Quick Rankings
-
1
Hims — Best overall. Most options, competitive pricing, excellent app.
-
2
BlueChew — Best for chewables. Discreet tin packaging, simple subscription.
-
3
Roman (Ro) — Best full-service platform. Ro Sparks sublingual for fast action.
-
4
Rex MD — Best for aggressive pricing. Good starter option.
-
5
Rugiet — Best premium option. Triple-compound formula.
-
6
Lemonaid — Budget-friendly basics. Recently acquired.
-
7
Amazon Clinic — New entrant. Good for Prime members.
Getting an ED prescription online is easy in 2025. The hard part is choosing between a dozen nearly-identical-looking services that all claim to be the best.
We've spent hours comparing these platforms — signing up, going through their processes, and analyzing their pricing structures beyond the teaser rates. Here's our honest assessment of who's actually worth your time and money.
Quick Comparison
| Provider | Starting Price | Consult Fee | Formats | Our Rating |
|---|---|---|---|---|
| Hims | $2/dose | Free | Pills, Chewables | ★★★★★ |
| BlueChew | $20/mo (6) | Free | Chewables only | ★★★★½ |
| Roman | $2/dose | Free | Pills, Sublingual | ★★★★½ |
| Rex MD | $2/dose | Free | Pills | ★★★★ |
| Rugiet | $9/dose | Free | Sublingual | ★★★★ |
| Lemonaid | $2/dose | $25 | Pills | ★★★½ |
| Amazon Clinic | $19/mo | $29 | Pills | ★★★½ |
Hims — Best Overall
Why We Picked It
Hims has the most comprehensive offering: standard generics, chewable formats, combination products, and the slickest app experience. They've invested heavily in R&D for compounded formulations that competitors don't offer.
- Hard Mints: sildenafil + tadalafil combo chewable
- ED + PE combo treatments available
- Also offers hair, weight loss, mental health
Pricing
- Generic Sildenafil: $2-4/dose
- Generic Tadalafil: $8-12/mo (daily)
- Hard Mints: $8-10/dose
- Consultation: Free
BlueChew — Best for Chewables
Why We Picked It
BlueChew pioneered the chewable ED format and does it better than anyone. The discreet tin packaging looks like breath mints, and the subscription model is dead simple. Three medication options with no pills to swallow.
- Most discreet packaging in the industry
- Sildenafil, tadalafil, AND vardenafil options
- Free trial available (pay shipping only)
Pricing
- Active Plan: $20/mo (6 tablets)
- Busy Plan: $30/mo (10 tablets)
- Popular Plan: $40/mo (14 tablets)
- Consultation: Free
Roman (Ro) — Best Full Platform
Why We Picked It
Roman positions itself as a complete digital health clinic, not just ED pills. If you want weight loss (GLP-1s), mental health, or other services alongside ED, Roman has the most comprehensive offering. Ro Sparks sublingual tablets are their standout ED product.
- Ro Sparks: 15-minute onset sublingual
- Ro Body for weight loss (Wegovy, etc.)
- Brand Viagra/Cialis available (expensive)
Pricing
- Generic Sildenafil: $2-4/dose
- Daily Tadalafil: $8-11/mo
- Ro Sparks: ~$12/dose
- Consultation: Free
Rex MD — Best Value
Why We Picked It
Rex MD (part of LifeMD) is aggressive on pricing and runs frequent promotions. If you just want generic sildenafil or tadalafil at the lowest possible price, Rex MD often beats the bigger names. Less polished but gets the job done.
- Frequently runs intro pricing deals
- Also offers TRT and testosterone support
- No-frills experience
Pricing
- Generic Sildenafil: $2/dose
- Generic Tadalafil: $2/dose
- Starter packs: Often discounted
- Consultation: Free
Rugiet — Best Premium Option
Why We Picked It
Rugiet's flagship product combines sildenafil, tadalafil, AND apomorphine in one sublingual "melt" tablet. This triple-compound approach is unique and targets multiple pathways. It's expensive but differentiated.
- Sildenafil + Tadalafil + Apomorphine combo
- Sublingual (under tongue) for fast absorption
- Premium/luxury positioning
Pricing
- Rugiet Ready: ~$9-12/dose
- Monthly plans: $100-150+
- Consultation: Free
Premium pricing for premium product
Try Rugiet →Lemonaid Health — Budget Basics
Lemonaid was acquired by 23andMe and recently sold to Bambu Ventures. The platform offers basic ED medications at competitive prices, though the consultation fee ($25) adds to total cost. Less innovation, but reliable basics.
Note: Due to recent ownership changes, we recommend checking their current offerings directly. The program may be in transition.
Amazon Clinic — New Entrant
Amazon entered the telehealth space in late 2024 with ED offerings starting at $19/month. It's basic (standard generics only), but the Amazon ecosystem integration could be convenient for existing Prime members. The $29 consultation fee is a downside.
- Prime delivery integration
- Basic generics only (no chewables or combos)
- $29 consultation fee is steep vs free alternatives
How to Choose
Want the most options? → Hims
Chewables, combos, ED+PE treatments, plus hair and weight loss if needed.
Want discreet chewables? → BlueChew
Best packaging, simple subscription, chewable-only format.
Want fastest onset? → Roman (Ro Sparks)
Sublingual tablets claim 15-minute onset. Good for spontaneity.
Just want cheap generics? → Rex MD
No frills, competitive pricing, frequent deals.
Want premium/max-strength? → Rugiet
Triple-compound formula for those who want the strongest option.
Frequently Asked Questions
Are online ED prescriptions legitimate?
Do I need to talk to a doctor on video?
Can I use insurance?
Which medication should I start with?
Ready to Get Started?
Our top pick for most guys is Hims — the most options, competitive pricing, and excellent experience. But any of the top 5 will serve you well.