How much does TRT cost in Canada?

Two kinds of number are on this page and each says which it is. A published charge is exactly what the provider displays, with the page and the date. An editorial estimate is this site's arithmetic from those published charges, shown with its assumptions and its exclusions. Where a fee is not published, the estimate is a subtotal plus unconfirmed fees, not a total. Products and quantities differ between providers and are not equivalent, so the table does not say which is cheaper.

• Per month and per year
• Each part of the bill
• Before the first prescription
• Yearly estimates by provider
• Public plans and insurance
• "Free" consultations
• Why prices differ
• Common questions

How much does TRT cost per month and per year in Canada?

It depends on which number you mean. The medication alone is the smallest part: provincial formularies price a 10 mL vial of generic testosterone cypionate at $34.88, before the pharmacy's markup and dispensing fee. A full care budget adds the visits, the blood work, any service or renewal fees and the dispensing fee on every fill. Across the 5 services that publish enough to estimate, this site's yearly subtotals run from $636 to $2,860, or about $53 to $238 a month when a year is spread over twelve. All amounts are in Canadian dollars. The parts of the bill and the estimates by provider follow, each with its date and its assumptions.

What each part of TRT costs in Canada

Before any one provider, the bill has the same parts everywhere: the visits, the blood tests, the medication, the pharmacy's dispensing fee and, for injections, the supplies. The table gives what each part costs on its own, from provincial formularies, lab price lists and fee schedules, each with its source and date. Medication prices are per vial, packet or capsule, because how long a vial lasts depends on the prescribed dose.

Whether your province's drug plan pays for the medication, and who each plan covers, is on the drug plan coverage page. Every cypionate product listed in Canada, with its vial price and supply record, is on the testosterone cypionate page.

What do I pay before my first prescription?

Before treatment starts there is usually an intake or assessment, an order for blood work, the blood work itself and a consultation to review it. Services differ in which of these they charge for. The table shows what each provider publishes for those steps and for the dispensing fee at the first fill, next to this site's estimate for a first year and for an ongoing year, so the start-up cost is not confused with the running cost. "Not confirmed" means the service does not publish the charge; it is not a zero.

Estimated overall TRT costs

What a year of treatment is estimated to come to with each provider, on the same basis, for an ongoing year rather than a first year. Each figure is this site's arithmetic from the charges that provider publishes, and each is a subtotal plus the fees that provider does not publish. Nothing here says which provider is cheaper for any particular person: the products and the quantities differ, coverage differs, and what is missing from one estimate is not missing from another.

Ongoing year, not the first year. Estimates calculated 30 September 2026 from published charges and re-verified before publication. The monthly figure spreads the yearly estimate over twelve months so that two providers can be compared on the same basis; it is not a bill anyone sends. Every figure is a subtotal plus unconfirmed fees, so it is a floor rather than a total, and products and quantities differ between providers and are not equivalent.

Every figure in this table is an editorial estimate by this site, not a price any provider quotes. Editorial estimate, assumptions shown.Inputs and arithmetic in estimates.csv, calculated by this site, checked 23 September 2026

Published medication price and estimated cost, by provider

Every estimate is a calculation example from published charges, not a claim about typical use and not a dose. Actual usage, product and province change the result. The inputs, the arithmetic and the assumptions for every figure are in estimates.csv, and the published charges are unchanged in the category tables below and in cost-components.csv.

Is TRT covered by provincial health plans or private insurance?

• Clinician visits: insured by your provincial health plan when you see a family physician, nurse practitioner or specialist. Online and private services are not covered by public plans.
• Laboratory tests: insured when a clinician orders them for a medical reason. Some tests are uninsured and charged by the lab, and tests you order yourself are paid privately.
• Medication: covered by your province's drug plan only if the plan lists the product, you meet its criteria and you are someone the plan covers, then after its deductible or co-payment. Private insurance may cover it instead.

In most provinces a family physician or nurse practitioner visit is publicly insured, and the blood test that confirms low testosterone is publicly covered when a clinician orders it for a medical reason. What varies is the medication. British Columbia requires Special Authority for injectable testosterone. Ontario lists the injections, gels and oral capsules under Limited Use, which requires confirmed morning low testosterone with a documented cause. Most other provinces list the injections as regular benefits and put gels behind special authorization. The status in all ten provinces, with who each plan covers and the date it was checked, is on the drug plan coverage page.

Online and in-person private services are not covered by public plans. Some private fees are eligible under workplace or personal insurance, which is a question for the insurer rather than the provider.

Published charges in seven categories

Each category is listed in the same order everywhere on this site, with injection supplies under other charges and cancellation under service terms. Figures are what the provider displays, in Canadian dollars, on 12 September 2026, with the billing interval where one is stated. A bundled item reads "included in" the named fee rather than being counted twice.

• Membership or subscription
• Initial assessment and onboarding lab requisition
• Practitioner consultation
• Laboratory testing
• Medication and dispensing fee
• Follow-up or prescription renewal
• Shipping
• Other charges
• Service terms

Membership or subscription

A recurring fee for access to the service, stated with its billing interval.

Not confirmed for this category, nothing published: Gambit, Gameday Men's Health, Jack Health, MHC, Phoenix, Science & Humans, Sovereign Male, UPGUYS.

Initial assessment and onboarding lab requisition

What is charged before anyone is seen: the intake or assessment, and the order for the first blood work. A requisition is not the test itself.

Not confirmed for this category, nothing published: Enhanced Men's Clinic, Gameday Men's Health, MHC, Sovereign Male.

