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The best online ED treatment providers in 2026

Generic sildenafil costs a few dollars a dose at most online providers, but the gap between the cheapest and the most expensive is wide, and some add consult fees or bill months in advance.

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

At a glance

Program Score
Top pick MyDrHank $25/mo 8.2
  Happy Head $71/mo 7.8
Most options RxSpan MD $60/mo 7.8

By the RxLineup editorial team · 5 providers scored on 5 published criteria · Prices checked

· How we rate

Advertiser disclosure

RxLineup earns a fee when you click a link to a provider and complete a qualifying step. Only providers that pay us appear in our rankings and reviews. Our guides also name providers that don’t pay us, so you can see the whole market.

We don’t cover every program on the market. Prices change often, so confirm the details with the provider before you enroll.

Full disclosure

Our top pick for October 2026

01

Rated 8.2 out of 10, Very good

MyDrHank

Sildenafil from $25/mo, daily tadalafil from $35/mo. Free consultation and free delivery.

Price
$25/mo
Treatments
Sildenafil, Tadalafil, Daily tadalafil Compounding not stated
Membership
None
  • Free consultation; a U.S.-licensed clinician reviews your online intake
  • Sildenafil, as-needed tadalafil and daily tadalafil tablets
  • Check-ins, dose adjustments and unlimited messaging with the care team
Check eligibility with MyDrHank (opens in a new tab)

on mydrhank.com

Read the MyDrHank review

Pricing details and fine print
Starting price
$25, sildenafil tablets; the strength and number of tablets aren’t stated
Sildenafil
$25/mo
Daily tadalafil
$35/mo
Membership
No membership listed. The consultation and delivery are free; you pay for the medication monthly.
Insurance
No insurance needed; self-pay.
02

Rated 7.8 out of 10, Good

Happy Head

SuperCapsule + ED Performance: $71.20 a month on subscription. First order $49.

Price
$71/mo
Treatments
Compounded ED medication Compounded
Membership
None
  • Free consult with a board-certified dermatologist
  • Unlimited dermatologist support; treatment adjusted as needed
  • One daily capsule for hair loss and ED
Check eligibility with Happy Head (opens in a new tab)

on happyhead.com

Read the Happy Head review

Pricing details and fine print
Starting price
$71.20, daily compounded capsule of finasteride 1 mg, tadalafil 5 mg and vitamin D3, Subscribe & Save price
Sildenafil
Not offered
Daily tadalafil
Not offered
Membership
No membership. The dermatologist consult is free; you pay for the capsules monthly.
Insurance
No insurance billing listed.
Guarantee
Refund of your most recent month’s supply within 6 months if you’re unsatisfied.
03

Most options

Rated 7.8 out of 10, Good

RxSpan MD

Save 10% on any order with code STARTNOW. Price includes consult, medication, supplies, shipping and support.

Price
$60/mo
Treatments
Compounded ED medication, Vardenafil Includes compounded options
Membership
None
  • A licensed physician reviews and approves every plan
  • Unlimited appointments and messaging with the care team, 24/7
  • Tadalafil, vardenafil, and a compounded sildenafil and pycnogenol tablet
Check eligibility with RxSpan MD (opens in a new tab)

on rxspanmd.com

Read the RxSpan MD review

Pricing details and fine print
Starting price
$60, compounded sildenafil and pycnogenol, 6 doses a month
Sildenafil
Not offered
Daily tadalafil
Not offered
Membership
No separate membership. The monthly price includes the consult, medication, supplies, shipping and support.
Insurance
No insurance billing listed.
04

Rated 7.8 out of 10, Good

Bodybuilding Health+

Price
$115/mo
Treatments
Daily tadalafil Compounding not stated
Insurance
Self-pay
  • Online assessment reviewed by a U.S.-licensed provider from Lion MD
  • Daily tadalafil, 1-month supply
Check eligibility with Bodybuilding Health+ (opens in a new tab)

on bbhealthplus.com

Read the Bodybuilding Health+ review

Pricing details and fine print
Starting price
$115, daily tadalafil, 1-month supply
Sildenafil
Not offered
Daily tadalafil
$115/mo
Membership
No membership described; the price is for a one-month supply.
Insurance
No insurance required; its providers don’t contract with insurance plans.
Availability
All 50 states (availability of specific services may vary by state)
05

Rated 6.7 out of 10, Fair

DudeMeds

Price
– Price not published
Treatments
Compounded ED medication Compounded
Insurance
Self-pay
  • Online questionnaire reviewed by a U.S.-licensed provider
  • Compounded sublingual sildenafil or tadalafil tablets with pycnogenol, taken as needed
Check eligibility with DudeMeds (opens in a new tab)

on dudemeds.com

Read the DudeMeds review

Pricing details and fine print
Starting price
Prices show only after you choose a state and accept its terms and telehealth consent
Sildenafil
Not offered
Daily tadalafil
Not offered
Membership
No membership described. Each product’s total shows only after you choose a state and accept DudeMeds’ terms.
Insurance
Self-pay; DudeMeds doesn’t take insurance.

