Where to actually get treatment
Telehealth solved the hardest part of erectile dysfunction — having the conversation. It also turned treatment into a subscription business with an incentive to keep you subscribed. These reviews cover both sides.
- Services reviewed
- 13
- Scoring criteria
- 5
- Non-paying entries
- 4
- Top-scoring pays us
- $0
No telehealth service can measure your blood pressure or take your blood.
Erectile dysfunction is an early marker of cardiovascular disease and diabetes, so whichever route you choose for treatment, arrange those checks separately. That single step is worth more than picking the right subscription.
Telehealth vs in-personHow we score
Every service is assessed against the same five criteria, and each review breaks the score down by criterion so you can see where the number came from.
- 01
Clinical quality — is a licensed clinician genuinely reviewing your case?
- 02
Transparency — can you see the full price before you hand over your data?
- 03
Value — total monthly cost against a retail pharmacy benchmark
- 04
Experience — signup, dosing changes, support and cancellation
- 05
Privacy — what happens to your health data
At a glance
| Service | Score | Type | Best for | Paid partner |
|---|---|---|---|---|
| Cost Plus Drugs | 4.6 | Mail-order pharmacy with a published cost-plus pricing formula | Anyone with a prescription who can plan ahead and wants the lowest transparent price on a generic. | No |
| GoodRx | 4.5 | Free prescription discount and price-comparison platform | Anyone who already has a prescription and wants the lowest cash price at a pharmacy they can walk into. | Yes |
| Your local pharmacy | 4.4 | Standard prescription filled at a retail pharmacy | Anyone who already has, or can easily get, a prescription — and wants the lowest price. | No |
| Costco Pharmacy | 4.4 | Retail warehouse pharmacy with mail-order option | Anyone with a prescription who wants a low cash price and same-day collection. | No |
| Hims | 4.2 | Telehealth platform with partner mail-order pharmacies | Men who want one account covering several men's health concerns, with a polished, low-friction experience. | Yes |
| Ro | 4.2 | Telehealth platform with in-house pharmacy operations | Men who want a clinically-oriented telehealth service and value an integrated pharmacy. | Yes |
| Sesame | 4.1 | Cash-pay marketplace for telehealth and in-person appointments | Men who want a real consultation and a prescription they can fill anywhere, without a recurring subscription. | Yes |
| CoreAge Rx | 4.0 | Telehealth platform dispensing fast-onset sublingual compounded formulations | Men who want a fast-acting format, dislike swallowing tablets, or have found that timing an oral dose around a meal gets in the way. | Yes |
| Amazon Pharmacy | 4.0 | Licensed mail-order pharmacy with home delivery | People already inside the Amazon ecosystem who want prescriptions handled the same way as everything else. | Yes |
| Teladoc Health | 4.0 | General telehealth, frequently provided through employers and health plans | Anyone whose employer or health plan already includes it — where the marginal cost of a consultation may be zero. | No |
| Lemonaid Health | 3.9 | General telehealth service with ED among its treated conditions | Men who want ED treated as part of general healthcare rather than through a men's-health-specific brand. | Yes |
| BlueChew | 3.8 | Telehealth subscription using compounded chewable formulations | Men who dislike swallowing tablets or want the discretion of a chewable format. | Yes |
| Rex MD | 3.7 | Men's telehealth platform with partner pharmacies | Men who want a straightforward ED-focused service and are comparing prices across providers. | Yes |
“Paid partner” means we may earn a commission if you sign up through our link. It does not affect the score — and the highest-scoring entry in this table is deliberately one that pays us nothing.
Full reviews
Cost Plus Drugs
4.6Pays us nothingAnyone with a prescription who can plan ahead and wants the lowest transparent price on a generic.
Full review →GoodRx
4.5Anyone who already has a prescription and wants the lowest cash price at a pharmacy they can walk into.
Full review →Your local pharmacy
4.4Pays us nothingAnyone who already has, or can easily get, a prescription — and wants the lowest price.
Full review →Costco Pharmacy
4.4Pays us nothingAnyone with a prescription who wants a low cash price and same-day collection.
Full review →Hims
4.2Men who want one account covering several men's health concerns, with a polished, low-friction experience.
Full review →Ro
4.2Men who want a clinically-oriented telehealth service and value an integrated pharmacy.
Full review →Sesame
4.1Men who want a real consultation and a prescription they can fill anywhere, without a recurring subscription.
Full review →CoreAge Rx
4.0★ RecommendedMen who want a fast-acting format, dislike swallowing tablets, or have found that timing an oral dose around a meal gets in the way.
Full review →Amazon Pharmacy
4.0People already inside the Amazon ecosystem who want prescriptions handled the same way as everything else.
Full review →Teladoc Health
4.0Pays us nothingAnyone whose employer or health plan already includes it — where the marginal cost of a consultation may be zero.
Full review →Lemonaid Health
3.9Men who want ED treated as part of general healthcare rather than through a men's-health-specific brand.
Full review →BlueChew
3.8Men who dislike swallowing tablets or want the discretion of a chewable format.
Full review →Rex MD
3.7Men who want a straightforward ED-focused service and are comparing prices across providers.
Full review →
25 products, reviewed individually
A service is not one thing. The same provider may sell an FDA-approved generic, a brand-name original and a compounded formulation that has never been through FDA review — at very different prices. Each product is reviewed separately, with the retail cost of the same molecule shown alongside.
