Ro review
A broader telehealth practice that happens to treat ED
Our overall score
Advertising disclosure: We may earn a commission if you buy through links on this page. Commissions never influence our ratings, rankings, or what we recommend — our scoring criteria are published and applied identically to partners and non-partners. How we make money.
Written by The ED Watch Editorial Board
Medically reviewed by A. Vance, MD
Last reviewed
The short version
Ro positions itself as a full telehealth provider rather than an ED brand, covering weight management, fertility, and primary care alongside sexual health. That breadth can mean a more clinically grounded experience. It also, increasingly, sells its own compounded products — Ro Sparks and Daily Rise Gummies — at large markups over the FDA-approved generics containing the same active ingredients.
Our verdict: A credible, more clinically framed alternative to the pure-play ED brands, and the broader care model is a genuine advantage. But the products it promotes hardest are compounded and expensive. If you go with Ro, ask for plain generic sildenafil or tadalafil and compare the price against a local pharmacy before accepting a branded formulation.
What works
- Treats ED in the context of overall health rather than in isolation
- FDA-approved generic sildenafil and tadalafil are available if you ask for them
- Per-dose pricing on its own products is stated plainly, which is better than most
- Ongoing clinician messaging included
- Useful if you also need care for related conditions
What to watch
- Its two flagship ED products are compounded and not FDA-approved
- Daily Rise Gummies cost roughly $3/day for tadalafil available as a generic tablet for a fraction of that
- Ro Sparks at $12/dose is many times the cost of generic sildenafil
- Subscription model with recurring billing
- The breadth of services can make ED-specific details harder to find
See plans and pricing at RoAffiliate link — see our disclosure.
The details
- Consultation type
- Online questionnaire with clinician review; synchronous options for some services
- What they prescribe
- Ro Sparks (compounded sildenafil + tadalafil, sublingual) · Daily Rise Gummies (compounded 7 mg tadalafil) · Sildenafil (generic) · Tadalafil (generic) · Viagra · Cialis
- Subscription required
- Yes for ongoing supply; some one-time options
- Insurance
- Varies by service line
- Starting price
- Ro Sparks from $12/dose ($48–$168 a month); Daily Rise Gummies $89/month or $207 quarterly; generic sildenafil priced separatelyChecked July 30, 2026. Always confirm current pricing on the provider’s own site before subscribing.
- Shipping
- Free with subscription, discreet packaging
- Cancellation
- Online through account settings
- Availability
- All 50 states
- Best for
- People who want ED treated as part of broader health care rather than as a standalone product.
A different framing
Most direct-to-consumer ED services are built as product companies: pick a plan, get pills. Ro's positioning is closer to a general telehealth practice, which matters more than it sounds. Erectile dysfunction is frequently an early marker of cardiovascular disease, diabetes, or hormonal problems — and a service that treats it purely as a product is not structured to notice that.
Ro Sparks and Daily Rise Gummies
Ro no longer just dispenses the standard drugs. Its two most heavily promoted ED products are its own compounded formulations, and they are what the site steers you toward.
| Ro Sparks | Daily Rise Gummies | |
|---|---|---|
| What it is | Sublingual drop dissolved under the tongue | Chewable daily gummy |
| Active ingredients | Sildenafil and tadalafil together | Tadalafil, 7 mg |
| Claimed onset | About 15 minutes | Builds over 2–5 days of daily use |
| Price | $12 per dose ($48–$168 a month) | $89 a month, about $3 a day |
| FDA status | Compounded — not FDA-approved | Compounded — not FDA-approved |
Note the 7 mg dose in the gummies. FDA-approved daily tadalafil comes in 2.5 mg and 5 mg strengths. A 7 mg dose is not an approved strength — which is part of what allows the product to be compounded rather than simply being a copy of an approved drug. It is a real formulation difference, and it is also a regulatory manoeuvre.
Do the arithmetic before you accept a formulation
The active ingredients in both products are generic drugs that have been off-patent for years. What you are paying for is the format and the brand.
- Daily Rise Gummies at $89 a month deliver tadalafil. Generic daily tadalafil tablets typically cost a few dollars a month with a discount card.
- Ro Sparks at $12 a dose combine sildenafil and tadalafil. Generic sildenafil commonly runs well under $4 a tablet, often under $1.
What to check
- 1Ask for plain generic sildenafil or tadalafil and compare that price against the compounded products before deciding.
- 2Whether your consult is asynchronous or live. This varies by service line and changes what the visit is worth.
- 3Per-dose pricing at your dose. A plan priced for 10 mg tadalafil is not comparable to one priced for 20 mg.
- 4What is FDA-approved versus compounded — and which one you are actually being sold.
- 5Whether they will coordinate with your regular clinician, if you have one.
- 6The renewal price after any introductory offer.
Who it suits
Reasonable if you want a service that will engage with the causes of your ED rather than only dispensing for it, and you accept a convenience premium. If cost is the deciding factor, a generic prescription filled locally is still the cheapest route.
Common questions
Is Ro the same as Roman?
Roman was the original men's health brand; Ro is the broader parent brand covering multiple service lines including sexual health, weight management, and fertility.
Does Ro prescribe brand-name Viagra?
Yes, alongside generic sildenafil, generic tadalafil, and brand-name Cialis. Generic is the far cheaper choice and is therapeutically equivalent.
What are Ro Sparks?
A compounded sublingual drop containing both sildenafil and tadalafil, claimed to work in about 15 minutes and priced from $12 a dose. It is not FDA-approved — compounded products do not go through FDA review for safety, effectiveness, or manufacturing. The combination is genuinely novel; whether it beats plain tadalafil has not been tested in trials.
Are Daily Rise Gummies worth $89 a month?
They contain 7 mg of compounded tadalafil, taken daily. Generic daily tadalafil tablets typically cost a few dollars a month with a discount card. If you specifically need a chewable format the gummies solve that; if you just want daily tadalafil, the tablet is the same active ingredient for a small fraction of the price.
Can I use Ro if I already have a doctor?
Yes, and you should tell both. Your regular clinician needs a complete medication list, particularly if you take anything for blood pressure or heart disease.
Check today's price at RoAffiliate link — see our disclosure.