How much does TRT cost per month?

Short answer: it depends a lot on the formulation, whether you use insurance or pay cash, and whether you go through a telemedicine clinic or an independent prescriber. Typical ranges (all approximate, per month):

• Generic intramuscular injections (testosterone cypionate/enanthate) — $20 to $100/month (cash). Often the cheapest and most common.
• Branded gels/creams (AndroGel, Testim) — $150 to $500+/month.
• Prescription patches (Androderm) — $200 to $600/month.
• Long‑acting IM (e.g., Nebido) — $150 to $400 per injection (given every 10–14 weeks; divide to get monthly cost).
• Subcutaneous formulations (Xyosted) — $200 to $500+/month.
• Oral prescription (Jatenzo) — typically $1,000+/month (expensive).
• Pellets (Testopel) — $500 to $1,500 per insertion; lasts 3–6 months (so $80–$500/month effective).
• Compounded preparations — highly variable ($50–$300+/month), quality and cost vary by compounding pharmacy.

Other costs to include:

• Initial consultation and baseline labs: $100–$400 (or included in some telehealth packages).
• Follow‑up labs every 3–6 months: $50–$200 per panel.
• Telemedicine program fees (if used): $75–$200/month in addition to medication costs for some services.

Specific brands/services you might consider

• Roman and Hims — consumer telehealth platforms that make access easy and show transparent pricing; convenient for starting therapy and home delivery, but plans vary in how much testing/monitoring is included.
• Vault Health — focuses on men’s health and TRT, offers thorough testing and remote monitoring; good if you want a specialized program.
• Defy Medical — an established TRT clinic with experienced providers and more individualized treatment plans (telehealth + in‑person options); tends to be more comprehensive but cost is higher.
• Local compounding pharmacies — can provide customized dosing (subcutaneous or topical) and sometimes lower prices for injections; quality varies so choose a reputable pharmacy with reviews/certifications.

Tips

• If cost is your primary concern, generic intramuscular testosterone from a retail pharmacy is usually the least expensive option.
• Check your health insurance — many plans cover TRT if you have documented low testosterone and symptoms; copays can be modest.
• Don’t skip lab monitoring — that’s required for safety (hematocrit, PSA where appropriate, liver, lipid panel).

If you want, tell me:

• whether you have insurance,
• which formulation you prefer (injection, gel, patch, pellets, oral),
• and your country/ZIP — and I can give a tighter estimate and suggest specific product/pricing or clinics serving your area.