How much does TRT cost per month?

Short answer: it depends a lot on the delivery method, whether you have insurance, and whether you use a telemedicine clinic, private practice, or compounding pharmacy. In the U.S. typical monthly costs (all in USD) look like this:

• Generic injectable testosterone (self‑administered, e.g., testosterone cypionate/enantate) + basic telehealth: $50–$200/month.

  • Why: generic vials and syringes are inexpensive; many telemedicine services bundle follow‑ups and labs into a monthly fee.

• Branded gels/patches (AndroGel, Testim, Androderm): $200–$700+/month if paid out of pocket.

  • Why: brand topical products are more expensive; generics reduce cost if available.

• Pellets (clinic insertion every 3–6 months): $500–$2,000 per insertion → roughly $100–$700/month averaged.

  • Why: procedure and provider fees make pellet therapy more costly up front.

• Concierge/endocrinology care (in-person specialist with frequent monitoring): $200–$800+/month depending on meds and visit frequency.

Other ongoing costs to include:

• Initial labs and physical exam: $100–$400 (one‑time).
• Follow‑up labs every 3–6 months: $50–$200 each.
• Additional meds sometimes used (HCG, aromatase inhibitors): $10–$200/month.
• If covered by insurance, your out‑of‑pocket could be just copays or even $0 for medication (if TRT is deemed medically necessary).

Specific services/brands to consider

• Roman — telehealth men’s health company; convenient subscription model that often bundles visits, labs, and meds, good for straightforward TRT cases.
• Hims — similar to Roman; easy online enrollment and refills; costs vary by product (gels vs injections).
• Vault Health — focuses on men’s hormone care and comprehensive testing; good if you want deeper lab monitoring and care coordination.
• Defy Medical — concierge/telemedicine hormone clinic with endocrinology-focused care and individualized dosing; better for complex cases or if you want specialist oversight.
• Local endocrinologist or urologist — best if you have comorbidities or want thorough in-person management.

Practical next steps

1. Check your insurance formulary and prior‑authorization rules for testosterone.
2. Decide delivery form (injection is usually the lowest cost per mg).
3. Ask any provider for a full cost estimate including meds, labs, and follow‑ups.
4. If you want, tell me whether you’re insured and whether you prefer injections, gels, or pellets and I can give a narrower estimate and suggest the best provider option.

Note: TRT should be started and monitored by a clinician (labs and periodic monitoring for hematocrit, PSA, liver function, etc.).