Men's health · Care and cost comparison

How to Get ED Treatment Online: A 2026 Guide

Compare the medication, quantity and full bill before choosing a service. You can use a telehealth delivery plan or have a clinician send a prescription to a separate pharmacy.

By VitalityScout research · Prices checked September 17, 2026

What does it cost? Public offers range from a pharmacy fill plus a separate consultation to recurring telehealth plans. For example, BlueChew's 6-tablet SIL plan is $35 with standard shipping, while a 30-tablet generic sildenafil pharmacy fill is $11.61 before tax and consultation. The strength, formulation and quantity differ; a monthly headline alone cannot tell you which is better value.

Compare the five options ↓

A licensed clinician decides whether a prescription is appropriate and which medication and dose to use. This guide provides research and price comparisons, not a diagnosis or a medical review of your care.

Compare online ED providers and a pharmacy alternative

Start with the route you need: evaluation and delivery together, or a fill for a prescription you already have. Open each row's terms for the first charge, renewals, cancellation and original sources.

Public offers checked September 17, 2026. Different drugs, strengths, quantities and services are shown; these are not equivalent treatment plans or a ranking of clinical quality. Prices can change.

ED provider prices, included services, billing terms and official links
HimsGeneric sildenafil or tadalafil tabletsGeneric tablets; compounded chews are separate products.

Sildenafil from $22/month

Tadalafil advertised from $24/month. Starting-price strength and tablet count are not specified on the landing page.

Online assessment, shipping, check-ins and provider messaging are listed as included.

Subscription; qualifying billing period not disclosed with the starting price.

Check Hims prices →
First payment, renewals and sources
First payment
Confirm total due now and how many months it covers.
Renewal
Exact renewal charge not verified for the advertised starting price.
Cancellation
Act at least 48 hours before the next order date. Processing or shipped orders are not canceled by ending the subscription.
Still to confirm
Strength, quantity, upfront commitment and checkout fees for the starting offer.
Ro (Roman)Generic sildenafil tablets25 mg, 50 mg or 100 mg tablets; compounded Sparks and gummies are separate.

$4 / $6 / $10 per dose

Published prices for 25 / 50 / 100 mg respectively. Quantity and shipment frequency determine the bill.

Free shipping and unlimited follow-up messaging. A separate consultation charge was not established from the pages reviewed.

Monthly recurring pricing shown; other shipment schedules can change the price.

Check Ro (Roman) prices →
First payment, renewals and sources
First payment
Check the prescribed quantity and order minimum before paying.
Renewal
Recurring plan; confirm the next order total and interval.
Cancellation
Turn off automatic shipments in your account. Shipped orders cannot be canceled or returned.
Still to confirm
Exact starter quantity, any promotion, initial charge and patient-specific renewal total.
BlueChewSIL: 6 × 45 mg sildenafilCompounded medication, not FDA-approved. Confirm dispensed form; the selector and product page use different format labels.

$35/monthly shipment

$30 medication + $5 standard shipping, before tax. Larger packs and TAD plans differ.

Online medical consultation included. Expedited shipping costs extra.

Monthly subscription; no minimum term displayed for this plan.

Check BlueChew prices →
First payment, renewals and sources
First payment
Standard published plan, with no promotional discount applied in this comparison.
Renewal
Monthly plan price shown; confirm the refill total at checkout.
Cancellation
Plan selector says you can change or cancel. Check the processing cutoff; a refund was not verified.
Still to confirm
Taxes, state/patient eligibility, current new-patient availability and exact cancellation cutoff.
Lemonaid HealthED visit plus prescribed medicationGeneric and brand options; identify the exact product and formulation before comparing.

$25 consult + medication from $2/pill

One consultation is advertised to cover 12 refills. The starting-price strength and quantity are not specified.

Free standard shipping for the delivery offer. Medicine is an additional charge.

Recurring delivery options; exact plan and refill schedule must be confirmed.

Check Lemonaid Health prices →
First payment, renewals and sources
First payment
Consultation plus your medication order; a complete starter total is not verified.
Renewal
Medicine refills cost extra. Existing-patient script renewal is advertised with a free visit; confirm eligibility.
Cancellation
Request cancellation at least 48 hours before refill processing or the next billing cycle.
Still to confirm
Drug, strength, quantity, first medication charge and subsequent refill prices.
Cost Plus Drugs30 × 50 mg sildenafil tabletsGeneric pharmacy fill with a prescription from a separate clinician.

$11.61/fill before tax

$6.36 medicine (pharmacy labor included) + $5.25 standard shipping. This is a 30-tablet fill, not a monthly treatment plan.

Medicine and standard shipping in this example. Clinician visit, prescription and any tests are separate.

Pharmacy purchase; this example includes no telehealth membership. Check any auto-refill settings.

Check Cost Plus Drugs prices →
First payment, renewals and sources
First payment
Shown fill total plus tax and any separate cost of obtaining a prescription.
Renewal
Each future fill is priced at the then-current pharmacy rate.
Cancellation
Check the pharmacy’s current order terms before submitting a fill.
Still to confirm
Consultation cost, taxes, future prices and whether this prescription is appropriate for you.

These links open official provider pages. A link is not a booking confirmation or a personalized medical recommendation. No promotional discount is assumed. How we compare providers.

