7 Best Telehealth Platforms for ED Prescriptions (2026)

Erectile dysfunction is common: about 52% of men aged 40 to 70 have some degree of it. Yet many hesitate to seek treatment because of embarrassment or the hassle of in-person doctor visits. Telehealth platforms have changed that, letting men consult licensed providers and get prescription medication delivered discreetly to their door.

With more platforms competing for men seeking discreet, affordable ED care, it can be hard to know where to start. We compared seven telehealth platforms on medication variety, formats, consultation model, pricing, and privacy. Our top pick is BlueChew for its sublingual formats and combination options, but the right choice depends on what matters most to you.

New to online ED care in general? Start with how erectile dysfunction treatment online works, then come back here to compare.

• Telehealth platforms offer online consultations with licensed providers and discreet home delivery, with no office visit required.
• PDE5 inhibitors prescribed through these platforms are well studied. In clinical trials, 67–89% of men taking them had improved erections.
• Platforms differ most in formats (pills, sublingual tablets, chewables, topicals), combination options, and how they charge for consultations.
• BlueChew stands out for sublingual tablets and combination formulas like GOLD.
• All legitimate platforms require a review by a licensed provider before prescribing.

We looked at five things:

• Medication options: single-ingredient and combination formulas, brand-name vs. compounded
• Formats: pills, sublingual tablets, chewables, gummies, or topicals
• Consultation model: how the visit works and how often you need one
• Pricing: how clear it is and what's included
• Privacy and support: packaging, ongoing access to providers, and subscription flexibility

Details like pricing and product lineups change often, so check each platform's site for the latest before you sign up.

Best for: Men seeking convenient formats, multiple medication options, and ongoing medical support.

Starting price: Plans from $30/month

BlueChew focuses on sublingual tablets that dissolve under your tongue, with no water or pill-swallowing needed, plus a daily chewable. That makes it a good fit for men who don't like swallowing pills or want something easy to take discreetly.

Key Features

• Seven formulas, including single-ingredient and combination options
• Online consultation included; a licensed provider usually reviews your intake within 24 hours
• Approved orders placed Monday through Thursday ship within 24 hours in unmarked kraft mailers
• Ongoing access to the medical team to ask questions or adjust treatment
• Flexible subscriptions: change, pause, or cancel anytime
• FSA/HSA accepted, plus a lifetime 20% discount for military members and first responders

Product Lineup

All formulas are sublingual tablets that typically start working within 15–30 minutes, except DailyTAD, which is chewable.

• SIL: 45 mg sildenafil, lasts about 4–6 hours
• VAR: 8 mg vardenafil, lasts about 4–6 hours
• TAD: 9 mg tadalafil, lasts up to 36 hours
• DailyTAD: 9 mg tadalafil plus 7 essential vitamins, taken daily
• MAX: 45 mg sildenafil + 18 mg tadalafil, lasts up to 36 hours
• VMAX: 14 mg vardenafil + 18 mg tadalafil, lasts up to 36 hours
• GOLD: sildenafil, tadalafil, oxytocin, and apomorphine, lasts up to 36 hours

Why It Made the List

BlueChew's combination products like GOLD take a different approach by addressing both the physical and psychological sides of ED. Adding oxytocin and apomorphine to two PDE5 inhibitors gives men who haven't gotten the results they want from single-ingredient medications another option.

BlueChew's medications contain sildenafil, vardenafil, and tadalafil, the active ingredients in Viagra, Levitra, and Cialis, respectively. They're compounded medications, which aren't FDA-approved. The biggest differences show up in head-to-head comparisons like BlueChew vs. Hims and BlueChew vs. Roman.

Best for: Men wanting a wide range of ED medications and integrated men's health services.

Hims offers one of the broadest ED medication selections among telehealth platforms, including sildenafil, tadalafil, vardenafil, and Stendra (avanafil). It also covers hair loss, skincare, and mental health through the same platform.

Key Features

• Several PDE5 inhibitors, including Stendra, for men with different tolerances and preferences
• Hard Mints, a chewable format combining sildenafil and tadalafil
• Daily tadalafil options for men who prefer ongoing treatment
• One platform for ED, hair loss, and other men's health concerns
• Multiple subscription tiers for different dosing frequencies and budgets

Hims is a good fit if ED is one of several health concerns you'd like to manage in one place. Real customer experiences are mixed, as Hims reviews show.

Best for: Men interested in proprietary formats and broader telehealth care.

Ro (formerly Roman) has developed its own ED products and offers telehealth services that extend beyond ED to other areas of men's health.

Key Features

• Ro Sparks, a dissolvable tablet combining sildenafil and tadalafil
• Daily Rise Gummies with tadalafil for men who prefer daily treatment
• Online consultations and follow-ups with licensed providers
• Multiple medication strengths and formulations
• Discreet packaging and flexible subscriptions

Ro's Sparks format combines a fast-acting ingredient with a long-lasting one in a single dose, and Daily Rise Gummies offer a more palatable daily option. It's one of several Ro alternatives worth comparing.

