# Men's Health Watchdog

> Independent comparison of US online men's health programs for erectile dysfunction, hair loss, premature ejaculation, low testosterone and lab tests: who prescribes, which pharmacy fills it, FDA-approved generic or compounded, and the all-in price per pill and per month, checked against each program's own site.

Men's Health Watchdog is independent. Some programs pay us a commission when a reader signs up; that never changes a score (price 30%, transparency 25%, care 20%, access 15%, reputation 10%). Every price links to the provider page it was read from. Prices last checked October 31, 2026.

## Key facts

- Top-scored: Ro: score 9.2/10, from $16/month (12-month plan; ships quarterly), FDA-approved + compounded medication, medication in price: included
- Second: Rex MD: score 9.1/10, from $18/month (reduced price with a 6-month order), FDA-approved medication, medication in price: included
- Third: Happy Head: score 8.8/10, from $18/month ($108 every 6 months), FDA-approved + compounded medication, medication in price: included
- Lowest all-in monthly price we found: $14 at Keeps (Finasteride 1 mg, billed every 3, 6 or 12 months)
- Programs compared: 20
- Compounded is not FDA-approved, and fake ED pills are common: Generic sildenafil, tadalafil and finasteride tablets are FDA-approved. Compounded chews, mints, troches, sprays and multi-drug formulas are mixed by a pharmacy and are not FDA-approved; in September 2025 the FDA sent warning letters to sellers that implied otherwise. Outside licensed programs, the FDA warns that many websites sell prescription drugs without a prescription, and it keeps finding sildenafil and tadalafil hidden in 'natural' sexual enhancement products. Its BeSafeRx program explains how to check that an online pharmacy is licensed.
- FDA-approved generic or compounded?: Generic sildenafil, tadalafil and finasteride tablets are FDA-approved. Chews, mints, sprays and multi-drug formulas are compounded by a pharmacy and are not FDA-approved. Every plan on this site is labelled one or the other.
- Price per pill and pills per month: A low per-pill price can sit on a large monthly pack, and a low monthly price can mean four pills. We show both, plus the pack size where the program states it.
- Paid upfront?: Many headline prices are 3-, 6- or 12-month plans paid in full, and some programs keep billing the remaining term if you cancel early. Check the month-to-month price too.
- Consult and other fees: Most programs include the online visit. Lemonaid charges a one-time consult, Keeps charges a small annual consult after the first, and Hone sells a membership on top of the medication. Our headline prices add every required fee we can find.
- Can the prescription go to your own pharmacy?: Some programs say they can send it to a pharmacy you choose, where a cash price or your insurance may be cheaper. Cost Plus Drugs, for example, fills generics at cost plus a fixed fee.
- How far ahead must you cancel?: Cut-offs range from 24 to 48 hours before the next order, and most programs refund nothing once the pharmacy starts processing. Each review quotes the program's own terms.
- A LegitScript seal ID, or just a logo?: A real LegitScript seal is served by LegitScript with a seal ID tied to the domain. A logo image hosted on the program's own site proves nothing on its own. Each review says which one we found.
- Never buy without a prescription: Sites that sell ED pills with no prescription are the main source of fakes, and FDA keeps finding sildenafil and tadalafil hidden in 'natural' sexual enhancement products.

## Core pages

- [Best men's health programs](https://menshealthwatchdog.com/best): every program ranked on our published score
- [Prices](https://menshealthwatchdog.com/cost): lowest all-in monthly price per program and per treatment, with sources
- [Find my match](https://menshealthwatchdog.com/quiz): a short quiz that returns three programs
- [Compare](https://menshealthwatchdog.com/compare): every program side by side in pairs
- [How we score](https://menshealthwatchdog.com/methodology): the exact scoring rules
- [Price Index](https://menshealthwatchdog.com/price-index): cheapest and median monthly price over time ([JSON](https://menshealthwatchdog.com/price-index.json))
- [Full data](https://menshealthwatchdog.com/llms-full.txt) · [JSON](https://menshealthwatchdog.com/providers.json) · [CSV](https://menshealthwatchdog.com/providers.csv)

