The score, part by part

  1. True monthly cost

    15 of 30

    $175.00 a month in the first year. Not a firm published price.

    Defy's own first-year average is 'under $175 per month', covering testosterone, other medication, labs and consultations. It charges per service and does not itemise its prices, so we used $175. 1–3

  2. What the price includes

    16 of 20

    • Yes: Medication
    • Yes: Ongoing lab tests
    • Yes: Follow-up visits
    • No: Supplies and shipping
    • No: An at-home lab option

    The average covers testosterone, lab tests and consultations. Shipping is not stated. Blood draws are done at LabCorp. 4–8

  3. Treatment options

    10 of 10

    • Yes: Injection
    • Yes: Cream or gel
    • No: Oral
    • Yes: Pellets
    • No: Troche
    • Yes: An option meant to preserve fertility

    Injection, topical and pellets. A nasal gel is also offered but is not one of the forms we score. hCG is offered, and we count it as a fertility option. 9–13

  4. Transparency

    3 of 15

    • No: A firm monthly price
    • No: Every required extra priced
    • No: A list of the states served
    • Yes: A named clinician leading care

    Defy publishes an average only, with nothing itemised and no list of the states it serves. Dr. Justin Saya is named as Medical Director. 1,3,14–16

  5. Public reputation

    19.8 of 25

    Trustpilot 4.8 from 4,282 reviews. Better Business Bureau C-.

    Trustpilot 4.8 from 4,282 reviews. Better Business Bureau C-, with a file opened in 2016. 17–20

Where each fact comes from

  1. 1

    "For a male patient, the average cost for TRT at Defy Medical works out to under $175 per month for the first year."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  2. 2

    "Defy Medical does not charge a monthly fee, and charges are due at the time that the service is purchased."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  3. 3

    Looked for itemised prices consult lab med: not found on this page

    defymedical.com/services/trtread 3 November 2026

  4. 4

    "This calculation includes Testosterone, a weekly aromatase inhibitor (often prescribed alongside TRT), lab work, and consultations."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  5. 5

    "This calculation includes Testosterone, a weekly aromatase inhibitor (often prescribed alongside TRT), lab work, and consultations."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  6. 6

    "This calculation includes Testosterone, a weekly aromatase inhibitor (often prescribed alongside TRT), lab work, and consultations."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  7. 7

    "Print your Lab Requisition form and your photo ID to the nearest LabCorp to complete your testing."

    defymedical.com/services/lab-tests-onlineread 3 November 2026

  8. 8

    Looked for includes supplies shipping: not found on this page

    defymedical.com/services/trtread 3 November 2026

  9. 9

    "Injectable Testosterone"

    defymedical.com/services/trtread 3 November 2026

  10. 10

    "Topical Testosterone"

    defymedical.com/services/trtread 3 November 2026

  11. 11

    "Testosterone Pellets"

    defymedical.com/services/trtread 3 November 2026

  12. 12

    "Testosterone Nasal Gel"

    defymedical.com/services/trtread 3 November 2026

  13. 13

    "For men, TRT plans often include Testosterone alongside supplemental medication like aromatase inhibitors to control Estrogen and HCG to support fertility."

    defymedical.com/faq/what-is-testosterone-replac…read 3 November 2026

  14. 14

    "Your cost for care may be more or less dependent on the severity of your deficiency as well as your symptoms, goals, medication dosages, delivery system(s), and auxiliary medications (if prescribed)."

    defymedical.com/faq/how-much-does-trt-cost-with…read 3 November 2026

  15. 15

    Looked for states served list: not found on this page

    defymedical.com/services/trtread 3 November 2026

  16. 16

    "Defy Medical's care team is led by Dr. Justin Saya, our medical director and lead practicing physician."

    defymedical.com/about-us/team-biosread 3 November 2026

  17. 17

    "Defy Medical Reviews 4,282 • ... 4.8"

    trustpilot.com/review/defymedical.comread 6 November 2026

  18. 18

    "BBB Rating C-"

    bbb.org/us/fl/tampa/profile/clinic/defy…read 3 November 2026

  19. 19

    "BBB File Opened: 6/10/2016"

    bbb.org/us/fl/tampa/profile/clinic/defy…read 3 November 2026

  20. 20

    "See All 4270 Reviews on"

    defymedical.com/about-us/testimonialsread 4 November 2026