Yes, PeterMD offers testosterone replacement therapy, and TRT reads as a core service rather than a side offering. PeterMD is a US telehealth practice working with licensed physicians, and it does one thing most of its competitors do not: it publishes its prices in the open, with no intake quiz, no account and no email address required to see them. TRT memberships are listed at $99 per month month to month, $89 per month on a six month prepay term and $79 per month on a twelve month prepay term, and the required baseline blood panel is sold separately as “Step 1 Labs” at $95 (prices checked August 2026).
The short verdict: PeterMD clears the single most important safety bar in online TRT, which is refusing to prescribe a Schedule III hormone without a blood draw, and the panel it requires is the clinically correct one. The one thing to settle before you enroll is ongoing monitoring, because PeterMD does not publish how often it repeats labs once you are on therapy. Ask for that schedule in writing. Details, sources and a side by side comparison against Hone, Defy Medical and Maximus are below.
Does PeterMD offer TRT?
PeterMD offers TRT and markets itself specifically as a men’s hormone clinic, with dedicated testosterone therapy pages, a lab intake flow and monthly testosterone membership products on its own storefront at getpetermd.com. A company press release dated June 10, 2025 describes PeterMD as providing testosterone replacement therapy, hormone optimization, lab testing coordination and ongoing treatment supervision, and lists the practice at 601 21st Street, Suite 300, Vero Beach, Florida.
This matters because PeterMD is a multi vertical telehealth brand, and TRT is not a bolt on here. The lab first intake, the controlled substance workflow and the monthly injectable membership are all built around it. PeterMD also treats erectile dysfunction with FDA approved generic sildenafil and tadalafil, covered in our PeterMD ED review, and it runs a weight loss line built on compounded GLP-1 medication, covered in our PeterMD weight loss review. On the ED side it also sells Mount Everest, a combination tablet pairing tadalafil with PT-141 and oxytocin at a flat published price per tablet; our PeterMD Mount Everest review covers it in full. The three lines use different kinds of product, so do not assume what is true of one is true of another.
What form of testosterone does PeterMD prescribe?
PeterMD’s published membership products describe testosterone cypionate, an injectable ester, as the medication included in its TRT packages. Testosterone cypionate is an FDA approved intramuscular product, not a compounded formulation, which is a meaningful distinction in a market where several telehealth brands rely on compounded hormones that have not been through FDA review.
Several third party review sites report that PeterMD also offers topical gel and nasal formulations. We could not confirm those routes from PeterMD’s own product pages, so treat them as unverified. If route of administration matters to you, ask before you pay: injectable, transdermal and nasal testosterone differ substantially in dosing frequency, absorption and transference risk to partners and children.
Does PeterMD require blood work before prescribing testosterone?
PeterMD requires blood work before prescribing testosterone, and sells the required baseline panel as a distinct product on its own site. The listed “Step 1 Labs” panel is $95 for new patients and includes testosterone (free by dialysis and total), PSA total, CBC with differential and platelets, and LH and FSH. PeterMD’s process notes say a lab requisition is emailed within 48 to 72 business hours after purchase, that the draw is done at an approved outside facility rather than at home, and that results post to the patient portal in roughly 5 to 7 business days.
That is the right shape for a baseline TRT workup, and it is the strongest single thing about the service. Free and total testosterone establish whether hypogonadism is actually present. LH and FSH help distinguish primary from secondary hypogonadism, which changes what treatment is appropriate. PSA and CBC are the two baseline safety markers the Endocrine Society’s 2018 clinical practice guideline specifically calls for, because testosterone raises red cell mass and because prostate cancer risk must be assessed before therapy starts. Providers that hand out testosterone with no bloodwork at all are the genuine red flag in this category. PeterMD is not one of them.
What the baseline panel does not appear to include
Two things are worth knowing so you can ask about them. First, both the FDA label for Depo-Testosterone and the Endocrine Society guideline call for testosterone to be measured on the morning of at least two separate days before hypogonadism is confirmed, and the advertised Step 1 panel is a single draw. Second, the baseline panel as listed does not include a sensitive estradiol assay, a lipid or comprehensive metabolic panel, or SHBG. PeterMD’s separately sold follow up panel does add sensitive estradiol.
How does PeterMD monitor you once you are on testosterone?