Looking at particular brands? Read Hims vs Ro cost, the BlueChew plan and shipping breakdown, or sildenafil prices without insurance.

Compare what you pay now and at renewal

A provider's “from” price may require a particular quantity or billing period. Separate an introductory discount from the ongoing price, and compare the same prescribed drug, strength and formulation. More tablets are not automatically a better fit.

  1. Identify the product: medication, strength, tablet count and whether it is an FDA-approved generic or a compounded preparation.
  2. Write down the first payment: consultation + medicine + shipping + any fees and taxes. If several months are prepaid, record the full amount due today.
  3. Check the next shipment: refill quantity, interval, renewal price and whether promotional pricing ends.
  4. Check how to leave: Hims and Lemonaid ask for cancellation at least 48 hours before the next order/refill processing. Canceling a subscription does not necessarily refund a prepared prescription. Hims policy; Lemonaid policy.

A pharmacy-fill example

Cost Plus lists 30 sildenafil 50 mg tablets for $6.36, including pharmacy labor. Add $5.25 standard shipping: $11.61 before tax. Any clinician visit and tests cost extra. Thirty tablets describe the fill quantity, not how frequently you should take them. Price calculator.

Generic tablets and compounded products are different

FDA-approved generic medicines and compounded preparations are not the same category. A chew, gummy, sublingual tablet or combination containing sildenafil or tadalafil is not automatically an approved generic. Compounded drugs do not undergo FDA approval for safety, effectiveness and quality. Ask your clinician what is being prescribed and why that formulation is appropriate. FDA explanation.

Hims and Ro offer generic tablets alongside compounded products; BlueChew's featured preparations are compounded. Different milligram strengths and combined ingredients should not be treated as equivalent doses for a price comparison. This guide does not provide dosing instructions.

How an online ED visit works

You provide your medical history, medications and symptoms. The clinician may need a current blood-pressure reading, a video visit or further assessment. If treatment is appropriate, the prescription goes to a pharmacy. Confirm how to contact the clinician for follow-up and how refills work before you pay. Lemonaid visit process; Ro visit process.

An online form does not guarantee a prescription. If an in-person assessment or testing is needed, include that in your care and cost planning.

Treat the cause as well as the symptoms

ED involves difficulty getting or maintaining an erection. A clinician can assess possible health conditions, medication effects and psychological factors. NIDDK describes treatment of the underlying cause where possible, with options including lifestyle changes, counseling and medicines. Oral PDE5 inhibitors improve blood flow; they do not create automatic erections. NIDDK treatment guide; patient guide (PDF).

Prescription and pharmacy checks

  • Disclose all medicines and health conditions. Do not combine oral ED medicines with nitrates. Have your clinician assess other interactions and whether treatment is safe for you. NIDDK medicine guidance.
  • Check the dispensing pharmacy. FDA advises looking for a prescription requirement, state licensure, a US address and phone number, and a pharmacist available for questions. Verify the pharmacy's license with the state board. FDA pharmacy checklist.
  • Get urgent help for serious symptoms. An erection lasting more than four hours or sudden vision or hearing loss needs prompt medical care. For chest pain or another medical emergency, call 911. NIDDK warning signs.

Common questions

How much does online ED treatment cost?

The bill depends on the prescription and service. Hims advertises sildenafil from $22/month without specifying the starter quantity on its landing page. The published BlueChew six-tablet SIL 45 mg plan costs $35 per monthly shipment including standard shipping, before tax. A Cost Plus 30-tablet sildenafil 50 mg fill is $11.61 with standard shipping, before tax and any separate clinician visit. These are different products and quantities, not equivalent treatment plans.

Can I get ED medication online without a prescription?

Sildenafil and tadalafil require a prescription. A clinician can assess whether treatment is appropriate online, but approval is not guaranteed. FDA advises using a state-licensed pharmacy that requires a prescription and provides access to a licensed pharmacist.

Are ED chews and gummies FDA-approved generics?

A compounded chew, gummy or combination is not an FDA-approved generic simply because it contains sildenafil or tadalafil. FDA-approved generics and compounded medicines have different regulatory status. Check the exact product with your clinician and pharmacy.

Do I have to buy an ED subscription?

You can ask a clinician to send an appropriate prescription to a separate pharmacy and pay for the fill. The visit and any tests may cost extra. For delivery subscriptions, check the initial charge, quantity, refill schedule and cancellation cutoff before enrolling.

How we checked this comparison

VitalityScout research checked public provider pricing and policy pages on September 17, 2026, including the live BlueChew plan selector and Cost Plus price calculators. We did not purchase treatments or complete a medical intake. Unknown checkout terms remain labeled; no promotion is assumed. These examples cover common purchasing routes and are not an exhaustive market survey or endorsements. Clinical statements cite FDA and NIDDK materials; no clinician review is claimed.

Each provider row links to its sources. Confirm your final quote, pharmacy, prescription and refill terms with the provider. Read our editorial and comparison policy or explore the men's health directory.

Medical disclaimer: This page is general information, not medical advice. Listings are aggregated from public sources and prices are estimates that may be out of date — confirm current pricing, services, and provider credentials directly with each clinic. Talk to a licensed clinician before starting any medication or treatment.

Affiliate disclosure: VitalityScout may earn a commission from some links, at no additional cost to you. This never affects which providers we list or how we describe them.