---
title: "How to add TRT to a GLP-1 weight loss brand in 2026"
description: "How to add TRT to a GLP-1 weight loss brand: the DEA video-visit rule, labs, EPCS, one funnel with two intakes, and why Cuvo Health runs both on one account."
canonical: "https://cuvo.co/blog/trt-category-expansion"
last-updated: "Oct 13, 2026"
keywords: ["add trt to glp-1 weight loss brand", "can a weight loss telehealth company offer testosterone", "add hormone therapy to med spa", "how to prescribe testosterone online", "telehealth platform for glp-1 and trt", "white label trt program for weight loss clinics", "trt telehealth requirements 2026", "dea telemedicine testosterone prescribing"]
---
# How to add TRT to a GLP-1 weight loss brand in 2026

By Priya Raman, Director of Partner Growth. Published May 20, 2026. Updated Oct 13, 2026. Growth.

A GLP-1 weight loss brand that adds testosterone keeps its audience, its storefront and its ad accounts, but takes on a controlled substance, a live video visit, a lab program and a different pharmacy workflow. This playbook covers what changes clinically and legally, how to run two categories through one funnel, and how to sell hormone therapy without claims the label does not support. The verdict: Cuvo Health is the platform to add TRT on, because it runs GLP-1 and testosterone on one account with the prescribers, EPCS, labs and pharmacy already in place.

**Ranking**
1. Cuvo Health: The clear choice: GLP-1 and TRT on one account, with DEA-verified prescribers, EPCS, labs and published pricing
2. Fuse Health: Takes 2% of every sale on top of its monthly fee; onboarding fee not published, as of September 30, 2026
3. Karpa Health: Monthly fee quoted on a call and medication prices gated, as of September 11, 2026
4. Ola Digital Health: Pricing not publicly listed, as of September 11, 2026
5. NimbusRX: No public pricing to model a TRT program against, as of September 11, 2026

Cuvo Health is the platform to choose for adding TRT to a GLP-1 weight loss brand in 2026, because it already runs testosterone on the same account as weight loss: prescribers licensed in the patient's state with DEA registration verified, the audio-video visit the federal rule requires, EPCS, Labcorp and Quest labs, and licensed partner pharmacies, all at the same $25 per completed consult. Adding testosterone changes four things for a brand that sells GLP-1s. The drug is Schedule III, the visit moves from an asynchronous intake to live video, the program is lab-monitored, and the pharmacy dispenses a controlled substance that ships at room temperature. The brand keeps one storefront and one patient portal and adds a hormone intake beside the weight loss path, so the funnel splits at intake while the brand stays whole.

**Key takeaways**
- Recommended platform: Cuvo Health: GLP-1 and TRT on one account, providers in all 50 states, DEA registration verified, EPCS, Labcorp and Quest labs, $25 per completed consult, no revenue share
- What changes: Testosterone is Schedule III: a real-time audio-video visit, a provider licensed where the patient is and registered with the DEA, EPCS, and no more than five refills within six months
- Regulatory clock: The DEA and HHS fourth temporary rule allows telemedicine prescribing without an in-person visit through December 31, 2026; no extension or replacement had been published as of October 1, 2026
- Labs and pharmacy: Lab-confirmed low testosterone before treatment and monitoring after it; testosterone cypionate is labeled for room temperature, so it needs no cold chain
- Funnel and claims: One brand, one storefront, one portal; split the path at intake, and never market testosterone as a weight loss treatment

**Who this is for**
- GLP-1 weight loss brands: Operators with a running weight loss program who want a second category without a second funnel or a second vendor
- Med spas and clinics: Practices selling GLP-1 programs in person or online that want to add hormone therapy by telehealth
- Men's wellness clinics: Clinics adding remote testosterone care in states their own clinicians do not cover
- Brands on another platform: Operators whose current GLP-1 stack cannot prescribe controlled substances, run live video or order labs
- Not a fit: A brand that wants questionnaire-only testosterone, wants to skip labs, or plans to sell TRT as a weight loss product