PeterMD sells a follow up lab panel covering PSA, CBC, sensitive estradiol, and free and total testosterone, but we could not find a published schedule stating how often that panel is required. That is the clearest documentation gap in the offering, and it is worth resolving directly rather than guessing: third party reviews give conflicting cadences, ranging from follow up at 6 to 8 weeks then every 3 to 6 months, to an unspecified “standard cadence,” and none of them cite a PeterMD source. Ask PeterMD for its written monitoring schedule before you enroll, and get the answer in writing.
The reason to insist on that is straightforward. The Endocrine Society guideline recommends assessing symptoms, adverse effects, adherence, serum testosterone and hematocrit during the first year, and assessing prostate cancer risk 3 to 12 months after starting therapy in men who are candidates for prostate screening. It advises withholding testosterone if baseline hematocrit exceeds 50 percent until the cause is identified, and recommends urological referral for a confirmed PSA rise above 1.4 ng/mL over baseline or a confirmed PSA above 4.0 ng/mL in the first year. Unmonitored testosterone is not a convenience feature. Erythrocytosis is a real and common consequence, and the FDA’s February 28, 2025 class wide labeling action added a warning that all testosterone products increase blood pressure, based on required post market ambulatory blood pressure studies. A provider that answers the monitoring question clearly is doing its job; one that will not put a schedule in writing is telling you something useful.
What does PeterMD TRT cost?
PeterMD publishes TRT membership rates of $99 per month month to month, $89 per month on a six month prepay term and $79 per month on a twelve month prepay term (checked August 2026). Package descriptions on PeterMD’s storefront list testosterone cypionate, an aromatase inhibitor if needed, injection supplies, shipping, physician consults and access to its tracking software. Labs are not listed among the inclusions. The $89 and $79 rates are tied to longer commitments, so confirm the billing schedule and cancellation terms before choosing one.
Budget realistically for month one at roughly $194, combining the $95 baseline panel with a first month at the month to month rate. PeterMD’s marketing states that patients may run lab work through insurance even though the membership itself is cash pay; we could not independently verify how that works in practice, and PeterMD does not bill insurance for the program or medication. HSA and FSA funds are accepted. Cancellation is handled through the online account and should be done before the renewal date. Note that several affiliate review sites claim labs are bundled into PeterMD’s monthly fee. PeterMD’s own storefront sells baseline and follow up labs as separate purchases, so we have weighted the primary source. For wider market context see our TRT cost guide.
PeterMD vs Hone, Defy Medical and Maximus
All four require labs. They differ sharply on whether labs are included, how monitoring is structured, and what is actually being prescribed. Figures below were checked in August 2026 and change frequently.
| PeterMD | Hone Health | Defy Medical | Maximus | |
|---|---|---|---|---|
| Baseline labs required | Yes | Yes | Yes | Yes |
| Pricing published without intake | Yes, listed on public product pages | Partly, tier pricing published | Partly, FAQ ranges published | Yes, listed by protocol |
| Labs included in price | No, $95 baseline panel sold separately | Diagnostic kit charged upfront, recurring labs included in higher tiers | No, pay per service, panels commonly $250 to $500 | Yes, at home CLIA kits included with testosterone protocols |
| Draw type | Outside lab facility | At home kit or lab draw | Outside lab facility | At home kit |
| Published monitoring cadence | Not published, follow up panel sold separately | Membership tier dependent, roughly every 6 months on entry tier | Clinician set, follow up consults billed individually | Protocol dependent |
| Delivery form | Injectable testosterone cypionate | Injectable cypionate or cream | Injectable, topical and adjunct therapies | Oral enclomiphene protocols and injectable testosterone |
| Typical monthly cost | $79 to $99 membership by term, labs extra | Roughly $135 to $155 membership plus medication | Roughly $200 to $300 all in once stable | $99.99 to $199.99 and up by protocol and billing term |
| State coverage | TRT labs not offered in AL, ID, NY, NJ; limited in 9 more | Approximately 35 states | Not verified for this update | Varies by product |
| Insurance | Not accepted for program, HSA/FSA yes | Not accepted, HSA/FSA yes | Not accepted, superbills available | Not accepted |
The structural read: Maximus bundles labs but leans on enclomiphene rather than exogenous testosterone in its headline protocols, which is a clinically different intervention. Defy Medical is the most physician intensive and the most expensive, and Hone sits in the middle with at home diagnostics. PeterMD is the cheapest membership of the four and the most upfront about what it charges, with labs priced separately at $95 rather than folded into the fee. Our full ranking is in best online TRT clinics for 2026.
How does testosterone being a controlled substance affect online TRT?
