Head to head
1st Optimal vs Blokes
Two online TRT providers compared side by side on published pricing, labs, coverage, and care model - so you can shortlist before booking a consult.
| 1st Optimal | Blokes | |
|---|---|---|
| Monthly price | $99-$159/mo | From $149/mo |
| State coverage | Check site | All 50 states |
| Labs | Included | Included |
| Consult model | Video + async | Video |
| Prescriber model | Not stated | Not stated |
| Treatment options | injection | injection, cream, nasal |
| FSA / HSA | Yes | Not stated |
| Insurance | No | No |
| Visit 1st Optimal | Visit Blokes |
Key differences
- 1st Optimal has the lower published entry price ($99-$159/mo).
Differences reflect each provider's published information only - not hands-on testing or clinical judgment.
1st Optimal: pros and cons
Pros
- All-inclusive membership covers medical oversight, supplies, and shipping
- At-home lab testing and direct-to-home medication delivery
- FSA/HSA accepted, no insurance requirement
- Month-to-month billing with no long-term contracts
Cons
- Coverage limited to select US states, not available nationwide
- Treatment orders require 10-14 business days to process and ship
- Broad service focus includes weight loss and peptides alongside TRT
Blokes: pros and cons
Pros
- All 50 states coverage
- Includes health coaching with treatment
- Transparent pricing with no hidden fees
- Science-backed approach with expert advisory board
Cons
- No insurance accepted
1st Optimal vs Blokes: common questions
Which is cheaper, 1st Optimal or Blokes?+
Based on published pricing, 1st Optimal runs $99-$159/mo and Blokes runs From $149/mo. Compare what each membership includes - labs, medication, and follow-ups can be bundled or billed separately - before judging on sticker price alone.
Are 1st Optimal and Blokes legitimate?+
Both are telehealth providers that require lab work and a clinician consultation before prescribing, based on their published intake process. Testosterone is a controlled substance - a licensed clinician must prescribe it in your state, and reputable providers verify that before treatment.
How did TRT Index compare 1st Optimal and Blokes?+
Every fact on this page comes from each provider's own published information - pricing, state coverage, labs, consult and prescriber model. We do not accept payment for placement and have not personally used every service. Details change; verify on each provider's site.
See how 1st Optimal and Blokes rank against every online TRT provider →
Disclosure. TRT Index is an independent directory. Rankings and comparisons are not for sale. All facts come from each provider's public pages and change frequently - verify before signing up. Informational only, not medical advice.