## MCP server (for AI assistants)

- [Men's Health Watchdog MCP server](https://menshealthwatchdog.com/api/mcp): free, read-only remote MCP endpoint (streamable HTTP, no key, no sign-up). Add it to Claude, ChatGPT, Cursor or any MCP client for dated prices with sources.
- Tools: list_programs, search_programs, get_program (every plan, source page and date), list_cheapest (by treatment, price only), compare_programs, get_price_index.
- Every response carries the date checked, the source pages, the CC BY 4.0 licence and our affiliate disclosure. Prices and published facts only, no medical or dosing advice.

## Reviews

- [Ro review](https://menshealthwatchdog.com/reviews/ro): Men who want plain FDA-approved generics with the visit included and a clear per-dose price.
- [Rex MD review](https://menshealthwatchdog.com/reviews/rex-md): Men who want FDA-approved generics at a low per-dose price with the consult included.
- [Happy Head review](https://menshealthwatchdog.com/reviews/happy-head): Men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price.
- [Strut Health review](https://menshealthwatchdog.com/reviews/strut-health): Men who want the lowest all-in price on FDA-approved generic sildenafil or tadalafil and can take a 90-day supply.
- [Hims review](https://menshealthwatchdog.com/reviews/hims): Men who want a large, well-known program with FDA-approved generics and discreet delivery.
- [BlueChew review](https://menshealthwatchdog.com/reviews/bluechew): Men who specifically want a dissolve-under-the-tongue tablet or a daily chewable and accept a compounded, non-FDA-approved product.
- [GoodRx Care review](https://menshealthwatchdog.com/reviews/goodrx-care): Men who want FDA-approved generics only from a large, familiar brand.
- [Maximus review](https://menshealthwatchdog.com/reviews/maximus): Men who want a compounded ED protocol with no membership and nationwide availability.
- [Tuyo Health review](https://menshealthwatchdog.com/reviews/tuyo-health): Spanish-speaking men in its 20 states who want a simple flat-fee finasteride plan.
- [Keeps review](https://menshealthwatchdog.com/reviews/keeps): Men who want plain finasteride at a low monthly price and will prepay several months.
- [MangoRx review](https://menshealthwatchdog.com/reviews/mangorx): Men who want a compounded ED tablet and value a refund if they are not prescribed.
- [Lemonaid Health review](https://menshealthwatchdog.com/reviews/lemonaid): Men who want cheap FDA-approved generic pills and don't mind a one-time consult fee.
- [Henry Meds review](https://menshealthwatchdog.com/reviews/henry-meds): Men who want one simple monthly ED price with ongoing provider care.
- [Taurus Meds review](https://menshealthwatchdog.com/reviews/taurus-meds): Men who want one monthly price for testosterone or enclomiphene with routine labs included.
- [PeterMD review](https://menshealthwatchdog.com/reviews/petermd): Men paying with an FSA or HSA who want FDA-approved generics.
- [Hone Health review](https://menshealthwatchdog.com/reviews/hone-health): Men who want ongoing lab testing alongside ED or hair loss treatment.
- [Rugiet review](https://menshealthwatchdog.com/reviews/rugiet): Men who specifically want a multi-drug compounded tablet and will see the price inside the intake.
- [Male Excel review](https://menshealthwatchdog.com/reviews/male-excel): Men who want compounded testosterone or clomiphene with thyroid support and accept a membership on top.
- [DudeMeds review](https://menshealthwatchdog.com/reviews/dudemeds): Men who want a compounded combination product and a cheap lab panel in one place.
- [Brightmeds review](https://menshealthwatchdog.com/reviews/brightmeds): Men who want labs and the doctor visit inside one monthly testosterone price.

