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TRT · Decision Guide

Best Online TRT Clinics of 2026

We reviewed 49 online TRT clinics against five federal public record and certification sources. Only 6 scored 85 or above. They are ordered by Vial Score, nothing else.

Reviewed by the Vial editorial teamRecords checked August 3, 2026Scores refresh daily

Providers cannot pay for a spot on this list. Payment never changes a score or a position.

49
Examined, online TRT providers
5
Checked against public record sources
6
Made the list, scored 85 or above
43
Left off, in the full directory

At a glance

#ProviderVial ScoreMonthly price*StatesBest for
1Hims & Hers87From $99, billed upfront for 3 to 10 months50 states
2LifeForce87Pending50 statesBest for full-body diagnostics
3Marek Health87Pending45 statesBest for lab-guided treatment
4Male Excel86$95 to $132 + $99 membership50 states
5Aspire Health85PendingPending
6Hone Health85$135 to $155 + medsAll 50 statesBest for at-home blood work

*Published prices, checked by hand on August 6, 2026. Each price links to its source. Prices vary by state and protocol and do not affect list order.

The clinics in detail

1

Hims & Hers

87VIAL SCORE

Our searches of the three federal enforcement registers came back with nothing on file, and its certification is on record.

Why it's here

  • Nothing on file across FDA, DEA, and OIG searches.
  • LegitScript certification on file.

What we checked

FDA enforcementNothing on file
DEA enforcementNothing on file
OIG exclusionsNothing on file
Clinician registryNot on file
LegitScript certificationConfirmed
PCAB accreditationNot on file

Worth asking: whether the program prescribes testosterone itself or a medication that supports your own production.

3

Marek Health

Best for lab-guided treatment
87VIAL SCORE

The deepest public record in the category. Marek pairs treatment with comprehensive lab panels, and our search of three federal enforcement registers came back with nothing on file.

Why it's here

  • Nothing on file across FDA, DEA, and OIG searches.
  • One of the most complete disclosure records in our TRT directory.

What we checked

FDA enforcementNothing on file
DEA enforcementNothing on file
OIG exclusionsNothing on file
Clinician registryNot on file
LegitScript certificationConfirmed
PCAB accreditationNot on file
Pharmacy partnersConfirmed

Worth asking: which partner pharmacy fills your prescription. It varies by state.

4

Male Excel

86VIAL SCORE

A men's health platform with a clean federal record across the three enforcement registers we search.

Why it's here

  • Nothing on file across FDA, DEA, and OIG searches.
  • Publishes medication and membership pricing separately and in full.

What we checked

FDA enforcementNothing on file
DEA enforcementNothing on file
OIG exclusionsNothing on file
Clinician registryNot on file
LegitScript certificationConfirmed
PCAB accreditationNot on file

Worth asking: your all-in monthly cost at the dose prescribed.

6

Hone Health

Best for at-home blood work
85VIAL SCORE

At-home test kits and televisits with a documented clinical team. We found no enforcement actions across the three federal registers we check.

Why it's here

  • Clean federal record across FDA, DEA, and OIG searches.
  • Blood work is built into the membership, not sold separately.

What we checked

FDA enforcementNothing on file
DEA enforcementNothing on file
OIG exclusionsNothing on file
Clinician registryNot on file
LegitScript certificationConfirmed
PCAB accreditationNot on file

Worth asking: which pharmacy partner serves your state.

What changed this month

  • Male Excel moved from 85 to 86.
  • Aspire Health moved from 84 to 85, into the top band.

How to choose between them

Do you already have recent labs?

If yes, a program that bills testing separately may cost less overall. If no, ask whether blood work is bundled. It changes the real monthly cost.

Injections, or a daily alternative?

Some programs center on weekly injections, others on daily creams or pills. Confirm the treatment form before you pay for testing.

Does it operate in your state?

Coverage varies across this list. Every profile lists the exact states, sourced from the provider's own disclosures.

Membership or pay-as-you-go?

Memberships bundle visits and refills. Pay-as-you-go costs less if you need little contact. The price notes show which model each clinic uses.

How we chose

  1. 1

    We pulled the records

    FDA, DEA, and OIG enforcement registers, the national clinician registry, and accreditation bodies, for all 49 online TRT providers in our directory.

  2. 2

    We scored what we found

    Each provider gets a Vial Score from 0 to 100. Missing information lowers our confidence in a record. It never counts as a mark against a provider.

  3. 3

    We cut the list at 85

    Only providers scoring 85 or above are listed here. The other 43 remain in the full TRT directory with their scores shown.

What does not move the order: price, advertising spend, or any commercial relationship with Vial. Prices appear on this page for information only. Some links pay us a referral fee. The order is set by the scores alone, and the two are never connected.

Read the full methodology →

Common questions

How does Vial make money?

Referral fees from some provider links, and a paid program that lets providers claim and manage their listing. Neither changes a score or a position on this page.

Why does price not change the ranking?

The order comes from the public record only. Prices are shown to help you budget. We check each one by hand every month and link it to its source. Prices change often and vary by state and dose.

What does the Vial Score measure?

Public records: federal enforcement history, clinician registry matches, certifications and accreditations, and how much of its operation a provider discloses. The full breakdown is on each provider's report.

How current is this page?

Scores refresh daily from the records. The date at the top reflects the most recent check.