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Review · Most options in ED

RxSpan MD ED review

RxSpan MD sells ED plans by the month, with the consult, medication, supplies, shipping and support in the price: a compounded sildenafil and pycnogenol tablet at $60 for 6 doses, tadalafil at $89 and vardenafil at $149. The sildenafil tablet is compounded and not FDA-approved. The pages don’t state the strength or dose count for tadalafil or vardenafil, or whether those are FDA-approved generics.

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

· 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
RxSpan MD logo

Rated 7.8 out of 10, Good

How we score

From $60/mo Compounded sildenafil and pycnogenol, 6 doses a month

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

Check eligibility with RxSpan MD (opens in a new tab)

on rxspanmd.com

Treatments
Compounded ED medication, Vardenafil
Membership
None

What we like and what to watch

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

Best for

Vardenafil with round-the-clock messaging.

How RxSpan MD scores

Scored out of 10 on our five weighted criteria. The overall score, 7.8, is their weighted average. How we rate

  • Price & value 30%

  • Clinical care 25%

  • Medication options 20%

  • Transparency 15%

  • Experience 10%

What it costs

RxSpan MD pricing, checked Oct 26, 2026
Item Price
Starting price Compounded sildenafil and pycnogenol, 6 doses a month $60/mo
Sildenafil Not offered
Daily tadalafil Not offered
Compounded ED medication 6 doses a month ($10 a dose), with the consult, medication, supplies, shipping and support; compounded, not FDA-approved; the strength isn’t stated $60/mo
Tadalafil Monthly plan with the consult, medication, supplies, shipping and support; strength, dose count and daily or as-needed use aren’t stated $89/mo
Vardenafil Monthly plan with the consult, medication, supplies, shipping and support; strength and dose count aren’t stated $149/mo
Membership No separate membership. The monthly price includes the consult, medication, supplies, shipping and support None
Insurance No insurance billing listed –

– Not published by RxSpan MD.

How does that compare? See every provider’s price in our erectile dysfunction price index.

Treatments offered

Small off-white pill tin with pale tablets on warm limestone

Compounded products are prepared by licensed pharmacies and are not FDA-approved.

Safety

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.
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
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.

What’s included

  • 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
  • Free expedited shipping
  • Cancel or change plans any time

How it works

Four steps, from the first questionnaire to refills.

Plain shipping box on a sunny front step

  1. Answer an online health questionnaire

    Your history, current medications and what you want to treat. It usually takes a few minutes.

  2. A licensed clinician reviews it

    If RxSpan MD needs more information, they’ll message you or book a visit.

  3. Treatment ships to your door

    If you are prescribed, a licensed pharmacy ships your treatment.

  4. Refills and check-ins

    Your clinician renews or adjusts the prescription over time and answers your questions.

Is RxSpan MD legit?

What RxSpan MD’s own pages show, checked on Oct 26, 2026. LegitScript and a named pharmacy are checks on who prescribes and who fills; neither rates the care.

Who prescribes
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.
LegitScript
Displays LegitScript certification, a third-party check against licensing and pharmacy rules. It isn’t a rating of the care.
Pharmacy
Doesn’t name its pharmacy on its pages.
Prices
Publishes 3 prices before you sign up.
Refunds and terms
No refund policy or state list published.
Last checked
October 26, 2026, against 5 of its own pages.

The fine print

Prices
As listed on rxspanmd.com when we checked on Oct 26, 2026. Prices change often and some are introductory, so confirm the total before you pay.
Refunds and guarantee
No refund policy or state list published
Availability
Not stated; check during intake.
LegitScript certified
Yes

Alternatives

Other highly rated ED providers, highest score first, and how they compare head to head.

  1. 01
    MyDrHank

    Low monthly prices with ongoing messaging

    Rated 8.2 out of 10, Very good

    Price $25/mo

    Visit site for MyDrHank (opens in a new tab)
  2. 02
    Happy Head

    Treating hair loss and ED with one daily capsule

    Rated 7.8 out of 10, Good

    Price $71/mo

    Visit site for Happy Head (opens in a new tab)
  3. 03
    Bodybuilding Health+

    Daily tadalafil if you already use Bodybuilding.com Health+

    Rated 7.8 out of 10, Good

    Price $115/mo

    Visit site for Bodybuilding Health+ (opens in a new tab)
  4. 04
    DudeMeds

    Sublingual compounded tablets from a provider that also treats testosterone and hair loss

    Rated 6.7 out of 10, Fair

    Price – Price not published

    Visit site for DudeMeds (opens in a new tab)

Guides to read before you choose

More on ED

Questions, answered

How much does RxSpan MD cost for ED?
On Oct 26, 2026, its monthly plans were $60 for 6 doses of compounded sildenafil and pycnogenol, $89 for tadalafil and $149 for vardenafil. Each price includes the consult, medication, supplies, shipping and support, and you can cancel or change plans at any time.

Is RxSpan MD legit?
RxSpan MD displays LegitScript certification. A licensed physician reviews and approves every plan, and the company was founded by Dr. John Diaz, a board-certified plastic surgeon. For ED, it prescribes compounded ED medication and vardenafil.

Does RxSpan MD take insurance?
No insurance billing listed. For ED, RxSpan MD’s published price is from $60/mo.

What does RxSpan MD prescribe for ED?
RxSpan MD offers compounded ED medication and vardenafil. A licensed clinician decides whether a treatment is right for you. Compounded products are not FDA-approved.

Can I cancel RxSpan MD?
No refund policy or state list published. We last checked RxSpan MD’s ED pages on October 26, 2026.

Sources (checked Oct 26, 2026)

  1. RxSpan MD: Sexual health page
  2. RxSpan MD: homepage
  3. RxSpan MD: About page
  4. RxSpan MD: Terms of service page
  5. LegitScript: certification check

RxSpan MD

7.8/10 ·  From $60/mo

Check eligibility with RxSpan MD (opens in a new tab)