10 Cheapest Online ED & Sexual Health Services of October 2026
Quick answer
As of October 2026, the cheapest online sexual health service we track is Rex MD (from $2/mo, Sildenafil / Tadalafil (generic & brand)), followed by Nu Image Medical (from $3/mo) and Tuyo Health (from $4/mo). Across the 53 providers we compared, starting prices run $2–$275/mo (median $53).
- Lowest price1Rex MD
- From $2/mo for Sildenafil / Tadalafil (generic & brand)
- Offer: As low as $2/dose
- Price includes provider visits and shipping
6.8Good - 2Nu Image MedicalNo Price Jump After Month 1Same Price at Every Dose
- From $3/mo for Sildenafil / Tadalafil / Mt. Everest Max
- Offer: Priced per tablet
- Price includes provider visits and shipping
6.8Good - 3Tuyo Health
- From $4/mo for Generic Sildenafil / Tadalafil
- Offer: Priced per dose
- Price includes provider visits and shipping
6.7Good - 4LifeMDNames Its Pharmacy
- From $14/mo for Sildenafil (via Rex MD)
- Offer: Promotional rate as low as $2 per tablet
- Price includes provider visits and shipping
6.3Fair - 5GoodRx
- From $18/mo for ED Subscription
- Offer: Sildenafil from $18/mo and tadalafil from $21/mo; rises to $109/mo at higher quantities
- Price includes provider visits and shipping
7.0Good - 6Viking Man
- From $20/mo for Generic Sildenafil
- Generic sildenafil advertised at about $2 per dose, among the lowest ED prices in telehealth
5.4Below Average - 7Hone HealthNames Its Pharmacy
- From $25/mo for ED Medication
- Price includes provider visits and shipping
- Broad category range spanning hormone therapy, weight loss, sexual health, and hair loss under one platform
7.2Good - 8BlueChewNames Its Pharmacy
- From $25/mo for Vardenafil Chewable (VAR)
- Offer: 6 tablets $30 to 34 tablets $120; the range is pack size at a fixed 30-day cadence, not plan length…
- Price includes provider visits and shipping
7.2Good - 9MyDrHankNo Price Jump After Month 1Same Price at Every Dose
- From $25/mo for Generic Sildenafil
- Price includes provider visits and shipping
- Among the cheapest ED generics in telehealth: sildenafil from $25/month and tadalafil from $30/month on…
6.7Good - 10Lemonaid HealthNames Its Pharmacy
- From $25/mo for ED Treatment (Sildenafil/Tadalafil)
- Offer: $25 one-time consult includes up to 12 refills; medication from $2/pill
- Price includes provider visits and shipping
6.2Fair
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Rex MD | 6.8 | $2/mo | Yes | — |
| 2 | Nu Image Medical | 6.8 | $3/mo | Yes | — |
| 3 | Tuyo Health | 6.7 | $4/mo | Yes | — |
| 4 | LifeMD | 6.3 | $14/mo | Yes | — |
| 5 | GoodRx | 7.0 | $18/mo | Yes | — |
| 6 | Viking Man | 5.4 | $20/mo | — | — |
| 7 | Hone Health | 7.2 | $25/mo | — | — |
| 8 | BlueChew | 7.2 | $25/mo | Yes | — |
| 9 | MyDrHank | 6.7 | $25/mo | — | — |
| 10 | Lemonaid Health | 6.2 | $25/mo | Yes | — |
Starting prices as listed on each provider's site, checked Oct 9, 2026. Prices can change with dose, plan length and promotions.
Key numbers
- 53 providers compared
- Lowest starting price: $2/mo
- Median starting price: $53/mo
- 4 of 53 include lab work in at least one plan
- 22 of 53 have an intro offer or first-month discount
How we ranked these
Ordered by the lowest starting price we verified on each provider's own website. Prices we couldn't verify are left out. Ties go to the provider with the higher overall score. Read the full methodology
What to look for
Per-dose math
ED medication pricing is quoted monthly, but usage varies. Divide by the doses included — the same $30/month can be six doses at one platform and ten at another.
Formulation trade-offs
Standard tablets are cheapest. Chewables and sublinguals act faster and skip the water, at 2–10x the per-dose cost of generics. Multi-drug compounds offer combinations generics can't, without individual FDA approval.
Safety screening quality
The critical ED safety check is nitrate medications and cardiovascular history — a dangerous interaction, not a formality. An intake that takes this seriously signals a platform that takes medicine seriously.
STI testing follow-through
A cheap panel is worth little without physician follow-up on positives. Check whether treatment or a clinician consult is included when a result needs action.
Frequently asked questions
What is the best online sexual health service?
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Rex MD ranks #1 on this list with a score of 6.8/10 and plans from $2/mo. Scores weigh trust and safety, value, patient experience, product range and reputation.
What is the cheapest online sexual health service?
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Of the providers on this list, Rex MD has the lowest starting price at $2/mo (Sildenafil / Tadalafil (generic & brand)). Starting prices often rise with dose or after an intro period, so compare the ongoing price too.
How much does an online sexual health service cost?
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Across the 53 providers we compared, starting prices range from $2 to $275 per month, with a median of $53. 22 of them run an intro offer or first-month discount.
How are these providers ranked?
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This list is ordered by the lowest verified starting price we found on each provider's own site; ties go to the higher-scoring provider. Prices we couldn't verify are left out.
Which is better — sildenafil or tadalafil?
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They're equally effective through the same mechanism; the difference is timing. Sildenafil works within 30–60 minutes for 4–6 hours and is usually cheapest. Tadalafil lasts up to 36 hours and can be taken as a low daily dose for spontaneity. Many men try both — most telehealth platforms make switching easy.
Why are chewable ED medications so much more expensive?
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You're paying for compounded formulation and format convenience, not stronger medicine — the active ingredients are the same generic molecules. Faster absorption and no-water dosing are real benefits; whether they're worth several times the per-dose price of generic tablets is a personal call.
Are at-home STI tests accurate?
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Kits from reputable platforms use the same certified laboratories as clinics; sample collection is the main accuracy variable. Follow instructions carefully, and treat any positive or ambiguous result as a prompt for clinical follow-up — which the better platforms include.
Will my insurance or my regular doctor find out?
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Cash-pay telehealth doesn't bill insurance, so nothing appears in insurance claims. Your telehealth records are protected health information like any other medical record, and platforms don't notify your other providers — though telling your PCP about ED medication is wise, since ED can be an early cardiovascular signal.