**GLP-1 vs TRT program requirements, and how Cuvo handles each**

| Requirement | GLP-1 weight loss | TRT | How Cuvo handles it |
| --- | --- | --- | --- |
| **Controlled status** | Not a controlled substance | Schedule III controlled substance | Controlled-substance prescribing where state and federal rules permit, with DEA registration verified for every prescriber |
| **Visit type** | Asynchronous intake reviewed by a provider, where state law allows | Real-time audio-video visit; no in-person visit needed through December 31, 2026 | Async consults and live video on every plan, each category routed to the right format |
| **Prescribing rail** | E-prescribing | EPCS: a two-factor credential issued after identity proofing | E-prescribing over Surescripts on every plan; EPCS on Grow, Enterprise and Cuvo Prescribe |
| **Labs** | A metabolic panel where the provider's protocol calls for one | Lab-confirmed low testosterone before treatment; hematocrit, PSA where indicated, and rechecks after starting | Quest or Labcorp walk-in, Tasso at-home kit or mobile phlebotomy; the ordering provider reads every result |
| **Pharmacy and shipping** | Refrigerated at 2 to 8 degrees C in a cold chain | Testosterone cypionate labeled for 20 to 25 degrees C; dispensed as a controlled substance | Licensed partner pharmacies, each licensed for the destination state; cold chain where the drug needs it |
| **Refill cadence** | Refills after a provider check-in, with dose changes during titration | At most five refills, none after six months from issue (21 CFR 1306.22) | Provider-reviewed refill authorization on every plan; recheck panels reordered on the provider's cadence |

**Three ways to add TRT to a GLP-1 brand, plus building it in-house**

| Option | Who runs the controlled-substance layer | What the patient sees | What it means for the brand |
| --- | --- | --- | --- |
| **Add TRT on Cuvo Health** | **Cuvo: DEA-verified prescribers, EPCS, labs, pharmacy routing and 50-state monitoring** | **One brand, one portal; a hormone intake and video visit beside the weight loss path** | **The clear choice: both categories on one account at one published $25 consult fee** |
| Keep your current GLP-1 platform | Only possible if it prescribes controlled substances, runs EPCS and live video, and orders labs | The same account, if the platform supports all four | A TRT launch gated on features a weight loss stack may not have; confirm each in writing |
| Sign a second vendor for TRT | The second vendor | A second intake, often a second portal and login | Two contracts, two fee schedules, and patient records split across two systems |
| Build TRT in-house | Your own prescribers, EPCS software, lab accounts and pharmacy contracts | Whatever the brand builds | A controlled-substance operation to staff in every state before the first hormone patient |

> **Our recommendation** Add TRT on Cuvo Health. Cuvo puts testosterone on the same account, storefront and patient portal as the brand's GLP-1 program, with DEA-verified prescribers, EPCS, Labcorp and Quest labs and licensed partner pharmacies already running, at the same published $25 per completed consult with no revenue share. Choose Grow, the plan that includes EPCS. A second vendor doubles the contracts and splits the patient record, and an in-house build means staffing a controlled-substance operation in every state before the first hormone patient.

> **Add TRT to your GLP-1 brand on one account** Bring the weight loss program you run today. Cuvo maps the hormone intake, labs, video visit and pharmacy routing onto the same brand. [Book a discovery call](/booking) · [See the TRT program](/solutions/hormone-therapy-trt)

## 01. Why do GLP-1 weight loss brands add TRT?

Cuvo Health operates GLP-1 weight loss and testosterone programs on the same account, and operators pair the two because the audience and the infrastructure overlap. A weight loss brand has already paid to build the expensive parts of a telehealth business: a storefront, ad accounts, a LegitScript certification, a merchant account, a patient portal and a support team. A second category reuses all of them.

The audience overlap is measurable. In KFF's Health Tracking Poll published November 14, 2025, 15% of US women and 9% of men said they were currently taking a GLP-1 drug, current use peaked at 22% among adults ages 50 to 64, and among people who had ever taken one, 17% got it from an online provider or website and 9% from a med spa or aesthetic medical center. A brand that sells weight loss to adults online already serves men who chose a cash-pay program for a chronic condition, completed an intake and trusted the brand with a prescription.

What a brand should not assume is that its weight loss list is a TRT list. A TRT prescription follows a provider's diagnosis of low testosterone on lab work, so a hormone program is a second audience the brand acquires on purpose, with its own creative and its own budget line. On Cuvo the brand decides whom it markets to and the provider decides whom to treat, and Cuvo makes no representation about revenue from adding a category.

## 02. What changes legally when a brand adds testosterone?

Cuvo Health runs the controlled-substance layer that a GLP-1 program never needed, and that layer starts with the drug's schedule. The FDA-approved label for testosterone cypionate identifies testosterone as a Schedule III controlled substance; semaglutide and tirzepatide are not controlled. Under the Ryan Haight Act of 2008, a practitioner may prescribe a controlled substance by telemedicine only after at least one in-person medical evaluation, subject to seven exceptions written into the statute.

