RexMD Cost Comparison: Subscription Prices, Consultation Fees & Alternatives

Jul, 11 2025

The sticker shock of telehealth for men’s health? It’s real—and growing. Your phone buzzes, the ads promise affordable ED meds, then your credit card statement has a different story. Everyone wants the benefits of online healthcare without getting nickeled-and-dimed for every extra. If you’ve been stuck wondering if these platforms actually save money or if you can do better elsewhere, you’re not alone. Here’s a deep dive you won’t find on glossy homepages: every dollar you might spend, scrapped open and compared, so you don’t get duped by clever marketing and bloated fees again.

Understanding RexMD's Pricing Model

The whole RexMD pricing structure can feel like a puzzle without a box. Their website doesn’t blare big numbers on the home page, so let’s break it down: they operate on a subscription model, and the actual costs depend on your treatment plan. The basic process usually starts with a virtual consultation, and for most folks seeking help with erectile dysfunction, the initial doctor’s evaluation is free. This is a big shift from brick-and-mortar clinics, where a simple visit eats up at least R600 (about $30). But that’s not where you spend most of the money. It’s the meds and the subscription fees where things add up.

RexMD offers several tiers based on branded versus generic medications, dosing schedules, and pill count. For generics like sildenafil (Viagra’s active ingredient), expect about $2 to $5 per pill depending on dose and quantity. Tadalafil (Cialis generic) comes in with similar pricing, sometimes slightly cheaper per pill if you choose a lower daily dosage (which some doctors recommend for men who want more spontaneity). If you opt for the branded pills, prices can spike to $10 to $70 per dose, a luxury margin most guys skip unless insurance is picking up the tab.

Monthly plans start around $28 if you go bare-bones—one prescription, four pills. If you opt for more, say, ten or twelve pills, your monthly goes north of $60 easily. The price per pill drops, but your overall bill climbs. Some plans include text access to the prescriber (think quick follow-up questions) while others tack on $5-$15 for that perk.

Shipping is almost always baked in, but if you need something fast—like before a vacation—expect to pay a rush fee up to $20. For folks like me living in South Africa, you’ll want to double-check international restrictions. (RexMD currently ships within the United States only.) So, if you’re abroad, these US-based subscription costs are good for benchmarks but not direct options.

Cost tip? Always check if your plan auto-renews or if there’s a trial period. Some users report surprise renewals and customer service run-arounds. Mark your calendar, friend—it can save annoying hassles down the road.

Comparing RexMD: Subscription Tiers, Consultation Fees, and What You Get

Alright, RexMD waves a shiny banner about affordability, but how’s it measure up? First, let’s check the competition: Hims, Roman, BlueChew, and Lemonaid. Each sells itself a bit differently, but there’s a rhythm to their pricing.

Hims tends to undercut the big players. You’ll pay from $30 up (monthly) for prescription ED pills, assuming you stick to generics. The doctor’s consultation is often thrown in free for first-timers, just like RexMD. Roman, meanwhile, bumps their subscription floor up to $34 for similar doses. BlueChew follows a chewable pill model and scoots pricing between $20 and $65, depending on how many doses you want. Lemonaid’s stance? Single, standalone fees for doctor visits ($25) and set shipping charges ($2 every refill), but no monthly contracts—a relief for commitment-phobes.

For actual medication, generics are almost always cheapest (surprise, surprise). RexMD tends to stay in the $2 to $6 a dose range when pushed up to larger quantities. Hims and Roman run similar, but BlueChew sometimes wins on per-dose pricing when you step up to their larger plans. The brand-name meds are priced sky-high everywhere; unless you’re loaded or scrolling with insurance, generics win on value, hands down.

Bundled telehealth offerings (that means seamless consultation, prescription, and shipping) are a serious perk. They save time, anxiety, and a trip to the pharmacy—especially important if juggling work and kids, like my Seren’s unpredictable school run schedule. Still, don’t forget: consultation access isn’t always free forever. Some platforms, after the first year, layer on a $10 to $25 annual fee for continued doctor touchpoints, especially if you switch or up your dosage.

