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Fountain TRT vs Josie: Which Is Better?

Head-to-head comparison of Fountain TRT and Josie based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Fountain TRT scores higher overall in our independent evaluation (60.6/100 vs 57.6/100), leading on trust & safety, reputation. Josie comes out ahead on value, product range. Josie has the lower entry price (from $90/mo vs $150/mo), so the better value depends on which treatment you need.

61

A membership-based men's TRT and women's hormone therapy telehealth brand with a named physician medical director.

Visit Fountain TRT
58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie

Score Breakdown

DimensionFountain TRTJosie
Overall Score60.6/100 ✓57.6/100
Trust & Safety30%68/100 ✓50/100
Value25%62/10070/100 ✓
Experience20%58/10058/100
Product Range15%55/10060/100 ✓
Reputation10%48/100 ✓45/100

At a Glance

Founded——
HeadquartersJacksonville, FL—
Publicly tradedNoNo
Treatment categories23
Treatments listed57
Starting price$150/mo$90/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryFountain TRTJosie
Hormone Therapy$150
TRT Pro Plan
$90–$100
Estradiol Patch or Cream (HRT)

Fountain TRT

+Named Chief Medical Officer (Dr. Doron Stember, board-certified urologist with fellowship training in sexual and reproductive medicine) provides clearer clinical accountability than many hormone-therapy competitors.
+Transparent, tiered membership pricing (Starter $199/4wks, Standard $167/4wks pre-paid quarterly, Pro $150/4wks pre-paid annually) that bundles labs, provider visits, and shipping.
+Offers both men's TRT and women's HRT plus a fertility-preserving alternative (enclomiphene) rather than testosterone injections alone.
−Trustpilot sample is small (76 reviews), so the strong average should be read with caution.
−Reviewers report disorganized scheduling and prescription-renewal communication, plus at least one case of the company placing the burden of an internal shipping/address error on the patient.
−At least one reviewer noted the absence of a patient portal and described the intake process as having inconsistent gatekeeping for a clinical service.
Read the full Fountain TRT review →

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Fountain TRT vs Josie — FAQ

Is Fountain TRT better than Josie?

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Fountain TRT scores higher overall in our independent evaluation (60.6/100 vs 57.6/100), leading on trust & safety, reputation. Josie comes out ahead on value, product range. Josie has the lower entry price (from $90/mo vs $150/mo), so the better value depends on which treatment you need.

Is Fountain TRT or Josie cheaper?

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Josie has the lower starting price (from $90/mo vs $150/mo for Fountain TRT). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fountain TRT and Josie both offer?

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Both platforms treat Hormone Therapy. Fountain TRT covers 2 treatment categories total and Josie covers 3.

Still deciding?

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