Telehealth providers compared: who offers what, at what real price
Find your match · 3 questions
Which provider fits you best?
We rank on published prices and terms only. A licensed clinician decides whether any treatment is right for you.
GLP-1
Our pick: HealthRX (82/100)
TRT
Our pick: Hone Health (76/100)
Women's HRT
Our pick: Gala (78/100)
ED
33 options · prices verified Oct 8, 2026
GLP-1 weight care (semaglutide, tirzepatide)
11 of 11 shown · Full GLP-1 comparison- Gold · Our pick
HealthRX
Compounded semaglutide injection
$99/mo effective$149 to start (monthly subscribe & save)
Cheapest over a year: 12-month plan, $1,188 yearly, upfront
Why it wins: Lowest effective cost for compounded semaglutide injection ($99/mo); 503A pharmacy stated and a LegitScript seal.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Lower first month on Subscribe & Save, and a $25 credit on every renewal (as of Oct 8, 2026)
Prices on HealthRX’s sitePrice math, trust and fine print
- Effective monthly
- $1,188 a year ÷ 12
- No-commitment option
- $149 first, then $165 monthly
- Includes
- Provider review, prescription, medication, overnight shipping
- Trust
- Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
- Reviews
- No rating found on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ The lower first month is the Subscribe & Save price stated in HealthRX’s pricing text; its plan table shows the one-time monthly plan ($239 tirzepatide, $190 semaglutide). HealthRX dates these prices “current as of July 28, 2026”.
Last verified Oct 8, 2026 on the provider’s own page
HealthRX
Compounded tirzepatide injection
$179/mo effective$193 to start (monthly subscribe & save)
Cheapest over a year: 12-month plan, $2,148 yearly, upfront
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Lower first month on Subscribe & Save, and a $25 credit on every renewal (as of Oct 8, 2026)
Prices on HealthRX’s sitePrice math, trust and fine print
- Effective monthly
- $2,148 a year ÷ 12
- No-commitment option
- $193 first, then $214 monthly
- Includes
- Provider review, prescription, medication, overnight shipping
- Trust
- Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
- Reviews
- No rating found on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ The lower first month is the Subscribe & Save price stated in HealthRX’s pricing text; its plan table shows the one-time monthly plan ($239 tirzepatide, $190 semaglutide). HealthRX dates these prices “current as of July 28, 2026”.
Last verified Oct 8, 2026 on the provider’s own page
- Silver
Found
Compounded tirzepatide injection
$259/mo effective$219 to start (cash, month to month)
Cheapest over a year: cash, 12-month term, $239 every 28 days
Why it wins: 503A pharmacy stated and a LegitScript seal; 4.2★ from 754 Trustpilot reviews.
- Brand-name option
- Labs not included
- Medication included
- Visits included
- Shipping included
$100 off your first month (cash plans with compounded GLP-1) One-time per account, today’s checkout only, cash plans; on insurance the discount is $50 and applies to brand-name GLP-1 plans. Med Kit plans excluded (per Found). (as of Oct 8, 2026)
Prices on Found’s sitePrice math, trust and fine print
- Effective monthly
- 13 × $239 = $3,107 a year ÷ 12
- No-commitment option
- $219 first, then $359 every 28 days
- With insurance
- From $179 every 28 days. Plus visit copays, typically around $30 (per Found).
- Includes
- Clinical care, medication and membership in one price per 28-day cycle; free shipping
- Trust
- Found-affiliated board-certified clinicians (named on its pages). Licensed US 503A compounding pharmacies; every batch third-party tested. LegitScript seal in site footer.
- Reviews
- 4.2★ · 754 on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Billed every 28 days: a year is 13 charges, not 12.
Last verified Oct 8, 2026 on the provider’s own page
- Bronze
MEDGm
Compounded tirzepatide injection
$269/mo effective$279 to start (month to month)
Cheapest over a year: 12-month supply, $3,228 yearly, upfront
Why it wins: Labs included in the price; named prescriber group and a LegitScript seal.
- Labs included
- Brand-name option
- Labs included
- Medication included
- Visits included
- Shipping included
$120 off your first month on the month-to-month plan with code
Prices on MEDGm’s siteWELCOME120OFF(as of Oct 8, 2026)Price math, trust and fine print
- Effective monthly
- $3,228 a year ÷ 12
- No-commitment option
- $279 first, then $399 monthly
- Includes
- Provider visit, lab work and metabolic report, medication, side-effect medications, free shipping
- Trust
- OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
Gala
Compounded tirzepatide injection
$179/mo effective$179 to start (flat monthly price, yearly subscription)
Cheapest over a year: flat monthly price, yearly subscription, $179 monthly
- Best value
- Best for women
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $179 = $2,148 a year ÷ 12
- Includes
- Provider visit, medication at any dose, coaching app, free shipping
- Trust
- OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Licensed compounding pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- 4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Gala prints the $179 as a “Yearly subscription”, so we score it as a 12-month commitment. Its homepage FAQ quotes $199 a month on a 3-month plan; no month-to-month price is published.
Last verified Oct 8, 2026 on the provider’s own page
MEDGm
Compounded semaglutide injection
$169/mo effective$179 to start (month to month)
Cheapest over a year: 12-month supply, $2,028 yearly, upfront
- Labs included
- Brand-name option
- Labs included
- Medication included
- Visits included
- Shipping included
$120 off your first month on the month-to-month plan with code
Prices on MEDGm’s siteWELCOME120OFF(as of Oct 8, 2026)Price math, trust and fine print
- Effective monthly
- $2,028 a year ÷ 12
- No-commitment option
- $179 first, then $299 monthly
- Includes
- Provider visit, lab work and metabolic report, medication, side-effect medications, free shipping
- Trust
- OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
Found
Compounded semaglutide injection
$183/mo effective$169 to start (cash, 12-month term)
Cheapest over a year: cash, 12-month term, $169 every 28 days
- Brand-name option
- Labs not included
- Medication included
- Visits included
- Shipping included
$100 off your first month (cash plans with compounded GLP-1) One-time per account, today’s checkout only, cash plans; on insurance the discount is $50 and applies to brand-name GLP-1 plans. Med Kit plans excluded (per Found). (as of Oct 8, 2026)
Prices on Found’s sitePrice math, trust and fine print
- Effective monthly
- 13 × $169 = $2,197 a year ÷ 12
- No-commitment option
- $179 first, then $289 every 28 days
- With insurance
- From $99 every 28 days. Plus visit copays, typically around $30 (per Found).
- Includes
- Clinical care, medication and membership in one price per 28-day cycle; free shipping
- Trust
- Found-affiliated board-certified clinicians (named on its pages). Licensed US 503A compounding pharmacies; every batch third-party tested. LegitScript seal in site footer.
- Reviews
- 4.2★ · 754 on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Billed every 28 days: a year is 13 charges, not 12.
