Compare Online ED Clinics

What does ED actually cost in 2026?

Online ED medication costs between $204 and $1,428 per year depending on the drug, dose, and provider. Generic sildenafil (Viagra equivalent) from Hims is the cheapest option. MEDVi's quad-formula compounded option is the most expensive. Most men pay around $300/yr — a figure pulled toward the low end because generic sildenafil and tadalafil dominate the market.

The price gap between generics and compounded formulas is substantial. Generic sildenafil or tadalafil costs $17–$25/mo from Hims, Ro, BlueChew, and Keeps. Compounded formulas — which combine multiple ED drugs in custom ratios, like MEDVi's apomorphine + vardenafil + sildenafil + tadalafil quad formula — cost $79–$119/mo. The compounded option offers a pharmacological profile not available in any single FDA-approved drug.

For men who want to bundle ED treatment with other conditions: CareBare ($79/mo for ED) operates the same platform as its GLP-1 and NAD+ programs. Keeps ($25/mo) lets you bundle ED and hair loss treatment from a single provider. Maximus ($99/mo) offers ED treatment alongside its TRT protocols — useful for men whose ED has a hormonal component.

Labs are not required for ED medication at any of the listed clinics. The intake is questionnaire-based, completed online, and reviewed asynchronously by a licensed physician. No video visit or blood draw is needed, which makes ED the lowest-friction category on ClinicLayer from a startup-to-prescription standpoint.

What's included in a ED subscription?

A standard online ED prescription includes: an asynchronous physician intake review (questionnaire-based, no video required at most clinics), a prescription for sildenafil or tadalafil, and discreet direct-to-door shipping. Most platforms do not require a scheduled follow-up appointment unless you request a dose change. All ship in plain packaging with no indication of contents.

Medication options: sildenafil (generic Viagra) taken 30–60 minutes before sex, lasts 4–6 hours — best for planned use. Tadalafil (generic Cialis) lasts 36 hours and is also available as a daily low-dose option (2.5–5mg) — best for spontaneity. BlueChew offers chewable sildenafil or tadalafil that absorb faster than swallowed tablets. MEDVi's quad formula (apomorphine + vardenafil + sildenafil + tadalafil) activates in 15 minutes and lasts 36 hours — useful for men who don't respond well to a single agent.

All ED medications listed require a prescription and physician review — which is an appropriate safety screen, not bureaucratic friction. All five drugs in this category (sildenafil, tadalafil, vardenafil, apomorphine, avanafil) are contraindicated with nitrate medications used for heart conditions. Any clinic skipping this contraindication question in intake is operating unsafely.

Refills ship automatically on your chosen cycle (monthly or quarterly). Switching doses or drugs is handled through asynchronous messaging with your prescribing physician at all listed clinics. Processing time from intake approval to first delivery is typically 2–5 business days.

How to compare online ED clinics

Match the medication to your usage pattern. If you want ED medication for planned use 1–2 times per week, generic sildenafil ($17–$23/mo from Hims or Ro) is the cheapest and most proven option. If you want spontaneity without planning a dose window, daily low-dose tadalafil or as-needed tadalafil (36-hour window) is the better choice. If you want the fastest activation time, MEDVi's 15-minute quad formula is the only option.

Check the contraindication screening process. All legitimate ED clinics screen for nitrate medications (used for heart conditions) — combining sildenafil or tadalafil with nitrates is dangerous and absolutely contraindicated. If a clinic you're evaluating does not ask about nitrate use in the intake questionnaire, it is not operating safely.

Consider bundling if you're treating multiple conditions. Keeps lets you manage ED and hair loss from a single platform. Maximus handles ED and TRT together. CareBare covers ED, GLP-1, and NAD+. Consolidating conditions under one provider simplifies refills and reduces the overhead of managing multiple subscriptions.

Price-per-use math often matters more than monthly subscription cost for ED medication. If you're using medication once or twice a week, a $23/mo plan with 8 pills is a better value than a $17/mo plan with 4 pills. Read the per-pill and quantity details before comparing monthly prices.

Frequently asked questions