## Is it legit?

- [Is Men's Health Watchdog legit?](https://menshealthwatchdog.com/is-menshealthwatchdog-legit): who runs Men's Health Watchdog, how it makes money and how prices are read and dated
- [Scam checker](https://menshealthwatchdog.com/scam-checker): every program's FDA warning-letter check, review score, published price and cancellation terms
- [Is Ro legit?](https://menshealthwatchdog.com/is-ro-legit): FDA warning-letter check, review score and lowest dated price
- [Is Rex MD legit?](https://menshealthwatchdog.com/is-rex-md-legit): FDA warning-letter check, review score and lowest dated price
- [Is Happy Head legit?](https://menshealthwatchdog.com/is-happy-head-legit): FDA warning-letter check, review score and lowest dated price
- [Is Strut Health legit?](https://menshealthwatchdog.com/is-strut-health-legit): FDA warning-letter check, review score and lowest dated price
- [Is Hims legit?](https://menshealthwatchdog.com/is-hims-legit): FDA warning-letter check, review score and lowest dated price
- [Is BlueChew legit?](https://menshealthwatchdog.com/is-bluechew-legit): FDA warning-letter check, review score and lowest dated price
- [Is GoodRx Care legit?](https://menshealthwatchdog.com/is-goodrx-care-legit): FDA warning-letter check, review score and lowest dated price
- [Is Maximus legit?](https://menshealthwatchdog.com/is-maximus-legit): FDA warning-letter check, review score and lowest dated price
- [Is Tuyo Health legit?](https://menshealthwatchdog.com/is-tuyo-health-legit): FDA warning-letter check, review score and lowest dated price
- [Is Keeps legit?](https://menshealthwatchdog.com/is-keeps-legit): FDA warning-letter check, review score and lowest dated price
- [Is MangoRx legit?](https://menshealthwatchdog.com/is-mangorx-legit): FDA warning-letter check, review score and lowest dated price
- [Is Lemonaid Health legit?](https://menshealthwatchdog.com/is-lemonaid-legit): FDA warning-letter check, review score and lowest dated price
- [Is Henry Meds legit?](https://menshealthwatchdog.com/is-henry-meds-legit): FDA warning-letter check, review score and lowest dated price
- [Is Taurus Meds legit?](https://menshealthwatchdog.com/is-taurus-meds-legit): FDA warning-letter check, review score and lowest dated price
- [Is PeterMD legit?](https://menshealthwatchdog.com/is-petermd-legit): FDA warning-letter check, review score and lowest dated price
- [Is Hone Health legit?](https://menshealthwatchdog.com/is-hone-health-legit): FDA warning-letter check, review score and lowest dated price
- [Is Rugiet legit?](https://menshealthwatchdog.com/is-rugiet-legit): FDA warning-letter check, review score and lowest dated price
- [Is Male Excel legit?](https://menshealthwatchdog.com/is-male-excel-legit): FDA warning-letter check, review score and lowest dated price
- [Is DudeMeds legit?](https://menshealthwatchdog.com/is-dudemeds-legit): FDA warning-letter check, review score and lowest dated price
- [Is Brightmeds legit?](https://menshealthwatchdog.com/is-brightmeds-legit): FDA warning-letter check, review score and lowest dated price

## Prices people look up

- [Generic sildenafil (generic Viagra)](https://menshealthwatchdog.com/cost/generic-sildenafil-price): from $16/month at Strut Health, 4 programs
- [Generic tadalafil (generic Cialis)](https://menshealthwatchdog.com/cost/generic-tadalafil-price): from $24/month at Strut Health, 2 programs
- [Oral finasteride](https://menshealthwatchdog.com/cost/finasteride-price): from $14/month at Keeps, 9 programs
- [Oral minoxidil](https://menshealthwatchdog.com/cost/oral-minoxidil-price): from $18/month at Happy Head, 5 programs