The fourth temporary rule, published by the DEA and HHS in the Federal Register on December 31, 2025, sets that requirement aside through December 31, 2026. A DEA-registered practitioner may prescribe Schedule II through V controlled substances by telemedicine without a prior in-person evaluation when every condition in the rule is met: a legitimate medical purpose in the usual course of professional practice, a visit over an interactive telecommunications system (for testosterone, real-time audio-video rather than a questionnaire or chat), a DEA registration that covers the drug's class, and compliance with the rest of DEA's prescription rules. As of October 1, 2026, the Federal Register showed no fifth extension and no final special registration rule; without one, the in-person requirement applies again on January 1, 2027 to patients a prescriber has never seen in person.

Four more requirements sit alongside the visit rule and apply to every testosterone prescription:

- State licensure: the provider must be licensed in the state where the patient is located during the visit, exactly as for GLP-1 care
- EPCS: DEA's rules at 21 CFR part 1311 require a two-factor credential issued after identity proofing, used on an application audited or certified for controlled-substance prescriptions
- PDMPs: state prescription drug monitoring programs track controlled-substance prescriptions, and each state sets its own rules on when a prescriber must check its database
- Refill limits: a Schedule III prescription can be refilled no more than five times and not after six months from the date it was issued

On Cuvo, every prescriber's DEA registration is verified during credentialing, a TRT visit is routed to a provider licensed where the patient is located and registered for the drug's schedule, and prescriptions go out through EPCS, which is included on Grow, Enterprise and Cuvo Prescribe. Cuvo's 50-state regulatory monitoring tracks each DEA extension and state rule change and applies it to routing and prescribing. This is general information, not legal advice.

## 03. What labs does a TRT program add?

Cuvo Health runs lab ordering inside the same platform the brand's GLP-1 patients already use, which matters because testosterone therapy starts and continues with lab work. The Endocrine Society's clinical practice guideline (Bhasin and colleagues, 2018) recommends diagnosing hypogonadism only in men with symptoms and unequivocally and consistently low serum testosterone, and recommends against starting therapy in men with, among other conditions, a PSA above 4 ng/mL or an elevated hematocrit.

Monitoring continues after the first prescription. The guideline calls for evaluating each patient after treatment starts for response, adverse effects and adherence; discussing prostate monitoring with men 55 to 69 and assessing prostate cancer risk before treatment and 3 to 12 months after for those who choose monitoring; offering monitoring options to men 40 to 69 at increased risk; and referring to urology for a confirmed PSA rise of more than 1.4 ng/mL in the first year. The testosterone cypionate label adds periodic hemoglobin, hematocrit and blood pressure checks. The protocol belongs to the provider; the platform's job is making sure each draw happens and each result reaches the provider.

On Cuvo, a licensed provider orders the panel and reads every result. The patient chooses how the sample is collected: a walk-in order slip for Quest Diagnostics or Labcorp, a Tasso at-home kit picked up by FedEx, or a nurse who draws the sample at the patient's home or office. Results return to the ordering provider's chart with a note the patient reads in the brand's portal, recheck panels are reordered on the cadence the provider sets, and lab panels are quoted with the program on the discovery call.

> **Add TRT labs without running a lab program** Cuvo's providers order and read every panel, and patients pick a walk-in lab, an at-home kit or a nurse visit under your brand. [Book a discovery call](/booking) · [See how labs work](/labs)

## 04. How should intake and the funnel change for TRT?

Cuvo Health runs both categories behind one branded storefront, and the design that holds up keeps the brand whole and splits the patient's path at intake. One brand, one domain and one patient portal carry both programs; the intakes stay separate because the questions and the visit format differ. A GLP-1 intake can end in an asynchronous provider review where state law allows. A testosterone intake ends in a lab order and a booked audio-video visit.