Last verified Oct 8, 2026 on the provider’s own page
MEDGm
Compounded semaglutide tablets
$239/mo effective$249 to start (month to month)
Cheapest over a year: 12-month supply, $2,868 yearly, upfront
- Labs included
- Brand-name option
- Labs included
- Medication included
- Visits included
- Shipping included
$120 off your first month on the month-to-month plan with code
Prices on MEDGm’s siteWELCOME120OFF(as of Oct 8, 2026)Price math, trust and fine print
- Effective monthly
- $2,868 a year ÷ 12
- No-commitment option
- $249 first, then $369 monthly
- Includes
- Provider visit, lab work, medication, free shipping
- Trust
- OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
Luvo Health
Compounded tirzepatide injection
$259/mo effective$124.50 to start (every 4 weeks)
Cheapest over a year: every 4 weeks, $124.50 first, then $249 every 28 days
- Brand-name option
- Labs not included
- Medication included
- Visits included
- Shipping included
50% off your first 4 weeks (as of Oct 8, 2026)
Prices on Luvo Health’s sitePrice math, trust and fine print
- Effective monthly
- $124.50 + 12 × $249 = $3,112.50 a year ÷ 12
- Includes
- Medication, clinician review, check-ins, shipping; no membership fee
- Trust
- Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Billed every 28 days: a year is 13 charges.
Last verified Oct 8, 2026 on the provider’s own page
Gala
Compounded semaglutide injection
$179/mo effective$179 to start (flat monthly price, yearly subscription)
Cheapest over a year: flat monthly price, yearly subscription, $179 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $179 = $2,148 a year ÷ 12
- Includes
- Provider visit, medication at any dose, coaching app, free shipping
- Trust
- OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Licensed compounding pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- 4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Gala prints the $179 as a “Yearly subscription”, so we score it as a 12-month commitment. Its homepage FAQ quotes $199 a month on a 3-month plan; no month-to-month price is published.
Last verified Oct 8, 2026 on the provider’s own page
Luvo Health
Compounded semaglutide injection
$218/mo effective$104.50 to start (every 4 weeks)
Cheapest over a year: every 4 weeks, $104.50 first, then $209 every 28 days
- Lowest upfront
- Brand-name option
- Labs not included
- Medication included
- Visits included
- Shipping included
50% off your first 4 weeks (as of Oct 8, 2026)
Prices on Luvo Health’s sitePrice math, trust and fine print
- Effective monthly
- $104.50 + 12 × $209 = $2,612.50 a year ÷ 12
- Includes
- Medication, clinician review, check-ins, shipping; no membership fee
- Trust
- Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
- ⚠ Billed every 28 days: a year is 13 charges.
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick HealthRXLowest effective cost for compounded semaglutide injection ($99/mo); 503A pharmacy stated and a LegitScript seal.
| Compounded semaglutide injection 12-month plan · yearly, upfront Compounded (not FDA-approved) | $99 $1,188 a year ÷ 12 | $149 Monthly Subscribe & Save |
| LegitScript seal · 503A pharmacy | No rating found | Lower first month on Subscribe & Save, and a $25 credit on every renewal | Prices on HealthRX’s siteVerified Oct 8, 2026 · source | |
HealthRX
| Compounded tirzepatide injection 12-month plan · yearly, upfront Compounded (not FDA-approved) | $179 $2,148 a year ÷ 12 | $193 Monthly Subscribe & Save |
| LegitScript seal · 503A pharmacy | No rating found | Lower first month on Subscribe & Save, and a $25 credit on every renewal | Prices on HealthRX’s siteVerified Oct 8, 2026 · source | |
Silver Found503A pharmacy stated and a LegitScript seal; 4.2★ from 754 Trustpilot reviews.
| Compounded tirzepatide injection Cash, 12-month term · every 28 days Compounded (not FDA-approved) | $259 13 × $239 = $3,107 a year ÷ 12 | $219 Cash, month to month |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.2★ · 754 | $100 off your first month (cash plans with compounded GLP-1) | Prices on Found’s siteVerified Oct 8, 2026 · source | |
Bronze MEDGmLabs included in the price; named prescriber group and a LegitScript seal.
| Compounded tirzepatide injection 12-month supply · yearly, upfront Compounded (not FDA-approved) | $269 $3,228 a year ÷ 12 | $279 Month to month |
| LegitScript seal · Named prescribers | No reviews yet | $120 off your first month on the month-to-month plan · WELCOME120OFF | Prices on MEDGm’s siteVerified Oct 8, 2026 · source | |
Gala
| Compounded tirzepatide injection Flat monthly price, yearly subscription · monthly Compounded (not FDA-approved) | $179 12 × $179 = $2,148 a year ÷ 12 | $179 Flat monthly price, yearly subscription |
| LegitScript seal · Named prescribers | 4.6★ · 3,961 | None published | Prices on Gala’s siteVerified Oct 8, 2026 · source | |
MEDGm
| Compounded semaglutide injection 12-month supply · yearly, upfront Compounded (not FDA-approved) | $169 $2,028 a year ÷ 12 | $179 Month to month |
| LegitScript seal · Named prescribers | No reviews yet | $120 off your first month on the month-to-month plan · WELCOME120OFF | Prices on MEDGm’s siteVerified Oct 8, 2026 · source | |
Found
| Compounded semaglutide injection Cash, 12-month term · every 28 days Compounded (not FDA-approved) | $183 13 × $169 = $2,197 a year ÷ 12 | $169 Cash, 12-month term |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.2★ · 754 | $100 off your first month (cash plans with compounded GLP-1) | Prices on Found’s siteVerified Oct 8, 2026 · source | |
MEDGm
| Compounded semaglutide tablets 12-month supply · yearly, upfront Compounded (not FDA-approved) | $239 $2,868 a year ÷ 12 | $249 Month to month |
| LegitScript seal · Named prescribers | No reviews yet | $120 off your first month on the month-to-month plan · WELCOME120OFF | Prices on MEDGm’s siteVerified Oct 8, 2026 · source | |
Luvo Health
| Compounded tirzepatide injection Every 4 weeks · every 28 days Compounded (not FDA-approved) | $259 $124.50 + 12 × $249 = $3,112.50 a year ÷ 12 | $124.50 Every 4 weeks |
| LegitScript seal | No reviews yet | 50% off your first 4 weeks | Prices on Luvo Health’s siteVerified Oct 8, 2026 · source | |
Gala | Compounded semaglutide injection Flat monthly price, yearly subscription · monthly Compounded (not FDA-approved) | $179 12 × $179 = $2,148 a year ÷ 12 | $179 Flat monthly price, yearly subscription |
| LegitScript seal · Named prescribers | 4.6★ · 3,961 | None published | Prices on Gala’s siteVerified Oct 8, 2026 · source | |
Luvo Health
| Compounded semaglutide injection Every 4 weeks · every 28 days Compounded (not FDA-approved) | $218 $104.50 + 12 × $209 = $2,612.50 a year ÷ 12 | $104.50 Every 4 weeks |
| LegitScript seal | No reviews yet | 50% off your first 4 weeks | Prices on Luvo Health’s siteVerified Oct 8, 2026 · source |
Testosterone therapy (TRT)
6 of 6 shown · Full TRT comparison- Gold · Our pick
Hone Health
Testosterone therapy
$188/mo effective (from)$248 to start (premium + testosterone injections)
Cheapest over a year: premium + testosterone injections, $248 first, then $183 monthly
Why it wins: Labs included in the price; 4.8★ from 12,394 Trustpilot reviews.
