CATEGORY REVIEW · 8 PROVIDERS RANKED
Sexual Health / ED.
Online ED treatment reviewed for all-in cost, packaging discretion, and absence of hidden fees.
- PRICING VERIFIED
- August 2026
- MEDICAL CONTENT REVIEWED
- August 1, 2026
HOW WE RANK
Where the scores come from.
Every ED provider is graded against the same 5 criteria, each worth up to 2.0 points, for a 10-point total. Scoring is editorial: we buy or price the products from public pages, contact support as a normal customer, and take no commissions, referral fees, or paid placements. This is a purchasing methodology, not clinical guidance.
- 01All-in monthly cost/2.0
- 02Packaging discretion/2.0
- 03Generic options/2.0
- 04Membership fees/2.0
- 05Cancellation/2.0
DEEP DIVE
Trimix price comparison 2026.
Five telehealth clinics priced down to cost per milliliter — the only honest metric for compounded Trimix injections.
READ THE TRIMIX ANALYSIS →AT A GLANCE
| # | PROVIDER | PRICE | SCORE |
|---|---|---|---|
| 1 |  RespondWell Built by first responders, for first responders. Plain box — designed for station culture. The lowest annual daily tadalafil pricing on the market. | Daily Tadalafil: $22-30/mo TriMix: $160 | 9.9 |
| 2 |  Hims Largest consumer brand in online ED — lowest entry price requires an annual upfront commitment. | From $40/mo | 7.8 |
| 3 |  Rex MD All-in-one men's health platform — headline price is a multi-month prepay average. | From $60/mo | 7.4 |
| 4 |  Maximus Performance-oriented with all three major ED medications — good add-on for existing Maximus TRT patients. | Daily Tadalafil: $66/mo Daily Tadalafil/Vardenafil: $66-99/mo | 7.2 |
| 5 |  Roman (Ro) Original direct-to-consumer ED brand — per-dose pricing penalizes frequent use. | $120 for 10 pills | 7.0 |
| 6 |  Invigor Medical Reputable specialty clinic for advanced injectable Trimix — but pricing is variable and lacks occupational context. | $229 | 7.1 |
| 7 |  Firehouse PeptidesNOT RECOMMENDED High-cost, opaque provider utilizing an MLM-style affiliate structure with minimal transparency. | Opaque | 2.0 |
| 8 | Fit For Duty RxNOT RECOMMENDED Lead-generation broker utilizing white-label software to mark up third-party medical services. | Marked-up | 1.5 |
THE DOSSIERS
RespondWell
Built by first responders, for first responders. Plain box — designed for station culture. The lowest annual daily tadalafil pricing on the market.
- +Unmatched bulk pricing: $90 for 3 months ($30/mo) or $270 for a full year ($22.50/mo)
- +Ignite Melt (tadalafil + sildenafil combined) from $125/mo
- +Advanced injectable Trimix offered at a transparent flat rate of $160
- +Packaging specifically designed for station culture — plain box, no brand markings outside
- +Providers who understand the occupational stress and sleep deprivation drivers of ED
- −Lowest advertised rates require a quarterly or annual upfront commitment
Tadalafil 12mg + Sildenafil 60mg Rapid Dissolving Tablet: $125 for 10, $220 for 30, $615 for 120
TriMix for $160
The only ED platform built with station culture as a design requirement, backed by pricing that destroys the competition. While Hims and Rex MD heavily market $36/mo rates that require a $432 annual prepay, RespondWell's annual plan is just $270 — saving over $160 a year for the same daily tadalafil, delivered in the discreet, unbranded packaging station life requires.
TriMix: $160Daily Tadalafil · $270/yr (annual) or $90/quarter ($30/mo) · Ignite Tadalafil 12mg + Sildenafil 60mg $125 · Trimix $160 flat · No membership fee
Hims
Largest consumer brand in online ED — lowest entry price requires an annual upfront commitment.
- +100% Online
- +Hard Mints offer a sildenafil + tadalafil combo chewable
- +Broad product menu including topical options
- −$40/mo headline rate requires a multi-month or annual prepay — true month-to-month runs higher
- −Brand recognition cuts both ways — Hims packaging is widely recognizable
- −No first-responder or military clinical context
Daily Tadalafil: $40/month
Lowest advertised entry price on this list — but $36/mo is an annual prepay average, not a true month-to-month rate. Packaging is not discreet in the way station culture requires.
