Bottom line
Roman is the comparison benchmark for EDTelehealth.com: recognizable, broad, and relatively transparent about product-level pricing. It is not automatically the best value for every dosing schedule, so compare the full recurring cost and medication format.
Best suited to: A recognizable provider with broad ED medication choice.
Our 89/100 score reflects pricing clarity, clinical-process transparency, treatment breadth, cancellation clarity, privacy information, availability, fulfillment flexibility, and support access. It is not a clinical rating and does not predict whether treatment will work for you.
Treatments and format
Current comparison category: FDA-approved generics, brand-name drugs, and compounded options.
The provider has been associated with the following treatment names or active ingredients:
- sildenafil
- tadalafil
- Viagra
- Cialis
- Ro Sparks
- Daily Rise Gummies
Do not assume every listed option is available in every state or appropriate for every patient. A clinician must decide whether a prescription is appropriate. Multi-ingredient compounded products are materially different from a standard FDA-approved sildenafil or tadalafil tablet.
What the price includes
Generic sildenafil plans currently start around $24 per month for six 25 mg doses; compounded options have separate pricing.
| Consultation | Asynchronous online evaluation in many cases |
|---|---|
| Billing model | Recurring plans vary by product |
| Fulfillment | Free discreet shipping is advertised for many plans |
| Price checked | July 24, 2026; offers can change without notice. |
Before buying, record the dose strength, number of tablets or doses, refill interval, consultation charge, membership fee, shipping, and cancellation deadline. A low monthly number is not useful unless the quantity and strength are comparable.
How Roman works
- Select a treatment category or begin the provider intake.
- Provide complete health and medication information through the provider’s secure process.
- A licensed clinician reviews the information and may request follow-up.
- If treatment is appropriate, the prescription is fulfilled according to the provider model.
- Review renewal and cancellation terms before the next charge.
Completing an intake does not guarantee a prescription. Do not omit heart conditions, blood-pressure treatment, nitrate use, “poppers,” eye conditions, kidney or liver disease, or other ED medicines.
Advantages and limitations
Potential advantages
- Large, recognizable telehealth platform
- Broad selection of standard and compounded formats
- Publishes unusually detailed medication pricing
Limitations to understand
- Many options use recurring plans
- Compounded products are not FDA-approved
- The lowest advertised price may reflect dose strength and quantity that do not fit every patient
Alternatives worth comparing
No provider is the right benchmark for every care model. Compare Roman with these structurally different choices:
- Sesame Care: People who prefer a clinician visit and pharmacy prescription rather than a bundled mail-order plan.
- HealthyMale: People who want no-subscription pill quantities and a large medication catalog.
Safety and approval status
FDA approval applies to a specific drug, strength, dosage form, manufacturer, and labeled use. It does not transfer automatically to a compounded product containing an approved ingredient. Bremelanotide is FDA-approved as Vyleesi for a specific form of low sexual desire in certain premenopausal women, not for erectile dysfunction in men.
Our verdict
Roman earns a place in the directory because it offers a meaningfully distinct combination of treatment format, billing, or fulfillment. Use the provider’s current checkout and clinical information as the final source for price, availability, and eligibility.