Who prescribes ED medication online, and what the cheap chewables actually are
ED telehealth is the most commoditised category here. The medication is generic and the differences are in price, format, and whether anyone looks at the whole picture, including testosterone.
Ranked first on the five-criterion rubric, at 9.3/10.
From $39 first month membership Easiest to cancelCancel online yourself, no phone call.
From $39 first month membershipQuick comparison
| # | Provider | Score | From | Labs | Prescriber | States | Cancel |
|---|---|---|---|---|---|---|---|
| 1 | Ro | 9.3 | $39 first month membership | Included | MD/DO + NP/PA | 50 + DC | Self-serve online |
| 2 | Rex MD | 7.6 | $2/dose | n/a | — | 50 | By phone |
| 3 | Hims & Hers | 6.6* | $39 first month membership | Extra | MD/DO + NP/PA | — | Self-serve online |
* Provisional: one or two criteria could not be verified from the provider’s published pages and are left out of the average. Provisional scores rank below fully verified ones.
The ranking
Ro
Adults who want brand-name, FDA-approved GLP-1s with transparent cash pricing or help using commercial insurance, and who are comfortable with an online, message-based model.
- Starting price
- $39 first month membership
- Consult model
- Asynchronous (questionnaire + messaging)
- Prescriber
- MD/DO + NP/PA
- Labs
- Included
- Insurance
- Accepted
- Availability
- 50 states + DC
- Cancellation
- Self-serve online
- Founded
- 2017 · New York, NY
Pricing
Ro Body membership costs $39 for the first month, then $149/mo on a monthly plan, or $99, $89 or $74/mo prepaid for 3, 6 or 12 months. Medication isn't included. Cash prices listed on 2026-10-17: Wegovy pill $149-$299, Wegovy pen $199 (first two months, limited-time) then $349-$399, Zepbound KwikPen $299-$449 and Foundayo $149-$299. Insurance is also an option for Wegovy, Zepbound and Ozempic pens. The membership includes lab testing 'if necessary' (a Quest metabolic panel).
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Lists only FDA-approved branded GLP-1s (Wegovy, Zepbound, Ozempic, Foundayo), with no compounded versions
- Cash price for every medication dose is published on its pricing page
- Insurance concierge checks coverage and handles prior authorization for GLP-1 pens
- Metabolic lab test at Quest included in the membership fee
Watch out for
- Membership ($149/mo monthly) is billed on top of medication
- Membership fees are non-refundable once paid, including prepaid multi-month plans
- Can't coordinate GLP-1 coverage for government insurance plans
- 747 BBB complaints in the last 3 years
Cancelling
Per the Terms of Use, revised 2026-04-02: cancel in your account under Ro Body Program > Program Details > 'Cancel Subscription', or by email. You must cancel at least 48 hours before the next renewal date. Access continues through the paid cycle. Once paid, membership fees are non-refundable. The $39 first month is refunded if you're found ineligible for GLP-1s.
Where it is available
All 50 states + DC (based on a Ro-affiliated job listing and ConsumerAffairs, not a ro.co service-area page; drug options may vary by state)
- 2025-04 Telephone Consumer Protection Act suit (Wilson v. Roman Health Ventures, S.D.N.Y.) filed; dismissed Oct 2025 after a reported settlement in principle. Source ↗
Men wanting low-cost generic sildenafil or tadalafil through a mostly asynchronous online consult who are comfortable cancelling auto-refills by phone.
- Starting price
- $2/dose
- Consult model
- Asynchronous (questionnaire + messaging)
- Prescriber
- Unconfirmed
- Labs
- Not needed
- Insurance
- Cash pay
- Availability
- 50 states
- Cancellation
- By phone
- Founded
- 2019 · New York, NY
Pricing
ED pages (seen 2026-10-17, 'Fall Sale'): generic sildenafil and daily generic tadalafil 'from $2 per use', generic tadalafil from $6, branded Cialis from $29, branded Viagra from $96 per use; FAQ elsewhere says sildenafil 'as little as $6 a pill'. Online consultation is free; shipping free.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Free online consultation; free shipping
- Generic ED medication listed from $2 per dose
- Available in all 50 states per FAQ
- Prices per dose shown for each ED product
Watch out for
- Auto-renewal cancellation is by phone for most states, at least 12 hours before renewal
- All sales final; prescription medications not refundable
- Parent LifeMD settled a privacy class action over website tracking (final approval Sept 2025)
- Does not accept insurance
Cancelling
Terms: cancel an Automatic Renewal Program 'at any time by calling us at (866) 294-3772'; only CA, NY and select VT customers may also cancel via member portal or email. Must cancel within 12 hours of renewal date to avoid shipment and charge. 'All sales are final and non-refundable' unless otherwise indicated; prescription medications not eligible for return or refund.
Where it is available
FAQ: 'Rex MD serves patients in all 50 states'; DC not mentioned. Some states require an audio or video call.
