Roman (Ro) Alternatives: 7 Best Telehealth Options for ED Treatment Compared

Finding the right alternative to Roman for erectile dysfunction treatment requires careful evaluation of medication options, pricing structures, and service quality. While Roman established itself as a major player in telehealth ED treatment, several platforms now offer distinct advantages in convenience, affordability, and innovation.
This comprehensive guide examines the leading Roman alternatives, with particular focus on why BlueChew emerges as the superior choice through its unique chewable format and transparent pricing model.
Key Takeaways
- BlueChew leads Roman alternatives with innovative chewable tablets, plans starting at $25/month, and dedicated 24/7 medical support without hidden fees
- ED affects approximately 24% of U.S. men, yet only 7.7% receive a formal diagnosis, highlighting the importance of accessible telehealth options
- Telehealth usage increased 154% in March 2020, establishing online consultations as a mainstream healthcare delivery method
- Generic ED medications cost 70-90% less than brand-name versions while containing identical active ingredients, with sildenafil showing 57% efficacy in clinical trials
- Multiple medication formats now exist, including traditional pills, chewable tablets, and sublingual formulations, each offering distinct advantages for different patient needs

Understanding Roman's Position in Telehealth ED Treatment
Roman operates as a comprehensive men's health platform connecting patients with licensed healthcare providers through digital consultations. The service addresses erectile dysfunction alongside other men's health concerns including premature ejaculation, hair loss, and testosterone support. Their model eliminates traditional barriers to treatment by providing online assessments, prescription fulfillment, and discreet home delivery.
The platform's approach centers on convenience and accessibility. Patients complete health questionnaires, consult with providers through messaging or video calls, and receive medications shipped directly to their homes. This model particularly benefits men who find traditional healthcare settings uncomfortable for discussing sexual health - a significant consideration given that 40% of men report discomfort seeking ED help in person.
Roman's pricing structure varies significantly based on medication choice. Generic options start around $4 per dose, while brand-name medications can reach $90 per dose. The platform includes quarterly provider check-ins and ongoing support, though these services are built into the medication pricing rather than offered separately.
Top 7 Roman Alternatives for ED Treatment
1. BlueChew: The Premier Choice for Chewable ED Medication
We've transformed ED treatment delivery through our innovative chewable tablet format, serving as a wingman to over 4 million men nationwide. Our compounded medications contain the same proven active ingredients found in leading ED treatments - sildenafil, tadalafil, and vardenafil - specifically formulated as chewable tablets for maximum convenience and discretion.
Our Comprehensive Medication Options:
Our product line addresses diverse treatment needs through targeted formulations:
- SIL: Contains sildenafil in 30 mg or 45 mg doses, starting at $2.94/chew. Takes effect within 30 minutes and remains active for 4-6 hours.
- TAD: Features tadalafil in 6 mg or 9 mg doses from $3.57/chew. Works within 30 minutes with effects lasting 24-36 hours.
- VAR: Provides vardenafil 8 mg from $4.33/chew. Activates in 30 minutes with a 4-6 hour duration.
- DailyTAD: Combines 9 mg tadalafil with 7 essential vitamins at $2.22/chew for daily wellness support.
- MAX: Our SIL + TAD combination at $5.63/chew delivers both immediate and extended performance.
- VMAX: The VAR + TAD blend at $5.63/chew maximizes effectiveness through dual-action formulation.
- GOLD: Out sildenafil, tadalafil, oxytocin, and apomorphine sublingual tablet, harnesses mind and body boosts, lasting up to 36 hours
Why choose BlueChew:
The chewable format addresses multiple patient concerns simultaneously. Men who struggle with pill swallowing find our tablets easy to take. The pleasant flavors - berry/fruit punch for SIL and mint for VAR - improve the medication experience.
Transparent Value Proposition:
We maintain complete pricing transparency with no hidden consultation fees or doctor appointment charges. Plans start at $25 monthly, scaling based on quantity needs. Our subscription model provides flexibility to adjust quantities without penalties. Military members and first responders receive 20% lifetime discounts, recognizing their service.
24/7 Professional Support:
Sexual health concerns arise outside business hours. Our round-the-clock medical support ensures continuous access to professional guidance. This availability demonstrates our commitment beyond prescription fulfillment to comprehensive patient care.
2. Hims: Comprehensive Men's Wellness Platform
Hims provides broad men's health services encompassing ED treatment, hair loss solutions, skincare, and mental health support. The platform offers both generic medications and proprietary formulations including their own chewable sildenafil and tadalafil options.
Their ED medication selection includes generic sildenafil and tadalafil pills alongside branded combinations. Pricing varies considerably - generic options start around $3 per dose while specialized formulations reach higher price points. The platform emphasizes holistic men's health rather than ED-specific treatment.
Hims includes online consultations with prescriptions, though some users report variable response times for support inquiries. The platform's strength lies in addressing multiple health concerns through one service, appealing to men seeking comprehensive wellness management.
3. Rugiet Ready: Customized Sublingual Solutions
Rugiet Ready specializes in personalized sublingual tablets that dissolve under the tongue. Their approach emphasizes customization based on individual patient responses and preferences. The sublingual format potentially offers faster absorption than traditional pills.
