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Hims vs Roman 2026: Which ED Telehealth Service Is Better?
An independent side-by-side comparison of Hims and Roman. We cover pricing, medication options, consultation experience, and which platform is the better fit depending on what you need.
Compare Hims and Roman
Hims
From $25/month
Roman
From $22/month
Quick verdict
- →For lowest price with no commitment: Roman. Cheaper baseline, no subscription required.
- →For bundling with hair loss or mental health: Hims. The bundle value is genuine and the brand experience is more polished.
- →For most men choosing between the two: Roman. Slightly better value, equally good clinical process.
How we compare these platforms
This comparison is independent. No brand has paid to appear first, reviewed this article before publication, or influenced our scoring. We rank platforms on a set of weighted criteria: medication pricing, subscription flexibility, medication selection, consultation process, and user experience. Where we earn a commission is through affiliate links — disclosed at the top of this page — but commission rates do not affect rankings. Roman ranks higher here because it scores higher on our criteria, not because it pays more.
Overview
Hims and Roman are two of the most searched names in online ED treatment, and for good reason — both have been operating since 2017, both are US-based telehealth platforms with licensed physicians, and both will deliver generic tadalafil or sildenafil to your door without a video call.
The differences between them are real but not dramatic. This comparison is most useful if you have already decided you want one of these two platforms and need help choosing. If you are still deciding between online ED treatment and a traditional doctor, the question is different.
The short version: Roman is the better choice for most men on price and flexibility grounds. Hims is worth paying slightly more for if you want to bundle ED treatment with hair loss or mental health services, or if you care about the brand experience.
| 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 |
Pricing Comparison
Pricing in online ED telehealth is messier than the headline numbers suggest. Both platforms use subscription tiers, promotional first-order pricing, and per-pill pricing that varies by quantity. Here is a cleaner breakdown.
| Medication | Hims | Roman |
|---|---|---|
| Generic sildenafil (per dose) | From $2/dose (subscription); ~$36/mo for 6 | From $4/dose, no sub required |
| Generic tadalafil (per dose, as-needed) | ~$4–8/dose | From $4/dose |
| Daily tadalafil (monthly) | From ~$40/month | ~$39/month |
| Subscription required? | Yes for lowest rate | No — same price either way |
| Shipping | Free standard | Free 2-day |
| Consultation fee | Included | Included |
The per-dose picture is nuanced. Hims sildenafil starts at $2/dose on subscription — cheaper per dose than Roman's $4/dose — but requires a subscription commitment to access that rate. Without a subscription, Hims costs significantly more per order. Roman charges the same $4/dose whether you subscribe or order once. For tadalafil, Roman's from $4/dose is competitive with or cheaper than Hims's $4–8/dose range. All prices are estimates — verify before ordering.
Pricing winner: depends on usage. High-volume subscription users may find Hims sildenafil cheaper per dose. For flexibility, tadalafil, or occasional ordering, Roman wins. Roman also includes free 2-day shipping on every order.
Medication Options
Both platforms prescribe the same core medications — generic tadalafil and generic sildenafil, which are the generics of Cialis and Viagra respectively. These are FDA-approved, identical in active ingredient to the branded versions, and significantly cheaper.
Hims has expanded its ED medication range to include chewable formats and branded medication options for men who want them, at higher price points. The chewable formats are popular because they can work slightly faster than standard pills.
Roman keeps its medication list simpler — generic tadalafil, generic sildenafil, daily low-dose tadalafil. No frills, just the core medications at the best price. Roman also offers combination ED + testosterone products for men whose ED has a hormonal component.
Medications winner: Hims on variety (especially for men who want alternatives to standard pills). Roman if you just want generic medication at the lowest price.
How the Consultation Works
The clinical process is nearly identical between the two platforms. Both use asynchronous consultations — there is no live video call or scheduled appointment. You complete a detailed medical questionnaire covering your health history, current medications, and symptoms. A licensed US physician reviews it and either issues a prescription or follows up with questions.
Approval typically takes a few hours during business hours. Once approved, the prescription goes to a compounding or partner pharmacy and ships directly to you in unmarked packaging.
Both platforms give you access to your care team via messaging for follow-up questions, dosage adjustments, or medication switches. Neither offers 24/7 urgent care.
Consultation process: essentially equal. Roman claims faster treatment plan turnaround (same day vs a few hours for Hims), but in practice both are fast.
Still deciding?
Not sure if Hims or Roman is the right fit — or whether there's a better option for your specific situation? Answer 3 quick questions and get a personalised match.
Find my best match →Pros and Cons
Hims
Pros
- ✓Bundle ED with hair loss, skin, or mental health
- ✓Chewable and branded medication options
- ✓Polished brand experience and app
- ✓Broad product range beyond ED
Cons
- ✗Subscription required for best pricing
- ✗Slightly higher baseline cost
- ✗Product range can feel overwhelming
Roman
Our pickPros
- ✓Lower starting price
- ✓No subscription required — pay as needed
- ✓Free 2-day shipping
- ✓Same-day treatment plans
- ✓Testosterone + ED combination options
Cons
- ✗Less bundle variety than Hims
- ✗Brand experience less polished
Who Should Choose Each
Choose Hims if you:
- →Also want hair loss or mental health treatment in one place
- →Want chewable or branded medication options
- →Prefer a subscription model with predictable delivery
- →Value a polished brand and app experience
Choose Roman if you:
- →Want the lowest price for generic ED medication
- →Don't want to commit to a subscription
- →Want fast, no-fuss access to standard generics
- →Are considering testosterone treatment alongside ED
Our Verdict
For most men choosing between Hims and Roman, Roman is the better choice. The lower starting price, no-subscription flexibility, and free 2-day shipping add up to a meaningfully better value proposition for the same core clinical service.
The clinical quality is equivalent — both use licensed US physicians, both ship FDA-approved generic medication, both offer async consultations with follow-up access. You are not giving up anything medically by choosing the cheaper option.
Choose Hims instead if you want to bundle ED treatment with hair loss or another condition, or if you specifically want chewable medication formats. The bundle value is genuine and if you were going to pay for hair loss treatment separately anyway, Hims can come out cheaper overall.
Not sure Roman is the right fit for your situation?
Answer 3 questions about your priorities — price, flexibility, bundling — and get a personalised recommendation across all ED platforms we track, not just these two.
Frequently Asked Questions
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Hims
From $25/month
Roman
From $22/month