If you’ve ever Googled “how to buy ED meds online,” you’ve probably landed on two big names: RexMD and Roman. So which one should you trust with your health and money? I couldn’t help wondering myself, especially with all the marketing hype, fine print, and special offers floating around. This isn’t one of those vague “both are pretty good” reviews. I’m about to lay it all out—cost, medication choices, doctor access, and what actually happens after you type in your card info. If you’ve been stuck deciding or worried about making a mistake, you’re in the right place. Let’s get to the nitty gritty.
What You’re Really Paying: Straight Talk on Pricing
Cost is usually the first question—let’s not pretend otherwise. Both RexMD and Roman look affordable on the surface, but their pricing models are a bit like streaming subscriptions with hidden extras. RexMD leads with attention-grabbing trial offers. Right now, as of May 2025, you’ll spot deals like “first month $2,” but don’t zone out on the details. The regular price for Sildenafil (the generic for Viagra) jumps to $10–$15 per 100mg pill depending on your plan and quantity after the promo ends. Some guys miss this and are shocked after 30 days. Tadalafil, the generic for Cialis, averages $10–$12 per 20mg pill for ongoing refills.
Roman does the whole transparency thing better in my experience, but it’s not the cheapest. Their Sildenafil runs about $34 for four 20mg tablets—so about $8.50 each. Tadalafil is $13 per 20mg tab. You can usually pick your dose and schedule, but big bulk discounts? Not as much. But there’s a twist. Roman throws in unlimited messaging with your healthcare provider for no extra charge. I know a few friends who have wrangled free refills or dosage changes just by messaging. With RexMD, some adjustments or questions can rack up fees if it requires an extra doctor consult.
Watch out for shipping fees. RexMD often advertises “discreet delivery,” but charges for anything but standard shipping. Roman typically keeps shipping free at all tiers. Not mind-blowing savings, but if you’re on a tight budget, these little add-ons sneak up fast.
If you’re comparing exact prices, here’s a handy breakdown:
| Platform | Sildenafil 100mg | Tadalafil 20mg | Doctor Consult | Shipping |
|---|---|---|---|---|
| RexMD | $10–$15/pill (after trial) | $10–$12/pill | Included, but extra fees possible for follow-ups | Standard free/Express is extra |
| Roman | $8.50/pill (20mg) | $13/pill | Unlimited messages free | Always free |
So, unless you really work the RexMD trial system, Roman actually wins on transparent pricing for most users. But if you love shopping for deals or only order once in a while, RexMD’s promos might come out cheaper—just double check before checkout. If you want a breakdown of how these two stack up against even more options in 2025, this RexMD vs Roman resource is worth a close read.
Medication Choices: From Basics to Bonus Features
Let’s talk pills. For the basics, both RexMD and Roman cover the big hitters: Sildenafil and Tadalafil. That’s already more than some sketchy “miracle” sites that peddle mystery meds from overseas. RexMD claims the lowest prices for generic Viagra, but there’s only two dosage options (50mg and 100mg). If you want to fine-tune your dose, like splitting a 100mg in half because 50mg hits too soft but 100mg is overkill, you’ll have to DIY it.
Roman, meanwhile, goes for variety. They’ll match you with everything from generic to brand-name (Viagra and Cialis) with a bigger spread of dosage strengths. They also sell daily Tadalafil (smaller 5mg tabs), which is super convenient if you like spontaneity more than planning. RexMD’s daily options aren’t as clear or as flexible right now. Both platforms are doctor-driven, meaning you’ll always have a short medical consult—no sketchy gray-market stuff here.
Now, extra features: Roman tosses in treatment for premature ejaculation (with things like sertraline) and even hair loss meds (finasteride, minoxidil) and testosterone support, all under the same portal. RexMD is more focused, sticking to sexual health and hair loss. Sometimes simplicity is easier, but if you’re juggling more than one issue—maybe your confidence is taking a double hit—Roman might be less hassle than managing two logins and two billing cycles.
Are the pills real? Yes. Both deliver FDA-approved meds from licensed US pharmacies. They both win this round, and I can vouch personally, as can my friend group (and, if I’m honest, my brother). You won’t get counterfeits or questionable generics. But here’s something I didn’t expect—Roman’s packaging is genuinely classier. Not “gift-worthy,” but a lot less awkward if your package gets handed to you by a nosy roommate or mailbox worker. RexMD’s boxes are more plain brown wrapper, which some guys prefer.