The platform's consultation process focuses on creating tailored formulations. Patients receive combinations of sildenafil, tadalafil, and sometimes additional compounds based on their specific needs. This personalization comes at premium pricing, with treatments typically exceeding standard generic costs.
Rugiet's model suits men seeking highly individualized treatment approaches. The sublingual format provides an alternative for those who dislike both pills and chewables, though specific pricing varies by customized prescription.
4. RexMD: Budget-Conscious Generic Options
RexMD positions itself as an affordable telehealth solution focusing primarily on generic ED medications. The platform streamlines services to reduce costs, offering basic consultations and standard generic prescriptions without extensive additional features.
Their medication selection includes generic sildenafil and tadalafil in traditional pill format. Pricing starts competitively low, appealing to cost-conscious consumers who prioritize affordability over additional services or innovative formats.
The simplified approach means limited support options compared to comprehensive platforms. RexMD works well for men who know their medication needs and seek straightforward, affordable access without extensive guidance.
5. RocketRX: Rapid Service Focus
RocketRX emphasizes quick consultation and delivery processes for ED medications. The platform markets itself on speed and efficiency, promising fast prescription approvals and expedited shipping options.
Their medication offerings include standard generic options with some proprietary formulations. The focus on rapid service appeals to men seeking immediate treatment initiation, though this speed sometimes comes with premium pricing for expedited features.
The platform's streamlined process reduces consultation depth compared to more comprehensive services. This trade-off suits men comfortable with minimal medical oversight who prioritize quick access.

6. Amazon Pharmacy: Mainstream Integration
Amazon Pharmacy brings prescription ED medications into the familiar Amazon ecosystem. For existing Prime members, the service integrates seamlessly with established accounts and shipping preferences.
The pharmacy accepts insurance for covered medications, potentially reducing costs for men with prescription coverage. Price transparency tools show costs with and without insurance, helping patients make informed decisions. Prime members receive shipping benefits and access to pharmacist consultations.
Integration with the broader Amazon platform provides convenience for existing users. The service requires obtaining prescriptions through other providers or Amazon Clinic, adding steps compared to integrated telehealth platforms.
7. Local Pharmacy Delivery Services
Traditional pharmacies, including CVS, Walgreens, and independent pharmacies, now offer prescription delivery services. These options combine familiar pharmacy relationships with modern convenience features.
Insurance processing remains straightforward through established pharmacy networks. Patients maintain relationships with local pharmacists for consultations and medication management. Same-day delivery is available in many markets for urgent needs.
These services work best for men with existing ED prescriptions who prefer traditional pharmacy oversight. The approach lacks the integrated telehealth consultations of specialized platforms but provides trusted, regulated medication access.

Comparing Medication Formats and Effectiveness
Understanding different medication delivery methods helps inform treatment choices. Each format offers distinct advantages addressing specific patient preferences and needs.
- Traditional Pills: Standard tablets remain the most common ED medication format. These require water for swallowing and follow established absorption patterns. Generic versions provide cost-effective treatment, though some men struggle with pill size or bitter taste. Clinical studies show 57% efficacy for sildenafil pills in achieving successful intercourse.
- Chewable Tablets: Our chewable innovation eliminates swallowing difficulties while improving the medication experience. The format begins breakdown in the mouth, potentially enhancing absorption. Pleasant flavors mask medication taste, and the convenience of taking without water adds practical value. Our SIL chewables contain the same active ingredient as traditional sildenafil pills.
- Sublingual Formulations: Under-tongue tablets bypass initial digestive processes, potentially accelerating onset. This format suits men seeking rapid effects, though the dissolution process may be unpleasant for some. Sublingual options often command premium pricing due to specialized formulation requirements.
- Combination Therapies: Mixing medications addresses different aspects of ED simultaneously. Our MAX and VMAX products combine fast-acting and long-lasting ingredients in single chewables. This approach provides both immediate response and extended effectiveness without managing multiple prescriptions.
Cost Analysis: Understanding True Treatment Expenses
Evaluating ED treatment costs requires looking beyond advertised prices to total expenses including consultations, shipping, and ongoing support.
- Transparent Pricing Models: We maintain clear per-chew pricing from $2.94 to $5.63 depending on formulation. No hidden consultation fees or appointment charges increase costs. Our subscription model allows quantity adjustments based on actual usage patterns.
- Hidden Cost Considerations: Many platforms advertise low starting prices while adding consultation fees ($25-45), expedited shipping charges, or requiring minimum quantities exceeding needs. Insurance rarely covers ED medications, making out-of-pocket costs the primary consideration.
- Value Beyond Price: Cost evaluation should include service quality, support availability, and treatment effectiveness. Our 24/7 medical support and flexible subscription options provide value beyond medication alone. The convenience of chewable formats may justify modest price differences for many men.
- Long-term Economics: Treatment costs accumulate over time. Generic options provide sustainable affordability for ongoing treatment. Our military and first responder discounts offer lifetime savings of 20%, significantly reducing long-term expenses for eligible members.
