Sexual Health › Head-to-head comparison
Hims vs DirectMeds
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: DirectMeds — 8.8/10 vs 8.2/10, higher rated
Hims
From $17/mo sildenafil — cheapest ED medication online
8.2/10
Monthly
$17/mo
True Annual
$204/yr
Labs
✗ Extra
States
All 50
Pros
✓Cheapest ED meds online
✓Discreet delivery
✓Generic sildenafil and tadalafil
Cons
✗No physician relationship
✗Generic experience
VS
★ Our Pick
DirectMeds
Compounded GLP-1 from $199/mo — semaglutide and tirzepatide, labs optional
8.8/10
Monthly
$199/mo
True Annual
$2,388/yr
Labs
✗ Extra
States
All 50
Pros
✓Fast approval process — under 24 hours
✓Compounded sema and tirzepatide available
✓Free shipping on all orders
Cons
✗Labs not included
✗Newer provider
Side-by-side comparison
| Feature | Hims | DirectMeds |
|---|---|---|
| Monthly price | $17/mo | $199/mo |
| True annual cost | $204/yr | $2,388/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral | injection |
| Editorial score | 8.2/10 | 8.8/10 |
| Trustpilot | 4★ | 4.5★ |
| State availability | All 50 states | All 50 states |
Our verdict
DirectMeds (8.8/10) is our pick over Hims (8.2/10) for most patients.
Hims may be a better fit if you prefer Hims's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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