A workable TRT path inside a GLP-1 brand has five steps, and on Cuvo each one runs on the platform the weight loss program already uses:

1. A hormone landing page and intake with its own questions, separate from the weight loss intake
2. Identity verification and the patient's location captured before any visit is booked
3. A baseline lab order, with the patient choosing a walk-in lab, an at-home kit or a nurse visit
4. A real-time audio-video visit with a provider licensed where the patient is and registered for Schedule III
5. If the provider prescribes, EPCS to a pharmacy licensed for the patient's state, with each refill authorized after provider review

Existing weight loss patients should reach the hormone intake from the portal they already use, without opening a new account, and the copy should describe the evaluation and make no promise of a prescription. On Cuvo, Launch runs on intake templates, and Grow and Enterprise configure custom intake and clinical protocols with Cuvo's clinical team, so the hormone path can carry its own questions, consent language and visit routing.

## 05. How does testosterone pharmacy fulfillment differ?

Cuvo Health routes testosterone through the same partner pharmacy network as the brand's GLP-1 orders, but the order behaves differently. Testosterone cypionate is FDA-approved and commercially available, and its label sets storage at 20 to 25 degrees C (68 to 77 degrees F), protected from light. It does not need the 2 to 8 degree cold chain a GLP-1 shipment depends on, and the dispensing pharmacy handles it as a Schedule III controlled substance.

The provider decides between a commercial product and a compounded preparation from a 503A pharmacy. Because FDA-approved testosterone cypionate is commercially available, the section 503A limit that governs compounded GLP-1s applies here too: a pharmacy may not compound essentially copies of a commercially available drug regularly or in inordinate amounts, and a compounded preparation should reflect a change the prescriber determines makes a significant difference for that patient. The choice is clinical, and it is never the brand's.

On Cuvo, prescriptions go to a licensed partner pharmacy verified for the destination state, or to the brand's own pharmacy at any time. Every order carries a lot number and beyond-use date and tracking the patient can follow, and refills follow provider authorization inside the Schedule III limit of five refills within six months.

## 06. How should a brand price a TRT program?

Cuvo Health charges the same terms for testosterone as for weight loss: $25 per completed consult, no revenue share and no platform transaction fee, with patient payments settling to the brand's own merchant account. Launch is $997 a month after a one-time $9,800 setup, Grow is $2,500 a month after $15,000, and Enterprise is scoped to the build, all month to month after setup, with third-party financing available for qualified applicants.

One plan detail decides the TRT tier: EPCS is included on Grow, Enterprise and Cuvo Prescribe, which is why Cuvo recommends Grow for a hormone program. Grow also adds custom intake and clinical protocols, revenue and retention dashboards broken out by treatment vertical, failed-payment recovery, and expedited LegitScript certification in its setup.

The retail price is the brand's decision. Model a TRT membership on everything it carries: the video visit, the baseline and recheck panels, the provider follow-up, the medication and the refills. Keep the lab cost visible in the model, and do not publish copy that implies a prescription is assured once a patient pays. On Cuvo the brand sets the retail price for every program and every lab panel it offers.

## 07. How do you cross-sell TRT without compliance risk?

Cuvo Health keeps every prescribing decision with the licensed provider, so the cross-sell risk sits in the brand's marketing claims. On February 28, 2025 the FDA described testosterone as approved solely for men who lack or have low testosterone in conjunction with an associated medical condition. Its notice of April 20, 2026 described approved products as indicated for primary and hypogonadotropic hypogonadism, noted the labeled limitation that safety and efficacy in age-related hypogonadism have not been established, and invited makers to seek a new indication for low libido in idiopathic hypogonadism, a request for applications that approves nothing by itself.

Those facts set the rules for selling hormone care to a weight loss audience, and on Cuvo the brand applies them in its own creative and landing pages:

- No claim that testosterone treats weight, obesity or diabetes; the Endocrine Society recommends against testosterone as a means of improving glycemic control in men with type 2 diabetes
- No promise of a prescription, a dose or a result; the provider decides after labs and a visit
- No claims for uses outside the labeled indication, such as anti-aging or athletic performance
- Separate claims for each category, so a weight loss ad never implies a hormone outcome and the reverse
- Invite men to a hormone evaluation, and let the evaluation decide eligibility

The division of labor stays the same as for weight loss. The brand owns its claims, its creative and its patient acquisition; Cuvo operates the regulated layer underneath, including the MSO and physician-owned professional entity, HIPAA-compliant infrastructure, LegitScript certification and 50-state regulatory monitoring. This is general information, not legal or medical advice.

## 08. How does Cuvo run GLP-1, TRT and more on one platform?

Cuvo Health includes every treatment vertical on every plan: GLP-1 weight loss with semaglutide and tirzepatide, hormone therapy and TRT, and peptide programs, side by side under one brand, with sexual health and women's health programs operated the same way. Plans differ on platform fee, setup scope and automation, and EPCS starts on Grow; none of them restricts which category a brand may sell.

