How we compare
What they offer first. Outcomes never.
ED telehealth is full of buried pricing, subscription funnels, and compounded products sold without saying they aren't FDA-approved. Here is exactly how we decide what gets ranked, what gets flagged, and what gets left off entirely.
What they actually offer
First we establish what a provider really offers. Some prescribe generic sildenafil and tadalafil; some push higher-priced brand Viagra and Cialis; and some sell compounded "ED" formulations that are not FDA-approved. We say which is which, plainly, on every review, and we flag compounded products as not FDA-approved every time. No blurring the line between an FDA-approved prescription medication and a compounded one.
Price transparency
We record what a provider says its consult and medication cost, and how clearly it discloses them up front versus burying them behind a subscription. Every figure is provider-attributed — pricing changes often and varies by plan, so we tell you to verify the current number at the source before you commit. We rank a provider's transparency, not a price we can't guarantee.
How the online consult works
We document each provider's published path — we don't test or sample it ourselves: how the online intake and clinician consultation are described, how a prescription is issued and reviewed, and how refills and follow-up work. ED medications are prescription-only — a legitimate provider routes you through a licensed clinician, and we note when the documented process is thin or unclear.
What we could and couldn't verify
We separate what a provider documents and we can confirm from what we can't. Claims we can substantiate get stated as fact; claims we can't are flagged as exactly that. We describe how each service works and what the record says — never how anyone will feel, respond, or benefit. We rank on verifiable attributes, never on health outcomes.
Ongoing re-review
Providers change pricing, plans, and how their consults work. A ranking from last year is a rumor. We re-check what providers offer and revisit verdicts on a rolling basis, and every guide carries the date it was last reviewed.
What we don't do: no pay-to-play, no sponsored verdicts, no placements for sale. We earn affiliate commissions when you buy through some of our links, but rankings are set before monetization is considered, and an affiliate relationship never reorders a list. See the full disclosure.
The honest limits:we compile what providers publish and disclose — we're not a clinic, so our verification is only as good as what providers document (which is exactly why we reward the ones that disclose more), and pricing is provider-attributed and should be verified at the source. And nothing here is medical advice: this site is for adults 18+, ED medications are prescription-only, and treatment always requires a consultation with a licensed provider.