## Most searched comparisons

- [Hims vs Ro](https://menshealthwatchdog.com/compare/hims-vs-ro)
- [Hims vs Keeps](https://menshealthwatchdog.com/compare/hims-vs-keeps)
- [BlueChew vs Hims](https://menshealthwatchdog.com/compare/bluechew-vs-hims)
- [BlueChew vs Ro](https://menshealthwatchdog.com/compare/bluechew-vs-ro)
- [BlueChew vs Rugiet](https://menshealthwatchdog.com/compare/bluechew-vs-rugiet)
- [Happy Head vs Keeps](https://menshealthwatchdog.com/compare/happy-head-vs-keeps)
- [Happy Head vs Hims](https://menshealthwatchdog.com/compare/happy-head-vs-hims)
- [Hims vs Rugiet](https://menshealthwatchdog.com/compare/hims-vs-rugiet)
- [Ro vs Rugiet](https://menshealthwatchdog.com/compare/ro-vs-rugiet)

## By state

- [ED and hair loss treatment by state](https://menshealthwatchdog.com/states): which programs say on their own site that they serve each state (51 states), with the source and date

## Guides

- [Best Hair Loss Treatment for Men Online: 10 Programs Ranked (2026)](https://menshealthwatchdog.com/guides/best-hair-loss-treatment-online): Online hair loss programs for men ranked on the all-in monthly price of FDA-approved finasteride, compounded vs approved products and LegitScript evidence.
- [Best Online ED Treatment: Programs Ranked on Price and Safety](https://menshealthwatchdog.com/guides/best-online-ed-treatment): Online ED programs compared on the all-in price per dose and per month, FDA-approved generic or compounded, LegitScript seal and FDA record. Sources linked.
- [How to Cancel an ED Subscription: Cutoffs and Refunds at 8 Programs](https://menshealthwatchdog.com/guides/cancel-ed-subscription): How to cancel Hims, Ro, BlueChew, Strut, Rex MD and other ED subscriptions: the cutoff before renewal, refund rules and plans that bill out, from their own terms.
- [Cheapest ED Medication Online (October 2026): Price per Pill](https://menshealthwatchdog.com/guides/cheapest-ed-medication): The cheapest ED pills online, per dose: generic sildenafil and tadalafil at every program, plus no-subscription routes and Cost Plus prices. Dated, sourced.
- [Are ED Chews FDA Approved? BlueChew, Hard Mints and Sparks Checked](https://menshealthwatchdog.com/guides/compounded-ed-medication): ED chews, mints, drops and gummies are compounded, not FDA-approved. What the FDA told BlueChew, what each product costs per dose, and how to tell. Sourced.
- [Cost Plus Drugs Sildenafil, Tadalafil and Finasteride Prices (2026)](https://menshealthwatchdog.com/guides/cost-plus-drugs-ed-hair): Mark Cuban Cost Plus Drugs prices for sildenafil, tadalafil, finasteride and oral minoxidil per tablet, what they leave out, and how to get the prescription.
- [Daily Tadalafil Cost: Daily vs As-Needed Generic Cialis per Month](https://menshealthwatchdog.com/guides/daily-tadalafil-cost): What daily generic tadalafil costs a month at online programs against as-needed tadalafil at 4, 8 and 12 uses, with Cost Plus prices. Dated, every row sourced.
- [Does Insurance Cover ED Medication? Medicare, Plans and Cash Price](https://menshealthwatchdog.com/guides/ed-medication-insurance): Medicare Part D is barred by law from covering ED drugs used for ED; private plans vary. The cash price of generic sildenafil online and at Cost Plus, sourced.
- [Viagra vs Cialis Side Effects: Sildenafil and Tadalafil Compared](https://menshealthwatchdog.com/guides/ed-pill-side-effects): Sildenafil and tadalafil side effects side by side from the Viagra and Cialis labels: headache, flushing, back pain, vision changes and the nitrate rule. Sourced.
- [Enclomiphene vs TRT: Cost per Month at 9 Online Programs (2026)](https://menshealthwatchdog.com/guides/enclomiphene-vs-trt): Enclomiphene vs testosterone therapy online: monthly cost at 9 programs with required fees added, what each drug does, FDA status and the fertility trade-off.
- [Finasteride and Minoxidil Together: Combo Products vs Two Generics](https://menshealthwatchdog.com/guides/finasteride-and-minoxidil): Using finasteride and minoxidil together: what the trials found, and the monthly cost of combination sprays and capsules versus two separate generics.