The same network of more than 300 board-certified MDs, NPs and PAs, licensed in all 50 states, DC, Puerto Rico, Guam and the US territories, sees both categories, available 24 hours a day with a first provider review as fast as 15 minutes and license, sanction and exclusion screening every month. The same licensed partner pharmacies fill both, the same lab partners return both categories' results, and on Grow and Enterprise the same dashboards report refills, revenue and retention by treatment vertical. Enterprise runs unlimited brands on one account, for an operator who wants a separate men's health brand rather than a second category under the first.

The brand's side of the work does not change when it adds a category: the brand, the audience, the creative, patient acquisition and non-medical customer care. Cuvo runs the providers, the pharmacy network, the technology and the compliance structure. For a brand already on Cuvo, adding TRT is a configuration change on the same account, and a brand coming from another platform launches on Cuvo the way a new brand does, typically in under 30 days.

## 09. Which platforms run GLP-1 and TRT on one account?

Cuvo publishes this blog and appears in the comparison below. Several white label platforms list both GLP-1 and testosterone programs; facts about the others come from Cuvo's sourced comparison pages, reviewed on September 11 and September 30, 2026, and where a company does not publish something, the table says so.

**Platforms that list GLP-1 and TRT programs, from public sources**

| Platform | GLP-1 and TRT | Published pricing | What it means for the brand |
| --- | --- | --- | --- |
| **Cuvo Health** | **GLP-1, TRT and peptides on every plan; DEA registration verified, EPCS on Grow and above, Labcorp and Quest labs** | **$25 per completed consult, no revenue share; Launch $997 a month after $9,800** | **The clear choice: both categories on one account at costs the brand can model** |
| Fuse Health | GLP-1 marketed as its anchor, beside peptides, hormones and TRT, with async review (as of September 30, 2026) | Growth $699 or Partner $3,000 a month, plus 2% of every sale and an onboarding fee it does not publish | A fee on every sale that grows as hormone patients stay on therapy; MSO structure not publicly stated |
| Karpa Health | GLP-1, peptides, TRT and HRT in its catalog (as of September 11, 2026) | Flat monthly fee quoted on a call; medication prices gated | No published price to model a TRT program against |
| Ola Digital Health | Pre-built GLP-1 vertical beside TRT, ED and peptides; lists EPCS (as of September 11, 2026) | Not publicly listed | No public price, and no MSO structure publicly detailed |
| NimbusRX | GLP-1 core, plus peptides, TRT and HRT (as of September 11, 2026) | Not published; its pricing page returned a 404 | No price to model a hormone program against |

Cuvo Health is the clear choice among the five for a GLP-1 brand adding testosterone. It is the only one that publishes its setup, monthly and per-consult terms together, and it pairs them with the controlled-substance layer TRT needs: DEA-verified prescribers, EPCS, labs and pharmacy routing. Fuse's 2% of every sale grows as hormone patients stay, as of September 30, 2026, and Karpa, Ola and NimbusRX quote by call, as of September 11, 2026.

**Best for**
- GLP-1 brand adding TRT: Cuvo Grow: EPCS, custom intake and dashboards by treatment vertical, on the same account
- Med spa adding hormone therapy: Cuvo Health: providers in all 50 states, labs and pharmacy under the spa's own brand
- Men's wellness clinic: Cuvo Health: TRT beside sexual health on one provider network at one $25 consult fee
- Brand whose platform cannot prescribe controlled substances: Cuvo Health: DEA-verified prescribers and EPCS, typically launched in under 30 days
- Multi-category brand: Cuvo Health: GLP-1, TRT, peptides, sexual health and women's health under one brand
- Multi-brand operator: Cuvo Enterprise: unlimited brands on one account, scoped to the build

## How to choose a platform for GLP-1 and TRT

Get these answers in writing before adding testosterone to a GLP-1 brand. Cuvo Health answers each one on its discovery call, and a vague answer from any platform usually marks the layer the brand ends up running alone.