Practitioner consultation

Time with the prescriber. Where a provider includes it in another fee, it reads "included in" that fee rather than being counted twice.

Not confirmed for this category, nothing published: Enhanced Men's Clinic, Gambit, Gameday Men's Health, MHC, Phoenix, Sovereign Male.

Laboratory testing

What the laboratory charges for the test. Depends on the province and on whether the test is publicly insured.

Not confirmed for this category, nothing published: Essential Clinic, Gameday Men's Health, MHC, Phoenix, Science & Humans, Sovereign Male.

Medication and dispensing fee

The testosterone product and the pharmacy dispensing fee, shown as two amounts where both are published.

Not confirmed for this category, nothing published: Gambit, Gameday Men's Health, MHC, Phoenix, Sovereign Male.

Follow-up or prescription renewal

Repeat visits, renewals and result reviews after the first prescription, with the interval.

Not confirmed for this category, nothing published: Enhanced Men's Clinic, Gambit, Gameday Men's Health, MHC, Phoenix, Sovereign Male.

Shipping

Delivery of the medication.

Not confirmed for this category, nothing published: Enhanced Men's Clinic, Gambit, Gameday Men's Health, MHC, Science & Humans, Sovereign Male.

Other charges

Needles, syringes and sharps disposal where charged separately.

Not confirmed for this category, nothing published: Essential Clinic, Gambit, Gameday Men's Health, Jack Health, MHC, Phoenix, Science & Humans, Sovereign Male, UPGUYS.

Service terms

What happens to fees already paid if someone stops.

Not confirmed for this category, nothing published: Enhanced Men's Clinic, Essential Clinic, Gambit, Gameday Men's Health, Jack Health, MHC, Phoenix, Sovereign Male, UPGUYS.

Does a free consultation mean TRT is free?

No. A service that charges nothing for the consultation still charges for the medication, and the pharmacy that fills it charges a dispensing fee, separately or inside the medication price. Lab tests your province does not insure, renewals and supplies may also be charged. Read what a published offer includes, and treat anything it does not mention as not confirmed rather than free. The first-prescription table shows what each service publishes.

Why do online TRT prices differ?

Four things explain most of the difference: the billing interval (a month, three months, a four-month supply or a year), the product and quantity assumed, whether a membership or programme fee is charged on top of the medication, and how much of the bill a service publishes at all. A lower subtotal with more unpublished charges is not a cheaper service.

• "No consultation fee" is not the same as no cost. Ask what the pharmacy charges to dispense, what the laboratory charges, and what a renewal costs.
• A lab requisition is the order for blood work. It is not the blood work, and it is not a statement that the blood work is publicly covered.
• A price for a seven-week or ten-week supply is not a monthly price. The billing interval matters as much as the number, which is why the estimate column converts it and says how.
• A subscription that includes clinical care may exclude medication, and the reverse happens too.
• Promotional first-visit pricing is not the ongoing price, which is why the first year and an ongoing year are estimated separately.

Next: compare the providers field by field, or read what follow-up on treatment involves so the ongoing charges make sense.

Common questions

How much is TRT per month in Canada?

Spread over a year, and counting every fee each service publishes, this site's estimates work out to these amounts a month, lowest first: UPGUYS about $53 to $103; Jack Health about $73 to $157; Essential Clinic about $109 to $122; Science & Humans about $127 to $157; Enhanced Men's Clinic about $192 to $238. These are subtotals: lab tests and any fees a service does not publish are extra. A headline monthly fee on its own is not the full cost.

Is TRT covered by provincial drug plans?

Often in part, with conditions, and only for people the plan covers. Alberta, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia and Saskatchewan list injectable testosterone as a regular benefit. The Ontario Drug Benefit lists it under Limited Use and BC PharmaCare under Special Authority, both of which require a documented cause. Gels are the least covered form. What you pay then depends on the plan's deductible or co-payment. All ten provinces are set out on the drug plan coverage page.

How much does testosterone cost in Canada without insurance?

Provincial formularies price a 10 mL vial of generic testosterone cypionate at $34.88 and a 5 mL vial of generic enanthate at $35.59, each holding 1,000 mg. Generic 1% gel is $2.96 a 5 g packet and oral undecanoate $0.56 a capsule. The pharmacy adds its markup and a dispensing fee, usually $5 to $13 a prescription. A TeleTest survey reported cash prices of $32.99 to $52.79 for a cypionate vial at four pharmacy chains, fee included. How long a vial or pack lasts depends on the prescribed dose.

How much is 3 months of testosterone in Canada?

It depends on the form and the prescribed dose. At the dose in the Canadian testosterone cypionate monograph, 200 mg every two weeks, three months uses about 1,300 mg, a little more than one 10 mL vial. Provincial formularies price that vial at $34.88 before the pharmacy's markup and dispensing fee, and a June 2026 survey found cash prices of $32.99 to $52.79 a vial. Blood tests, service fees and supplies are extra. Your own dose is set by your prescriber.

How much does a vial of testosterone cypionate cost in Canada?

Provincial formularies in Ontario, Alberta and Saskatchewan price a 10 mL vial (1,000 mg) at $34.88, and Newfoundland and Labrador lists $38.02 with its markup included. The pharmacy adds its markup and dispensing fee. On 28 September 2026 one cypionate product was marketed in Canada; the testosterone cypionate page has the product list, prices, drug plan status and supply record.

What costs are hidden in TRT pricing?

The charges most often left out of a headline price are the medication itself, dispensing fees, renewal or programme fees every few months, lab tests, injection supplies and shipping. The tables on this page show, for every provider, which of these it publishes, which it includes in another fee, and which it does not mention.