- [Finasteride Cost (October 2026): Cheapest Online vs Cost Plus](https://menshealthwatchdog.com/guides/finasteride-cost): Finasteride cost a month at every online hair loss program, cheapest first, next to the Cost Plus Drugs cash price with your own prescription. Every price sourced.
- [Does Insurance Cover Finasteride? Medicare, Hair Loss and BPH](https://menshealthwatchdog.com/guides/finasteride-insurance): Insurance rarely covers finasteride for hair loss: Medicare Part D excludes hair growth drugs by law. What is covered, and the cash price that often beats a copay.
- [Finasteride Side Effects: Trial Rates vs What Men Report](https://menshealthwatchdog.com/guides/finasteride-side-effects): Finasteride side effects from the Propecia label's placebo-controlled trials, what the label adds from post-approval reports, and where the PFS debate stands.
- [Finasteride Timeline: Results at 3, 6 and 12 Months](https://menshealthwatchdog.com/guides/finasteride-timeline): How long finasteride takes to work, from the Propecia label's trial data: what changed at 3, 6 and 12 months, at 2 and 5 years, and what happened when men stopped.
- [Finasteride vs Minoxidil: What the Labels and Trials Say, and Cost](https://menshealthwatchdog.com/guides/finasteride-vs-minoxidil): Finasteride and minoxidil work differently and carry different warnings. What the FDA labels and published trials say, and what each costs online, sourced.
- [Generic Cialis Online: What Tadalafil Costs per Pill in 2026](https://menshealthwatchdog.com/guides/generic-cialis-cost-per-pill): Generic tadalafil per pill and per month at every online program that publishes a price, daily and as needed, next to the cash price. Fees added, dated.
- [Generic Viagra Online: What Sildenafil Costs per Pill in 2026](https://menshealthwatchdog.com/guides/generic-viagra-cost-per-pill): Generic sildenafil per pill at every online program that publishes a price, next to the cash price with your own prescription. Visit fees added, dated.
- [Is Buying ED Pills Online Safe? How to Check a Pharmacy in 2026](https://menshealthwatchdog.com/guides/is-buying-ed-pills-online-safe): Buying ED pills online is safe from a licensed US program with a real prescription. How to spot fakes, check a pharmacy licence and read a LegitScript seal.
- [Minoxidil Shedding Timeline: When It Starts, Stops and Regrows](https://menshealthwatchdog.com/guides/minoxidil-shedding-timeline): Minoxidil shedding and results timeline for topical and oral minoxidil, from labels and trials: when shedding starts, when regrowth appears, and what stopping does.
- [Premature Ejaculation Pills Online: What Each One Is and Costs](https://menshealthwatchdog.com/guides/premature-ejaculation-pills-cost): No pill is FDA-approved for premature ejaculation. What online programs sell instead (off-label sertraline, compounded combos, numbing wipes) and what each costs.
- [Ro Sparks Review: Cost per Dose vs BlueChew and Generic Pills](https://menshealthwatchdog.com/guides/ro-sparks-review): Ro Sparks is a compounded sildenafil and tadalafil drop. What it costs per dose next to Ro's own generics, BlueChew and Hims mints, and what the FDA status means.
- [At-Home Testosterone Test Cost: 9 Options Priced Before TRT (2026)](https://menshealthwatchdog.com/guides/testosterone-test-cost): What a testosterone test costs at home or at a lab through online men's health programs, from the cheapest single test to full panels, and why to test before TRT.
- [TRT and ED Treatment From One Program: 8 Programs Priced (2026)](https://menshealthwatchdog.com/guides/trt-and-ed-one-program): Which online programs sell testosterone (TRT) and ED treatment under one account, how each prices the two, and the two products that combine them in one pill.
- [TRT Side Effects: Hematocrit, Blood Pressure, PSA and Fertility](https://menshealthwatchdog.com/guides/trt-side-effects): Testosterone therapy side effects from FDA labels and the TRAVERSE trial: red blood cells, blood pressure, PSA, fertility and heart risk, with label dates. Sourced.
- [TRT Timeline: What Changes When, From Week 3 to Year 1](https://menshealthwatchdog.com/guides/trt-timeline): TRT timeline from trial data: when libido, mood, energy, body composition and hematocrit change on testosterone therapy, and what monitoring the label asks for.