Best for: Men who want clear pricing with consultation and medication bundled together.

GoodRx Care builds on GoodRx's reputation for prescription savings, offering telehealth with straightforward pricing that combines consultation, medication, and delivery.

Key Features

• Bundled pricing for consultation, prescription, and delivery
• Customizable dosing frequency and quantity
• Fast prescription turnaround for eligible patients
• Direct-pay model with no insurance required
• Access to GoodRx's broader prescription savings tools

GoodRx Care appeals to men who want to know their total cost upfront without separate consultation fees.

Best for: Men interested in topical treatments or custom compounding.

Strut Health offers both oral medications and topical cream alternatives, along with custom compounding that tailors formulations to individual needs.

Key Features

• Sildenafil in multiple strengths
• Topical cream options for men who prefer a localized treatment or don't tolerate oral medications well
• Custom compounding based on individual factors
• Virtual consultations included
• Bulk ordering options that lower the per-dose cost

Topical options set Strut apart from platforms that focus only on oral medications.

Best for: Men seeking straightforward ED treatment without other health services.

Rex MD focuses exclusively on ED, offering a streamlined experience from consultation through prescription management.

Key Features

• ED-only focus
• Both compounded and brand-name options, including Viagra and Cialis
• A consultation process designed specifically for ED
• Transparent pricing
• Licensed providers who specialize in ED treatment

Rex MD may appeal to men who want brand-name medication or prefer a platform built only around ED. There are more choices among these Rex MD alternatives.

Best for: Men planning ongoing treatment who want to minimize repeat consultation costs.

Lemonaid Health uses a consultation model where one fee can cover multiple refills, which can add up to real savings for men who already know their medication works for them.

Key Features

• One consultation covering multiple refills
• A blood pressure reading required before prescribing ED medication
• Optional lab testing to look into underlying causes
• Sildenafil and tadalafil in several strengths
• Ongoing provider support

The blood pressure requirement adds a step, but it shows clinical diligence given the cardiovascular effects of PDE5 inhibitors. See how it stacks up in BlueChew vs. Hims vs. Lemonaid.

• You hate swallowing pills: look for sublingual tablets, chewables, or dissolvables (BlueChew, Hims, Ro).
• One ingredient hasn't worked well enough: look for combination formulas (BlueChew's MAX, VMAX, and GOLD; Ro Sparks; Hims Hard Mints).
• You want brand-name medication: look for platforms that offer it (Rex MD, Hims).
• You want one platform for several health concerns: Hims or Ro.
• You plan to use it long-term and want to minimize costs: compare per-dose prices and consultation models (Lemonaid, GoodRx Care, BlueChew's quarterly plans).

Whichever you choose, make sure it requires a review by a licensed provider, asks about your heart health and medications (especially nitrates), and is clear about pricing. Any site selling ED medication without a prescription is a red flag.

For men who want a modern, flexible approach to ED treatment, BlueChew brings a few things together that most platforms don't:

• Formats built for convenience: sublingual tablets that dissolve under your tongue, plus a daily chewable
• A full range of options: from single-ingredient SIL, TAD, and VAR to combinations like MAX, VMAX, and GOLD, which pairs PDE5 inhibitors with oxytocin and apomorphine to support both the physical and mental sides of erectile function
• A simple process: complete an online intake, a licensed provider usually reviews it within 24 hours, and approved orders placed Monday through Thursday ship within 24 hours in discreet packaging
• Flexibility: switch formulas, change your quantity, or pause anytime from your account

Not sure which formula fits? Compare all seven side by side.

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.

How quickly can I get an ED prescription through a telehealth platform?

It varies by platform, but many review your consultation within a day. At BlueChew, a provider usually reviews your intake within 24 hours, and approved orders placed Monday through Thursday ship within 24 hours.

Are ED medications prescribed via telehealth safe and effective?

When prescribed by a licensed provider, PDE5 inhibitors are widely used and generally safe and effective for many men. In clinical trials, 67–89% of men taking them had improved erections. They aren't right for everyone, especially men with certain heart conditions or who take nitrates.

What are the benefits of sublingual and chewable ED medications over pills?

They're convenient and discreet, and they don't require swallowing a pill or water. Sublingual tablets also absorb under your tongue, which may help them start working faster than a swallowed pill.

Do telehealth ED platforms accept insurance or FSA/HSA?

Most direct-to-consumer platforms, including BlueChew, Hims, and Ro, are cash-pay but accept FSA and HSA payments. Some general telehealth services accept insurance, so check with the platform if that matters to you.

How do I know which telehealth platform is right for me?

Consider your priorities: BlueChew for sublingual formats and combination options, Hims for medication variety and other men's health services, Rex MD for brand-name options, and Lemonaid for fewer consultations over time. All legitimate platforms require a review by a licensed provider before prescribing.

Is it legal to get ED medication online?

Yes, as long as a licensed provider reviews your health history and writes a prescription. Avoid any site that sells ED medication without one.