7 in our online TRT clinics ranking

Hims Testosterone Review (2026): Cost, Enclomiphene & Is It TRT?

Hims currently treats low testosterone with compounded enclomiphene (optionally combined with tadalafil), starting at $99 a month on a 10-month prepaid plan. It has announced FDA-approved oral Kyzatrex and injectable testosterone, but its testosterone page still listed both as coming in 2026 when we checked.

By TRTRanked editorial team

Updated 4 min readHow we rank

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Pros

  • Pro: Large national telehealth platform with wide state coverage
  • Pro: At-home lab kit; follow-up labs included in plans
  • Pro: Plans include medication, provider messaging and shipping
  • Pro: FDA-approved Kyzatrex and injectable TRT announced for 2026

Cons

  • Con: As of Sep 2026 its page still lists actual TRT as 'coming in 2026'
  • Con: Lowest price requires paying 10 months upfront
  • Con: No insurance, HSA or FSA
  • Con: 2.9/5 on Trustpilot, with cancellation and billing complaints

Hims at a glance

Last verified Sep 2026

States
Most states (Hims says not all 50 for this Rx)
Provider
Licensed healthcare providers
Insurance
No (no HSA/FSA)
Labs included
Follow-up labs yes; initial test $94 (credited)
Monthly price
$99 (10-mo plan), $139 (5-mo), $199 (3-mo)
Treatment options
Enclomiphene (+tadalafil); TRT listed as coming

Hims currently treats low testosterone with enclomiphene, not testosterone, starting at $99 a month on a 10-month plan paid upfront. It has announced the FDA-approved oral testosterone Kyzatrex and injectable testosterone, but its testosterone page still listed both as "coming in 2026" on September 25, 2026. Hims ranks #7 in our scoring (6.6/10) because, for now, it doesn't offer testosterone replacement itself.

Sources: Hims' testosterone page, its Hims vs Hone article (November 2025), its September 2025 launch announcement and Trustpilot. We have not purchased treatment from Hims.

Hims testosterone cost in 2026

Hims prices its enclomiphene plans (enclomiphene alone or with tadalafil) by plan length:

PlanMonthly pricePayment
10 months$99Paid upfront, in full
5 months$139Per Hims' Nov 2025 article
3 months$199Per Hims' Nov 2025 article

Plans include medication, a treatment plan, ongoing lab work, unlimited provider messaging and shipping. The initial at-home test is $94, credited toward treatment if you're eligible; Hims says follow-up labs happen at 3 and 15 months.

The $99 price means roughly $990 paid upfront (our arithmetic: $99 × 10). That's a large commitment for a medication you haven't tried. Compare with month-to-month options in cheapest online TRT.

What Hims actually prescribes

Testosterone Rx+ combines enclomiphene with tadalafil and supplements. Enclomiphene doesn't replace testosterone; it prompts the body to produce more. It's a compounded medication, and Hims' own page notes enclomiphene products are "not approved or evaluated for safety, effectiveness, or quality by the FDA." On its own, enclomiphene has not been approved by the FDA for any use (OPSS).

Kyzatrex (oral testosterone, FDA-approved) was announced in September 2025 through an exclusive partnership with Marius Pharmaceuticals, with a 2026 launch. Injectable testosterone cypionate was also announced for 2026. Both were still marked "coming in 2026" when we checked, with Hims noting the timing may change. Kyzatrex's label warns it can raise blood pressure, increasing the risk of major cardiovascular events (Hims drug page).

If you have confirmed low testosterone and your clinician recommends actual TRT, clinics like Henry Meds (which already offers Kyzatrex) or Hone Health offer it today. See the Hims vs Hone Health comparison.

Labs and medical oversight

Hims sends an at-home lab kit, processed in a CLIA-certified lab, with a prepaid return label. A licensed healthcare provider reviews results, and some states require a video visit. Hims doesn't specify whether providers are physicians or NPs/PAs.

States served

Hims' November 2025 article says it serves all 50 states and DC, but its testosterone page states "Testosterone Rx is not available in all 50 states." Check your state at sign-up.