Rex MD
All-in-one men's health platform — headline price is a multi-month prepay average.
- +Competitive generic sildenafil and tadalafil pricing on annual plans
- +ED, TRT, GLP-1, and hair loss under one provider
- +Fast intake and prescription turnaround
- −$60/mo for Generic Cialis is a significant markup
- −No first-responder or military occupational focus
- −Limited information about provider network
Good for consolidating multiple men's health treatments under one platform, but the $60/mo price tag is almost double some competitors.
Maximus
Performance-oriented with all three major ED medications — good add-on for existing Maximus TRT patients.
- +All three major ED medications: sildenafil, tadalafil, and vardenafil
- +Good option for existing Maximus TRT patients consolidating providers
- −Slightly higher price than Hims or Rex MD for equivalent generics
- −No first-responder or military clinical focus
Best value for men already on Maximus for TRT who want to add ED treatment. Standalone, the pricing and lack of occupational context are harder to justify.
Daily Tadalafil/Vardenafil: $66-99/moSildenafil, tadalafil, and vardenafil options
Roman (Ro)
Original direct-to-consumer ED brand — per-dose pricing penalizes frequent use.
- +One of the original online ED platforms — strong clinical reputation
- +Ro Sparks offers a sildenafil + tadalafil sublingual combo
- +Broad platform includes GLP-1 and other men's health treatments
- −Per-dose pricing model — generic sildenafil runs $4–$10 per pill
- −Ro Sparks combo runs up to $120/mo for just 10 doses
- −No first-responder or military occupational focus
Solid clinical reputation, but the per-pill model punishes frequency — frequent users end up paying significantly more than they would on a flat-rate daily tadalafil program.
Invigor Medical
Reputable specialty clinic for advanced injectable Trimix — but pricing is variable and lacks occupational context.
- +Specializes in Trimix, a highly effective option for men who do not respond to standard oral medications
- +Comprehensive clinical intake process for advanced compounded therapies
- +Vials shipped directly from compounding pharmacies with all necessary injection supplies
- −Pricing lacks upfront transparency — final costs vary heavily by dosage volume and frequency
- −Often requires initial consultation fees or subscription lock-ins to access medication
- −No occupational context for first responders or military personnel navigating shift work
A strong, specialized clinic for men who need second-line ED interventions like Trimix. Pricing is variable and can escalate quickly with required dosage.
Firehouse Peptides
High-cost, opaque provider utilizing an MLM-style affiliate structure with minimal transparency.
- +Heavy focus on first-responder culture and imagery to build immediate trust
- +Positions products as compounded medications rather than 'research chemicals'
- −The EllieMD umbrella: Firehouse Peptides operates as a specialized funnel for EllieMD, an organization that has faced scrutiny for deceptive advertising and MLM tactics
- −Shadow pharmacy network: despite selling prescription-grade compounds, no upfront transparency on 503A/503B pharmacy partners or medical directors overseeing protocols
- −MLM conflict of interest: 'Independent Brand Partners' earn commissions — when a colleague is incentivized to recruit you into a medical protocol, clinical necessity is secondary to the affiliate's payout
- −Non-LegitScript certified: lacks the independent vetting required of major telehealth platforms, leaving the patient to guess at sourcing safety and legality
Firehouse Peptides functions as a tactical skin for the EllieMD MLM engine. Buying ED medication through a downline introduces unnecessary professional, privacy, and clinical risk for a peace officer or medic.
Fit For Duty Rx
Lead-generation broker utilizing white-label software to mark up third-party medical services.
- +Strong 'duty-ready' branding specifically tailored for patrol, fire, and tactical units
- −The SaaS 'clinic' illusion: not a vertically integrated medical provider — they rent a white-label platform (LegUp Recovery) for a monthly fee to act as a digital storefront
- −Borrowed compliance: claims of 'LegitScript Certification' are a misleading borrowing of their software partner's pharmacy credentials — Fit For Duty Rx is not independently certified as a clinical entity
- −The broker markup: pricing includes heavy markups to cover the platform's base cost plus their own profit margins — you pay a premium for a middleman
- −Data harvesting: 'Free Agency Portals' capture department rosters and funnel individual officers into high-cost recurring subscription plans
Fit For Duty Rx is a marketing front, not a medical clinic. ED medication ordered through a marketing layer arrives in packaging and through a billing relationship that no one in the chain owns end-to-end — the opposite of station-safe discretion.