- 2025-09 Final approval of Marden v. LifeMD (Nev. Dist. Ct.) privacy class settlement over website tracking tech allegedly sharing health data with Meta, Google, TikTok; company denied wrongdoing. Source ↗
- 2025-08 Securities class action filed against parent LifeMD over 2025 guidance, citing RexMD customer acquisition costs; pending in S.D.N.Y. as of the FY2025 10-K. Source ↗
Hims & Hers
Cash-pay patients who want quick, message-based access to branded GLP-1s with published starting prices and who don't plan to use insurance.
- Starting price
- $39 first month membership
- Consult model
- Asynchronous (questionnaire + messaging)
- Prescriber
- MD/DO + NP/PA
- Labs
- Billed separately
- Insurance
- Cash pay
- Availability
- Unconfirmed
- Cancellation
- Self-serve online
- Founded
- 2017 · San Francisco, CA
Pricing
The Weight Loss Membership is $39 for the first month, then auto-renews at $149/mo, and medication is billed separately. Listed starting prices: Wegovy pill from $149/mo, Wegovy pen from $199/mo, Zepbound KwikPen from $299/mo and Foundayo from $149/mo. The oral non-GLP-1 kits start at $69/mo, but only on a 10-month plan paid upfront. Medication fees are FSA/HSA-eligible; the membership fee is not.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Offers FDA-approved branded GLP-1s (Wegovy pill/pen, Ozempic, Zepbound, Foundayo) with starting prices shown on the site
- Low $39 first month of membership
- Medication fees are FSA/HSA-eligible
- Non-GLP-1 oral medication kits available as a lower-cost option
Watch out for
- Membership ($149/mo after month one) is billed on top of medication
- Doesn't use insurance for its weight-loss program
- Active FTC lawsuit (July 2026) over health-data sharing and billing/cancellation practices, plus a Sept 2025 FDA warning letter over compounded semaglutide claims
- Trustpilot score of 2.9 from about 9,600 reviews
Cancelling
Per Hims support search snippets, you cancel in the app (Profile > Subscriptions > Manage subscription > turn off auto-renew) at least two days before the next billing date, and cancellation takes effect at the end of the billing period. Ending the membership also ends the medication plan. The FTC's July 2026 complaint alleges subscriptions were difficult to cancel and that customers were charged once they submitted intake forms; Hims calls the claims baseless.
Where it is available
Hims says GLP-1s are 'not yet available in all 50 states' but publishes no state list; the platform overall operates in all 50 states (not Puerto Rico)
- 2025-09 FDA warning letters (hims.com and forhers.com) said compounded semaglutide claims such as 'Same active ingredient as Ozempic and Wegovy' were misleading, so the products were misbranded. Source ↗
- 2026-02 Novo Nordisk sued Hims over compounded semaglutide products; the suit was dismissed without prejudice in March 2026 alongside a new Novo-Hims collaboration. Source ↗
- 2026-07 FTC, with Utah and Los Angeles County, sued Hims & Hers (N.D. Cal.), alleging it shared health data with ad platforms and used deceptive billing and cancellation practices; the company calls the claims baseless. Source ↗
- 2026-08 Securities class action (Velanki v. Hims & Hers Health, N.D. Cal. 3:26-cv-09313) filed after the FTC suit; allegations unproven. Source ↗
Also reviewed, not yet scored
We could not verify enough of these providers’ published terms to score them. They are not ranked.
- BlueChew: Men who specifically want compounded chewable or sublingual ED formulations and accept that they are not FDA-approved products.
Head-to-head comparisons
Tools for this decision
How we ranked these
Same rubric. Weighted toward providers that screen for underlying causes rather than only dispensing. Facts come from each provider’s own pricing, FAQ and terms pages, with regulator and court records where they exist. Scores are produced by a fixed table, so the same facts always give the same score. See the rubric.
Best ED telehealth providers: FAQ
What is the best ed telehealth providers provider?
Ro ranks first, scoring 9.3/10 on our five-criterion rubric. Adults who want brand-name, FDA-approved GLP-1s with transparent cash pricing or help using commercial insurance, and who are comfortable with an online, message-based model.
How were these providers ranked?
Every provider is scored on the same five weighted criteria: licensed states (24%), labs included (24%), cost transparency (18%), cancellation friction (17%) and formulary breadth (17%). Who prescribes is shown on each review but not scored. Facts come from each provider’s published pages, checked November 6, 2026. Scores marked * are provisional because one or two criteria could not be verified.
Which of these include lab work in the price?
Ro include the initial lab work in their published pricing. The others bill labs separately or did not publish it.
Do any of these providers have regulatory or legal issues?
Ro, Rex MD, Hims & Hers have a public regulatory or legal record, such as an FDA warning letter or lawsuit. Details and sources are on each review page.
Do providers pay to be on this list?
No. Placement is set by the rubric score. Where a provider pays us a referral fee, its link is labelled “Paid link”, and that does not change its score.