Safety Considerations and Medical Oversight
Proper medical supervision remains essential for safe ED treatment regardless of platform choice. PDE5 inhibitors require medical oversight due to potential interactions and contraindications.
- Consultation Requirements: All legitimate platforms require health assessments and provider consultations. These screenings identify contraindications, particularly for men taking nitrate medications or those with cardiovascular conditions. Our consultation process ensures safe prescribing while respecting privacy.
- Quality Assurance: We utilize state-licensed compounding pharmacies following strict quality protocols. While compounded medications aren't FDA-approved, they contain the same active ingredients as approved drugs. State pharmacy boards regulate compounding practices ensuring consistent quality.
- Ongoing Monitoring: ED treatment effectiveness varies individually. Our 24/7 support enables continuous adjustment and optimization. Regular check-ins help identify side effects or needed dosage changes. This ongoing relationship improves treatment outcomes.
- Red Flags to Avoid: Platforms offering prescriptions without consultations operate illegally and dangerously. Extremely low prices often indicate counterfeit medications. More than half of online ED medications may be counterfeit according to some estimates. Legitimate services always require medical oversight.
Making an Informed Decision
Selecting the right Roman alternative depends on individual priorities, lifestyle factors, and treatment preferences. Consider these key factors when evaluating options:
- Format Preference: Medication format significantly impacts treatment adherence. Our chewable tablets eliminate common barriers to consistent use. Men who struggle with pills or want discrete, convenient options find chewables ideal.
- Cost Sustainability: Long-term treatment requires affordable options. Evaluate total costs including all fees and required quantities. Our transparent pricing and flexible subscriptions support sustainable treatment.
- Support Needs: Consider desired medical support levels. Our 24/7 availability provides peace of mind and immediate assistance. This continuous support proves valuable for treatment optimization and addressing concerns.
- Privacy Priorities: Discretion matters for many men seeking ED treatment. Our chewable format, discrete packaging, and online process maintain privacy throughout treatment.
The Future of ED Treatment Delivery
Telehealth transformation continues reshaping ED treatment access. The market is projected to reach $4.90 billion by 2030, reflecting growing acceptance and innovation.
- Format Innovation: New delivery methods continue emerging. Chewable tablets represent current innovation, with future developments likely addressing additional patient preferences. We remain committed to pioneering convenient, effective formats.
- Personalization Advances: Treatment customization improves outcomes. Our combination products demonstrate this principle, addressing multiple treatment aspects simultaneously. Future developments will likely expand personalization options.
- Access Expansion: Telehealth reduces geographical and social barriers to treatment. As regulations evolve and acceptance grows, more men will access needed treatment. We continue expanding access while maintaining quality standards.
Frequently Asked Questions
How do BlueChew's chewable tablets compare to Roman's traditional pills?
Our chewable tablets offer several advantages over traditional pills. The chewable format eliminates swallowing difficulties and doesn't require water, enabling discrete use anywhere. Our TAD chewables contain the same tadalafil found in pills but with added convenience. The pleasant flavors - berry/fruit punch or mint - improve the medication experience compared to bitter-tasting pills. Additionally, our transparent pricing starting at $25 monthly often provides better value than Roman's variable pricing structure.
What makes compounded medications different from FDA-approved generics?
Compounded medications contain identical active ingredients to FDA-approved drugs - sildenafil, tadalafil, or vardenafil. The distinction lies in preparation method: compounded medications are customized by state-licensed pharmacies for specific patient needs, like our chewable format. While not FDA-approved as finished products, compounded medications follow state pharmacy board regulations and use FDA-approved active ingredients. The effectiveness comes from these active ingredients, not the specific formulation method.
Can I transition from Roman to BlueChew easily?
Transitioning is straightforward. During your online consultation, provide information about current medications and dosages from Roman. Our licensed medical providers determine appropriate equivalent dosages in our chewable format. Many customers successfully switch from traditional pills to our chewables while maintaining treatment effectiveness. Our 24/7 support assists with any transition questions or dosage adjustments needed.
How much can I save choosing BlueChew over Roman's brand-name options?
Roman's brand-name medications can cost $90 per dose, while our chewables start at $2.94 per dose. For someone using 10 doses monthly, that represents potential savings exceeding $870. Even compared to Roman's generic options at $4+ per dose, our transparent pricing without hidden consultation fees often results in lower total costs. Military and first responder members save an additional 20% for life.
Which BlueChew product best replaces Roman's daily tadalafil?
Our DailyTAD provides an enhanced alternative to Roman's daily tadalafil. Beyond the 9mg tadalafil for ED treatment, DailyTAD includes seven essential vitamins supporting overall men's health. At $2.22 per chewable, it offers competitive pricing with added nutritional benefits. The daily format maintains consistent medication levels, ideal for men preferring spontaneous intimacy without planning doses around activity.
This article is for informational purposes only and does not constitute medical advice. The content provided here is not a substitute for, and should never be relied upon as, professional medical advice. Always consult your doctor to discuss the risks, benefits, and appropriateness of any treatment. BlueChew offers compounded medications prescribed solely for the treatment of erectile dysfunction and sexual performance enhancement. Compounded medications are not FDA-approved.