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Rex MD Review 2026: Cheapest ED Medication Online?
Our in-depth review of Rex MD — the cheapest ED telehealth option we've tested. We cover exact pricing, what you give up, and who it's the right fit for.
TreatCompare Rating
Best-in-class on price — nothing else comes close at $19/month. Limited platform breadth keeps the overall rating lower, but if price is the only factor, Rex MD wins.
Pricing
Lowest price of any major ED platform
Medication variety
Core generics only, no chewables or bundles
Consultation
Standard async process, straightforward
Customer experience
Basic app, no 2-day shipping standard
Bundle value
ED-only platform, no bundling available
Get started with Rex MD
Rex MD
From $19/month
Quick verdict
- →Best for: Men who want generic ED medication at the lowest possible price and don't need anything else from their telehealth platform.
- →Skip if: You want bundling, chewable formats, fast 2-day shipping, or a polished app experience.
- →Bottom line: Does exactly one thing — cheap generic ED medication. If that's all you need, it's hard to argue with $19/month.
Overview
Rex MD launched in 2019 with a single focus: make ED medication as cheap and accessible as possible. It does not try to be a comprehensive men's health platform. There is no hair loss bundling, no weight loss program, no chewable formats, no mental health offering. Just generic tadalafil and sildenafil at the lowest price in the market.
At from $2/dose for generic sildenafil, Rex MD is the lowest per-dose price we have found — cheaper than Roman (from $4/dose) and Hims on comparable generics. The gap per dose is real, though at typical usage quantities the monthly difference is moderate. What compounds the advantage is that no subscription is required, so you are not locked in to get that rate.
The honest tradeoff: Rex MD's app and overall experience are more basic than Roman or Hims. Shipping is standard USPS rather than the free 2-day delivery Roman offers. Customer service is the area where Rex MD draws the most criticism in independent reviews — recurring themes include slow response times and difficulty with refunds. We recommend checking recent reviews on independent platforms before ordering.
Pricing
Rex MD's pricing is simple — no tiers, no subscription discounts, no promotional first-order pricing that expires after month one.
| Medication | Rex MD | Roman | Hims |
|---|---|---|---|
| Generic sildenafil (per dose) | From $2/dose | From $4/dose | From $2/dose (sub) |
| Generic tadalafil (per dose) | From $2/dose | From $4/dose | ~$4–8/dose |
| Daily tadalafil | Not offered | ~$39/month | From ~$40/month |
| Subscription required? | No | No | Yes (for best rate) |
| Free fast shipping? | No | 2-day free | No |
Rex MD wins on per-dose price. At from $2/dose versus Roman's from $4/dose, the gap is meaningful at volume. Hims requires a subscription to access its lowest rate — Rex MD never does.
Where Rex MD loses on value: no free 2-day shipping. If you add expedited delivery costs, the per-dose price advantage over Roman narrows. All prices above are estimates and change regularly — verify current pricing on Rex MD's website before ordering.
How It Works
- 1
Create an account
Sign up on rexmd.com. Simple signup, takes about 2 minutes.
- 2
Complete the health questionnaire
Answer questions about your health history, medications, and symptoms. A licensed US physician reviews your responses — no video call required.
- 3
Prescription approval
Most prescriptions are reviewed within a few hours during business hours. Rex MD's approval process is similar to Roman and Hims.
- 4
Medication ships via USPS
Standard shipping takes 3–5 business days. Discreet, unmarked packaging. Expedited shipping available at extra cost.
- 5
Reorder as needed
No subscription required. Reorder through the app or website whenever you need a refill at the same price.
Who It's Best For
Choose Rex MD if you:
- ✓Want the absolute lowest price for generic ED medication
- ✓Don't need anything beyond the medication itself
- ✓Don't want a subscription
- ✓Are not in a rush and standard 3–5 day shipping is fine
Consider alternatives if you:
- →Want free fast shipping (Roman has 2-day free)
- →Want hair loss bundling or chewable formats
- →Want a more polished app and brand experience
- →Need responsive customer service
Pros and Cons
Pros
- ✓Lowest per-dose price we've found — from $2/dose
- ✓No subscription required
- ✓No video call required
- ✓Licensed US physicians, FDA-approved medication
- ✓Discreet packaging
Cons
- ✗No free fast shipping (Roman has 2-day free)
- ✗ED-only platform — no bundling or extra services
- ✗Basic app and brand experience
- ✗Customer service has mixed independent reviews — slow responses and refund difficulties cited
- ✗Does not accept insurance
How Rex MD Compares
Rex MD wins on price and nothing else. Here is when to look elsewhere.
If fast shipping matters to you
Roman is only $3/month more and includes free 2-day shipping on every order. If you ever need expedited delivery, the price gap with Rex MD disappears quickly.
If you want to bundle with hair loss
Hims offers ED + hair loss combined plans that can be cheaper than treating both separately. Worth the slightly higher ED price if hair loss is also a concern.
If you want weight loss alongside ED
Ro is the only major platform that covers both GLP-1 weight loss and ED treatment. Rex MD offers neither weight loss nor any bundling.
Frequently Asked Questions
Get started with Rex MD
Rex MD
From $19/month