Best Online ED Prescriptions: 7 Telehealth Services Ranked for 2025
Getting ED medication used to mean an awkward doctor's visit and a trip to the pharmacy. Now you can get a prescription from your couch in under 30 minutes. But with so many telehealth platforms, which one actually delivers the best experience? We tested the top services to help you decide.
Quick Comparison
| Service | Best For | Starting Price |
|---|---|---|
| Hims | Overall selection | $4/dose |
| Roman (Ro) | Daily tadalafil | $2/dose |
| BlueChew | Chewables | $3/dose |
| Lemonaid | Budget option | $2/dose |
| GoodRx Care | Insurance users | Varies |
| Rex MD | Fast shipping | $4/dose |
| PlushCare | Ongoing care | $99/visit |
How We Ranked These Services
We evaluated each platform based on:
- •Medication options: Generic, brand-name, and compounded choices
- •Pricing transparency: How easy it is to understand what you'll pay
- •Consultation quality: Provider thoroughness and availability
- •Speed: Time from sign-up to prescription
- •Customer experience: Reviews, support, and overall satisfaction
Hims – Best Overall Selection
Hims offers the widest range of ED medications among telehealth platforms, including brand-name options, generics, and unique compounded products like Hard Mints.
What They Offer:
- • Generic sildenafil from $4/dose
- • Generic tadalafil from $6/dose
- • Brand Viagra & Cialis
- • Stendra (avanafil)
- • Hard Mints (chewable)
- • Combination ED + PE treatments
Pros & Cons:
- ✓ Widest medication selection
- ✓ All 50 states + DC
- ✓ Modern app experience
- ✗ Can feel impersonal
- ✗ No insurance accepted
Roman (Ro) – Best for Daily Tadalafil
Roman (now operating as Ro) offers some of the lowest prices on daily tadalafil, especially with their Daily Rise Gummies. Great for men who want to be ready anytime without timing doses.
What They Offer:
- • Generic sildenafil from $2-4/dose
- • Generic tadalafil from $2/dose
- • Daily Rise Gummies (7mg tadalafil)
- • Ro Sparks (fast-acting dissolvable)
- • Brand-name options available
Pros & Cons:
- ✓ Lowest daily tadalafil prices
- ✓ More personalized messaging
- ✓ Heart health integration
- ✗ No Stendra option
- ✗ Pricing less transparent
BlueChew – Best Chewable Option
BlueChew pioneered chewable ED meds. If you hate swallowing pills or want something more discreet, their chewables come in sleek individual pouches.
What They Offer:
- • Sildenafil chewables (30mg, 45mg)
- • Tadalafil chewables (6mg, 9mg)
- • Vardenafil chewables (8mg)
- • DailyTAD multivitamin option
- • Subscription from $20-120/month
Pros & Cons:
- ✓ Chewable format—no water needed
- ✓ Free trial available
- ✓ Three medication options
- ✗ Not available in North Dakota
- ✗ ED-only (no other services)
Lemonaid – Best Budget Option
Lemonaid offers some of the most affordable ED medication on the market. Their $25 consultation fee is straightforward, and generic sildenafil starts at just $2/dose.
What They Offer:
- • Generic sildenafil from $2/dose
- • Generic tadalafil options
- • $25 flat consultation fee
- • Blood pressure check may be required
Pros & Cons:
- ✓ Some of the lowest prices
- ✓ Transparent flat consultation fee
- ✓ Full telehealth platform
- ✗ May require BP check at pharmacy
- ✗ Fewer medication formats
GoodRx Care – Best for Insurance Users
Unlike most ED telehealth platforms, GoodRx Care accepts some insurance plans. If you want to use your benefits, this is worth checking.
What They Offer:
- • Generic sildenafil and tadalafil
- • Same-day prescriptions possible
- • GoodRx discount card integration
- • Insurance accepted (some plans)
Pros & Cons:
- ✓ Accepts insurance
- ✓ Pharmacy discount integration
- ✓ Comprehensive telehealth
- ✗ Less ED-focused
- ✗ Variable pricing
Rex MD – Best for Fast Shipping
Rex MD emphasizes quick turnaround—often 2-day shipping after prescription approval. Good option if you need medication fast.
What They Offer:
- • Generic sildenafil and tadalafil
- • Brand-name options
- • 2-day shipping emphasis
- • Refill reminders
Pros & Cons:
- ✓ Fast shipping
- ✓ Easy refill process
- ✓ Free consultation
- ✗ Fewer unique options
- ✗ No chewables
PlushCare – Best for Ongoing Care
PlushCare is a full-service telehealth platform. If you want ED treatment as part of broader primary care relationship, they offer comprehensive, long-term patient care.
What They Offer:
- • Generic ED medications
- • Full primary care services
- • Lab ordering capabilities
- • $99/visit or subscription plans
Pros & Cons:
- ✓ Comprehensive healthcare
- ✓ Build ongoing relationship
- ✓ Can order labs
- ✗ Higher cost per visit
- ✗ Less ED-specific expertise
How Online ED Prescriptions Work
The process is similar across all platforms:
- 1. Create an account – Enter basic info and verify your state
- 2. Complete health questionnaire – Answer questions about symptoms, medical history, current medications, and cardiovascular health
- 3. Provider review – A licensed provider reviews your information (usually same-day)
- 4. Video/messaging consultation – Some platforms require video calls, others use messaging only
- 5. Prescription issued – If approved, you get a prescription
- 6. Medication delivered – Ships to your door in discreet packaging (or sent to local pharmacy)
Most consultations happen asynchronously through messaging unless your state requires a video call or you specifically request one. The entire process typically takes 15-30 minutes to complete, with prescriptions often approved within 24 hours.
Sildenafil vs Tadalafil: Which to Choose?
Both are PDE5 inhibitors that work similarly, but with key differences:
| Factor | Sildenafil (Generic Viagra) | Tadalafil (Generic Cialis) |
|---|---|---|
| Duration | 4-6 hours | Up to 36 hours |
| Onset | 30-60 minutes | 30-60 minutes |
| Food Effects | Works slower with food | Not affected by food |
| Daily Option? | No (as-needed only) | Yes (low-dose daily) |
| Best For | Planned encounters | Spontaneity |
Are Online ED Prescriptions Safe and Legal?
Yes—when you use legitimate telehealth platforms. All the services we recommend use licensed providers who follow state regulations. Key safety points:
- •Providers are licensed in your state
- •Health questionnaires screen for contraindications
- •Medications come from licensed pharmacies
- •Generic medications contain same active ingredients as brand-name
ED medications are not appropriate for everyone. If you have heart disease, take nitrates, or have certain other conditions, you may not qualify. A legitimate telehealth provider will screen you for these issues.
Ready to Get Started?
All platforms offer free or low-cost consultations. Pick the one that fits your needs and get started today.
Key Takeaways
- 1. Hims offers the widest selection including Stendra and chewable options
- 2. Roman has the cheapest daily tadalafil with Daily Rise Gummies
- 3. BlueChew is best for chewables if you don't like swallowing pills
- 4. Lemonaid offers the lowest overall prices for basic generics
- 5. Most platforms don't accept insurance—but prices are competitive anyway
- 6. Same-day prescriptions are possible with most services
- 7. All legitimate platforms screen for safety before prescribing
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. ED medications are prescription drugs with potential side effects and drug interactions. Consult with a qualified healthcare provider before starting any ED treatment.