ED Telehealth · Evidence-Based

The cleanest category we score, and the scores show it

CitedRx rates 8 erectile dysfunction telehealth providers out of 10. Sildenafil and tadalafil are FDA-approved PDE5 inhibitors with nearly three decades of trial history and widely available generics: there's no compounding ambiguity here, so pricing transparency and cancellation policy do most of the differentiating.

Last reviewed: September 2026 · 8 providers compared · See the clinical evidence →

How the CitedRx Score works: we score every provider out of 10 on how directly the clinical evidence in our ED research library applies to what they actually prescribe (FDA-approved drug vs. compounded), plus independent rating, pricing/cancellation transparency, clinician oversight, and regulatory standing. Because evidence quality is roughly equal across providers offering the same FDA-approved generic, price transparency and how easy it is to cancel matter more here than in most categories we score.

4 pts

Evidence Match

2 pts

Independent Rating

2 pts

Pricing & Support

1 pt

Clinical Support

1 pt

Regulatory Standing

The top 3, in depth

Hims 9.1/10

Best for: brand or generic, straightforward subscription

Offers both brand-name and FDA-approved generic sildenafil and tadalafil, with a subscription model marketed as cancel-anytime.

From ~$2/doseGeneric sildenafil

FDA-ApprovedMedication tier

Brand + genericOptions offered

Hims's ED products are FDA-approved sildenafil/tadalafil: the trial evidence in our research library applies directly. (Note: Hims faces FDA scrutiny over its GLP-1 compounded-weight-loss marketing: a separate product line, unrelated to its ED products.)

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GoodRx Care 8.2/10

Best for: transparent, low-cost subscription pricing

FDA-approved generic sildenafil and tadalafil with subscriptions starting around $18-21/mo inclusive of visit, medication, and delivery.

From $18/moGeneric sildenafil

FDA-ApprovedMedication tier

IncludedVisit + delivery in price

FDA-approved generic only: the trial evidence applies directly to what's prescribed.

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Keeps 7.5/10

Best for: bundling with an existing Keeps hair-loss subscription

Primarily known as a hair-loss telehealth brand, with FDA-approved generic sildenafil and tadalafil as a secondary offering, billed quarterly.

From $3.20/doseGeneric sildenafil

FDA-ApprovedMedication tier

QuarterlyBilling cadence

FDA-approved generic only. Quarterly (not monthly) billing is less flexible than most competitors on this list.

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8 providers compared

The same five factors, applied consistently: including five more not detailed above.

#	Provider	CitedRx Score	Medication tier	Best for	From
1	Hims	9.1/10	FDA-Approved	Brand or generic, straightforward subscription	~$2/dose
2	GoodRx Care	8.2/10	FDA-Approved	Transparent, low-cost pricing	$18/mo
3	Keeps	7.5/10	FDA-Approved	Bundling with hair-loss subscription	$3.20/dose
4	Maximus Tribe	6.8/10	Mixed	Bundled protocol with other men's health services	$49/mo
5	Ro	6.7/10	Mixed	Combo dosing (compounded "Sparks")	$4/dose
6	Lemonaid Health	6.3/10	FDA-Approved	Brand or generic in one place	$30/mo
7	Rex MD	5.6/10	FDA-Approved	Low intro pricing	$36/mo
8	BlueChew	4.7/10	Compounded	Chewable format, flexible pause/cancel	$20/mo

BlueChew's parent company (Dermacare LLC) received an FDA warning letter in September 2025 over claims that its compounded sildenafil/tadalafil contain the "same active ingredients" as brand drugs: reflected in its regulatory-standing score. Rex MD carries a notably low BBB rating tied to cancellation/billing complaints. See our research library for full evidence and citations.

How we scored these

Evidence Match (4 pts). FDA-approved sildenafil/tadalafil (brand or generic) scores highest since it's the exact product tested in the pivotal trials; compounded or combination-dose products (not individually FDA-reviewed) score lower.
Independent Rating (2 pts). No U.S. News rating exists for this vertical; we scale from the best available third-party data (BBB, Trustpilot), weighted conservatively where sources conflict.
Pricing & Support (2 pts). Transparent flat pricing and easy self-service cancellation score highest; providers with documented billing or cancellation complaints score lower.
Clinical Support Model (1 pt). Standard licensed-clinician intake and review.
Regulatory Standing (1 pt). Full credit by default; deducted for an active FDA warning letter tied to the ED product specifically.

Scores are CitedRx's own composite, not a clinical endorsement. Score order reflects the factors above, not payment from a provider. CitedRx may earn a referral fee if you sign up through a link on this page: see the disclosure in the footer.

Read the full clinical trial evidence →

Frequently asked questions

What is the best ED telehealth provider?

Based on CitedRx's scoring, Hims and GoodRx Care score highest because they offer FDA-approved sildenafil or tadalafil (brand or generic) with transparent, flexible pricing. Evidence quality is roughly equal across providers offering the same FDA-approved generic drug: the real differences are pricing transparency and how easy a provider makes it to cancel.

Is generic sildenafil or tadalafil as effective as the brand name?

Yes. FDA-approved generic sildenafil and tadalafil contain the same active ingredient, at the same dose, reviewed by the FDA for bioequivalence to Viagra and Cialis: this is different from compounded ED products, which are custom-mixed by a pharmacy and not individually FDA-approved.

What's the difference between sildenafil (Viagra) and tadalafil (Cialis)?

Both are PDE5 inhibitors with similar efficacy in clinical trials. The practical difference is duration: sildenafil's effective window is roughly 4-5 hours, while tadalafil's half-life of about 17.5 hours gives it an effective window of up to 36 hours, and it also has an FDA-approved once-daily low-dose option.

Is compounded ED medication safe?

Compounded sildenafil/tadalafil products (including flavored chewables and combination doses) are not individually reviewed by the FDA for safety or effectiveness, even when they use FDA-approved active ingredients. In September 2025, the FDA issued a warning letter to BlueChew's parent company over claims that its compounded products contain the "same active ingredients" as brand drugs, finding the framing misleading.

Are PDE5 inhibitors safe for the heart?

A 2024 meta-analysis of 16 studies covering more than 1.2 million men found PDE5 inhibitor use was associated with lower risk of major adverse cardiovascular events and all-cause mortality, not merely a neutral safety profile, though PDE5 inhibitors remain contraindicated with nitrate medications.

How much does ED telehealth cost per month?

Generic sildenafil or tadalafil through telehealth typically runs $20-$65/month depending on dose and provider, often less per-dose with a larger supply. Compounded chewables or combination products can cost more. Brand-name Viagra or Cialis without insurance can run significantly higher.

Are online ED prescriptions legitimate?

Yes, when the provider uses licensed U.S. clinicians for prescribing: telehealth prescribing of PDE5 inhibitors is legal nationwide and these are not controlled substances. Legitimacy still varies by provider on pricing transparency and cancellation practices: check reviews and billing terms before enrolling.

Sources

CitedRx is an independent information resource and is not affiliated with the telehealth providers listed above. Pricing, ratings, and regulatory status are sourced from the publications linked above and provider sites; figures can change and should be confirmed with the provider directly. This page is for informational purposes only and is not medical advice: talk to a licensed clinician before starting or changing any medication. CitedRx may earn a referral fee if you sign up with a provider through a link on this page; this does not affect score or ranking order.