What up moparfreak,
I know when I initially started TRT I went through a private wellness clinic (my PCP doesn't have a ton of experience). The clinic MD's were knowledgeable/progressive but, as lodykarsen pointed out.. it was expensive.
When I recently went back to school for post grad, I asked if I could start filling my scripts at a cheaper local pharm (walmart, cvs, etc) instead of their compounding pharm in Nevada. I found myself on a tighter budget and Costco is dirt cheap in comparison. They said I could not... I had to fill scripts using their expensive compounding pharm.
The expensive MD's advised me to stick with them until my bloods/protocol were dialed-in. Then, go back to my PCP and see if he would continue treatment with the same protocol while I was back in school. My PCP agreed. The follow up appts and bloods are now covered by insurance. My Cyp is not covered but, its cheap at costco.
My expensive wellness clinic provides excellent patient care and they're liberal (within reason obviously). They're willing to prescribe many things if it makes sense... and if the patient can afford it lol. ex: GH, peptides, HRT, ancillaries, etc.
They told me I'm welcome to call w/ question's/concerns or come back anytime. If I ever want to dive into additional therapies outside of TRT w/ MD supervision they're willing to help. Maybe I got lucky. Not sure if other clinics are that easy to work with.
TL/DR:
Try going to a knowledgeable wellness clinic, pay the high price until you get your protocol dialed-in, then transfer care over to a cheaper family practice doc willing to prescribe TRT and continue the same protocol. My doc supervised trt is pretty damn cheap now.
*I'd recommend my wellness clinic and PCP but, they're both brick and mortars. I don't believe they treat remote patients.
Hope that helps!!