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How Much Does a TRT Alternative Cost?

November 3, 2026

Medically reviewed by Dr. Garrett Wdowin, NMD, ABAAHP, FAARM

At Vitality Rx, getting started costs $149 for the Vitality Test™, an at-home hormone test kit that includes a telemedicine consult to review your results. There’s no further obligation after that consult. If a clinician determines you’re eligible, the optional Reboot Program™ is $199 per month, with no hidden or additional costs. Insurance isn’t accepted, but HSA and FSA cards are.

What does the $149 Vitality Test include?

  • An at-home blood collection kit using a nearly painless, FDA-cleared upper-arm device
  • Lab analysis of free testosterone, total testosterone, LH, SHBG, estradiol and PSA
  • Prepaid overnight FedEx shipping to the lab
  • A telemedicine consult with a men’s health clinician to review your results

Read how at-home hormone testing works for the step-by-step process.

What does the $199/month Reboot Program include?

For men who qualify, the Reboot Program is designed to support and rebalance your body’s natural hormone production rather than replace it. Each month includes:

  • A monthly prescription kit, a compounded capsule personalized by your clinician. Ingredients may include enclomiphene, DHEA, 7-Keto DHEA, progesterone and, only if needed, anastrozole.
  • Daily customized vitamin packs of single-ingredient, clinical-grade supplements, pre-sorted into daily packs.
  • Follow-up Vitality Tests and telemed consults so your clinician can check your progress and adjust your plan.

See the full breakdown on our pricing page.

Why does follow-up testing matter for cost?

Periodic testing is part of the program, not an add-on. It lets your clinician track your actual numbers over time and fine-tune your plan, so you’re not paying for a protocol that isn’t measured.

How does this compare with the cost of TRT?

TRT pricing varies widely by provider, delivery method (injections, pellets or creams), lab work and visit fees, so it’s worth asking any provider for an all-in monthly number. Cost isn’t the only factor. TRT replaces testosterone from outside the body, which can suppress your natural production and sperm production. An approach built around enclomiphene aims to stimulate your own production instead. Learn more in Enclomiphene vs. TRT: A Different Approach. A clinician can help you weigh which option fits your goals.

Does insurance cover it?

No. Vitality Rx is cash-pay and doesn’t accept insurance, but you can use an HSA or FSA card.

Is everyone eligible for the Reboot Program?

No. Eligibility depends on your lab results, symptoms and medical history, as reviewed by a clinician from our partner medical practice. The prescription program is currently available in select states; the test kit is available in all 50. Check the FAQ for the current state list.

Can I buy just the vitamins?

Yes. Vitality Packs, personalized daily vitamin packs, are available on their own. Browse the stacks on our vitamins page.

Will I have to pay for this forever?

The program is designed to reboot your body’s own testosterone production, not to replace it, so it isn’t built around lifelong dependence. How long you stay on it is a decision you make with your clinician based on your goals and follow-up results.

What’s the first step if I’m not sure I need treatment?

Start with testing. Many men with symptoms like fatigue or low libido aren’t sure whether hormones are the cause. The $149 Vitality Test gives you a clear picture of six key biomarkers and a consult to talk through them, and there’s no further obligation after the consult. The Reboot Program is optional. If your results are in a healthy range, your clinician can talk through other factors such as sleep, stress, nutrition and exercise.

Are there extra fees for consults or shipping?

The test kit includes overnight shipping to the lab and your results consult. The Reboot Program price includes the monthly prescription kit, vitamin packs and follow-up testing and consults, with no hidden or additional costs listed on the pricing page.

Key takeaways

  • The Vitality Test is $149 and includes a telemed consult, with no further obligation.
  • The Reboot Program is optional and costs $199/month for eligible men, with no hidden costs.
  • Each month includes a prescription kit, daily vitamin packs and follow-up testing.
  • No insurance; HSA/FSA cards accepted.
  • Eligibility is decided by a clinician after reviewing your results.

Ready to know your numbers? Order the Vitality Test™ — an at-home hormone test kit that includes a telemedicine consult to review your results.

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