Worried about privacy? Both companies use encrypted websites and keep medical info on lockdown. They’re pretty much tied here, unless you want to use Apple Pay (Roman supports it; RexMD still doesn’t).
Patient Experience: How Easy Is It, Really?
Here’s where the rubber meets the road: After you sign up, how easy is it to actually get meds and get questions answered when things get weird? I tested both for three months—one for myself and the other for a family member. What struck me right away was speed. RexMD advertises “10-minute consults” and quick prescription turnaround. That’s not a lie. The digital intake is mostly multiple choice, and a doctor usually reviews your answers in a few hours, sometimes less.
Roman is a tad slower from start to finish but not by much. Their consult is more detailed, sometimes with open text boxes. The plus side: I got a few follow-up questions from my Roman provider asking about allergies and past cardiac issues. RexMD stuck to a script unless I flagged a special concern. Some people might find RexMD’s speed great. But if you’re someone with weird reactions to meds, or you take ten daily vitamins like my wife Tabitha (hi, love), you might want the slightly more cautious Roman approach.
Actual prescription shipping speed is a draw. Both get meds out in 2–3 days, with tracking. Roman’s tracking updates were more reliable, though. Only once did I have a RexMD box delayed—and their customer service handled it, but it took three contacts via chat and two emails before they sent a replacement for free.
If you’re going to forget your dose, Roman offers refill reminders by text and email. RexMD is all email, which is easy to miss if your inbox is full of work junk. Managing subscriptions, pausing meds, or changing delivery dates is simplest on the Roman dashboard. RexMD’s portal was easy for refills, but canceling felt a little like fighting with a cable company. You have to message in; there’s no big “cancel now” button. Something to think about if you hate calling customer support.
Support: When You Need More Than the Basics
For most guys, online medicine is about convenience and privacy—no awkward face-to-face pharmacy runs. But what about when things go sideways? I’ve seen horror stories of online med sites ghosting after something goes wrong. RexMD offers phone and secure chat support with US-based reps, but hours are limited and certain issues (like prescription changes) may require waiting for a doctor’s response. My test case? My order got stuck in shipping limbo; support was polite but not fast.
Roman wins big on unlimited messaging with healthcare providers—even after the consult is finished. It’s not like texting your cousin, but it’s a huge peace-of-mind bonus if you need to adjust your dose, ask about weird side effects, or manage new health changes. Their non-clinical customer support actually picks up the phone, and emails get answered fast (usually within a day).
Both sites have decent FAQ sections and video explainers, but Roman’s are more beginner-friendly. Examples: sound-off audio guides for “how to talk to your partner” about ED, visual guides for using meds correctly, and straight-shooting privacy explanations. If you’re the type who likes hand-holding the first time, Roman’s support feels more robust. RexMD’s site is a little more sparse, and their guidance focuses on order status and prescription refills—not lifestyle support.
If you want personalized check-ins (like a telehealth nurse following up a month later), neither service does that unless you start the conversation. But Roman’s provider messaging makes shifting your game plan easier, which might save an awkward urgent care visit down the line. Both will cut you off if a new health risk pops up, so always answer your intake honestly. Try not to joke about chest pain.
The Verdict: RexMD vs Roman in 2025—Who Wins for Your Needs?
Picking between RexMD and Roman boils down to what you care about most, how often you need ED meds, and how much support you want as things change. RexMD grabs headlines with its super cheap trial offers, and if you love shopping for introductory deals, it probably beats Roman for your first shipment or if you only need meds occasionally. Don’t expect massive ongoing discounts—after month one, costs climb up, and their support, while decent, can feel transactional. Think of RexMD as the online pharmacy for guys who like to buy in bulk, pick up and go, and don’t expect to message a doctor every other week.
Roman, on the other hand, feels more like the Apple of online healthcare—slick, supportive, maybe a bit more expensive, but so much easier to manage over time. If you need help with more than ED (hair loss, premature ejaculation, etc.), hate chasing down support, or want the option to easily switch doses or drugs, Roman’s worth the extra bucks. Their biggest strength is that men’s telehealth doesn’t have to be either sketchy or stressful—you get reliable care in your pocket.
Before locking in your pick, take a look at other up-and-comers or find even deeper breakdowns in this RexMD vs Roman comparison. New brands pop up often, and sometimes a hidden gem handles your unique needs (especially if you have insurance coverage or want specialized combos). If you’ve tried both or are just starting out, share what actually worked for you. In all this talk about price, packaging, and portals, remember: the best solution is the one you feel good about ordering again and again. And trust me, that peace of mind means way more than a $5 pill discount.
