Imagine this: it's late, you're feeling frustrated, and you don't want to talk to your GP about ED. You reach for your phone, ready to sort it all out online. In 2025, you've got more choices than ever, but two names pop up everywhere—Hims and RexMD. Both say they’ll get you back on track discreetly and easily, but which one actually delivers? There’s a lot of hype and not much straight talk, so let’s pull back the curtain and see how these telehealth giants really compare.
Consultation Flow: Simplicity, Privacy, and Speed
If you've ever filled out a medical form online, you know half the battle is just surviving the menus and questions. Hims has spent millions making their interface look and feel sleek. The landing page is tailored, the consultation starts with just your email, and you’re whisked into a detailed questionnaire. It covers basics—age, health issues, symptoms, meds you’re taking—but it does so without feeling cold or robotic. There’s a cheeky tone that helps you relax a bit. If your answers flag anything risky, the system prompts you for details, showing they aren’t just pushing pills.
Once you’re done, a licensed clinician, usually a doctor or nurse practitioner, reviews your info within an average of 3–5 hours (though in Sydney, I’ve noticed it sometimes takes closer to a day with the time zones). You get discrete messaging and, if needed, a video call. They don’t require a camera if you’re not comfortable, though there’s an option if your case is complicated or you request it.
RexMD, on the other hand, looks and feels more traditional. Their consultation is all text-based (no calls needed unless you want one), and it’s quick—like, five minutes and you’re done, unless you need to clarify something. The initial forms are shorter than Hims, but if you list any tricky medical history, the follow-up questions can pile up pretty fast. Their team is almost all US-based doctors with a focus on men’s health. Responses can feel less personalized—a bit more "tick the box"—but the flip side is speed. I've had scripts approved in under 2 hours, even with an odd Sydney timestamp.
Both brands promise privacy. Hims uses encrypted communications end-to-end and two-factor auth on logins. RexMD is slightly less transparent about their security stack, but they've never had a public leak. Their packaging is unmarked and billing appears under generic names, so no awkward moments at the mailbox or credit card statement.
What does this all mean if you’re anxious about using telehealth for ED? Hims feels a bit more reassuring, especially if you want to talk things out with a human. RexMD is all about speed and efficiency, great if you just want a script and don’t need extra handholding.
Pricing: Transparent Costs, Deals, and What You Actually Pay
Let’s not kid ourselves—the only thing more awkward than filling out an online ED form is suddenly getting hit with surprise fees. In 2025, pricing for Hims and RexMD has stayed pretty stable, but there are quirks.
Hims lists their standard consult at $39. Once you’re approved, you can opt for their monthly plans, which start at $30 for generic sildenafil (the same active ingredient as Viagra). If you want the name brand? Buckle up: that can range from $70 to $150 per month, depending on dose and how many pills you want. Refills are automatic with Hims, and you can pause anytime, but their "pause" button is discreetly tucked away—so don’t miss it if you’re just testing the waters.
RexMD offers free initial consultations—yes, zero dollars—if you pick a generic plan. Their generic sildenafil starts around $2 per pill, with minimum orders always running in packs of eight. The more you buy, the cheaper each pill. Brand names are similar to Hims, but they’re a touch quicker to throw in discounts for new users. RexMD never charges if you don’t get prescribed, so there’s literally no risk to starting a consult. Shipping is included in the price; Hims sometimes adds a shipping fee unless you go for a certain volume.
But don’t just skim the headline price. Hims bakes a lot into "membership" perks, like faster refills and text support. You’re paying for more than just pills—the follow-up care and customization add a layer of value, especially if you’re new to ED treatment. RexMD is relentlessly transactional: you pay for exactly what you order, nothing more. They sometimes undercut Hims with package deals, like “buy 24, get 6 free,” which is great if you know you’ll be sticking with it a while.
Hidden costs? Rare, but they exist. For controlled drugs (like higher-dose tadalafil), both brands may require an actual video visit, which carries a one-time extra charge around $35–$50. Insurance almost never covers these services in Australia or the US, so it’s straight out-of-pocket.
What people forget: prices can drop if you check alternative providers, or if you’re open to deals. There’s a handy deep-dive on this subject at Hims vs RexMD, which breaks down this year’s pricing shake-ups, coupon codes, and even some tips on maximizing samples when you switch brands.
Prescription Fulfillment: Delivery Speed, Discretion, and Refills
Getting a prescription approved isn’t worth much if the meds don’t show up on time. Hims runs their own pharmacy fulfillment centres, so when you click "Order," your script is processed in-house. For big US cities, delivery takes two or three business days; in Sydney, you’re looking at closer to a week thanks to customs. Hims tracks every package, and they double-seal all orders. The box is plain, with only your name and a nondescript sender. You can track your order live—no guessing if it’ll get stuck at the border.
RexMD works with a network of partner pharmacies. In the US, this means super-fast turnaround—often same-day shipping if you submit before 2pm. Australia is a bit trickier: they’ll express ship, but customs can cause hiccups. My own experience was a six-day wait, right in line with their estimate. Some providers play games with shipping—listing a product as "in stock" but taking ages to dispatch. RexMD’s pharmacy partners don’t seem to pull this nonsense, but a public holiday can add a day or two to any delivery.
Let’s talk discretion. Both brands take this deadly seriously. Neither will ever mention ED or meds on the box—nobody will know what you ordered (unless they Google the return address, but even then, it's not obvious). Hims’ customer support will email or text delivery updates; RexMD mostly emails and will text if you opt in. If you live in a flat with shared mail, neither has ever sent branded flyers inside the box, so privacy is bulletproof.
Refills can be a pain, but Hims shines here. Set your refill frequencies in their dashboard, and you’ll get alerts ahead of time. Their system re-checks your health profile every six months, so you’re not left wondering if you need to chat with a new doc. RexMD is more hands-off—they’ll email you a renewal notice when you’re running low, but you have to click through and confirm every refill. Not a huge deal, but if you’re forgetful, auto-refill can be a game-changer.
Customer support deserves a shoutout. Hims answers chats 9am–9pm your local time (yes, even Sydney), and you often get actual health professionals on the other end. RexMD responds fast, but it’s usually an admin unless you specifically ask for a clinician. Both handle script changes or side effects with no hassle—one honest text and you can switch from sildenafil to tadalafil, or even bump your prescription up or down without a new consult fee, as long as you’re still within the platform.
Here’s something nobody mentions: If your meds don’t work the first time, both outfits encourage you to report it. Hims is more likely to send you a different dose as a freebie. RexMD usually requires proof, like a screenshot or a photo of the packaging (without identifying info, obviously). Not ideal, but a reminder that they're both playing by the rules.
Looking at the bigger picture, telehealth for ED now works almost as smoothly as ordering a pizza. Both Hims and RexMD offer reliable service, decent prices, and a level of privacy that was unthinkable five years ago. But the devil’s in the details: do you want the full-featured, hand-held experience or the fastest, no-nonsense treatment at the lowest price? If you care about the unique extras, the best deals, or curious about other new rivals like Roman or Lemonaid, don't miss that comprehensive breakdown at the link above. One thing’s for certain—guys in 2025 have better options than ever before, and picking a telehealth provider is finally something you can do on your terms, without the stress, awkwardness, or old-school doctor’s office vibes.