Prices are as each provider advertised them when we checked and can change at any time. ED medications need a prescription. A licensed clinician checks whether they are safe for you, including with heart conditions or nitrate medications. A prescription is required and is at the clinician’s discretion.

Compare every provider

All 5 providers on price, treatments and terms. Select a name for the full review.

Scroll sideways to see all 5 providers

All 5 providers in this ranking compared
Provider MyDrHank review Happy Head review RxSpan MD review Bodybuilding Health+ review DudeMeds review
Our score 8.2/10 Highest 7.8/10 7.8/10 7.8/10 6.7/10
Price $25/mo Lowest $71/mo $60/mo $115/mo –
Sildenafil $25/mo Compounded version only Compounded version only Not offered Compounded version only
Daily tadalafil $35/mo Lowest Compounded version only Compounded version only $115/mo Compounded version only
Treatments Sildenafil, Tadalafil, Daily tadalafil Compounded ED medication Compounded ED medication, Vardenafil Daily tadalafil Compounded ED medication
Membership None None None – –
Insurance Self-pay – – Self-pay Self-pay
Next step Visit site for MyDrHank (opens in a new tab) Visit site for Happy Head (opens in a new tab) Visit site for RxSpan MD (opens in a new tab) Visit site for Bodybuilding Health+ (opens in a new tab) Visit site for DudeMeds (opens in a new tab)

– Not published by the provider.

What it costs

  • 4 of the 5 providers here publish an all-in monthly starting price: $25 to $115 a month, with a median of $66. That includes the medication and any membership the provider requires.
  • 1 provider doesn’t publish a price for it before you sign up.
  • A sale counts at its regular price, with the sale price shown beside it.

Every provider’s price, side by side: the erectile dysfunction price index.

Safety

SildenafilFDA-approved for erectile dysfunction (Viagra and its generics)
No boxed warning. Never take it with nitrates (such as nitroglycerin or “poppers”) or riociguat: together they can cause a dangerous drop in blood pressure. FDA label
TadalafilFDA-approved for erectile dysfunction, as needed or once daily
No boxed warning. Never take it with nitrates (such as nitroglycerin or “poppers”) or riociguat: together they can cause a dangerous drop in blood pressure. FDA label
Compounded ED chewablesCompounded; not FDA-approved
No boxed warning. Never take it with nitrates (such as nitroglycerin or “poppers”) or riociguat: together they can cause a dangerous drop in blood pressure.
VardenafilFDA-approved for erectile dysfunction
No boxed warning. Never take it with nitrates (such as nitroglycerin or “poppers”) or riociguat: together they can cause a dangerous drop in blood pressure. FDA label

Not medical advice. A licensed clinician decides whether a treatment is right for you; read the full prescribing information before you start.

How we rated these providers

Every provider gets the same five weighted scores, and this list runs from the highest score down.

  1. Price & value 30%
  2. Clinical care 25%
  3. Medication options 20%
  4. Transparency 15%
  5. Experience 10%

The providers on this page pay us when you sign up through our links. How we rate

Plain shipping box on a sunny front step

The bottom line

Our top pick is MyDrHank

Low monthly prices for sildenafil and daily tadalafil, with check-ins and unlimited messaging included. Ask what strength and how many tablets the price buys before you pay.

Check eligibility with MyDrHank (opens in a new tab) Read the review of MyDrHank

Rated 8.2 out of 10, Very good

From $25/mo Sildenafil tablets; the strength and number of tablets aren’t stated

How online ED treatment works

Sildenafil and tadalafil are the FDA-approved generic forms of Viagra and Cialis, and online providers charge very different prices for them. We compare what each provider charges per dose, and per month for daily tadalafil, how its clinicians decide what to prescribe, and the subscription terms behind the price.

You fill in a health questionnaire on the provider’s own site. A licensed clinician reviews it and decides whether a treatment is right for you. If you are prescribed, a licensed pharmacy ships it, and most providers renew the prescription on a subscription.

