Testosterone Injections Cost In Canada: What To Budget For

Written by the UPGUYS Editorial Team

Published on August 19, 2025

For many men considering testosterone replacement therapy (TRT) in Canada, one of the first questions is: how much will it cost? 

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With prices varying across the country, understanding the real cost of testosterone injections helps you plan ahead, avoid surprises, and find safe, affordable options that fit your needs. 

Whether you're paying out of pocket or through insurance, getting clarity on monthly pricing, hidden fees, and what influences the total expense is key to making informed decisions about your health. 

Topics covered in this article: 

Monthly Pricing for Testosterone Injections 

The cost of testosterone injections in Canada depends on whether you're using brand-name or compounded testosterone, the dosage, and your provider. Unlike some other medications, compounded testosterone is typically more expensive than the brand versions. 

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Here’s a more accurate breakdown of current pricing: 

1. Brand-name testosterone (such as Sun Pharma’s cypionate or Hikma’s enanthate): These options generally range from $60 to $150 per month, depending on dosage and frequency of injections. 
2. Compounded testosterone injections: Custom-prepared at pharmacies, these can range from $120 to $180 or more per month and are often used when patients need specific formulations or doses. 
3. Per-vial pricing: A 10 mL vial (typically 200 mg/mL) of brand testosterone cypionate may cost between $70 and $140, depending on the supplier and whether insurance applies. 
4. Per-injection costs (at clinics charging per administration): These may fall between $25 and $40 per shot, including the injection fee and supplies. 

Most men receive multi-month prescriptions that include vials, syringes, and follow-up care, reducing the need for frequent clinic visits. Always compare pricing across providers, especially if you're paying out of pocket. 

What Affects the Cost? 

Several key factors influence how much you’ll pay for testosterone injections in Canada. Even within the $60–$150 per month range, individual costs can vary based on: 

1. Dosage and Frequency: Higher doses or more frequent injections (e.g., twice per week instead of once) naturally require more medication, which increases monthly costs. Your prescribed dose is typically based on blood levels, symptoms, and treatment response. 
2. Self-Injection vs. In-Clinic Administration: Administering injections at home can save on clinical fees or appointment charges. In contrast, receiving injections at a medical clinic may involve additional service costs, which can range from $20 to $50 per visit. 
3. Pharmacy and Regional Pricing Differences: Local markups, provincial drug pricing rules, and pharmacy policies can all affect how much you pay. Urban areas might offer more competitive prices, while smaller or remote regions may see higher retail costs. 

Understanding these variables helps you better anticipate your own expenses and explore cost-saving options, such as switching to self-injection or opting for brands from lower-cost pharmacies. 

Provincial Coverage & Insurance in Canada 

When it comes to testosterone injections in Canada, coverage can vary widely depending on your province and insurance provider. Here’s what to know: 

1. Government Drug Plans: Some provinces, like Ontario, through the Ontario Drug Benefit (ODB) program, may partially cover testosterone therapy for eligible individuals—typically seniors, those on social assistance, or those with specific health conditions. Coverage usually requires a diagnosis of testosterone deficiency confirmed by lab results and physician documentation. 
2. Private Insurance: Many private health plans cover testosterone injections, but they often require prior authorization. This means your provider will need to submit forms proving medical necessity before approval. Be sure to check whether your plan covers both the medication and injection services. 
3. Out-of-Pocket Costs: If you don’t qualify for public coverage or your private plan doesn’t include TRT, you’ll pay out of pocket. Prices can range from $60 to $150 per month depending on dosage, pharmacy, and injection type. 

It’s always worth speaking with your provider and pharmacist to explore all coverage options and ensure you’re not overpaying. 

Hidden Costs You Must Consider 

The price of testosterone injections in Canada goes beyond just the medication itself. Many men are surprised by the extra expenses that come with ongoing treatment. These hidden costs can add up quickly if not accounted for from the start. 

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Here are the most common add-ons to factor into your TRT budget: 

1. Lab tests and bloodwork: Regular monitoring is essential for safety and effectiveness. Depending on your province and whether you’re covered, blood tests may cost $50 to $200 per panel if paid out-of-pocket. 
2. Medical consultations: Initial assessments, follow-up visits, and prescription renewals often carry a separate fee if not covered by provincial or private insurance. 
3. Injection supplies: If you self-administer, you’ll need syringes, alcohol swabs, and sharps containers. Some clinics or pharmacies include these in the cost, but others charge separately. 
4. Shipping or delivery fees: Telehealth platforms and online pharmacies may charge for delivery, especially for rural areas or expedited shipping. 

Understanding the full scope of costs helps you plan realistically and avoid unexpected expenses down the line. 

Cost Comparison: Injections vs. Other TRT Methods 

Testosterone injections remain one of the most affordable and effective forms of testosterone replacement therapy (TRT) in Canada—but they’re not the only option. Understanding how injections stack up against alternatives like gels, patches, oral tablets, and implants can help you make an informed choice. 

Here’s how each compares in terms of cost and experience: 

Injections 

1. Cost: $60–$150/month 
2. Pros: Most cost-effective, long-lasting effects, fewer daily applications 
3. Cons: Requires needles, self-injection skills, or clinic visits 

Gels (e.g., Androgel) 

1. Cost: $100–$250/month 
2. Pros: Easy to apply daily, non-invasive 
3. Cons: Risk of transference to others, daily use required, often not covered by public plans 

Patches 

1. Cost: $150–$300/month 
2. Pros: Convenient and steady hormone release 
3. Cons: Can cause skin irritation, may detach with sweat or friction 

Oral Testosterone 

1. Cost: $200–$400/month 
2. Pros: Simple to take, no skin issues 
3. Cons: Shorter duration, may stress liver, fewer options available in Canada 

Implants (pellets) 

1. Cost: $300–$800 per insertion (every 3–6 months) 
2. Pros: No daily maintenance, long-lasting 
3. Cons: Surgical procedure required, less widely available 

While testosterone injections are generally the lowest-cost method of TRT, your ideal choice depends on your comfort, convenience, medical needs, and budget. Always consult a healthcare provider to determine which delivery method aligns best with your health goals and lifestyle. 

Why Men Choose UPGUYS for TRT 

When it comes to testosterone replacement therapy (TRT) in Canada, UPGUYS offers something rare in men’s health: transparent pricing, no hidden fees, and high-quality care from licensed Canadian providers. 

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Here’s why more men are choosing UPGUYS: 

1. Zero Admin Fees or Surprise Costs: UPGUYS is the only TRT provider in Canada that doesn’t charge administration fees. There are no added costs for your consultation, lab requisitions (initial or follow-up), or medication delivery. 
2. Straightforward Pricing, No Monthly Billing: UPGUYS does not charge monthly. Whether you're prescribed injections or hydrogel, medications are dispensed in 3-month quantities, typically costing about $200 total, which breaks down to roughly $67 per month. But you’re only billed every three months, making budgeting easier. 
3. At-Home Convenience: Everything, from your first consultation to lab testing to prescription delivery, can be managed from home. UPGUYS ships treatments Canada-wide, with no admin or delivery fees and an easy refill process. 
4. Licensed Medical Support, Ongoing Care: You’ll have access to real Canadian healthcare providers and a care team that helps monitor your results and adjust treatment when needed. Follow-ups are included and hassle-free. 
5. Consistent Medication Supply: Whether you’re using testosterone injections or hydrogel, UPGUYS dispenses and ships 3-month equivalents every time, ensuring a steady supply. 

If you want a simple, reliable, and cost-effective way to manage TRT in Canada, UPGUYS is built to deliver just that. 

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