Medications
The best ED pills: sildenafil, tadalafil, vardenafil and avanafil
Four pills, one way of working, and real differences in timing, food and price. How to tell which one fits the way you have sex.
6 min read
Find the online treatment that fits your life and your budget.
We compare online providers on what you really pay, which treatments they prescribe and how much care you get.
Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. How we make money
Each provider priced from its own website on October 17, 2026, and checked against FDA labels and prescribing information and peer-reviewed trials.
How we rate
Five criteria. Published weights. No black box.
Every provider gets a score out of 10 for each criterion, scored against the others in its category, and the overall score is a weighted average you can recalculate yourself. The providers we list pay us when you sign up through our links.
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30%
Price & value
What you pay in month one and at your maintenance dose, including membership fees, labs and shipping.
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25%
Clinical care
Licensed prescribers, how dose changes and side effects are handled, and how quickly you can reach a clinician.
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20%
Medication options
Brand-name and compounded choices, injectable and oral, and whether you can switch medications later.
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15%
Transparency
Prices published up front, the same price as your dose rises, and plain cancellation terms.
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10%
Experience
Time from intake to doorstep, shipping, guarantees and how easy the program is to run month to month.
How online treatment works
Most providers follow the same three steps. What changes from one to the next is the price, the treatment and how often you hear from a clinician.
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Answer an online health questionnaire
You share your health history, current medications and goals. Most providers also ask for a photo ID, and some order lab tests.
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A licensed clinician reviews it
A prescriber licensed in your state reads your answers, sometimes over a video or phone visit, and decides whether a treatment suits you.
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If prescribed, treatment ships to you
A licensed pharmacy sends it to your door. Refills, dose changes and questions are handled online.
Straight answers, with sources
All guidesCosts
How much does minoxidil cost?
Over-the-counter solution, low-dose tablets and compounded chews. What each form costs online, what the price covers and how billing works.
5 min read
Medications
Adapalene vs tretinoin: which retinoid is right for you?
One retinoid is on the pharmacy shelf, the other needs a prescription. How they compare on acne, irritation, wrinkles and cost.
5 min read
Legal
Are peptides legal in 2026?
April’s Category 2 removals, July’s advisory votes and the rule that still hasn’t come. Which peptides a pharmacy may make for you today, and which it may not.
7 min read
Safety
Are peptides safe?
The risk depends less on the word peptide than on where the vial came from. What the FDA has found, peptide by peptide, and how to check a provider.
6 min read
Treatments
Bioidentical vs synthetic HRT
The real split isn’t bioidentical versus synthetic. It’s FDA-approved versus compounded, and the evidence, labels and prices look different on each side.
6 min read
Questions, answered
How does this site make money?
Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. Scores and the order of each list come from our published rating method.
How do you choose which providers to list?
We list licensed telehealth providers whose clinicians prescribe after reviewing your health history, and that pay us when you sign up through our links. We don’t list research chemicals or sellers that skip the clinician consult.
Is it legitimate to get a prescription online?
Yes, when a clinician licensed in your state reviews your health history before prescribing and a licensed pharmacy fills the prescription. Look for providers that say clearly whether a medication is FDA-approved or compounded.
Are compounded medications FDA-approved?
No. A compounding pharmacy prepares them for individual prescriptions, and the FDA does not review them for safety, effectiveness or quality. We say on every page when a treatment is compounded.