Courier Pharmacy’s pay as you go TRT is a simpler way to continue your treatment with a monthly subscription.
Already on TRT? Here’s how our pay as you go route works
Ever wondered why you’re still paying for monthly consultations when your dose hasn’t changed in a year? Plenty of men on testosterone replacement therapy feel the same. They’re settled, their bloods are steady, and the main thing they need is a reliable supply. That’s the gap pay as you go TRT at Courier Pharmacy is designed to fill.
This guide is for men already diagnosed with testosterone deficiency and stable on treatment, whether that started on the NHS, at a private clinic or with their GP. We’ll explain who the service suits, how the four steps work, what monitoring involves and what it costs. Not diagnosed yet? We’ll show you the right starting point too.Your friendly starting point for TRT
Five key takeaways
- Pay as you go TRT is for men already diagnosed with testosterone deficiency and stable on treatment; it isn’t a way to start TRT from scratch.
- You upload recent evidence (a blood test, clinic letter, notes or previous prescription) plus a recent blood pressure reading.
- A Courier prescriber reviews everything first, and nothing is supplied until they approve it.
- Once approved, you can order up to six months of your usual treatment in one go, with a review needed before any further supply.
- Monitoring still matters: testosterone, haematocrit, PSA and blood pressure are checked at intervals agreed with your prescriber.
What is pay as you go TRT?
Pay as you go TRT is a way for men who are already established on testosterone to keep getting their treatment without signing up to a full managed programme. There’s no subscription. You don’t pay repeat consultation fees every month, and you’re not covering the overheads of a clinic you don’t need to visit.
Think of it like renewing your passport rather than applying for your first one. The big checks were done when you first applied. Renewing still needs proof and a proper look, but you don’t start the whole process again.
Why we offer TRT without subscription
Many men start TRT through a private clinic that bundles consultations, tests and medication into a monthly fee. That makes sense in the first year, when doses are being adjusted and bloods are checked often. However, once things are stable, some men find they’re paying for support they rarely use.
Others started on the NHS and later move area or get stuck between services. Pay as you go TRT gives these men a simpler pharmacy route, as long as the clinical evidence supports it.
Is it still proper medical care?
Yes. Simpler doesn’t mean looser. Every request is reviewed by a prescriber, who checks your diagnosis, your current dose and your safety markers. The prescriber can say no, ask for more information or suggest a fuller consultation. You can read the full service details on our TRT condition page.
Who pay as you go TRT is for, and who it isn’t
This route is deliberately narrow, because TRT is a long-term prescription-only treatment and the safety checks matter.
A quick way to see whether pay as you go TRT, the full TRT service or a paid consultation fits you best.
A good fit for pay as you go TRT
You’re likely to be suitable if you:
- have a confirmed diagnosis of testosterone deficiency
- are on a stable dose that’s been working for you
- can provide recent blood results and a document confirming your diagnosis and regimen
- have a recent blood pressure reading
- aren’t trying for a baby
Who it isn’t for
Pay as you go TRT isn’t the right route if you:
- haven’t been diagnosed, or are self-diagnosing from symptoms
- want testosterone without a genuine clinical need, for example for bodybuilding
- are trying to father children, as TRT can reduce sperm production and fertility
- have had certain prostate or breast cancers, which our prescriber will check for
If you’re planning a family, you’ll need a tailored plan or a fuller consultation.
Not diagnosed yet? Start here instead
Low sex drive, tiredness and low mood can have many causes, and the NHS notes that lifestyle and stress often play a part. So if you think you might have low testosterone but nobody has confirmed it, our full TRT service is the place to begin. It follows the British Society for Sexual Medicine (BSSM) pathway, which uses two separate morning blood samples alongside your symptoms before any diagnosis is made (Hackett et al., 2023).
Why two? Testosterone is a bit like the tide. It’s highest in the morning and dips later in the day, and a bad night’s sleep or a cold can pull it down. One low result might just be a blip. Our guide what is TRT covers diagnosis in more detail.
How pay as you go TRT works, step by step
There are four steps. Each one has to be complete before the next one starts.
Pay-as-you-go TRT: upload your evidence, prescriber review, up to six months’ supply, then a six-month review.
Step 1: upload your evidence
First, you upload proof that you’re an existing, diagnosed TRT patient. This usually means:
- a recent, relevant blood test showing your testosterone level and the key safety markers
- patient notes, a clinic letter or a previous prescription confirming your diagnosis and current treatment
- a recent blood pressure reading
A practical tip: before you upload, check that each document shows your name and a date. A blurry photo of half a letter will slow things down. If you don’t have a recent blood pressure reading, many community pharmacies can check it for you, or you can use a validated home monitor.
Step 2: a prescriber reviews it
Next, one of our prescribers looks at what you’ve sent. They check that continuing treatment is safe and appropriate for you. That includes your diagnosis, your dose, your blood results and anything in your history that might change the picture.
If something’s missing or a result looks off, they’ll get in touch. Nothing is supplied until they approve it.
