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Atlas Score
Scored November 10, 2026 against five published criteria
Patient reviews: Trustpilot 4.7 (5,270 reviews, whole platform, not TRT-specific). Third-party ratings, not verified by us. How they count
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Rex MD is a large men's telehealth brand, best known for ED medication, that also runs a testosterone program. The clinical setup is one of the more careful ones among online providers: you get labs at Labcorp or Quest first, then a video visit with a provider, and follow-up labs at three months and every six months after that.
The trade-off is price. After a $99 first fee for labs and the consult, the subscription runs $250 to $299 a month depending on the medication. That is above most flat-rate competitors in our directory, though it does cover follow-up labs and visits.
Reputation is mixed. Trustpilot shows 4.7 from 5,270 reviews, but that rating covers the whole platform and isn't specific to testosterone. The Better Business Bureau rates Rex MD B-, not accredited, with 48 complaints in the past three years. The recurring themes on both sites are recurring charges, refills billed after canceling, and slow support. We also couldn't find cancellation or refund terms on the TRT pages, so get them in writing before you subscribe.
Figures as published on rexmd.com, checked November 10, 2026. Rex MD doesn't list which medication sits at which end of the monthly range, so ask for your exact price.
| Item | Cost |
|---|---|
| First labs and provider consultation (list price $199) | $99 once |
| Monthly subscription: medication, video consults, messaging, follow-up labs | $250–$299/mo |
| Follow-up labs | Included |
| Component | Cost |
|---|---|
| First labs and consult | $99 |
| 12 months at $250–$299/month | $3,000–$3,588 |
| Year 1 total | $3,099–$3,687 |
If the $99 first fee returns to its $199 list price, add $100.
How billing works: It's a monthly subscription. Rex MD's TRT page doesn't explain how to cancel or whether any charge is refundable, and reviewers on Trustpilot and the BBB report refills charged after they canceled. Ask for the cancellation and refund terms in writing, and keep a record of any cancellation request.
$99 for the first labs and consultation, then $250 to $299 a month depending on the medication. Follow-up labs and video consults are included. Our first-year estimate is $3,099 to $3,687.
Yes. You get labs at Labcorp or Quest before the video visit, again three months into treatment, and every six months after that.
You'll have a video call with a Rex MD-affiliated provider after your lab results come back, and at least one video consult a year after that. The page doesn't say whether the provider is a physician, nurse practitioner, or physician assistant.
We couldn't find cancellation or refund terms on Rex MD's testosterone pages, and some reviewers report being charged after canceling. Ask for the terms in writing before you subscribe.
It lists oral Clomid (clomiphene), which is sometimes prescribed to raise testosterone without shutting down sperm production. It doesn't list hCG, gonadorelin, or enclomiphene. See our guide to TRT and fertility.
No. Rex MD says it doesn't accept insurance. HSA/FSA acceptance isn't stated on the TRT page.
Medical disclaimer: This content is for informational purposes only and is not medical advice. Testosterone replacement therapy requires a prescription and physician supervision. Always consult a qualified healthcare professional before starting treatment.