And here’s something many folks miss: customer service. Some of these apps are zippy, with answers and prescription refills in minutes. Others leave you hanging when you need help the most. Fast, helpful support is worth considering if you’re relying on these meds before, say, a date night you actually want to go right.

To get a real sense of price (and avoid buyer’s remorse), use this simple formula: total monthly fee + any one-time consult costs + shipping, then divide by the actual number of doses you use. That'll give you the real cost per pill across platforms, not just the flashy ad sticker price.

When Does RexMD Offer the Best Value? Where Do the Competitors Beat It?

If you use a moderate dose every month, prefer generic meds, and value a no-fuss, integrated doctor service in the US, RexMD shines. Its per-dose cost regularly undercuts old-fashioned pharmacies, and the subscription tier means zero hidden prescription renewal fees (as long as you stick to their routine). But if you’re the kind of person who just needs an occasional refill and hates monthly charges, Hims’ pay-per-prescription flexibility and Lemonaid’s non-subscription model win out.

For guys who want to test out different medications or shifts in dosage (and don’t want a multi-step process updating scripts), BlueChew’s on-demand platform offers pause/cancel controls that RexMD doesn’t always match. That’s particularly handy for folks like my Elias, who likes options—one month might be busier than the next, so why pay for pills you won’t use?

Insurance, too, matters—even if these sites say “no insurance required.” A few guys can sneak their prescription into a local pharmacy and leverage insurance rates, so check with your provider if savings are worth the extra step. It’s never fun wrangling with paperwork, but sometimes saving $30/month means you can splurge on that fancy dinner out instead.

Also, if discretion is your thing, be sure that your chosen platform actually delivers in unmarked packaging. Some users report flashes of branding on delivery, which might be awkward if your neighbor signs for your parcel. RexMD, Roman, and BlueChew all promise plain packaging—one less thing to worry about if your mailbox is communal.

Wondering where alternatives win out, or want to see an even broader cost breakdown? There’s a handy, detailed guide right here on RexMD cost that lines up lesser-known options, explaining hidden fees and subscription hacks. It’s worth a look if you’re thinking about dipping your toe into the online men’s health world for the first time—or just want to stop overpaying for, let’s be honest, the same pills.

Smart Ways to Lower Your Monthly Men’s Health Bill

If you’ve scrolled this far, you want to save money without sacrificing quality or privacy. First, always choose the generic when you can. Sildenafil and tadalafil are safe, FDA-approved, and just as effective as their branded cousins—without the price markup. Don’t let ads trick you into thinking otherwise.

Watch for new customer deals when signing up, especially around holidays or awareness campaigns. Some services cut prices by 30% or more for the first months—perfect if you're trying to see if the process fits your life. Set reminders about trial periods or introductory offers before they end, so you won’t get caught off-guard by a bigger bill the second month.

If you’re taking meds only once or twice a month, avoid high-tier subscriptions. Standalone scripts—like what Lemonaid offers—give more flexibility. Track your actual use for two or three months before committing to a big plan. Some guys discover they’re using less than they think once the novelty wears off.

If you have a flexible work schedule (or understanding partner—shoutout to Elias for wrangling Seren during late-night work calls), try to schedule consultations during lower-demand hours. Some platforms post faster, cheaper consult slots late at night or early in the morning when fewer doctors are online.

Finally, don’t just take one platform’s price at face value. Write down the doses, subscription fee, any discounts, and shipping costs for each company before you buy. Compare the real-world price per pill you’ll get, not just the fancy “starting at $2” claim. One extra step, but it could save you hundreds each year—enough for a family weekend in the Drakensberg or a treat at Durban’s beachfront cafes.

Still stuck deciding? The telehealth world is crowded for a reason: guys want convenient, affordable care without hang-ups. If you’re budget-conscious but want reliability and actual results, pay close attention to subscription models, consult fees, and recurring charges. Keep notes, check reviews, and don’t be afraid to switch if your needs (or wallet) change. It’s your health, your cash—get what works for your life, not just what someone paid to market it. Good luck, and may your inbox (and your wallet) both stay pleasantly light!