- Labs included
- Labs included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $248 + 11 × $183 = $2,261 a year ÷ 12
- Includes
- Labs every 3 months (50+ biomarkers), physician consults, medication, free US shipping (Premium tier)
- Trust
- Affiliated physician practice Broad Health; physicians named on its site (Janel Meric MD, Alexander Watson MD, Raheleh Sarbaziha MD, Timothy Vachris MD). Medication ships to your home; the pharmacy is not named on its pages. “Hone Health is LegitScript Certified” seal in the site footer.
- Reviews
- 4.8★ · 12,394 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- A common name in new-patient and comparison threads; posts mix shared lab results with trust and billing complaints. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $155/mo Premium membership + testosterone cypionate from $28/mo; the first month adds the $65 biomarker test.
- ⚠ Medication is priced “from” $28 a month for injections; cream or a higher dose costs more.
- ⚠ Hone says its testosterone cypionate is compounded and not FDA-approved.
Last verified Oct 8, 2026 on the provider’s own page
- Silver
TRT Nation
Testosterone therapy
$123/mo effective$378.97 to start (injections, 2.5-month first order)
Cheapest over a year: injections, 2.5-month first order, $378.97 first, then $99.99 monthly
Why it wins: Lowest effective cost for testosterone therapy ($123.24/mo); 10% off your first treatment.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
10% off your first treatment Offered through the sign-up form on its testosterone page. (as of Oct 8, 2026)
Visit TRT Nation sitePrice math, trust and fine print
- Effective monthly
- $378.97 + 11 × $99.99 = $1,478.86 a year ÷ 12
- Includes
- Medication and supplies; labs are a separate $129 order (or bring your own)
- Trust
- Licensed providers (not named on its pages). Pharmacy not named on its pages. “Verify Approval for www.trtnation.com” LegitScript seal in the site footer.
- Reviews
- 2.1★ · 30 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- One of the most-discussed clinics; threads center on onboarding, separately billed labs and its partner pharmacy, with both endorsements and service complaints. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $99.99/mo; the first order covers 2.5 months ($249.97) plus the $129 TRT lab order, about $379 to start.
- ⚠ The 12-month figure counts the first order ($249.97 for 2.5 months + $129 labs) as month one and $99.99 a month after; TRT Nation also asks for a follow-up lab order (about $129) after 10 weeks, which roughly offsets that rounding.
- ⚠ Outside labs are accepted instead of the $129 order.
- ⚠ California pricing may vary; refills are requested, not automatic.
Last verified Oct 8, 2026 on the provider’s own page
- Bronze
Male Excel
Testosterone therapy
$227/mo effective (from)$318 to start (injections + medical membership)
Cheapest over a year: injections + medical membership, $318 first, then $219 monthly
Why it wins: 4.5★ from 6,651 Trustpilot reviews; named prescriber group and a LegitScript seal.
- Labs not included
- Medication included
- Visits included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- $318 + 11 × $219 = $2,727 a year ÷ 12
- Includes
- Medication (with thyroid tablets and syringes), unlimited e-visits and messaging with your provider; shipping and lab work extra
- Trust
- Male Excel Medical, P.A.; Chief Medical Officer Peter Fotinos, MD, and Medical Director Lorna Brudie, DO, plus named physicians and nurse practitioners. Licensed US compounding pharmacies (not named); compounded, not FDA-approved. “Verify LegitScript Approval for www.maleexcel.com” seal in the site footer.
- Reviews
- 4.5★ · 6,651 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- Shows up mostly in comparison threads; its daily low-dose protocol is the recurring talking point, and recent first-hand posts lean critical. (Reddit, low weight, not scored)
- ⚠ Price breakdown: testosterone cypionate injections from $120/mo + the required $99/mo medical membership; the first month adds a $99 online consult.
- ⚠ Medication is billed every other month (about $240 per bill), so your first charges run higher than the monthly figure.
- ⚠ Shipping and handling are extra; lab costs are not on the pricing page.
- ⚠ Male Excel says its medications are compounded and not FDA-approved.
Last verified Oct 8, 2026 on the provider’s own page
Rex MD
Testosterone therapy
$258/mo effective (from)$349 to start (testosterone program)
Cheapest over a year: testosterone program, $349 first, then $250 monthly
- Labs included
- Labs included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $349 + 11 × $250 = $3,099 a year ÷ 12
- Includes
- Medication mailed to your home, video consults and follow-up labs (at 3 months, then every 6 months) in the monthly fee
- Trust
- Licensed providers through Rex MD (LifeMD, Inc.); one affiliated provider, Dr. Doug Lucas, is quoted on the page. Its FAQ says medication is mailed to your home and also mentions your neighborhood pharmacy; no pharmacy named. LegitScript seal in the site footer.
- Reviews
- 4.7★ · 5,263 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Few TRT threads; it is mostly named in price-shortlist comparisons and is discussed more often for ED. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $99 first lab test and consult, then $250 to $299 a month depending on the medication prescribed.
- ⚠ The monthly fee is $250 to $299 depending on the medication prescribed (testosterone cypionate, testosterone gel 1.62%, clomiphene or sermorelin).
- ⚠ The $99 first lab test is a discounted price (regularly $199).
- ⚠ Cancellation terms are not stated on the testosterone page; BBB complaints mention auto-renewal billing.
Last verified Oct 8, 2026 on the provider’s own page
MangoRx
Testosterone therapy
$149/mo effective (from)$149 to start (monthly)
Cheapest over a year: monthly, $149 monthly
- Labs included
- Labs included
- Medication not included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $149 = $1,788 a year ÷ 12
- Includes
- Lab panel at LabCorp or Quest, provider video consult, treatment plan, free shipping, full refund if you don’t qualify (per its TRT page).
- Trust
- Board-certified physicians in a third-party network. Texas compounding pharmacy (URAC, ACHC-PCAB accredited). LegitScript Certified seal in site footer.
- Reviews
- 4.4★ · 18 on Trustpilot (as of Oct 7, 2026)
- Form
- Formulation set by prescriber
- Community signal
- No threads found in r/trt or r/Testosterone in the past 12 months. (Reddit, low weight, not scored)
- ⚠ Available in 14 states only.
- ⚠ MangoRx’s FAQ calls the $149 a “Testing Kit” (labs + consult) while its plan card bills $149 a month; ongoing medication cost is not published. Confirm the recurring charge before you pay.
