10 Best Telehealth ED Services Compared for 2026

The best telehealth ED service depends on what you want most. BlueChew is our top pick for its range of sublingual options and combination formulas. Hims and Ro suit men who want ED care alongside other health services, and PlushCare or Amazon One Medical make sense if you want to use insurance or see a primary care doctor.

Erectile dysfunction affects an estimated 30 to 50 million men in the U.S., according to research. Yet many men put off treatment because of embarrassment or the hassle of an in-person visit. Telehealth changes that: you complete an online visit, a licensed provider reviews it, and your medication ships to your door.

We compared 10 telehealth ED services on how the visit works, medication options, formats, pricing model, and insurance. Here’s how they stack up.

Key Takeaways

• Telehealth ED services let you get a prescription online and have medication shipped discreetly to your home.
• Many services use a written questionnaire instead of a video call, which makes it easier to get started.
• BlueChew offers seven ED medications, including sublingual tablets and combination formulas, so you can switch as your needs change.
• About 4 in 10 adults report trouble swallowing pills, which makes sublingual and chewable formats a useful alternative.
• Most direct-to-consumer services are cash-pay. PlushCare and Amazon One Medical can work with insurance.
• Every legitimate service requires a review by a licensed provider before prescribing.

Quick Comparison

How We Chose

We looked at how easy each service is to start, the medications and formats it offers, whether you need a video call, how pricing works, and whether it accepts insurance. We also considered how easy it is to adjust or switch treatment over time.

1. BlueChew: Best Overall

Best for: Men who want convenient formats, a wide range of options, and the flexibility to switch.
 Pricing: Plans start at $30/month.

BlueChew focuses entirely on ED, with seven medications in sublingual and chewable formats and no traditional swallowed pills. Sublingual tablets dissolve under your tongue, so there’s no water needed and they may work faster than swallowed pills. New to BlueChew? Start with our guide to understanding BlueChew.

Medication options:

• SIL: 45 mg sildenafil, sublingual, lasts up to 6 hours
• VAR: 8 mg vardenafil, sublingual, lasts up to 6 hours
• TAD: tadalafil, sublingual, lasts up to 36 hours
• DailyTAD: 9 mg tadalafil plus seven vitamins, daily chewable
• MAX: 45 mg sildenafil plus 18 mg tadalafil, sublingual, lasts up to 36 hours
• VMAX: 14 mg vardenafil plus 18 mg tadalafil, sublingual, lasts up to 36 hours
• GOLD: sildenafil, tadalafil, apomorphine, and oxytocin in one sublingual tablet, lasts up to 36 hours, in Base, High, and Extra strengths

Why it made the list:

• Room to grow. You can start with a single-ingredient option like SIL or TAD and move to a combination like MAX or GOLD if you need more support. Here’s how GOLD compares to Viagra and Cialis.
• Mind-and-body support. GOLD adds apomorphine, which acts on arousal pathways in the brain, and many men feel it in as little as 15 minutes.
• No video call. The online intake takes about five minutes, and most prescriptions are reviewed within 24–48 hours.
• Discreet delivery. Orders ship in unmarked kraft mailers with individually wrapped doses.
• Flexible plans. You can pause, switch medications, adjust your quantity, or cancel anytime.
• Discounts for heroes. BlueChew’s American Heroes Program offers $25 off your first order and 20% off for military members and first responders for life.

2. Hims

Best for: Men who want ED treatment alongside other men’s health services.

Hims offers several ED medications, including sildenafil, tadalafil, vardenafil, and Stendra (avanafil), plus Hard Mints, a chewable that combines sildenafil and tadalafil. 

The platform also covers hair loss, skin care, and mental health, which suits men who want one provider for several concerns. 

Read our full Hims review.

3. Ro

Best for: Men who want dissolvable or daily gummy formats.

Ro offers Sparks, a dissolvable tablet that combines sildenafil and tadalafil, and Daily Rise Gummies with tadalafil for daily use. It also offers generic and brand-name pills and broader telehealth services. 

