The big-platform generic play: Hims carries the full PDE5 menu (sildenafil, tadalafil, avanafil) in brand and generic form, with generics priced far below brand. Best for cash payers wanting the cheapest credible route to standard ED medication.

Transparent pricing and free follow-ups: Ro publishes per-dose ED pricing before you commit and includes unlimited follow-ups — the right structure for dialing in your dose. Full PDE5 menu plus daily and fast-acting formats. Cash-pay, not in every state.

A compounded sublingual combining sildenafil, tadalafil, and apomorphine in one fast-dissolving dose. Distinctive and convenient — but a compounded product, not an FDA-approved formulation. Best for those who want the combination after a real medical review.

A protocol-style men's-health platform: a compounded tadalafil/vardenafil sublingual wrapped in at-home labs and coaching. Suits men who want a tracked program; the simplest, cheapest proven path is a plain generic elsewhere.

The chewable-tablet specialist: standard FDA-approved sildenafil and tadalafil in a chewable format, prescribed via telehealth. Best for men who dislike swallowing pills and want a straightforward cash-pay route.