Step 3: order up to six months’ supply
Once approved, you can buy up to six months of your testosterone preparation in one go. It’s posted to you discreetly. Options include common licensed UK treatments, such as testosterone gel and testosterone injections, and we’ll match what you already use wherever possible. Your prescriber sets the dose, and that doesn’t change without a clinical reason.
Courier Pharmacy is also a compounding pharmacy, so a bespoke preparation may be possible where it’s clinically appropriate. Please note that compounded treatments are non-refundable once approved and the prescription has been issued.
Step 4: your six-month review
After six months, you’ll need a review before any further supply. That can be with your own doctor or clinic, or with one of our prescribers. It’s your chance to talk about how you feel, any side effects and your latest bloods.
Monitoring on pay as you go TRT
What’s checked, and why
Four things are checked before you start and then at intervals agreed with your prescriber:
- testosterone level, to make sure your dose keeps you in a healthy range
- haematocrit, the main safety marker, because TRT can thicken the blood
- PSA, a prostate marker
- blood pressure
Guidelines from the BSSM and the Endocrine Society both recommend regular checks of these markers for men on testosterone. Think of it as the MOT for your treatment. The car might feel fine, but you still want someone to look under the bonnet.
The risks monitoring helps catch
TRT can raise haematocrit (polycythaemia), cause acne or breast tenderness, lead to fluid retention and make sleep apnoea worse. Testosterone gel can also transfer to partners or children through skin contact, so the product leaflet advises washing hands and covering the area once dry (Electronic Medicines Compendium, 2025b).
On heart health, the large TRAVERSE trial found no increase in major cardiac events compared with placebo in men with hypogonadism at higher cardiovascular risk. However, it did find more atrial fibrillation, acute kidney injury and pulmonary embolism (Lincoff et al., 2023).
Keep your GP in the loop
Please tell your GP or specialist that you’re getting TRT through us, so they can prescribe other medicines safely. Also, don’t change your dose or stop treatment without speaking to a prescriber or pharmacist first. Stopping suddenly can bring symptoms back, and your own production may take a while to recover.
Pay as you go TRT vs a managed programme
Both routes are run by the same team. The difference is who they’re designed for and how much support is built in.
Pay as you go TRT suits stable, diagnosed men; the managed programme suits men starting out or wanting closer support.
When the managed programme makes more sense
The full TRT service includes a symptom check, two diagnostic morning samples, a prescriber review and scheduled monitoring bloods at 1, 6 and 12 months, then yearly. Some packages also include fertility-preserving options where clinically appropriate.
That level of support suits men who are new to TRT, men whose dose is still being adjusted, and men who are trying for a family.
When pay as you go TRT makes more sense
If your diagnosis is confirmed, your dose is stable and you have recent evidence to share, pay as you go may suit you better. In short, the managed programme is the full service; pay as you go is the express lane for people who’ve already been through it.
Pay as you go TRT prices
Below is our current price list for the treatments most often supplied through this route.
| Treatment | Price |
| Testogel 16.2 mg/g gel pump, 88 g | from £54.99 |
| Sustanon 250 mg ampoule | from £5.99 |
| Testosterone cypionate 2000 mg/10 ml (200 mg/ml) injection | from £89.99 |
All of these are prescription-only medicines. They’re supplied only if a prescriber has approved your request and the treatment is suitable for you. Your prescriber will match you to what you already use where possible. Prices are correct at the time of writing and may change.
Staying safe when you get TRT UK online
Testosterone is a controlled drug in the UK. It’s a Class C drug under the Misuse of Drugs Act 1971. Having it for personal use isn’t an offence, but supplying it, or importing it by post or courier, is (Medicines and Healthcare products Regulatory Agency, no date).
Unregulated websites selling testosterone without a prescription are risky. The product may be counterfeit and nobody checks your bloods. Prescription TRT from a GPhC-registered pharmacy is legal.
Quick checks before you order anywhere
- Is the pharmacy on the GPhC register?
- Does a prescriber review your evidence before supply?
- Are you asked for blood results and a blood pressure reading?
- Is there a clear review point, rather than endless repeats?
If any answer is no, walk away.
How Courier Pharmacy can help
Courier Pharmacy is run by Rapid Medical Solutions Ltd in Derby, with Superintendent Pharmacist and Independent Prescriber Shazlee Ahsan leading the clinical team. You can read more about us on our about page.
If you’re already diagnosed and stable, you can start pay as you go TRT from our TRT condition page.
Frequently asked questions
What is pay as you go TRT?
Pay as you go TRT is a Courier Pharmacy service for men already diagnosed with testosterone deficiency and stable on treatment. You upload recent evidence and a blood pressure reading, a prescriber reviews it, and once approved you can order up to six months’ supply. There’s no subscription and no repeat monthly consultation fee.
Can I start TRT with pay as you go?
No, you can’t start TRT with pay as you go. It’s only for men who already have a confirmed diagnosis and a stable dose. If you haven’t been diagnosed, our full TRT service follows the BSSM pathway, with two morning blood samples on separate days and a prescriber review, before treatment is considered.
What does pay as you go TRT cost?
