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Happy Head vs RxSpan MD for ED

Happy Head and RxSpan MD for ED, side by side: what each charges, which treatments each prescribes, and the terms behind the price.

By the RxLineup editorial team · Fact-checked against provider sites and FDA labels · Updated

· How we rate

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Happy Head

Rated 7.8 out of 10, Good

From $71/mo

Guarantee refund of your most recent month’s supply within 6 months if you’re unsatisfied.

RxSpan MD

Rated 7.8 out of 10, Good

From $60/mo

Compounded ED chewables $60/mo

Tied at 7.8 out of 10; they differ on compounded ED chewables and tadalafil.

The verdict

Only RxSpan MD offers FDA-approved tadalafil and vardenafil (Happy Head sells compounded ED chewables instead). RxSpan MD is $11.20 a month cheaper for compounded ED chewables ($60/mo vs $71.20/mo).

Choose Happy Head if…

You want a refund if you aren’t prescribed and a better transparency score (8.2 vs 7.5).

Choose RxSpan MD if…

You want compounded ED chewables for $60/mo, FDA-approved tadalafil or vardenafil and a better medication options score (8.0 vs 6.5).

What’s different

The four places where Happy Head and RxSpan MD differ for ED, from the prices and terms each publishes.

Where Happy Head and RxSpan MD differ
Difference Happy Head RxSpan MD
Compounded ED chewables $71.20/mo $60/mo
Tadalafil Compounded version only $89/mo
Vardenafil Compounded version only $149/mo
Guarantee Refund of your most recent month’s supply within 6 months if you’re unsatisfied. None published

Head to head

Happy Head vs RxSpan MD for ED comparison
Feature Happy Head review RxSpan MD review
Overall score 7.8/10 7.8/10
Price $71/mo $60/mo Lower
Sildenafil Compounded version only Compounded version only
Daily tadalafil Compounded version only Compounded version only
Treatments Compounded ED medication Compounded ED medication, Vardenafil
Membership None None
Refunds Refund of your most recent month’s supply within 6 months if you’re unsatisfied No refund policy or state list published
Next step Visit Happy Head for Happy Head (opens in a new tab) Visit RxSpan MD for RxSpan MD (opens in a new tab)

Scores compared

Both providers are scored out of 10 on the same five weighted criteria. How we rate

Happy HeadRxSpan MD

  • Price & value 30%

  • Clinical care 25%

  • Medication options 20%

  • Transparency 15%

  • Experience 10%

Happy Head pros and cons

Strengths

  • Hair-loss and ED treatment in one daily capsule
  • Free dermatologist consult and unlimited dermatologist support
  • Free shipping
  • Refund of your latest month within 6 months
  • Displays LegitScript certification

Drawbacks

  • One ED product, compounded and not FDA-approved
  • Includes finasteride, whose label lists sexual side effects, including erection problems, that can continue after stopping
  • No standard generic ED tablets
  • Its FAQ says subscriptions bill every 25 days by default, though the product page says billed monthly

RxSpan MD pros and cons

Strengths

  • Consult, medication, supplies and shipping in one monthly price
  • Unlimited appointments and messaging, 24/7
  • Vardenafil available
  • Displays LegitScript certification

Drawbacks

  • Its lowest price is $10 a dose: 6 compounded sildenafil doses for $60 a month
  • Strength and dose count aren’t stated for tadalafil or vardenafil
  • No refund policy or state list published

Compare every ED provider side by side

See every ED provider’s score, monthly price and fine print on one page, ordered by our published rating method.

Questions, answered

Is Happy Head or RxSpan MD better?

They score the same overall (7.8 out of 10). Only RxSpan MD offers FDA-approved tadalafil and vardenafil (Happy Head sells compounded ED chewables instead). RxSpan MD is $11.20 a month cheaper for compounded ED chewables ($60/mo vs $71.20/mo).

Which is cheaper for ED, Happy Head or RxSpan MD?

Happy Head: from $71/mo, daily compounded capsule of finasteride 1 mg, tadalafil 5 mg and vitamin D3, Subscribe & Save price. RxSpan MD: from $60/mo, compounded sildenafil and pycnogenol, 6 doses a month. Compounded ED chewables: $71.20/mo at Happy Head, $60/mo at RxSpan MD.

Do Happy Head and RxSpan MD offer the same treatments?

Happy Head offers compounded ED chewables. RxSpan MD offers compounded ED chewables, tadalafil and vardenafil. Only RxSpan MD offers FDA-approved tadalafil and vardenafil (Happy Head sells compounded ED chewables instead).

Do Happy Head and RxSpan MD take insurance?

Happy Head: no insurance billing listed. RxSpan MD: no insurance billing listed.

Do Happy Head and RxSpan MD charge a membership fee?

Happy Head: no membership. The dermatologist consult is free; you pay for the capsules monthly. RxSpan MD: no separate membership. The monthly price includes the consult, medication, supplies, shipping and support.

How does a visit work at Happy Head and RxSpan MD?

Happy Head: board-certified dermatologist consultation (free); custom compounded formulas. RxSpan MD: online intake; a licensed physician reviews and approves every plan. Unlimited appointments and messaging with the care team, 24/7. Founded by Dr. John Diaz, a board-certified plastic surgeon.

What are Happy Head’s and RxSpan MD’s refund terms?

Happy Head: refund of your most recent month’s supply within 6 months if you’re unsatisfied. RxSpan MD: no refund policy or state list published.

Are Happy Head and RxSpan MD LegitScript certified?

Happy Head displays LegitScript certification (you can check it on legitscript.com). RxSpan MD displays LegitScript certification (you can check it on legitscript.com).

Read before you choose

Happy Head

7.8/10 ·  From $71/mo

Visit Happy Head (opens in a new tab)