Guide

Online TRT Prescription: How It Works

Short answer

Yes, you can get a testosterone prescription online. Testosterone is a Schedule III controlled substance, so a licensed provider has to evaluate you, confirm low testosterone with blood work, and write the prescription. Federal rules extended through December 31, 2026 let that evaluation happen by telemedicine. Cost Plus TRT does it for $119 a month, everything included, in 49 states.

Start My TRT Plan

$119 per month. Month to month. Updated October 2026.

Is it legal to get testosterone prescribed online?

Yes. Testosterone is listed in Schedule III of the Controlled Substances Act with the other anabolic steroids, which means it needs a valid prescription from a licensed, DEA-registered provider. 21 CFR 1308.13

A 2008 federal law, the Ryan Haight Act, generally requires at least one in-person medical evaluation before a controlled substance is prescribed over the internet. Since 2020, the DEA and HHS have let practitioners prescribe Schedule II to V medications through audio-video telemedicine without that in-person visit. The current extension runs from January 1 through December 31, 2026 while the DEA finishes a permanent rule. Federal Register

State law also applies: the provider must be licensed in the state where you are. We will update this page when the federal rule changes.

What you need for an online TRT prescription

Blood work showing low testosterone. The American Urological Association guideline requires both low lab values and symptoms for a diagnosis. AUA guideline
Your health history, symptoms, and current medications, collected in the intake.
A visit with a licensed provider who reviews your labs and decides whether treatment is appropriate.
An address in a state the clinic serves.

How it works at Cost Plus TRT

1

Intake

A few questions about your health and symptoms. About five minutes.
2

Labs

Your lab order is included. Get drawn at a lab near you, or share recent labs. The panel covers total and free testosterone with SHBG, PSA, estradiol, and a CBC.
3

Provider visit

A live, scheduled visit with a licensed provider, who reviews your results with you. If TRT is appropriate, they prescribe testosterone cypionate and set your dose.
4

Medication and monitoring

Medication and injection supplies ship to your door. Follow-up labs and visits are included so your provider can monitor your levels.

What gets prescribed

Testosterone cypionate injections are the standard treatment in the plan, with syringes, needles, and alcohol swabs included. When clinically appropriate, your provider may also discuss options such as enclomiphene or gonadorelin as part of hormone management. Those are prescribed only after a medical evaluation. Dose increases above 160 mg per week need provider approval and may cost more.

Signs an online testosterone seller is not legitimate

No blood work required before a prescription.
No visit with a licensed provider.
Testosterone sold without a prescription, or labeled for research use.
No way to tell which states they are licensed in.

What it costs

$119 a month, month to month: lab work, provider visits, testosterone cypionate, injection supplies, and shipping.

The monthly plan has no contract and you can cancel anytime. If you would rather pay ahead, prepay $643 for 6 months (about $107 a month) or $1,142 for 12 months (about $95 a month). Prepaid plans are paid in full up front and renew at the same price until you cancel. Every plan includes the same care.

See pricing.

Plan	Price	Per month	Labs	Terms
TRT Monthly Plan	$119 a month	$119	Included	Month to month, no contract, cancel anytime
6-Month Plan	$643 every 6 months	About $107	Drawn at months 1, 3, and 6	Paid in full up front, renews every 6 months, cancel anytime before renewal
12-Month Plan	$1,142 every 12 months	About $95	Drawn at months 1, 3, 6, and 12	Paid in full up front, renews every 12 months, cancel anytime before renewal

Common questions

Can a doctor prescribe testosterone over telehealth?

Yes. Under the DEA and HHS telemedicine extension in effect through December 31, 2026, a DEA-registered provider can prescribe Schedule III medications such as testosterone after an audio-video telemedicine evaluation, without a prior in-person visit.

Do I need labs before I get a prescription?

Yes. A provider needs blood work to confirm low testosterone. Your lab order is included in the plan, and recent labs you already have can be reviewed. The price is $119 a month either way.

Can I get testosterone online without a prescription?

No. Testosterone is a Schedule III controlled substance and requires a prescription. Sellers who skip the prescription are not legitimate.

What happens to online TRT after 2026?

The current federal extension runs through December 31, 2026, and the DEA is working on a permanent telemedicine rule. We will update this page when it is final.

How much is an online TRT prescription?

At Cost Plus TRT the prescription is part of the plan, $119 a month, that also covers labs, provider visits, medication, supplies, and shipping. Prepaying lowers it: prepay $643 for 6 months (about $107 a month) or $1,142 for 12 months (about $95 a month).

What if the provider does not approve treatment?

If your provider reviews your intake and does not approve treatment, you get $22.20 back on the TRT Monthly Plan, $546.20 back on the 6-Month Plan, or $1,045.20 back on the 12-Month Plan. Once your provider approves treatment, your order is final. Cancel anytime to stop your next renewal.

Get your TRT prescription online

One plan at $119 per month: lab work, provider visits, testosterone cypionate, injection supplies, and shipping. No contract on the monthly plan, and prepaying 6 or 12 months lowers the price.

Start My TRT Plan

Sources

This page is general information, not medical advice. Testosterone is prescribed only when a licensed provider determines it is appropriate for you.