Testosterone is a Schedule III controlled substance in the United States, classified as an anabolic steroid under the Anabolic Steroid Control Act of 1990, and that constrains how any telehealth provider can prescribe it. Schedule III prescriptions cannot be refilled more than five times or more than six months after the date of issue, which is why online TRT runs as a subscription with periodic reauthorization rather than an open ended refill.
Remote prescribing of controlled substances without a prior in person exam currently operates under temporary federal flexibilities. The DEA and HHS issued a fourth temporary extension on December 31, 2025, continuing those flexibilities through December 31, 2026; a final rule has not been issued. If you start online TRT now, ask your provider what its plan is if the flexibilities lapse or a final rule imposes an in person requirement. Some states also restrict telehealth controlled substance prescribing more tightly than federal rules do.
Can PeterMD prescribe testosterone in every state?
Not everywhere. PeterMD’s own lab product pages state the service is not available in Alabama, Idaho, New York or New Jersey, with limited availability in Alaska, Hawaii, North Dakota, Nebraska, Vermont, South Dakota, West Virginia, Montana and Minnesota. Because the baseline draw is a gate to treatment, a state where PeterMD cannot run the panel is effectively a state where it cannot start you on TRT. PeterMD’s press materials describe availability in all 50 states with a caveat that telemedicine availability may vary; that appears to describe the company overall rather than TRT specifically, so verify your own state at intake before paying anything.
Three questions to ask PeterMD before you enroll
- What is the written follow up lab schedule, and what does each panel cost? This is the one gap in an otherwise well structured intake, and it is the question that matters most for safety.
- Under what circumstances would an aromatase inhibitor be added? PeterMD’s package descriptions list one as included “if needed.” The 2018 Endocrine Society guideline suggests against routine use of aromatase inhibitors in men on testosterone therapy, and over suppression of estradiol in men is associated with measurable loss of lumbar spine bone mineral density. There are legitimate individual cases for one, so the useful question is what triggers the decision and how it is documented.
- What is the actual prescribing plan for me? At least one PeterMD package is described as including testosterone cypionate up to 200 mg weekly. For reference, the FDA label for Depo-Testosterone lists 50 to 400 mg every two to four weeks for replacement in hypogonadal men. We are not recommending any dose. The point is that a milligram ceiling in a marketing bullet is a product tier rather than a protocol, and it should not be read as a target or an entitlement.
Who PeterMD TRT suits, and who should go elsewhere
PeterMD suits you if you are a cash paying US man who wants injectable testosterone cypionate at a transparent, low membership price, you live in a state PeterMD serves, you are comfortable going to an outside draw site, and you will actively ask for and pay for follow up labs rather than assuming they are scheduled for you. The $79 to $99 range is genuinely competitive, the baseline panel is appropriate, and being able to see the full price before handing over an email address is a real advantage over competitors that gate pricing behind an intake quiz.
Go elsewhere if you want labs bundled so monitoring cannot quietly lapse, in which case a membership with included recurring testing is a better structural fit. Go elsewhere if you have a complicated case, such as fertility concerns, an elevated baseline hematocrit or PSA, or prior cardiovascular disease, where a physician intensive practice like Defy Medical is worth the premium. Go elsewhere if you want at home draws, or if you live in Alabama, Idaho, New York or New Jersey. And if you are primarily seeking treatment for erectile dysfunction rather than confirmed low testosterone, TRT is the wrong starting point; see our PeterMD review for the ED side of the service.
Frequently Asked Questions
Does PeterMD prescribe testosterone?
Yes. PeterMD prescribes testosterone replacement therapy through US licensed physicians and lists testosterone cypionate, an FDA approved injectable, in its monthly membership products. TRT is one of its main service lines alongside erectile dysfunction and weight loss treatment.
Does PeterMD require blood work for TRT?
Yes. PeterMD requires a baseline blood panel before prescribing testosterone. Its new patient panel, listed at $95, covers free and total testosterone, PSA, CBC with differential and platelets, and LH and FSH, and the draw is done at an approved outside lab facility rather than at home. That panel covers diagnosis, the primary versus secondary distinction, and the two baseline safety markers the Endocrine Society calls for.
How much does PeterMD TRT cost?
PeterMD publishes TRT memberships at $99 per month month to month, $89 per month on a six month prepay term and $79 per month on a twelve month prepay term (checked August 2026). Labs are billed separately, so a realistic first month is roughly $194 including the $95 baseline panel. Insurance is not accepted for the program, though HSA and FSA funds are.
Are labs included in PeterMD’s monthly price?