Last verified Oct 8, 2026 on the provider’s own page
Fountain TRT
Testosterone therapy
$199/mo effective (from)$199 to start (all-inclusive monthly, as low as)
Cheapest over a year: all-inclusive monthly, as low as, $199 monthly
- Lowest upfront
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $199 = $2,388 a year ÷ 12
- Includes
- Testosterone cream, video visits, follow-ups every 3–6 months and ongoing support; Fountain does not say whether the partner-lab blood test is included
- Trust
- Co-founder Doron Stember, MD, a board-certified urologist, is named; other prescribers are described as urologists but not named. Pharmacy not named on its pages. Footer links to a LegitScript lookup, but no seal is shown and we could not confirm the status.
- Reviews
- 4.5★ · 397 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Little recent discussion; older threads are split between a smooth first-time onboarding and complaints about wait times. (Reddit, low weight, not scored)
- ⚠ Price breakdown: as low as $199/mo, described as all-inclusive with no hidden fees; the lab test cost is not itemized.
- ⚠ Testosterone cream only; Fountain does not say whether it is compounded.
- ⚠ Available in 20 states.
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick Hone HealthLabs included in the price; 4.8★ from 12,394 Trustpilot reviews.
| Testosterone therapy Premium + testosterone injections · monthly Compounded (not FDA-approved) | $188 from $248 + 11 × $183 = $2,261 a year ÷ 12 | $248 Premium + testosterone injections |
| LegitScript seal · Named prescribers | 4.8★ · 12,394 | None published | Visit Hone Health siteVerified Oct 8, 2026 · source | |
Silver TRT NationLowest effective cost for testosterone therapy ($123.24/mo); 10% off your first treatment.
| Testosterone therapy Injections, 2.5-month first order · monthly Formulation set by prescriber | $123 $378.97 + 11 × $99.99 = $1,478.86 a year ÷ 12 | $378.97 Injections, 2.5-month first order |
| LegitScript seal | 2.1★ · 30 | 10% off your first treatment | Visit TRT Nation siteVerified Oct 8, 2026 · source | |
Bronze Male Excel4.5★ from 6,651 Trustpilot reviews; named prescriber group and a LegitScript seal. | Testosterone therapy Injections + medical membership · monthly Compounded (not FDA-approved) | $227 from $318 + 11 × $219 = $2,727 a year ÷ 12 | $318 Injections + medical membership |
| LegitScript seal · Named prescribers | 4.5★ · 6,651 | None published | Visit Male Excel siteVerified Oct 8, 2026 · source | |
Rex MD
| Testosterone therapy Testosterone Program · monthly Formulation set by prescriber | $258 from $349 + 11 × $250 = $3,099 a year ÷ 12 | $349 Testosterone Program |
| LegitScript seal | 4.7★ · 5,263 | None published | Visit Rex MD siteVerified Oct 8, 2026 · source | |
MangoRx
| Testosterone therapy Monthly · monthly Formulation set by prescriber | $149 from 12 × $149 = $1,788 a year ÷ 12 | $149 Monthly |
| LegitScript seal | 4.4★ · 18 | None published | Prices on MangoRx’s siteVerified Oct 8, 2026 · source | |
Fountain TRT
| Testosterone therapy All-inclusive monthly, as low as · monthly Formulation set by prescriber | $199 from 12 × $199 = $2,388 a year ÷ 12 | $199 All-inclusive monthly, as low as |
| Named prescribers | 4.5★ · 397 | None published | Visit Fountain TRT siteVerified Oct 8, 2026 · source |
Women's HRT and menopause care
11 of 11 shown · Full Women's HRT comparison- Gold · Our pick
Gala
HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)
$69/mo effective (from)$69 to start (flat monthly price, from)
Cheapest over a year: flat monthly price, from, $69 monthly
Why it wins: 4.6★ from 3,961 Trustpilot reviews; named prescriber group and a LegitScript seal.
- Lowest upfront
- Best for women
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $69 = $828 a year ÷ 12
- Includes
- Medication, provider review and telehealth visit, dose adjustments, free 1–2 day shipping; no membership fee
- Trust
- OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Prescriptions ship free; Gala says it prescribes FDA-approved bioidentical forms. LegitScript seal in site footer.
- Reviews
- 4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- No threads found in r/Menopause, r/Perimenopause or r/perimenopause_under45 in the past 12 months. (Reddit, low weight, not scored)
- ⚠ “From” price: Gala’s offer page says $69 a month flat; its hormone hub no longer prints the number. Gala does not publish what a combined estradiol + progesterone plan costs.
Last verified Oct 8, 2026 on the provider’s own page
- Silver
Winona
Estrogen tablets + progesterone capsules
$93/mo effective (from)$93 to start (estrogen tablets ($54) + progesterone capsules ($39), from, per month)
Cheapest over a year: estrogen tablets ($54) + progesterone capsules ($39), from, per month, $93 monthly
Why it wins: 503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews.
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $93 = $1,116 a year ÷ 12
- Includes
- Physician visit and unlimited messaging, FDA-approved estradiol and progesterone (per Winona), free shipping
- Trust
- 30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
- Reviews
- 4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Many threads; access and follow-up complaints recur, alongside debate about its compounded-cream approach. (Reddit, low weight, not scored)
- ⚠ “From” prices ($54 tablets + $39 capsules); dose can change it.
Last verified Oct 8, 2026 on the provider’s own page
- Bronze
Alloy
Estrogen tablets + progesterone capsules
$67/mo effective (from)$111.99 to start (estradiol pill ($39.99) + progesterone ($23), from, per month)
Cheapest over a year: estradiol pill ($39.99) + progesterone ($23), from, per month, $111.99 first, then $62.99 monthly
Why it wins: Lowest effective cost for estrogen tablets + progesterone capsules ($67.07/mo); 4.3★ from 4,007 Trustpilot reviews.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $111.99 + 11 × $62.99 = $804.88 a year ÷ 12
- Includes
- Medication shipped free, plus a $49 one-time consult that includes doctor messaging while your prescription is active
- Trust
- Named physicians, including prescribing physician Kudzai Dombo, MD, and chief medical advisor Sharon Malone, MD. Ships medication directly; pharmacy not named on its pages. “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 4.3★ · 4,007 on Trustpilot (as of Oct 8, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Cost is the main theme; some users move prescriptions to retail pharmacies to pay less, and some say its standard doses did not fit them. (Reddit, low weight, not scored)
- ⚠ Price breakdown: estradiol pill from $39.99/mo + progesterone from $23/mo, plus a $49 one-time consult fee in month one.
- ⚠ Starting prices: estradiol patch, gel and spray cost $69.99–$100/mo instead of the pill.