CoreAge Rx
Service review →Hims
Service review →- Generic4.0
Generic sildenafil
Sildenafil citrate
The same molecule as Viagra, delivered on a subscription with a consultation included. Effective and convenient — and rarely the cheapest way to buy sildenafil.
Read the review → - Generic4.1
Generic tadalafil
Tadalafil
The same molecule as Cialis, available both on demand and as a daily low dose. The daily option is the one worth paying attention to.
Read the review → - Compounded3.4
Chewable ED products
Sildenafil or tadalafil, in compounded chewable form
Chewable and combination ED products are the most heavily marketed part of the range — and the part where understanding the regulatory category actually matters.
Read the review → - Brand3.2
Brand-name Viagra and Cialis
Sildenafil citrate (Viagra) or tadalafil (Cialis)
Hims sells the brand-name originals alongside the generics. They work identically, and they cost many times more. Here is the honest case for and against.
Read the review →
- Generic4.1
Generic sildenafil
Sildenafil citrate
Generic sildenafil dispensed through Ro's own pharmacy operation — a structural advantage in a category with a real counterfeit problem.
Read the review → - Generic4.2
Generic tadalafil
Tadalafil
Generic tadalafil through Ro, in both dosing regimens. The 36-hour window is the reason most men who try both end up preferring this molecule.
Read the review → - Brand3.2
Brand-name Viagra and Cialis
Sildenafil citrate (Viagra) or tadalafil (Cialis)
Ro sells the brand-name originals alongside its generics. The clinical case for choosing them is narrow; the price difference is not.
Read the review →
BlueChew
Service review →- Compounded3.6
Chewable sildenafil
Sildenafil citrate
Sildenafil in a chewable tablet you can take without water. The format is the entire proposition — and it is a compounded preparation rather than an approved generic.
Read the review → - Compounded3.8
Chewable tadalafil
Tadalafil
Tadalafil's long window in a chewable format. The better of BlueChew's two mainstream options for most men — with the same compounded caveat.
Read the review → - Compounded3.7
Chewable vardenafil
Vardenafil
Vardenafil is the least-stocked of the mainstream ED drugs, which makes this the most genuinely distinctive product in the telehealth category — and it carries one caution the others do not.
Read the review →
Lemonaid Health
Service review →- Generic3.9
Generic sildenafil
Sildenafil citrate
Sildenafil through a general telehealth service that separates the consultation fee from the medication cost — a structure that suits infrequent users better than a subscription.
Read the review → - Generic4.0
Generic tadalafil
Tadalafil
Tadalafil through a general telehealth service with separated consultation and medication pricing. A sensible pairing of the better molecule with the better cost structure.
Read the review →
Rex MD
Service review →- Generic3.7
Generic sildenafil
Sildenafil citrate
An FDA-approved generic through a service that competes largely on price. Which makes one number more important here than anywhere else: what you pay in month four.
Read the review → - Generic3.8
Generic tadalafil
Tadalafil
FDA-approved generic tadalafil through a price-led telehealth service. The molecule is the better choice for most men; the pricing still needs checking carefully.
Read the review →
Your local pharmacy
Service review →- Generic4.8
Generic sildenafil
Sildenafil citrate
This is the number every other page on this site is measured against. What sildenafil actually costs when you walk into a pharmacy — and why it varies by a factor of ten.
Read the review → - Generic4.8
Generic tadalafil
Tadalafil
What tadalafil costs over a counter, and why the daily regimen bought in ninety-day quantities is realistically the cheapest continuous ED treatment available.
Read the review →
GoodRx
Service review →- Generic4.5
Generic sildenafil
Sildenafil citrate
GoodRx does not sell sildenafil — it shows you which pharmacy will sell it cheapest and gives you the coupon. For the most-counterfeited, most-marked-up drug in men's health, that is worth knowing about.
Read the review → - Generic4.6
Generic tadalafil
Tadalafil
Coupon pricing on generic tadalafil, including the daily low-dose strengths. Because tadalafil needs fewer doses than sildenafil, this is often the lowest annual cost route of all.
Read the review →
Cost Plus Drugs
Service review →- Generic4.6
Generic sildenafil
Sildenafil citrate
The same FDA-approved generic as everywhere else, sold with the markup published. It is the clearest price benchmark available in this whole category.
Read the review → - Generic4.7
Generic tadalafil
Tadalafil
Generic tadalafil at a published markup. Because tadalafil needs fewer doses than sildenafil for the same coverage, this is frequently the lowest annual cost available anywhere.
Read the review →
Amazon Pharmacy
Service review →- Generic4.0
Generic sildenafil
Sildenafil citrate
An FDA-approved generic, filled and delivered through the checkout you already know. Competitive without being class-leading, and worth a moment's thought about data.
Read the review → - Generic4.1
Generic tadalafil
Tadalafil
Generic tadalafil with the delivery experience Amazon is good at. The molecule is the better choice; the price still needs comparing.
Read the review →
Costco Pharmacy
Service review →- Generic4.5
Generic sildenafil
Sildenafil citrate
Consistently low cash prices, same-day collection and a pharmacist in front of you. In most states you do not need a membership to use it.
Read the review → - Generic4.6
Generic tadalafil
Tadalafil
Generic tadalafil at warehouse cash prices, collected the same day. Combined with tadalafil's longer window, one of the lowest annual costs available.
Read the review →