No. PeterMD sells both its baseline panel and its follow up panel as separate products on its own storefront, and labs are not listed among the membership inclusions. Some third party review sites claim labs are bundled into the monthly fee, which conflicts with PeterMD’s own pricing pages.
How often do you need blood tests on TRT?
The Endocrine Society recommends monitoring symptoms, adverse effects, adherence, serum testosterone and hematocrit during the first year of therapy, and assessing prostate cancer risk 3 to 12 months after starting in men who are prostate screening candidates. PeterMD does not publish its own required cadence, so ask for the written monitoring schedule before enrolling.
Is online TRT safe?
Online TRT can be safe when the provider requires baseline labs, repeats them on a defined schedule, and tracks hematocrit, PSA and blood pressure. It is not safe when testosterone is prescribed without bloodwork or without follow up testing, because erythrocytosis and blood pressure elevation are known effects. The FDA’s February 2025 class wide labeling action removed the boxed warning about adverse cardiovascular outcomes following the TRAVERSE trial while adding a warning that all testosterone products raise blood pressure.
Can PeterMD prescribe testosterone in my state?
Not everywhere. PeterMD’s lab product pages state the service is unavailable in Alabama, Idaho, New York and New Jersey, and limited in Alaska, Hawaii, North Dakota, Nebraska, Vermont, South Dakota, West Virginia, Montana and Minnesota. Because the baseline draw gates treatment, those restrictions effectively limit where PeterMD can start TRT. Confirm your own state at intake.
Is testosterone a controlled substance?
Yes. Testosterone is a Schedule III controlled substance in the US under the Anabolic Steroid Control Act of 1990. Schedule III prescriptions are limited to five refills and expire six months after issue, and remote prescribing without a prior in person exam currently depends on temporary DEA and HHS telemedicine flexibilities extended through December 31, 2026.
Does PeterMD use compounded testosterone?
PeterMD’s published TRT packages list testosterone cypionate, which is an FDA approved product rather than a compounded formulation. Its ED line likewise uses FDA approved generic sildenafil and tadalafil. Its weight loss line is different: the GLP-1 medication described there is compounded and not an FDA approved finished product, so do not assume the standard carries across verticals. We could not verify third party reports that PeterMD also offers gel or nasal testosterone.
Sources
- PeterMD, “Step 1 Labs $95: Free and Total Testosterone, PSA, CBC, FSH and LH (new patients)” product page, getpetermd.com/product/step-1-labs/ (accessed August 2, 2026)
- PeterMD, “Follow Up Labs: PSA, CBC, Sensitive Estradiol, Free and Total Testosterone” product page, getpetermd.com (accessed August 2, 2026)
- PeterMD, TRT membership and pricing pages, getpetermd.com/mens-trt/ and getpetermd.com/product/ (accessed August 2, 2026)
- PeterMD, “PeterMD Announces Official Website Update Featuring Telemedicine Services for Men’s Hormone Health and TRT Support,” GlobeNewswire, June 10, 2025 (accessed August 2, 2026)
- US Food and Drug Administration, “FDA issues class-wide labeling changes for testosterone products,” February 28, 2025, fda.gov/drugs/drug-alerts-and-statements/fda-issues-class-wide-labeling-changes-testosterone-products (accessed August 2, 2026)
- US Food and Drug Administration, Depo-Testosterone (testosterone cypionate injection, USP CIII) prescribing information, accessdata.fda.gov/drugsatfda_docs/label/2025/085635s028lbl.pdf (accessed August 2, 2026)
- Bhasin S, et al., “Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline,” Journal of Clinical Endocrinology and Metabolism, 2018;103(5):1715-1744, academic.oup.com/jcem/article/103/5/1715/4939465 (accessed August 2, 2026)
- US Drug Enforcement Administration, Diversion Control Division, Controlled Substance Schedules, deadiversion.usdoj.gov/schedules/schedules.html (accessed August 2, 2026)
- Drug Enforcement Administration and Department of Health and Human Services, “Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications,” Federal Register, December 31, 2025, federalregister.gov/documents/2025/12/31/2025-24123/ (accessed August 2, 2026)
- Hone Health, “Men’s Hormone Replacement Therapy (HRT) Membership Payment Breakdown,” help.honehealth.com (accessed August 2, 2026)
- Defy Medical, “How much does TRT cost with Defy Medical?” defymedical.com/faq/ (accessed August 2, 2026)
- Maximus, “Online Testosterone Therapy and TRT Treatments for Men,” maximustribe.com/testosterone (accessed August 2, 2026)
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