Quick Verdict
Hims wins overall — offering the best balance of cost, convenience, and medication selection. But the right choice depends on what you value most: Roman is fastest, BlueChew offers the only chewable format, and your doctor provides the most thorough medical evaluation.
Cost & Value
What you'll actually pay per dose, per month, and per year.
Hims
Generic sildenafil from $3/dose, tadalafil from $6/dose. $25 first online visit, then free follow-ups. No monthly membership required.
Roman
Sildenafil from $2/dose on larger plans, tadalafil from $9/dose. Free initial consult. $15/month membership for ongoing care.
BlueChew
Chewable sildenafil and tadalafil from $2–3/dose. No consultation fee. Subscription-only model with monthly auto-ship.
Your Doctor
Office visit $100–250 without insurance. Generic sildenafil can be $2–4/dose with a GoodRx coupon at any pharmacy. Insurance may cover.
Convenience & Speed
How fast can you go from "I need help" to medication in hand?
Hims
Online questionnaire reviewed within 24 hours. Medication ships in 2–5 business days. Ongoing refills are seamless. No app required.
Roman
Fastest in the game. Same-day medical review in most states. Free 2-day shipping on all orders. Dedicated app for easy management.
BlueChew
Online form with medical review. Ships within a few days. Subscription model means automatic monthly delivery — one less thing to remember.
Your Doctor
Requires scheduling an appointment — often 2–6 weeks out. Then a pharmacy trip. But you leave with medication same day if prescribed.
Medical Oversight
How thorough is the medical evaluation? This is where your health is on the line.
Hims
Licensed physicians review your online questionnaire. They screen for contraindications and may request additional information. No physical exam or blood work.
Roman
Similar to Hims — licensed providers review your intake form. They follow FDA guidelines. Optional blood testing through partner labs in some states.
BlueChew
Licensed physicians review your form. Focus is primarily on eligibility for their specific medications. Less comprehensive screening than Hims or Roman.
Your Doctor
Full physical exam, blood work (testosterone, glucose, lipids), blood pressure check, cardiovascular screening. Can identify underlying causes telehealth can't catch.
Medication Options
What can you actually get prescribed, and in what forms?
Hims
Sildenafil (generic Viagra), tadalafil (generic Cialis), and daily tadalafil. Multiple dose options. Also offers non-ED sexual health products.
Roman
Sildenafil and tadalafil in standard and daily doses. Solid selection. Also offers other men's health treatments beyond ED.
BlueChew
Sildenafil and tadalafil only — but in chewable tablet form. Great for men who hate swallowing pills. Fixed dose options, less flexibility.
Your Doctor
Full PDE5 inhibitor access plus alternatives: penile injections, vacuum devices, testosterone therapy if indicated, referral to specialists.
Privacy & Discretion
How private is the process — from consultation to delivery?
Hims
Entirely online. Plain packaging with no branding. No pharmacy visit. Appears as a generic charge on your statement.
Roman
Fully online with discreet packaging. Unmarked boxes. Billing shows as "Ro" — a parent brand that covers multiple health categories.
BlueChew
Online only. Plain packaging. However, the brand name can appear on credit card statements — less discreet billing than competitors.
Your Doctor
Requires in-person visit — front desk, waiting room, pharmacy counter. Protected by HIPAA but inherently less private than online-only services.
The Final Verdict
After five rounds, here's where each service stands.
Hims takes the crown by the slimmest of margins. It ties Roman on total wins but edges ahead on cost efficiency and medication variety — the two factors most men care about most. At roughly $3 per dose with no mandatory membership, Hims delivers where it counts: affordable access to proven ED medications without jumping through hoops.
Roman is the co-champion and arguably the better pick if speed is your priority. Same-day medical review and free 2-day shipping means you could have medication in hand within 48 hours. Their app experience is also the most polished of the four. If you need ED treatment yesterday, Roman is your move.
One important caveat: If you have underlying health conditions — diabetes, cardiovascular disease, high blood pressure — or if ED medications haven't worked for you, start with your doctor. Telehealth services screen for contraindications, but they can't run blood work, check your heart, or identify the root cause. ED is often a vascular warning sign. A real exam could save your life.
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