Comparing options? See our guide to Ro alternatives.

4. Rex MD

Best for: Men who want a straightforward, ED-focused service.

Rex MD centers on men’s sexual health, with a written questionnaire instead of a video call. It offers both compounded and brand-name medications, such as Viagra and Cialis.

5. GoodRx Care

Best for: Men who want all-in pricing upfront.

GoodRx Care bundles the consultation, prescription, and delivery into one price, built on GoodRx’s prescription savings brand. It’s cash-pay, so no insurance is needed.

6. Strut Health

Best for: Men who can’t take, or don’t respond well to, standard oral ED medication.

Strut Health offers sildenafil in several strengths, custom compounded formulas, and topical options. It’s a fit for men whose health or medications make standard pills a poor choice. 

7. PlushCare

Best for: Men who want to use their health insurance.

PlushCare is a primary care telehealth service that works with many major insurance plans. ED is treated as part of your overall health through video visits with board-certified physicians, and prescriptions can be filled at your usual pharmacy.

8. Sesame

Best for: Men who want to choose their own provider.

Sesame lets you compare providers by credentials and ratings before booking a video or phone visit. It’s cash-pay and accepts FSA and HSA funds.

9. Amazon One Medical

Best for: Men who already use Amazon and want pharmacy integration.

Amazon One Medical offers message-based and video visits, with prescriptions filled through Amazon Pharmacy. It’s available nationwide.

10. Lemonaid Health

Best for: Men who want a simple online visit for generic ED medication.

Lemonaid offers generic sildenafil and tadalafil through online visits.

Why BlueChew Stands Out

Most telehealth services treat ED as one item on a long menu. BlueChew focuses on it, with seven medications that cover different needs:

• For planned moments: SIL or VAR
• For weekends: TAD’s 36-hour window
• For daily readiness: DailyTAD
• For fast onset plus long coverage: MAX or VMAX
• For mind-and-body support: GOLD’s four-ingredient formula

Because everything is in one place, you can switch medications or strengths as your needs change, without starting over with a new service.

Final Thoughts

The right telehealth ED service depends on your priorities. If you want insurance coverage or a primary care relationship, PlushCare or Amazon One Medical may fit. If you want ED care bundled with hair loss or skin care, Hims or Ro may fit.

If you want convenient formats, a range of options, and the flexibility to find what works for you, BlueChew is our top pick.

How To Get Medication Through BlueChew

Interested in getting your hands on an erectile dysfunction prescription? BlueChew has got you covered.

Select a plan, complete an online intake, and you’re done. A medical provider will review your information and, if appropriate, prescribe your plan, which will be shipped directly to your door.

No doctor appointments or patient support charges make it a stress-free experience.

Plus, there’s no commitment—you can easily cancel or switch plans anytime. Click here to explore all plan options for treatments at BlueChew.

FAQs

Is it safe to get ED medication online?
Yes, when you use a legitimate service that requires a review by a licensed provider. ED medications need a prescription because they can interact with other drugs, especially nitrates.

How fast can I get an ED prescription online?
Most services review your intake within 24–48 hours and ship soon after approval. Timing varies by service and location.

Do I need a video call to get ED medication online?
Not always. BlueChew, Hims, Ro, and Rex MD use written questionnaires. PlushCare and Sesame use video or phone visits.

Do telehealth ED services take insurance?
Most direct-to-consumer services, including BlueChew, Hims, and Ro, are cash-pay. PlushCare and Amazon One Medical can work with insurance, depending on your plan.

What if the first medication doesn’t work?
Many services let you switch. BlueChew offers seven medications and three GOLD strengths, so your provider can adjust your plan if your first choice isn’t right.

How do telehealth services keep my order private?
Reputable services use plain, unmarked packaging. BlueChew ships in unmarked kraft mailers with individually wrapped doses.