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Provider reviews
Most of these services sell the same two generic drugs. What differs is how they price the bundle — and whether you can see what you're paying for the consult versus the pills.
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Best first, by our published criteria
One sublingual dose, four ingredients, ten minutes — the most ambitious formulation in the category
Best for People who want fast onset and long duration from a single dose, and who prefer a sublingual to swallowing a tablet.
An actual video visit, an actual prescription, and no subscription attached
Best for Anyone who wants a real clinical conversation and the freedom to fill the prescription wherever it is cheapest.
Not a telehealth service — a transparent pharmacy for a script you already have
Best for Anyone who already has a prescription and wants the lowest transparent cash price.
Not a pharmacy, not a prescriber — just the discount that beats most subscriptions
Best for Anyone who already has a prescription and wants the lowest local cash price without mail order.
General telehealth with a flat consult fee
Best for People who want a prescription they can fill anywhere, rather than a bundled subscription.
A real licensed pharmacy with Prime pricing attached
Best for Prime members who already have a prescription and want it filled cheaply without a separate account somewhere new.
The best-known brand, with the marketing budget to match
Best for People who want the smoothest end-to-end experience, or a less common drug like avanafil.
A conventional subscription service that has stayed out of the compounding race
Best for People who want a straightforward subscription for approved generics without being upsold a proprietary blend.
A broader telehealth practice that happens to treat ED
Best for People who want ED treated as part of broader health care rather than as a standalone product.
Chewable compounded tablets on a subscription
Best for People who specifically need a chewable format, and who stick to the single-ingredient options rather than the combination products.
A one-off telehealth consult plus generic sildenafil filled at a discount pharmacy is usually cheaper than any subscription — often by a wide margin. We include pharmacies in this list precisely because that route pays us nothing and is still frequently the right answer.