Do I need an existing prescription to start ED treatment with Hims?

No. Hims connects you with a US-licensed clinician who reviews your online health questionnaire and decides whether a prescription is appropriate. You do not need a referral or an existing prescription to begin the intake process, and treatment is only issued when a clinician determines it is suitable.

What ED medication does Hims offer?

Hims offers clinician-prescribed generic sildenafil — the active ingredient in Viagra® — and generic tadalafil — the active ingredient in Cialis®. Both are PDE5 inhibitors. A licensed clinician determines which medication, dose and schedule, if any, is appropriate for you.

Is Hims ED treatment shipped discreetly?

Hims ships orders in plain, unbranded packaging, and the intake process is confidential. Confidentiality practices can vary over time, so review the provider's current privacy and shipping details if discretion is important to you.

How much does ED treatment cost with Hims?

Hims offers flexible plans — generic sildenafil from around $2 per dose, recurring monthly plans from roughly $30 per month, and a low-dose daily tadalafil plan from around $85 per month. The final cost depends on the medication and dose a clinician prescribes; confirm current pricing with Hims before signing up.

Hims

Hims ED Review 2026

Name: Hims ED Review 2026
Item: Hims
Rating: 9.5
Author: Priya Raman

The most complete ED telehealth service in our comparison — strong clinical review, broad medication options, discreet delivery.

9.5out of 10Excellent

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Advertising disclosure: Treatsphere is reader-supported. If you sign up with Hims through a link on this page, we may earn a commission. This never affects our scores or rankings. Learn more.

Hims is an established men's telehealth platform that treats erectile dysfunction with clinician-prescribed generic sildenafil and tadalafil after a genuine online clinical review. It tops our 2026 ED comparison for pairing a large network of US-licensed clinicians with discreet shipping and flexible per-dose and monthly plans.

Reviewing the onboarding flow and published program details, we found Hims handles ED as the medical condition it is — intake screens for underlying causes, and a licensed clinician decides whether a prescription is appropriate. ED medication is not safe for everyone, and suitability is always a clinical decision.

Hims at a glance

9.5Excellent

Price from: $2/dose
Medication: Generic sildenafil & tadalafil
Clinicians: Large US-licensed network
Shipping: Discreet, plainly labeled
Plans: Per-dose and monthly options

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Hims pros and cons

Pros

Genuine clinical review by US-licensed clinicians, not a checkout form
Generic sildenafil and tadalafil both available after a clinical review
Discreet, plainly labeled shipping on every order
Flexible per-dose and monthly plans to match how often you need treatment
Ongoing messaging to adjust the dose or switch medication

Cons

ED care sits within a broader membership rather than a single-focus service
Final cost depends on the medication and dose a clinician prescribes
Entirely remote — there is no in-person examination

Rating breakdown

Clinical care: 9.6
Treatment options: 9.5
Value: 9.3
Discretion: 9.6
Support: 9.4

How Hims ED treatment works

Getting started with Hims follows the standard telehealth path: you complete a confidential online health questionnaire covering your symptoms, medical history and any current medications, and a US-licensed clinician reviews it to decide whether a prescription is appropriate. Because erectile dysfunction can be a sign of an underlying condition such as cardiovascular disease or diabetes, that clinical review matters — it is not a formality.

If treatment is appropriate, the prescription is issued and shipped discreetly to your door. Hims also provides ongoing messaging with the care team, so you can ask about dosing, side effects or switching medication without booking a new visit.

Treatment options & pricing

Hims focuses on generic PDE5 inhibitors — generic sildenafil (the active ingredient in Viagra®) and generic tadalafil (the active ingredient in Cialis®). Sildenafil typically works for several hours, while tadalafil can last considerably longer and is sometimes prescribed as a low daily dose. A licensed clinician determines which medication, dose and schedule, if any, is appropriate for you.

Pricing is flexible. Generic sildenafil starts at around $2 per dose, monthly plans bundle a recurring supply from roughly $30 per month, and a low-dose daily tadalafil plan is available at around $70 per month. The per-dose and monthly structure lets you match the plan to how often you actually need treatment.

The telehealth experience

The Hims platform is polished and straightforward, with a clean dashboard for messaging your care team, managing refills and tracking your plan. As an established provider, it handles the logistics smoothly, and every order ships in plain, unbranded packaging — a genuine plus for anyone who values discretion.

Support is responsive, and the ability to message a clinician between visits makes it easy to adjust treatment over time. ED care is part of a broader men's health membership, which is convenient if you want other concerns handled in one place but means the service is not single-focus.

Who Hims is best for

Hims suits men who want a credible, well-supported ED service with a real clinical review and a clear choice of generic medications. The flexible per-dose and monthly plans make it a strong fit whether you need occasional or regular treatment.

If you want a service that focuses solely on ED, a dedicated provider may appeal more. ED medication carries side effects and is not safe for everyone — in particular, PDE5 inhibitors should not be taken with nitrate medications — and a licensed clinician determines whether treatment is appropriate.

Hims pricing

Sample published pricing — confirm current rates and exactly what each plan includes directly with Hims.

Per-dose (generic sildenafil)

Generic sildenafil, priced per dose; final dose set by a clinician.

$2per dose

Monthly plan

Best value

Recurring monthly supply of clinician-prescribed generic ED medication.

$30per month

Daily tadalafil

Low-dose daily generic tadalafil where a clinician determines it is appropriate.

$70per month

Our verdict on Hims

Hims tops our 2026 ED comparison because it does the fundamentals exceptionally well: a genuine clinical review by US-licensed clinicians, a clear choice of generic sildenafil and tadalafil, discreet shipping and flexible per-dose and monthly plans. ED care sits within a broader men's health membership rather than a single-focus service, and final cost depends on the prescribed medication and dose. For most men seeking a credible, well-supported ED service, Hims is our top recommendation — pending a licensed clinician confirming treatment is right for you.

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Affiliate link — we may earn a commission. Prescription ED medication is not suitable for everyone and carries side effects; a licensed clinician decides whether it is appropriate for you.

Hims — frequently asked questions

Written by

Priya Raman, MS, RD

Health Writer & Registered Dietitian

Medically reviewed by

Dr. Marcus Bell, MD

Board-Certified Internal Medicine Physician

Published February 10, 2026Last updated May 18, 2026Last medically reviewed May 18, 2026

This review is independent editorial content and is re-reviewed at least every 90 days. It is not medical advice — talk to a licensed clinician about whether a treatment is right for you.