Which treatment is which

Scroll sideways to see the full table

Treatment Active ingredient Form Status
Sildenafil Sildenafil citrate Tablet FDA-approved
Tadalafil Tadalafil Tablet FDA-approved
Vardenafil Vardenafil hydrochloride Tablet FDA-approved
Avanafil (Stendra®) Avanafil Tablet FDA-approved
Viagra® Sildenafil citrate Tablet (25 mg, 50 mg, 100 mg) FDA-approved
Cialis® Tadalafil Tablet (2.5 mg, 5 mg, 10 mg, 20 mg) FDA-approved
Compounded ED chewables Sildenafil, tadalafil or vardenafil, one per product Chewable, sublingual or dissolving tablet; some providers compound capsules Compounded; not FDA-approved
Premature ejaculation treatment Sertraline or paroxetine (off-label); lidocaine or lidocaine-prilocaine sprays Tablet, capsule or topical spray Not FDA-approved

FDA-approved or compounded?

FDA-approved products, including generics, are made by their manufacturers to an approved standard. Compounded products are prepared by state-licensed pharmacies for an individual prescription, often to combine ingredients or change the form. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

ED medications need a prescription. A licensed clinician checks whether they are safe for you, including with heart conditions or nitrate medications.

What to look for in a provider

  • The monthly price for the treatment you want, and what it covers: the consult, refills and shipping.
  • A real clinical review. A licensed clinician should review your history before prescribing.
  • A licensed US pharmacy, and a clear statement of which products are FDA-approved and which are compounded.
  • Terms you can live with. Check the subscription length, how to cancel and what happens if you are not prescribed.

Questions, answered

What is the best online ED treatment provider?
MyDrHank has the highest overall score in our comparison. If you care most about price, compare the per-dose prices on this page; if you want brand-name Viagra or Cialis, or a lab work-up first, look at the providers that offer them. Scores and the order of this list come from our published rating method.

How much does ED medication cost online?
Taking each provider’s lowest regular price, generic sildenafil costs not published where it is priced per dose or per pack, and $25 a month as a monthly plan, with any required membership included. Daily generic tadalafil costs $35 to $115 a month on a monthly plan. Brand-name Viagra costs not published.

Is it legal to get Viagra or Cialis online?
Yes, with a prescription from a licensed clinician after an online review of your health, filled by a licensed US pharmacy. Sites that sell ED pills without a prescription are not legal, and the FDA warns that products sold that way can contain hidden or wrong ingredients.

Are ED chewables the same as Viagra?
No. Compounded chewables are not Viagra or Cialis and not generics of them. A compounding pharmacy prepares them, and they are not FDA-approved. In September 2025 the FDA sent warning letters to telehealth sellers whose claims implied otherwise. See compounded ED chewables.

What are the best ED pills?
Four FDA-approved pills treat ED: sildenafil (Viagra), tadalafil (Cialis), vardenafil and avanafil (Stendra). They work in similar ways and differ mainly in how fast they start and how long they last. See sildenafil vs tadalafil vs vardenafil vs avanafil.

How quickly do ED pills work?
Sildenafil is taken about an hour before sex and works for about 4 hours. Tadalafil can work for up to 36 hours, and avanafil can start in about 15 minutes. You still need sexual stimulation for any of them to work. See the Viagra label and the Cialis label.

Who shouldn’t take ED medication?
Anyone who takes a nitrate for chest pain, in any form, or riociguat, because the combination can drop blood pressure dangerously. A clinician will also check heart health, blood pressure medicines and alpha-blockers. Get emergency care for an erection lasting more than 4 hours.

Guides

Sources (prices checked Oct 26, 2026)

  1. MyDrHank: Sildenafil page (read Oct 26, 2026)
  2. Happy Head: Supercapsule ED performance page (read Oct 26, 2026)
  3. RxSpan MD: Sexual health page (read Oct 26, 2026)
  4. Bodybuilding Health+: homepage (read Oct 26, 2026)
  5. DudeMeds: Sex health page (read Oct 26, 2026)
  6. Sildenafil: Viagra prescribing information (Viatris, DailyMed, rev. 11/2023)
  7. Tadalafil: Cialis prescribing information (Eli Lilly, DailyMed, rev. 06/2026)
  8. Vardenafil: Vardenafil hydrochloride tablets prescribing information (DailyMed, rev. 08/2026)

Top pick · MyDrHank

8.2/10 ·  From $25/mo

Check eligibility with MyDrHank (opens in a new tab)