Last verified Oct 8, 2026 on the provider’s own page
Hone Health
HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)
$218/mo effective$278 to start (premium + estradiol patch or gel)
Cheapest over a year: premium + estradiol patch or gel, $278 first, then $213 monthly
- Labs included
- Labs included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $278 + 11 × $213 = $2,621 a year ÷ 12
- Includes
- Labs every 3 months, physician consults, medication and free shipping; progesterone $49, Estrace vaginal cream $40, testosterone for women from $28 (each + membership)
- Trust
- Affiliated physician practice Broad Health; physicians named on its site (Janel Meric MD, Alexander Watson MD, Raheleh Sarbaziha MD, Timothy Vachris MD). Medication ships to your home; the pharmacy is not named on its pages. “Hone Health is LegitScript Certified” seal in the site footer.
- Reviews
- 4.8★ · 12,394 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- A small cluster of threads; its monthly program price and recurring lab cadence are the main talking points. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $155/mo Premium membership + estradiol patch or gel $58/mo; the first month adds the $65 biomarker test.
- ⚠ Adding progesterone tablets ($49) makes it $262 a month.
- ⚠ Treatment requires the $155 Premium tier.
Last verified Oct 8, 2026 on the provider’s own page
AgelessRx
Estrogen tablets + progesterone capsules
$117/mo effective$117 to start (membership + estradiol + progesterone)
Cheapest over a year: membership + estradiol + progesterone, $117 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $117 = $1,404 a year ÷ 12
- Includes
- Unlimited messaging with hormone-trained providers, member-priced medication, free shipping; estradiol cream ($53) or patch ($75) also available
- Trust
- In-house US-licensed clinicians; Medical Director Jenell Decker, MD. Six named partner 503A compounding pharmacies (pharmacy-partners page). Its partner pharmacies are LegitScript-certified; AgelessRx shows no seal of its own.
- Reviews
- 4.4★ · 2,557 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- No threads found in menopause subreddits in the past 12 months. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $50/mo membership + estradiol pill $24 + progesterone capsule $43 (member prices).
- ⚠ AgelessRx’s hormones are compounded and not FDA-approved.
- ⚠ Lab work is not part of the price.
Last verified Oct 8, 2026 on the provider’s own page
Midi Health
Menopause visits (medication billed separately)
$58/mo effective$250 to start (self-pay visits)
Cheapest over a year: self-pay visits, $250 first, then $150 every 3 months, upfront
- Labs not included
- Medication not included
- Visits included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- $250 + 3 × $150 = $700 a year ÷ 12
- Includes
- Menopause-specialist video visits; medication and labs are billed separately by your pharmacy, lab or insurance
- Trust
- 550+ board-certified clinicians trained in menopause care, named on its clinicians page. Prescriptions go to the pharmacy you choose; medication is billed by that pharmacy or your insurance. “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 4.1★ · 1,707 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Many threads; often chosen when a gynecologist won’t prescribe, with debate over its lab-based approach and occasional billing and service complaints. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $250 first visit (30 min), $150 returning visit (15 min); we count one returning visit every 3 months.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Midi does not publish how often returning visits are needed; the every-3-months cadence is our assumption.
- ⚠ In network with many PPO plans; with coverage you pay your copay instead.
Last verified Oct 8, 2026 on the provider’s own page
PlushCare
Menopause visits (medication billed separately)
$29/mo effective$129 to start (membership + self-pay visit)
Cheapest over a year: membership + self-pay visit, $129 first, then $19.99 monthly
- Labs not included
- Medication not included
- Visits included
- Shipping not included
First month of membership free (as of Oct 8, 2026)
Visit PlushCare sitePrice math, trust and fine print
- Effective monthly
- $129 + 11 × $19.99 = $348.89 a year ÷ 12
- Includes
- Same-day doctor visits, unlimited care-team messages, a prescription discount card; medication and labs paid at your pharmacy or lab
- Trust
- Board-certified primary-care physicians, named on its medical-team page. Prescriptions go to any local retail pharmacy; medication is paid there (insurance or PlushCare’s discount card). No LegitScript seal on its site.
- Reviews
- 3.5★ · 2,787 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Few menopause threads; the ones found describe a cautious, high-friction approach to hormone therapy. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $19.99/mo membership (first month free) + $129 self-pay first visit.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Follow-up visit prices are not published; with in-network insurance most patients pay a $30-or-less copay per visit.
- ⚠ Primary-care doctors, not menopause specialists; complex cases may be referred.
Last verified Oct 8, 2026 on the provider’s own page
MyMenopauseRx
Menopause visits (medication billed separately)
$50/mo effective$150 to start (self-pay visits)
Cheapest over a year: self-pay visits, $150 every 3 months, upfront
- Labs not included
- Medication not included
- Visits included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- 4 × $150 = $600 a year ÷ 12
- Includes
- Menopause-specialist visits; medication and labs are paid at your own pharmacy or lab
- Trust
- Named physicians and nurse practitioners, led by founder Barbra Hanna, DO, FACOG, MSCP. Prescriptions go to the pharmacy you choose; MyMenopauseRx does not sell medication. LegitScript Certified seal in the site footer.
- Reviews
- 3.3★ · 4 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Little discussion; the one recent thread centers on a positive first-hand account. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $150 per self-pay visit; we count one visit every 3 months, because MyMenopauseRx does not publish how often visits are needed.
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Accepts most major insurance; with coverage you pay your copay instead.
- ⚠ A private lawsuit against MyMenopauseRx Medical Group PLLC was filed in DuPage County, Illinois in April 2026 and is unresolved.
Last verified Oct 8, 2026 on the provider’s own page
Evernow
Menopause visits (medication billed separately)
$49/mo effective$49 to start (month-to-month membership)
Cheapest over a year: month-to-month membership, $49 monthly
- Labs not included
- Medication not included
- Visits not included
- Shipping not included
Price math, trust and fine print
- Effective monthly
- 12 × $49 = $588 a year ÷ 12
- Includes
- Care-team messaging, prescriptions and refills; video visits are billed to insurance or $150 each self-pay, and medication is paid at the pharmacy
- Trust
- Named menopause clinicians, led by medical director Ellamarie Russo-DeMara, DO. Prescriptions go to your own pharmacy or its partner pharmacies (GoGo Meds, Art of Medicine). “Verify LegitScript Approval” seal in the site footer.
- Reviews
- 2★ · 15 on Trustpilot (as of Oct 8, 2026)
- Form
- Formulation set by prescriber
- Community signal
- Few threads; recent ones describe unanswered support and prescriptions not sent on, while others report a quick, smooth start. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $49/mo membership; self-pay video visits are $150 each (or billed to insurance).
- ⚠ Visits only: medication is not included, so the real monthly total depends on your pharmacy or insurance.
- ⚠ Also published: 3 months for $129 and 12 months for $420, paid upfront.
