He is affiliated with a clinic that require you to buy your medications from them for a small fortune compared to what they would cost in a pharmacy. They won't work with insurance so it would be all out of pocket. They will keep testing you until they happen to get a reading low enough to qualify for HRT.
My experience with them (before I knew better and switched to someone else) was that they also routinely prescribe 200 mg T-cyp per week as a starting dose. This is double the normal TRT dose and would likely be harmful long term in most men.