How much does online hormone therapy cost?

Posted testosterone injection plans span $59–$199.99 a month. Enclomiphene runs $55–$229 and estradiol runs $58.66–$218, each per month. Lab and visit fees can sit on top, and the card says when they do.

Can I get PT-141 from a provider on this list?

PT-141 counts toward the hormones list as Vyleesi, the FDA-approved brand. Compounded PT-141 on its own doesn't put a provider here. Vyleesi is approved for premenopausal women with low sexual desire disorder; use in men is off-label.

Do I need blood tests to start TRT?

Yes. FDA labels cover low testosterone from a diagnosed medical cause, confirmed with blood tests. Expect a lab order before your first prescription and more labs at follow-up.

Is compounded HRT more natural than approved HRT?

Not by that measure. FDA-approved estradiol and progesterone are bioidentical already. Compounded versions aren't FDA-reviewed, so ask your prescriber why one would be chosen over the other.

Your shortlist for hormones

By Peptide Clarity Guide · October 2026

The quick answer: this list covers hormone care you can start online. That means testosterone therapy and enclomiphene for men, and menopause HRT.

All the hormones providers, In first, then Not yet.

We may earn a commission through qualifying provider links at no extra cost to you. Read our selection criteria and funding disclosure. How we earn

Partners on this list

Partner cards: if you join through one, the provider pays us a fee and your price stays the same. The full list below keeps its pick order.

Strut HealthPartner
Enclomiphene pills$80.10/mo
Visit Strut Health Read the pick

Made the shortlist

Listed in pick order. See how picks work.

Top pick
Goldspan Health
Hormone listings need product-specific evaluation, laboratory work and fee confirmation.
HRT cream$107.54/mo
Visit Goldspan Health
AgelessRx
Women's hormone care with estradiol, progesterone and DHEA under one membership.
HRT pills$74/mo
Visit AgelessRx
Strut HealthPartner
Enclomiphene capsules for men who want testosterone support without a TRT shot.
Enclomiphene pills$80.10/mo
Visit Strut Health
HealthRX
Testosterone plans need their own laboratory and clinical assessment.
Testosterone$179/mo
Visit HealthRX
PauseRx
Estradiol in the form your provider picks, or TRT that starts with labs first.
Testosterone cream$199/mo
Visit PauseRx
Prime Doctor RX
Testosterone or enclomiphene care that starts with labs and a live video visit.
Enclomiphene pills$205.31/mo
Visit Prime Doctor RX
Precision Telemed
The standard TRT program includes labs; bring-your-own-results options differ.
Testosterone$199.99/mo
Visit Precision Telemed
Gala GLP-1Partner
Compare listed menopause formulations with a clinician licensed for your state.
HRT pillsPrice on request
Visit Gala GLP-1
Winona
Menopause hormone formats with symptom-led assessment and portal messaging.
HRT pills$42.37/mo
Visit Winona
Brightmeds
Men's TRT as a shot, capsule or cream, with the blood test and doctor visit included.
TestosteronePrice on request
Visit Brightmeds