Last verified Oct 8, 2026 on the provider’s own page
Winona
Estrogen tablets only
$54/mo effective (from)$54 to start (estrogen tablets, from, per month)
Cheapest over a year: estrogen tablets, from, per month, $54 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $54 = $648 a year ÷ 12
- Includes
- Physician visit and unlimited messaging, FDA-approved estradiol tablets (per Winona), free shipping
- Trust
- 30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
- Reviews
- 4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
- Form
- FDA-approved forms (per provider)
- Community signal
- Many threads; access and follow-up complaints recur, alongside debate about its compounded-cream approach. (Reddit, low weight, not scored)
- ⚠ Estrogen alone; people with a uterus are usually also prescribed progesterone.
- ⓘ Estrogen alone suits only people without a uterus, so it is priced against the field but does not set the price benchmark or compete for a medal.
Last verified Oct 8, 2026 on the provider’s own page
AgelessRx
Estrogen tablets only
$74/mo effective$74 to start (membership + estradiol pill)
Cheapest over a year: membership + estradiol pill, $74 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $74 = $888 a year ÷ 12
- Includes
- Unlimited messaging with hormone-trained providers, member-priced medication, free shipping; pause or cancel anytime
- Trust
- In-house US-licensed clinicians; Medical Director Jenell Decker, MD. Six named partner 503A compounding pharmacies (pharmacy-partners page). Its partner pharmacies are LegitScript-certified; AgelessRx shows no seal of its own.
- Reviews
- 4.4★ · 2,557 on Trustpilot (as of Oct 8, 2026)
- Form
- Compounded (not FDA-approved)
- Community signal
- No threads found in menopause subreddits in the past 12 months. (Reddit, low weight, not scored)
- ⚠ Price breakdown: $50/mo membership + estradiol pill $24/mo (member price).
- ⚠ Estrogen alone; people with a uterus are usually also prescribed progesterone.
- ⚠ AgelessRx’s hormones are compounded and not FDA-approved.
- ⓘ Estrogen alone suits only people without a uterus, so it is priced against the field but does not set the price benchmark or compete for a medal.
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick Gala4.6★ from 3,961 Trustpilot reviews; named prescriber group and a LegitScript seal.
| HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal) Flat monthly price, from · monthly FDA-approved forms (per provider) | $69 from 12 × $69 = $828 a year ÷ 12 | $69 Flat monthly price, from |
| LegitScript seal · Named prescribers | 4.6★ · 3,961 | None published | Prices on Gala’s siteVerified Oct 8, 2026 · source | |
Silver Winona503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews. | Estrogen tablets + progesterone capsules Estrogen tablets ($54) + progesterone capsules ($39), from, per month · monthly FDA-approved forms (per provider) | $93 from 12 × $93 = $1,116 a year ÷ 12 | $93 Estrogen tablets ($54) + progesterone capsules ($39), from, per month |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.6★ · 8,478 | None published | Prices on Winona’s siteVerified Oct 8, 2026 · source | |
Bronze AlloyLowest effective cost for estrogen tablets + progesterone capsules ($67.07/mo); 4.3★ from 4,007 Trustpilot reviews.
| Estrogen tablets + progesterone capsules Estradiol pill ($39.99) + progesterone ($23), from, per month · monthly FDA-approved forms (per provider) | $67 from $111.99 + 11 × $62.99 = $804.88 a year ÷ 12 | $111.99 Estradiol pill ($39.99) + progesterone ($23), from, per month |
| LegitScript seal · Named prescribers | 4.3★ · 4,007 | None published | Visit Alloy siteVerified Oct 8, 2026 · source | |
Hone Health
| HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal) Premium + estradiol patch or gel · monthly Formulation set by prescriber | $218 $278 + 11 × $213 = $2,621 a year ÷ 12 | $278 Premium + estradiol patch or gel |
| LegitScript seal · Named prescribers | 4.8★ · 12,394 | None published | Visit Hone Health siteVerified Oct 8, 2026 · source | |
AgelessRx | Estrogen tablets + progesterone capsules Membership + estradiol + progesterone · monthly Compounded (not FDA-approved) | $117 12 × $117 = $1,404 a year ÷ 12 | $117 Membership + estradiol + progesterone |
| 503A pharmacy · Named prescribers | 4.4★ · 2,557 | None published | Visit AgelessRx siteVerified Oct 8, 2026 · source | |
Midi Health | Menopause visits (medication billed separately) Self-pay visits · every 3 months, upfront Formulation set by prescriber | $58 $250 + 3 × $150 = $700 a year ÷ 12 | $250 Self-pay visits |
| LegitScript seal · Named prescribers | 4.1★ · 1,707 | None published | Visit Midi Health siteVerified Oct 8, 2026 · source | |
PlushCare | Menopause visits (medication billed separately) Membership + self-pay visit · monthly Formulation set by prescriber | $29 $129 + 11 × $19.99 = $348.89 a year ÷ 12 | $129 Membership + self-pay visit |
| Named prescribers | 3.5★ · 2,787 | First month of membership free | Visit PlushCare siteVerified Oct 8, 2026 · source | |
MyMenopauseRx | Menopause visits (medication billed separately) Self-pay visits · every 3 months, upfront Formulation set by prescriber | $50 4 × $150 = $600 a year ÷ 12 | $150 Self-pay visits |
| LegitScript seal · Named prescribers | 3.3★ · 4 | None published | Visit MyMenopauseRx siteVerified Oct 8, 2026 · source | |
Evernow | Menopause visits (medication billed separately) Month-to-month membership · monthly Formulation set by prescriber | $49 12 × $49 = $588 a year ÷ 12 | $49 Month-to-month membership |
| LegitScript seal · Named prescribers | 2★ · 15 | None published | Visit Evernow siteVerified Oct 8, 2026 · source | |
Winona | Estrogen tablets only Estrogen tablets, from, per month · monthly FDA-approved forms (per provider) | $54 from 12 × $54 = $648 a year ÷ 12 | $54 Estrogen tablets, from, per month |
| LegitScript seal · 503A pharmacy · Named prescribers | 4.6★ · 8,478 | None published | Prices on Winona’s siteVerified Oct 8, 2026 · source | |
AgelessRx | Estrogen tablets only Membership + estradiol pill · monthly Compounded (not FDA-approved) | $74 12 × $74 = $888 a year ÷ 12 | $74 Membership + estradiol pill |
| 503A pharmacy · Named prescribers | 4.4★ · 2,557 | None published | Visit AgelessRx siteVerified Oct 8, 2026 · source |
ED treatment
1 of 1 shownMangoRx
Tadalafil or sildenafil dissolving tablet
$59/mo effective (from)$59 to start (starting as low as)
Cheapest over a year: starting as low as, $59 monthly
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- 12 × $59 = $708 a year ÷ 12
- Includes
- Free provider visit and shipping
- Trust
- Board-certified physicians in a third-party network. Texas compounding pharmacy (URAC, ACHC-PCAB accredited). LegitScript Certified seal in site footer.
