Hims vs Roman: Which ED Telehealth Platform Wins in 2025?

Two giants of men's telehealth—but which one deserves your business? Both Hims and Roman (now operating as Ro) offer convenient access to ED medications without awkward doctor visits. Here's our comprehensive comparison covering pricing, medications, customer experience, and which platform is best for different needs.

Pricing Comparison: Hims vs Roman

Both platforms offer competitive pricing on generic ED medications. The difference often comes down to which specific medication you need and what subscription length you choose.

Price winner: Roman edges out Hims on daily tadalafil pricing, especially with their Daily Rise Gummies at around $2/dose. Hims typically has slightly lower sildenafil prices on longer subscriptions. Both are significantly cheaper than brand-name medications or retail pharmacy prices.

Medication Options

What Hims Offers

Hims has one of the broadest ED medication selections among telehealth platforms:

• •Generic Sildenafil: Standard tablets in multiple doses
• •Generic Tadalafil: Daily and as-needed options
• •Brand Viagra & Cialis: For those who prefer brand-name
• •Stendra (Avanafil): Fast-acting option (15-30 min onset)
• •Hard Mints: Chewable sildenafil + tadalafil combination
• •Sex Chews: Compounded ED treatments
• •Combination treatments: ED + PE, ED + hair loss

What Roman (Ro) Offers

Roman focuses on flexibility in how you take your medication:

• •Generic Sildenafil: Standard tablets
• •Generic Tadalafil: Daily and as-needed tablets
• •Daily Rise Gummies: Tadalafil gummies for daily use
• •Ro Sparks: Fast-acting dissolvable tablet (sildenafil + tadalafil)
• •Brand-name options: Viagra, Cialis available

The Consultation Process

How Hims Works

1. 1. Create account – Basic info and state verification
2. 2. Health questionnaire – Medical history, symptoms, past medications
3. 3. Provider review – Licensed provider reviews your info (usually via messaging)
4. 4. Prescription issued – If approved, prescription generated
5. 5. Medication shipped – Free delivery in discreet packaging

Most Hims consultations happen through asynchronous messaging rather than video calls, unless your state requires it or you request one.

How Roman (Ro) Works

1. 1. Complete intake form – Detailed medical questionnaire
2. 2. Provider assignment – Licensed provider reviews your case
3. 3. Messaging access – You can message your provider with questions
4. 4. Video option – Available if needed or requested
5. 5. Prescription & shipping – Free delivery, discreet packaging

Roman users often report feeling like their providers are more engaged in follow-up conversations compared to Hims, though experiences vary.

Beyond ED: Other Services

Both platforms have expanded well beyond erectile dysfunction:

Pros and Cons

Real User Feedback

Based on reviews across Trustpilot, Reddit, and other platforms:

Hims users appreciate: The convenience, quick process, wide selection of products, and ability to bundle ED with hair loss treatment.

Hims complaints: Some feel like providers don't ask enough questions and the experience can feel transactional.

Roman users appreciate: More thorough provider interactions, feeling like someone actually reviewed their case, and the Daily Rise Gummies format.

Roman complaints: Some find the website harder to navigate and pricing less transparent until you complete the intake.

Insurance and Payment

Neither Hims nor Roman accepts health insurance for ED medications. Both accept HSA/FSA cards for payment. This is common across telehealth ED platforms because insurance rarely covers ED medications anyway. The cash-pay model actually simplifies the process—no prior authorizations, no fighting with insurers, no surprises.

Which Should You Choose?

Choose Hims if:

• • You want the widest range of medication options
• • Stendra (fast-acting avanafil) interests you
• • You like the idea of Hard Mints chewables
• • You want to combine ED + hair loss treatment
• • Modern, tech-forward branding appeals to you

Choose Roman (Ro) if:

• • You want the cheapest daily tadalafil option
• • Ro Sparks (15-minute onset) appeals to you
• • Gummy format interests you
• • You prefer more engaged provider interactions
• • Heart health screening integration matters

Key Takeaways

1. 1. Pricing is comparable—both offer generic sildenafil from $2-4/dose
2. 2. Roman has the edge on daily tadalafil pricing with Daily Rise Gummies
3. 3. Hims offers the widest medication selection including Stendra
4. 4. Both have unique formats: Hims' Hard Mints vs Roman's Ro Sparks
5. 5. Neither accepts insurance—both take HSA/FSA
6. 6. Roman users report more personalized provider interactions
7. 7. Both are legitimate, licensed telehealth platforms