Medically reviewed by Adam Russell, PA-C
Testosterone replacement therapy may be an option for an active-duty service member who is diagnosed with testosterone deficiency, but military status changes the practical path to treatment.
The Defense Health Agency’s 2026 guidance says military clinicians may discuss testosterone replacement therapy or other hormone treatments when a deficiency exists. Treatment is intended to be clinically supervised and monitored.
Outside care is different for active duty
TRICARE states that active-duty service members need a referral for most care received outside their assigned military hospital or clinic. That means an active-duty member should not assume that a cash-pay private clinic can simply replace the military care pathway without consequences for coverage, documentation, or readiness requirements.
Before using an outside testosterone clinic, ask your primary care manager or military medical team what referral, authorization, medication reporting, records, and follow-up requirements apply to you.
Do not hide treatment from military medical providers
Testosterone is a prescription medication and a Schedule III controlled substance under federal law. Service members should keep the appropriate military medical professionals informed about prescription medications and should follow service-specific rules.
What a private clinic can still provide
Private clinicians may be useful for eligible patients who have authorization or who are in a status where outside care is permitted. A private clinic can also provide education, a second clinical perspective, or continuity of care after separation from active duty, subject to licensing and prescribing rules.
For the broader policy and Guard/Reserve differences, read the 2026 military TRT guide.