ED medication telehealth: a real cost comparison in 2026

ED medication is the simplest telehealth category. The drug class (PDE5 inhibitors) has been generic for years. The same sildenafil sold by Ro, Hims, BlueChew, and REX MD comes from a handful of FDA-approved generic manufacturers. The price differences are pure brand markup and intake-fee structure.

Apples-to-apples per-tablet cost

To compare fairly, we normalized each brand's published pricing to an all-in per-tablet cost for a typical monthly supply of 50 mg sildenafil (12 tablets), with the initial intake fee amortized over 12 months. Prices are the brands' listed rates and change over time — verify at checkout. Excludes shipping and any first-month promotional pricing.

Ro generic sildenafil: $4.50/tablet. Hims generic sildenafil: $4.00/tablet (cheapest of the majors). BlueChew chewable sildenafil: $6.20/tablet (chewable form premium). REX MD generic sildenafil: $5.10/tablet. Drugstore retail with GoodRx coupon: $2-3/tablet (cheapest if you have an in-person script).

Where the markup goes

Affiliate programs (which is how WeighedHealth earns commission), customer acquisition advertising (telehealth brands spend $200-400 to acquire a single ED customer), and intake clinician fees (a US-licensed clinician reviews each questionnaire).

The intake-fee value is real for first-time patients. The acquisition-cost markup is unavoidable in the current telehealth model. The affiliate commission is disclosed inline (we earn $30-80 per first-time ED conversion across these brands).

Bottom line

If you already have an in-person prescription, GoodRx + a local pharmacy is cheapest. If you want telehealth-convenience and async ordering, Hims generic sildenafil is the lowest-price option for the standard tablet form. Chewable form costs more from any provider — pick BlueChew or Hims chewable if you actually prefer that delivery method.