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Updated April 2026
Online ED Treatment: Compare Every Major Platform
Generic tadalafil and sildenafil are available online without a video call from several licensed US platforms. Prices and flexibility vary. This page helps you find the right one.
Roman
From $22/month
- No video call required
- Same-day treatment plans
- Generic ED medications available
Hims
From $25/month
- Discreet packaging and delivery
- Licensed US doctors
- Hair, ED & mental health bundles
Ro
From $34/month
- Comprehensive men's & women's health
- GLP-1 weight loss programs
- Body program with coaching
Rankings are based on pricing, medication selection, consultation quality, and flexibility. No brand has paid to appear first or reviewed this page before publication. About our methodology
All platforms compared
Prices are for generic tadalafil or sildenafil. No platform on this list accepts insurance.
| Program | Monthly Price | No video call? | Ships all states | Best for | |
|---|---|---|---|---|---|
| Hims | From $25/month | ED, Hair loss | |||
| RomanTop Pick | From $22/month | ED, Hair loss | |||
| Ro | From $34/month | ED, Weight loss | |||
| Rex MD | From $19/month | ED |
Side-by-side comparisons
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Platform reviews
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Common questions
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Roman
From $22/month
- No video call required
- Same-day treatment plans
- Generic ED medications available
Hims
From $25/month
- Discreet packaging and delivery
- Licensed US doctors
- Hair, ED & mental health bundles
Ro
From $34/month
- Comprehensive men's & women's health
- GLP-1 weight loss programs
- Body program with coaching