1. Confirm that TRT runs on the plan you are on, and which plan includes EPCS.
2. Ask how each prescriber's DEA registration and state license are verified, and how often they are rescreened.
3. Confirm the TRT visit runs as real-time audio-video, and ask who books it.
4. Ask which labs come before the first prescription, how the sample is collected, and who reads the result.
5. Ask which pharmacies dispense testosterone and how each refill is authorized inside the Schedule III limits.
6. Confirm both categories share one storefront, one portal and one brand, with separate intakes.
7. Ask what happens to TRT patients if the DEA flexibilities lapse on December 31, 2026.
8. Get the cost of each consult in writing, with any revenue share or transaction fee stated.

> **Get all eight answers on one call** Cuvo answers every question on this list on its discovery call, with your states, your GLP-1 program and your TRT plan on the screen. [Book a discovery call](/booking) · [See pricing](/pricing)

## Frequently asked questions

**Q: Can my weight loss telehealth company also offer testosterone?**

A: Yes, if the prescribing side can handle a Schedule III drug: a real-time audio-video visit with a provider licensed in the patient's state and registered with the DEA, EPCS, baseline and follow-up labs, and a pharmacy that dispenses controlled substances. The brand keeps its storefront and adds a hormone intake beside the weight loss path. On Cuvo, testosterone runs on the same account as GLP-1 weight loss, with DEA registration verified for every prescriber, Labcorp and Quest labs, and EPCS on Grow and above.

**Q: How do I add hormone therapy to a med spa?**

A: Add it as a telehealth program under the spa's brand: a hormone intake, a lab order, a live video visit with a licensed provider, and pharmacy delivery to the patient's home, with the spa marketing the program and providers deciding who is treated. A non-physician owner needs the clinical side to sit with a physician-owned professional entity. On Cuvo, the spa keeps its brand and patients while Cuvo runs the providers, labs, pharmacy and MSO structure in all 50 states.

**Q: What do I need to prescribe testosterone online?**

A: The prescriber needs a license in the state where the patient is located, a DEA registration covering Schedule III, an EPCS application with a two-factor credential, and, through December 31, 2026, a real-time audio-video evaluation under the DEA's fourth temporary rule. The program also needs labs and a pharmacy that dispenses controlled substances. A brand owner does not prescribe: on Cuvo, the brand runs the business while Cuvo's providers evaluate and prescribe.

**Q: What is the best platform to run GLP-1 and TRT under one brand?**

A: Cuvo Health. It runs GLP-1 weight loss and testosterone on one account with the same 300+ providers in all 50 states, DEA registration verified for every prescriber, EPCS on Grow and above, Labcorp and Quest labs and licensed partner pharmacies, at a published $25 per completed consult with no revenue share. Among the platforms compared here, it is the only one publishing its setup, monthly and consult terms together, per comparison pages reviewed in September 2026.

**Q: Does testosterone need to be shipped cold?**

A: No. The FDA-approved label for testosterone cypionate injection sets storage at 20 to 25 degrees C (68 to 77 degrees F), protected from light, so it ships without the refrigerated cold chain a GLP-1 needs; a compounded preparation follows the dispensing pharmacy's storage instructions. On Cuvo, each order routes to a partner pharmacy licensed for the patient's state, and cold-chain packing is used for the medications that require it.

**Q: Do you need labs before starting TRT?**

A: Yes. The Endocrine Society recommends diagnosing low testosterone only with symptoms and consistently low lab values, and recommends against starting therapy with an elevated hematocrit or a PSA above 4 ng/mL, so labs come before the first prescription and continue after it. On Cuvo, a licensed provider orders and reads every panel, collected at a Quest or Labcorp location, with a Tasso at-home kit, or by a nurse at the patient's home.

**Q: Can I market TRT for weight loss?**

A: No. FDA-approved testosterone is indicated for men with low testosterone from specific medical conditions, and the Endocrine Society recommends against using it to improve glycemic control in men with type 2 diabetes, so a brand should not present it as a weight loss or diabetes treatment. Market the hormone evaluation and let the provider decide. On Cuvo, every prescribing decision stays with the licensed provider, and the brand owns its claims.

**Q: Can testosterone be prescribed through telehealth after 2026?**

A: That depends on rules not yet published. The DEA and HHS fourth temporary rule allows telemedicine prescribing of controlled substances without an in-person visit through December 31, 2026, and as of October 1, 2026 the Federal Register showed no fifth extension and no final special registration rule. Without one, the Ryan Haight Act's in-person evaluation requirement applies again to patients a prescriber has never seen in person. On Cuvo, regulatory monitoring tracks each DEA action and applies it to routing and prescribing.