Pay as you go TRT costs depend on the treatment your prescriber approves. Current prices start from £54.99 for a Testogel 16.2 mg/g 88 g gel pump, £5.99 for a Sustanon 250 mg ampoule and £89.99 for testosterone cypionate 2000 mg/10 ml. All are prescription-only, supplied only if suitable, and prices may change.
What evidence do I need to upload?
You need a recent blood test showing your testosterone level and key safety markers, plus patient notes, a clinic letter or a previous prescription confirming your diagnosis and regimen. You also need a recent blood pressure reading. Make sure each document clearly shows your name and a date, so the prescriber can review it quickly.
Can I get TRT without subscription in the UK?
Yes, you can get TRT without subscription through Courier Pharmacy’s pay as you go TRT service, if you’re already diagnosed and stable. You pay when you order, with no monthly fee. Every request is still reviewed by a prescriber, and a review is needed after six months before any further supply.
How much TRT can I order at once?
Once a prescriber approves your request, you can order up to six months of your testosterone preparation in one go. It’s delivered discreetly. After those six months, you’ll need a review with your own doctor or clinic, or with one of our prescribers, before any further supply is made.
What monitoring do I need on pay as you go TRT?
On pay as you go TRT, your testosterone level, haematocrit, PSA and blood pressure are checked before starting and then at intervals agreed with your prescriber. Haematocrit is the main safety marker, because testosterone can thicken the blood. These checks help spot problems early and keep your treatment safe.
Can I use pay as you go TRT if I want children?
Pay as you go TRT isn’t suitable if you’re trying to father children. Testosterone can reduce sperm production and fertility. You’ll need a tailored plan or a fuller consultation, where a prescriber can discuss fertility-preserving options. Book a paid consultation or use our full TRT service if a family is part of your plans.
Will my GP know I’m getting TRT from Courier Pharmacy?
Your GP will only know if you or we let them know, so we ask you to tell your GP or specialist. It helps them prescribe safely and spot interactions with other medicines. Don’t change or stop your treatment without speaking to a prescriber or pharmacist first, as stopping suddenly can bring symptoms back.
Is Courier Pharmacy TRT legal and regulated?
Yes, Courier Pharmacy TRT is legal and regulated. Courier Pharmacy is run by Rapid Medical Solutions Ltd, a pharmacy registered with the General Pharmaceutical Council (registration 9010051), and every request is reviewed by a prescriber. You can check our entry on the GPhC register. Buying testosterone without a prescription from unregulated websites is unsafe.
Disclaimer
Disclaimer: This information is for education only and isn’t a substitute for personal medical advice. Always follow your prescriber’s instructions.
References
- Bhasin, S. et al. (2018) ‘Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline’, Journal of Clinical Endocrinology and Metabolism, 103(5), pp. 1715-1744. Available at: https://pubmed.ncbi.nlm.nih.gov/29562364/ (Accessed: 30 October 2026).
- Courier Pharmacy (2026a) Testosterone replacement therapy. Available at: https://courierpharmacy.co.uk/testosterone-replacement-therapy/ (Accessed: 30 October 2026).
- Courier Pharmacy (2026b) Testosterone replacement therapy (TRT) condition page, including Pay-as-you-go TRT. Available at: https://courierpharmacy.co.uk/conditions/testosterone-replacement-therapy-trt/ (Accessed: 30 October 2026).
- Electronic Medicines Compendium (2025a) Testogel 16.2mg/g gel: Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/8919/smpc (Accessed: 30 October 2026).
- Electronic Medicines Compendium (2025b) Testogel 16.2mg/g gel: Patient Information Leaflet. Available at: https://www.medicines.org.uk/emc/product/8919/pil (Accessed: 30 October 2026).
- General Pharmaceutical Council (no date) Register entry: Rapid Medical Solutions Ltd, registration number 9010051. Available at: https://www.pharmacyregulation.org/registers/pharmacy/registrationnumber/9010051 (Accessed: 30 October 2026).
- Hackett, G. et al. (2023) ‘The British Society for Sexual Medicine guidelines on male adult testosterone deficiency, with statements for practice’, The World Journal of Men’s Health, 41(3), pp. 508-537. Available at: https://doi.org/10.5534/wjmh.221027 (Accessed: 30 October 2026).
- Lincoff, A.M. et al. (2023) ‘Cardiovascular safety of testosterone-replacement therapy’, New England Journal of Medicine, 389(2), pp. 107-117. Available at: https://doi.org/10.1056/NEJMoa2215025 (Accessed: 30 October 2026).
- Medicines and Healthcare products Regulatory Agency (2020) Appendix 6: Advertising of medicines: guidance for providers offering medicinal treatment services. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/824545/Appendix_6_-_Blue_Guide.pdf (Accessed: 30 October 2026).
- Medicines and Healthcare products Regulatory Agency (no date) PT jailed for sale of steroids and unlicensed medicines online. Available at: https://www.gov.uk/government/news/pt-jailed-for-sale-of-steroids-and-unlicensed-medicines-online (Accessed: 30 October 2026).
- National Health Service (no date) Male menopause. Available at: https://www.nhs.uk/conditions/male-menopause/ (Accessed: 30 October 2026).