Insurance and HSA/FSA

Insurance isn't required or accepted, and Hims says it doesn't take FSA or HSA at this time. See online TRT that takes insurance.

What users say (Trustpilot and Reddit)

Hims had a 2.9/5 TrustScore from 9,395 reviews on Trustpilot as of September 25, 2026, covering all its products (hair, weight loss, sexual health and more). Positives: easy signup and automatic deliveries. Negatives: difficulty reaching a human, subscription and cancellation friction, and unexpected charges. 29% of ratings are one-star.

On "Hims testosterone reddit" searches: we don't quote Reddit posts because we can't verify them. The key question is whether you want enclomiphene or testosterone, which is a medical decision for you and your clinician.

How Hims compares

HimsMaximusHenry Meds
Enclomiphene$99/mo (10-mo prepaid) to $199/mo$99.99/mo$129/mo
Testosterone injectionsComing in 2026$99.99/mo$129/mo
FDA-approved oral testosteroneKyzatrex, coming in 2026NoKyzatrex, up to $179/mo
Labs$94 first test (credited); follow-ups includedOfferedIncluded
HSA/FSANoReceiptsNot stated
Our score6.67.57.8

If you want enclomiphene without prepaying, Maximus lists it at $99.99/month and Henry at $129/month with labs included. If you want Kyzatrex now, Henry already offers it outside California.

What to watch as Hims launches TRT

When Hims adds injectable testosterone and Kyzatrex, the questions that will decide its score are: what they cost, whether labs stay included, whether the lowest prices still require prepayment, and what monitoring Hims requires for testosterone patients. Kyzatrex's label requires blood pressure monitoring, so look for how Hims handles that. We'll update this review when its testosterone page changes.

Is Hims legit for testosterone?

Hims is a large, publicly traded telehealth company that uses licensed providers and CLIA-certified labs, and it is upfront on its own page that enclomiphene is not FDA-approved or evaluated. The main issue isn't legitimacy, it's fit: if you and your clinician decide you need testosterone replacement, Hims can't provide it yet. Its all-products Trustpilot score (2.9/5) suggests you should read the subscription and cancellation terms carefully.

Who Hims is best for

  • Men whose clinician recommends trying enclomiphene first, for example those concerned about fertility (the Endocrine Society recommends against testosterone therapy for men planning fertility in the near term; guideline)
  • People who want a large, familiar platform with at-home testing

Who should look elsewhere

  • Anyone who needs testosterone replacement now
  • Anyone who wants to use HSA/FSA funds or avoid prepaying 10 months

Safety note

Enclomiphene and testosterone are prescription medications that require evaluation and lab monitoring. Testosterone products carry an FDA class-wide warning about increased blood pressure (FDA). See TRT side effects and risks.

Verdict

Hims is a convenient way to try enclomiphene, but it isn't a TRT clinic yet. If Kyzatrex and injections launch, we'll re-score it. Visit Hims or see clinics that offer TRT today.

FAQ

Hims questions

Does Hims offer TRT?

Not yet, as of September 25, 2026. Hims' testosterone page lists Kyzatrex (oral testosterone) and injectable testosterone as 'coming in 2026'. Its current treatment is enclomiphene, optionally combined with tadalafil.

How much is Hims testosterone treatment?

Hims' enclomiphene plans cost $99/month on a 10-month plan paid upfront, $139/month on a 5-month plan and $199/month on a 3-month plan, according to Hims.

Does Hims include labs?

Hims says the initial at-home test costs $94, credited toward treatment if you're eligible, and follow-up labs are included.

Can I use HSA or FSA at Hims?

No. Hims says it doesn't accept FSA or HSA as payment at this time.

Hims alternatives

See the full ranking
  • Hone HealthBest overall

    Physician-led hormone care with the widest medication menu

    8.2/10

    No Trustpilot rating yet

  • Fountain TRT

    All-inclusive TRT led by a board-certified urologist

    8.1/10

    No Trustpilot rating yet

  • Henry Meds

    Low all-in price, including an FDA-approved oral option

    7.8/10

    No Trustpilot rating yet

Ready to try Hims?

Rated 6.6/10 and #7 of the 7 clinics we rank. Facts verified Sep 2026.

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