Six US telehealth providers. Licensed clinicians. Prescription required.
See the rankingsRanked by our editorial team. How we rank
Best Overall
Generic & branded options
Best Clinical Support
Unlimited provider messaging
Best Chewable Format
Chewable tablets
Best for Fast Delivery
Quick online visit
Best Transparent Fees
Flat visit fee
Best Combination Format
Sublingual combination
Key features at a glance, checked October 2026.
| Provider | Best for | Format | Online visit | Discreet shipping | Score | |
|---|---|---|---|---|---|---|
| Hims | Overall | Generic & branded options | ✓ | ✓ | 9.8 | Visit ↗ |
| Ro | Clinical Support | Unlimited provider messaging | ✓ | ✓ | 9.6 | Visit ↗ |
| BlueChew | Chewable Format | Chewable tablets | ✓ | ✓ | 9.4 | Visit ↗ |
| REX MD | for Fast Delivery | Quick online visit | ✓ | ✓ | 9.2 | Visit ↗ |
| Lemonaid Health | Transparent Fees | Flat visit fee | ✓ | ✓ | 9.0 | Visit ↗ |
| Rugiet | Combination Format | Sublingual combination | ✓ | ✓ | 8.8 | Visit ↗ |
Scores are editorial opinions based on our published methodology, not clinical endorsements. Availability varies by state.
The basics, distilled.
Active ingredient in Viagra®. Usually taken 30–60 minutes before activity; effects typically last 4–6 hours.
PDE5 inhibitorActive ingredient in Cialis®. Can last up to 36 hours, and a low daily dose is an option for some men.
PDE5 inhibitorVardenafil, chewables and sublingual products. Compounded products are not FDA-approved; ask your prescriber.
Clinician decidesOne line on each provider from our review desk.
Wide catalogue and an easy online visit. A strong all-round starting point.
Reviewed October 2026Good fit if you want ongoing check-ins with a care team after you start.
Reviewed October 2026Chewable format some men find more convenient than swallowing a pill.
Reviewed October 2026Streamlined process aimed at men who want a quick, simple order flow.
Reviewed October 2026Simple fee structure; useful if you also want other telehealth services.
Reviewed October 2026Compounded products are not FDA-approved; discuss suitability with the prescriber.
Reviewed October 2026Erectiva Health editorial desk
contact@erectivahealth.co.uk
Hi there,
Erectile dysfunction is common and treatable. Talking about it shouldn't be hard, and comparing providers shouldn't be either.
We built Erectiva Health in 2026 to put the main US telehealth options on one honest page: who offers what, how the online visit works and what to check before you sign up.
We don't sell medication and we don't give medical advice. Every provider here requires a consultation with a licensed clinician. If something feels off, see your own doctor. ED can be an early signal of heart or metabolic health issues.
Stay well,
The Erectiva Health team
Yes. Sildenafil, tadalafil, vardenafil and similar medications are prescription-only in the United States. Every provider listed on Erectiva Health requires an online medical assessment reviewed by a licensed clinician before any medication can be prescribed.
Reputable telehealth services use US-licensed providers and licensed pharmacies. Safety depends on giving accurate health information. ED medications can interact with nitrates and some blood-pressure drugs and are not suitable for everyone. Always follow your prescriber's advice.
No. Erectiva Health is an independent informational comparison site. We do not sell, prescribe or dispense medication, and we do not provide medical advice. Any purchase happens directly on the provider's own website.
We may receive a commission when you visit a provider through our links. This never changes what you pay. Our scores are based on our published methodology. See our Advertising Disclosure for details.
Both are PDE5 inhibitors. Sildenafil (the active ingredient in Viagra®) is typically taken shortly before activity and lasts around 4–6 hours. Tadalafil (the active ingredient in Cialis®) can last up to 36 hours and is also available as a low daily dose. A clinician will advise which is appropriate.
FDA-approved generics contain the same active ingredient, strength and dosage form as the branded product and must meet the same quality standards. Compounded products are different: they are not FDA-approved.