- Reviews
- 4.4★ · 18 on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 7, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
MangoRx | Tadalafil or sildenafil dissolving tablet Starting as low as · monthly Compounded (not FDA-approved) | $59 from 12 × $59 = $708 a year ÷ 12 | $59 Starting as low as |
| LegitScript seal | 4.4★ · 18 | None published | Prices on MangoRx’s siteVerified Oct 7, 2026 · source |
NAD+
2 of 2 shown- Gold · Our pick
HealthRX
Injection
$129/mo effective$161 to start (1-month plan)
Cheapest over a year: 12-month plan ($1,548 billed every 12 months), $1,548 yearly, upfront
Why it wins: Lowest effective cost for injection ($129/mo); 503A pharmacy stated and a LegitScript seal.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $1,548 a year ÷ 12
- No-commitment option
- $161 monthly
- Includes
- Medication and supplies, injection kit, provider visit and follow-ups, free shipping
- Trust
- Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
- Reviews
- No rating found on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
- Silver
Luvo Health
Injection
$207/mo effective$99.50 to start (every 4 weeks)
Cheapest over a year: every 4 weeks, $99.50 first, then $199 every 28 days
Why it wins: 50% off your first 4 weeks.
- Lowest upfront
- Labs not included
- Medication included
- Visits included
- Shipping included
50% off your first 4 weeks (as of Oct 8, 2026)
Prices on Luvo Health’s sitePrice math, trust and fine print
- Effective monthly
- $99.50 + 12 × $199 = $2,487.50 a year ÷ 12
- Includes
- Medication, clinician review, check-ins, shipping
- Trust
- Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick HealthRXLowest effective cost for injection ($129/mo); 503A pharmacy stated and a LegitScript seal.
| Injection 12-month plan ($1,548 billed every 12 months) · yearly, upfront Compounded (not FDA-approved) | $129 $1,548 a year ÷ 12 | $161 1-month plan |
| LegitScript seal · 503A pharmacy | No rating found | None published | Prices on HealthRX’s siteVerified Oct 8, 2026 · source | |
Silver Luvo Health50% off your first 4 weeks.
| Injection Every 4 weeks · every 28 days Compounded (not FDA-approved) | $207 $99.50 + 12 × $199 = $2,487.50 a year ÷ 12 | $99.50 Every 4 weeks |
| LegitScript seal | No reviews yet | 50% off your first 4 weeks | Prices on Luvo Health’s siteVerified Oct 8, 2026 · source |
Sermorelin
2 of 2 shown- Gold · Our pick
HealthRX
Injection
$143/mo effective$179 to start (1-month plan)
Cheapest over a year: 12-month plan ($1,716 billed every 12 months), $1,716 yearly, upfront
Why it wins: Lowest effective cost for injection ($143/mo); 503A pharmacy stated and a LegitScript seal.
- Best value
- Labs not included
- Medication included
- Visits included
- Shipping included
Price math, trust and fine print
- Effective monthly
- $1,716 a year ÷ 12
- No-commitment option
- $179 monthly
- Includes
- Provider visit and follow-ups, injection kit, free overnight shipping
- Trust
- Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
- Reviews
- No rating found on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
- Silver
Luvo Health
Injection
$207/mo effective$99.50 to start (every 4 weeks)
Cheapest over a year: every 4 weeks, $99.50 first, then $199 every 28 days
Why it wins: 50% off your first 4 weeks.
- Lowest upfront
- Labs not included
- Medication included
- Visits included
- Shipping included
50% off your first 4 weeks (as of Oct 8, 2026)
Prices on Luvo Health’s sitePrice math, trust and fine print
- Effective monthly
- $99.50 + 12 × $199 = $2,487.50 a year ÷ 12
- Includes
- Medication, clinician review, check-ins, shipping
- Trust
- Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
- Reviews
- No reviews yet on Trustpilot (as of Oct 7, 2026)
- Form
- Compounded (not FDA-approved)
Last verified Oct 8, 2026 on the provider’s own page
| Medication / plan | Included | Trust | First-order offer | Action | |||||
|---|---|---|---|---|---|---|---|---|---|
Gold · Our pick HealthRXLowest effective cost for injection ($143/mo); 503A pharmacy stated and a LegitScript seal.
| Injection 12-month plan ($1,716 billed every 12 months) · yearly, upfront Compounded (not FDA-approved) | $143 $1,716 a year ÷ 12 | $179 1-month plan |
| LegitScript seal · 503A pharmacy | No rating found | None published | Prices on HealthRX’s siteVerified Oct 8, 2026 · source | |
Silver Luvo Health50% off your first 4 weeks.
| Injection Every 4 weeks · every 28 days Compounded (not FDA-approved) | $207 $99.50 + 12 × $199 = $2,487.50 a year ÷ 12 | $99.50 Every 4 weeks |
| LegitScript seal | No reviews yet | 50% off your first 4 weeks | Prices on Luvo Health’s siteVerified Oct 8, 2026 · source |
How we score
Re-weight the rubric
Every provider gets the same five pillar scores. Move the sliders to weigh what matters to you; “Your pick” updates, our medals do not.
Legend: medals, badges and icons
- Gold: highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Silver: second-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Bronze: third-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
- Your pick: the top score after you re-weight the rubric. It can differ from ours, and that is the point.
- Best value: Lowest effective monthly cost for the same medication or service.
- Lowest upfront: Smallest first charge to start, in this service, among full plans that include the medication.
- Labs included: Lab work is part of the published price.
- Brand-name option: The provider also offers a brand-name route (priced separately).
- Best for women: Highest-scoring provider built for women in this service.
- Icons: flask = labs, pill = medication, stethoscope = clinician visits, truck = shipping; struck-through means not in the price.
- Score ring: 0–100 weighted score. Green 80+, orange 65–79, amber below 65.
How we score
Five pillars, each scored 0–100 from facts on the provider’s own pages, then weighted: Price and value 30%, What's included 20%, Trust and compliance 20%, Customer reviews 15%, Offer strength and flexibility 15%.
- Price and value (30%): Effective monthly cost over 12 months on the cheapest published cash plan, including intro prices, renewal credits and 28-day billing. The cheapest option for the same medication scores 100; others score cheapest ÷ theirs × 100. A visits-only or membership-only plan, where the medication is bought separately, scores 40: its total monthly cost is not published, so it neither wins on price nor sets the benchmark.
- What's included (20%): Labs 30, medication in the price 30, clinician visits and follow-ups 20, shipping 20, as the provider’s own page states.
- Trust and compliance (20%): LegitScript seal on the site 40; a named prescriber group or named physicians 30 (licensed but unnamed 15); a 503A/503B pharmacy stated on its pages 30 (US-licensed, type not stated 15; not stated 5).
- Customer reviews (15%): Trustpilot star rating, shrunk toward 3.5 stars until a provider has enough reviews (rating × count + 3.5 × 50, ÷ count + 50), mapped 1–5 stars to 0–100. No verifiable rating scores 40, not zero and not average.