Not a pick yet

Bayan Health Not yet
Why: Investigational peptide listings leave the qualifying access pathway unclear.
When the gap closes, Bayan Health can move to In.
Read the pick
BioGlow Health Not yet
Why: Approximate month-supply prices do not establish automatic refill charges or dates.
When the gap closes, BioGlow Health can move to In.
Read the pick
Bodybuilding Health+ Not yet
Why: Lists Strive Pharmacy but not which Strive site fills your order.
When the gap closes, Bodybuilding Health+ can move to In.
Read the pick
Defy Medical Not yet
Why: Medication, testing and consultation costs require an itemized personalized quote.
When the gap closes, Defy Medical can move to In.
Read the pick
DudeMeds Not yet
Why: The reviewed disclosures do not identify the pharmacy filling the selected order.
When the gap closes, DudeMeds can move to In.
Read the pick
EdgeRx Not yet
Why: Names Strive Pharmacy as its one pharmacy, but not which Strive site ships.
When the gap closes, EdgeRx can move to In.
Read the pick
ElitePhysiqMD Not yet
Why: Its investigational peptide catalog leaves the qualifying access pathway unclear.
When the gap closes, ElitePhysiqMD can move to In.
Read the pick
Fridays Not yet
Why: TRT medication is extra; GLP-1 promotional totals need a selected renewal quote.
When the gap closes, Fridays can move to In.
Read the pick
GoodLife Health Not yet
Why: Medication is billed by the pharmacy, and no monthly drug price is published.
When the gap closes, GoodLife Health can move to In.
Read the pick
KIN Meds Not yet
Why: Starting hormone offers do not settle the selected form, testing and recurring total.
When the gap closes, KIN Meds can move to In.
Read the pick
MangoRx Not yet
Why: The TRT testing offer and laboratory costs leave the full medication renewal unclear.
When the gap closes, MangoRx can move to In.
Read the pick
Next Vial Not yet
Why: Starting offers and differing GLP-1 pages leave selected renewal charges unconfirmed.
When the gap closes, Next Vial can move to In.
Read the pick
PeterMD Not yet
Why: Confirm the dispensing facility, current authorization and actual recurring agreement.
When the gap closes, PeterMD can move to In.
Read the pick
Tyde Wellness Not yet
Why: The exact longevity formulation and qualifying access pathway need confirmation.
When the gap closes, Tyde Wellness can move to In.
Read the pick
WePeptideRx Not yet
Why: Dose-selector prices differ from the same product page’s overview.
When the gap closes, WePeptideRx can move to In.
Read the pick

What the rules check, and what to expect

A provider lands here by selling one of those. PT-141 counts as the FDA-approved brand, Vyleesi, and a compounded PT-141 on its own doesn't put anyone on the list. A product marked "coming soon" doesn't count either. Then come the six rules: clinician review first, a visible price, a licensed US pharmacy, no research-use compounds, published cancel terms and a signup that works. How picks work has them in full.

TRT is for men whose bodies make too little testosterone, confirmed with blood tests. Enclomiphene isn't FDA-approved, and FDA's advisers voted 4 to 8 against listing it in 2022. HRT treats hot flashes, night sweats and vaginal symptoms. Read TRT explained, menopause HRT and enclomiphene before your visit.

How to choose between the picks

Labs before anything ships. Hormone care leans hardest on bloodwork. Many of these products need labs before the first order, so ask whether the lab fee is in the price.
The form. Confirm the actual testosterone or menopause formulation currently offered. An approved product, compounded cream and different delivery route need separate indication, safety and monitoring questions.
Approved or compounded. Some picks prescribe FDA-approved products and others compound. Approved estradiol and progesterone are already bioidentical; compounded versions aren't FDA-reviewed.
A real conversation. Confirm whether clinical communication is by scheduled appointment, written messages or both. Ask about clinician response times, side effects and follow-up rather than assuming portal access means an immediate consultation.

Questions about this list

How much does online hormone therapy cost?: Posted testosterone injection plans span $59–$199.99 a month. Enclomiphene runs $55–$229 and estradiol runs $58.66–$218, each per month. Lab and visit fees can sit on top, and the card says when they do.
Can I get PT-141 from a provider on this list?: PT-141 counts toward the hormones list as Vyleesi, the FDA-approved brand. Compounded PT-141 on its own doesn't put a provider here. Vyleesi is approved for premenopausal women with low sexual desire disorder; use in men is off-label.
Do I need blood tests to start TRT?: Yes. FDA labels cover low testosterone from a diagnosed medical cause, confirmed with blood tests. Expect a lab order before your first prescription and more labs at follow-up.
Is compounded HRT more natural than approved HRT?: Not by that measure. FDA-approved estradiol and progesterone are bioidentical already. Compounded versions aren't FDA-reviewed, so ask your prescriber why one would be chosen over the other.

This is general information, not medical advice. A licensed clinician can tell you what fits you. Health note