How much does TRT cost per month?

Short answer: it varies a lot by treatment type, medication brand, where you get care, and whether insurance helps. Typical monthly ranges (estimates):

• Generic intramuscular injections (testosterone cypionate/enanthate, self‑injected): $30–$150/month for medication and supplies. This is usually the lowest-cost option if you self‑inject and buy generics.
• Long‑acting injectable (testosterone undecanoate — Aveed/Nebido): $150–$400/month equivalent (each injection is expensive but lasts many weeks).
• Topical gels (AndroGel, Testim, generic gels): $100–$500+/month. Generics are much cheaper; brand names are on the higher end.
• Transdermal patch (Androderm): $200–$400+/month.
• Subcutaneous pellets (Testopel): $200–$700/month equivalent (insertion every 3–6 months; clinic insertion fees make upfront cost high).
• Compounded formulations and creams: highly variable — often $50–$300+/month depending on pharmacy and strength.

Other costs to expect (not always included above)

• Initial evaluation and baseline labs: $100–$400 one time (testosterone, CBC, PSA, metabolic panel).
• Ongoing monitoring labs: ~$50–$200 every 3–6 months.
• Clinic or injection administration fees (if you don’t self‑inject): $20–$100+ per visit.
• Telehealth monthly membership fees (if you use a subscription clinic): $50–$200/month in addition to medication.

Insurance

• If TRT is prescribed for medically documented hypogonadism, many insurers will cover some or all costs, but policies vary and prior authorization is common. Cosmetic/age‑related TRT is less likely to be covered.

Specific brands/services (examples)

• AndroGel, Testim, Axiron — common topical gels (widely available; generics reduce cost).
• Androderm — patch (convenient daily application; tends to be pricier).
• Aveed (U.S.) / Nebido (international) — long‑acting injectable testosterone undecanoate (fewer injections but higher per‑dose cost).
• Testopel — pellets inserted subcutaneously (clinic procedure, longer duration).
• Telehealth clinics: Hims, Roman (Ro), Vault Health, Defy Medical — convenient online evaluation and ongoing care; convenient but add subscription/clinic fees. Costs and quality differ — check patient reviews and whether they include lab monitoring.
• Compounding pharmacies/local pharmacies + GoodRx — good for comparing prices on generics and compounded options.

What to do next

• If you want a tighter estimate, tell me which delivery method you’re considering (self‑injection, gel, patch, pellets), whether you have insurance coverage, and whether you prefer telehealth or in‑person clinic — I can give more specific price examples for your situation.