- Offer strength and flexibility (15%): A published first-order discount or intro price 40, a cancel-anytime or month-to-month plan 30, HSA/FSA 15, full refund if a clinician declines you 15.
Effective monthly cost is the cash you would pay for 12 months on the cheapest published plan, divided by 12: the first charge (including any published intro price or first-order discount), then the regular or renewal price for the rest of the year, with 28-day plans counted as 13 charges. Prepaid plans count their full upfront price. “To start” is the smallest first charge on any plan.
Reviews and community signal. Trustpilot ratings feed the reviews pillar, but a Trustpilot rating is not proof of quality: profiles can be unclaimed, cover a parent brand, or be removed, and we note when they are. The “Community signal” line on each provider is a paraphrased summary of Reddit threads from the past 12 months. Reddit is a low-weight, qualitative input: it never changes a score or a medal, it is not a representative sample, and it is not medical advice.
Who is listed: providers that pass our vetting (licensed prescribers, a licensed pharmacy, honest compounded-drug labelling, a clean regulatory record, no research-use-only products, no anabolic steroids beyond testosterone) and publish a price we can compare. Most run an affiliate program we have joined or applied to; vetted providers without one are ranked the same way and get a plain, untracked link. On the TRT and women’s HRT pages, well-known names we do not rank are listed with the reason, without links. Dataset version 2026-10-08.3, prices verified Oct 8, 2026. Full methodology · Disclosure
Where offerings overlap
GLP-1
- 5 providers sell compounded tirzepatide injection: effective cost runs from $179/mo (HealthRX, 12-month plan) to $269/mo (MEDGm). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 5 providers sell compounded semaglutide injection: effective cost runs from $99/mo (HealthRX, 12-month plan) to $218/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Labs are in the price only at MEDGm.
- Found, Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.
TRT
- 6 providers sell testosterone therapy: effective cost runs from $123/mo (TRT Nation, injections, 2.5-month first order) to $258/mo (Rex MD). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Labs are in the price only at MangoRx, Hone Health, Rex MD.
- MangoRx, Hone Health, Male Excel, Rex MD, Fountain TRT publish “starting at” prices; the final price is set at checkout or after intake, so treat those rows as a floor.
Women's HRT
- 2 providers sell hrt program (estradiol, progesterone, vaginal estradiol, non-hormonal): effective cost runs from $69/mo (Gala, flat monthly price, from) to $218/mo (Hone Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 3 providers sell estrogen tablets + progesterone capsules: effective cost runs from $67/mo (Alloy, estradiol pill ($39.99) + progesterone ($23), from, per month) to $117/mo (AgelessRx). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 2 providers sell estrogen tablets only: effective cost runs from $54/mo (Winona, estrogen tablets, from, per month) to $74/mo (AgelessRx). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- 4 providers sell menopause visits (medication billed separately): effective cost runs from $29/mo (PlushCare, membership + self-pay visit) to $58/mo (Midi Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Labs are in the price only at Hone Health.
- Gala, Winona, Alloy publish “starting at” prices; the final price is set at checkout or after intake, so treat those rows as a floor.
ED
- Only MangoRx offers this among the providers we list, so there is nothing to compare it against yet.
NAD+
- 2 providers sell injection: effective cost runs from $129/mo (HealthRX, 12-month plan ($1,548 billed every 12 months)) to $207/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.
Sermorelin
- 2 providers sell injection: effective cost runs from $143/mo (HealthRX, 12-month plan ($1,716 billed every 12 months)) to $207/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
- Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.
FAQ
What does “effective monthly cost” mean?
It is the cash you would pay for 12 months on the cheapest published plan, divided by 12. It counts intro prices and first-order discounts, renewal credits, prepaid totals and 28-day billing (13 charges a year), so plans with different billing can be compared fairly.
Why are only some providers listed?
We list providers whose affiliate programs we have joined or applied to and that pass our vetting: licensed prescribers, a licensed pharmacy, honest labelling of compounded drugs, a clean regulatory record and no research-use-only products. Providers still awaiting approval link with a plain “Visit site” button. That means this is not every option on the market.
Do affiliate payments change the scores or medals?
No. Every listed provider is an affiliate partner and is scored with the same public rubric. Medals go to the three highest scores in each service, and you can re-weight the rubric to see your own pick.
Are compounded medications FDA-approved?
No. Compounded medications are prepared by a pharmacy for an individual prescription and are not FDA-approved; FDA does not review them for safety, effectiveness or quality before they are sold.
Is this medical advice?
No. This page compares published prices and terms. A licensed clinician decides whether any treatment is appropriate for you.
Sources
Every price and inclusion was read on the provider’s own page on Oct 8, 2026. Ratings are Trustpilot, same date.
- medgm.org/products/compounded-tirzepatide-injection
- medgm.org/products/compounded-semaglutide-injection
- medgm.org/products/compounded-semaglutide-tablets
- healthrx.com/pricing
- joinfound.com/store/compounded-tirzepatide
- joinfound.com/store/compounded-semaglutide
- galaglp1.com/weight-loss/compounded-glp1
- luvohealth.com/medications/compounded-tirzepatide-injection
- luvohealth.com/medications/compounded-semaglutide-injection
- mangorx.com/products/trt
- galaglp1.com/lp/treatable
- bywinona.com/product/progesterone-capsule
- bywinona.com/product/estrogen-tablet
- mangorx.com/products/tadalafil
- healthrx.com/products/nad-injection
- luvohealth.com/medications/nad-injection
- healthrx.com/products/sermorelin-rx
- luvohealth.com/medications/sermorelin
- honehealth.com/how-it-works/
- maleexcel.com/treatments/hrt-costs/
- rexmd.com/testosterone/
- trtnation.com/testosterone-therapy/
- agelessrx.com/womens-hormone-care/
- honehealth.com/womens/menopause-treatment/
- joinmidi.com/pricing-insurance
- plushcare.com/membership
- fountaintrt.com/
- myalloy.com/solutions
- evernow.com/faq
- mymenopauserx.com/
- trustpilot.com/review/medgm.org
- trustpilot.com/review/healthrx.com
- trustpilot.com/review/joinfound.com
- trustpilot.com/review/galahealth.co
- trustpilot.com/review/luvohealth.com
- trustpilot.com/review/mangorx.com
- trustpilot.com/review/bywinona.com
- trustpilot.com/review/honehealth.com
- trustpilot.com/review/maleexcel.com
- trustpilot.com/review/rexmd.com
- trustpilot.com/review/trtnation.com
- trustpilot.com/review/agelessrx.com
- trustpilot.com/review/joinmidi.com
- trustpilot.com/review/www.plushcare.com
- trustpilot.com/review/fountain.net
- trustpilot.com/review/myalloy.com
- trustpilot.com/review/evernow.com
- trustpilot.com/review/mymenopauserx.com
- FDA: Concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026)
- FTC: Endorsement Guides, what people are asking