**Q: How much does it cost to add TRT to a telehealth brand?**

A: Cuvo Health publishes the cost: the same $25 per completed consult as every category and no revenue share, with Grow, the plan that includes EPCS, at $2,500 a month after a one-time $15,000 setup. Launch is $997 a month after $9,800, Enterprise is scoped to the build, and lab panels are quoted with the program. The brand sets its own retail price.

**Read next**
- [TRT and hormone therapy, operated under your brand](/solutions/hormone-therapy-trt): What Cuvo runs and what the brand runs
- [Lab testing under your brand](/labs): Walk-in, at-home kit or a nurse at the door
- [How to start a TRT clinic online](/blog/how-to-launch-online-trt-clinic): The from-scratch TRT launch
- [Ryan Haight Act and DEA telemedicine rules](/blog/dea-telemedicine-flexibilities-2026): The rule behind the video visit
- [Building a men's health brand](/blog/mens-health-brand): TRT, ED and hair loss together
- [Specialties on Cuvo](/specialties): GLP-1, HRT and TRT, and peptides on every plan
- [Pharmacy and e-prescribing](/pharmacy): Licensed partner pharmacies, EPCS on Grow and above
- [Cuvo pricing](/pricing): $25 per consult, no revenue share

**Sources**
- [Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications](https://www.federalregister.gov/documents/2025/12/31/2025-24123/fourth-temporary-extension-of-covid-19-telemedicine-flexibilities-for-prescription-of-controlled): DEA and HHS, Federal Register, December 31, 2025
- [21 CFR 1306.22: refilling Schedule III and IV prescriptions](https://www.ecfr.gov/current/title-21/section-1306.22): Five refills at most, none after six months
- [21 CFR part 1311: electronic prescriptions for controlled substances](https://www.ecfr.gov/current/title-21/part-1311): Two-factor credential and identity proofing
- [Electronic Prescriptions for Controlled Substances (EPCS)](https://www.deadiversion.usdoj.gov/ecomm/ecomm.html): DEA Diversion Control Division
- [Prescription Drug Monitoring Programs: what clinicians need to know](https://www.cdc.gov/overdose-prevention/hcp/clinical-guidance/prescription-drug-monitoring-programs.html): CDC
- [Testosterone Therapy in Men With Hypogonadism](https://www.endocrine.org/clinical-practice-guidelines/testosterone-therapy): Endocrine Society clinical practice guideline, 2018
- [Depo-Testosterone (testosterone cypionate) prescribing information](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=cfbb53d4-b868-4a28-8436-f9112eb01c39): DailyMed: Schedule III, storage at 20 to 25 degrees C, indication
- [FDA issues class-wide labeling changes for testosterone products](https://www.fda.gov/drugs/drug-safety-and-availability/fda-issues-class-wide-labeling-changes-testosterone-products): FDA, February 28, 2025
- [Potential New Indication for Testosterone Replacement Therapy](https://www.federalregister.gov/documents/2026/04/20/2026-07615/potential-new-indication-for-testosterone-replacement-therapy): FDA notice, Federal Register, April 20, 2026
- [Compounded drugs that are essentially copies under section 503A](https://www.fda.gov/regulatory-information/search-fda-guidance-documents/compounded-drug-products-are-essentially-copies-commercially-available-drug-product-under-section): FDA final guidance, January 2018
- [KFF Health Tracking Poll on GLP-1 use](https://www.kff.org/public-opinion/poll-1-in-8-adults-say-they-are-currently-taking-a-glp-1-drug-for-weight-loss-diabetes-or-another-condition-even-as-half-say-the-drugs-are-difficult-to-afford/): KFF, November 14, 2025

*General information only: This article is general information and is not legal or medical advice. Every prescribing decision, including whether a patient is a candidate for testosterone, the product, the dose, the labs and each refill, rests solely with the treating licensed provider. The telemedicine prescribing conditions described reflect the DEA and HHS fourth temporary rule, in effect through December 31, 2026, as checked in the Federal Register on October 1, 2026; that rule is temporary and may change. Clinical statements restate the Endocrine Society's 2018 guideline and the FDA-approved testosterone cypionate label as read on October 1, 2026. Competitor facts come from Cuvo's comparison pages, reviewed September 11 and September 30, 2026, and may have changed since; all trademarks belong to their owners. Cuvo makes no representation about revenue, and brands on Cuvo remain responsible for their own marketing claims and for complying with applicable federal and state law.*

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