## Treatment hubs

- [Online ED Treatment](https://menshealthwatchdog.com/ed): As of October 31, 2026, generic sildenafil costs from $0.22 a tablet at Mark Cuban Cost Plus Drug Company with your own prescription, and from $1.60 a dose at Strut Health, an online program that prescribes it.
- [Online Hair Loss Treatment](https://menshealthwatchdog.com/hair-loss): As of October 31, 2026, finasteride costs from $0.19 a tablet at Mark Cuban Cost Plus Drug Company with your own prescription, and from $0.83 a tablet at Strut Health, an online program that prescribes it.
- [Online Testosterone Therapy (TRT)](https://menshealthwatchdog.com/testosterone): As of October 31, 2026, testosterone therapy costs from $129/mo all in at Henry Meds (Compounded testosterone (cream, pill or injection)), and the median across the 3 priced plans we track is $179/mo.
- [Premature Ejaculation Treatment Online](https://menshealthwatchdog.com/premature-ejaculation): As of October 31, 2026, premature ejaculation treatment costs from $24/mo all in at Ro (Sertraline (generic Zoloft, off-label for PE)), and the median across the 3 priced plans we track is $39/mo.
- [Men's Health Lab Tests Online](https://menshealthwatchdog.com/mens-lab-tests): As of October 31, 2026, men's lab tests costs from $65 a test at Hone Health to $249 at Rugiet, across 5 published prices.

## Price per pill

- [Sildenafil (generic Viagra): price per pill](https://menshealthwatchdog.com/price/sildenafil): from $1.60 a dose at Strut Health, by pack size, with the cash-pharmacy floor
- [Tadalafil (generic Cialis): price per pill](https://menshealthwatchdog.com/price/tadalafil): from $1.80 a dose at Rex MD, by pack size, with the cash-pharmacy floor
- [Finasteride: price per pill](https://menshealthwatchdog.com/price/finasteride): from $0.83 a tablet at Strut Health, by pack size, with the cash-pharmacy floor
- [Oral minoxidil: price per pill](https://menshealthwatchdog.com/price/minoxidil): every program, by pack size, with the cash-pharmacy floor

## Comparisons for one treatment

- [Hims vs Ro for ED medication](https://menshealthwatchdog.com/compare/hims-vs-ro-ed)
- [Hims vs Ro for hair loss treatment](https://menshealthwatchdog.com/compare/hims-vs-ro-hair-loss)

## Data, changes and corrections

- [Open data](https://menshealthwatchdog.com/data): [prices.csv](https://menshealthwatchdog.com/data/prices.csv), CC BY 4.0
- [Price changes](https://menshealthwatchdog.com/changes): 0 recorded since October 31, 2026, each with both dates and the source ([JSON](https://menshealthwatchdog.com/changes.json))
- [Corrections](https://menshealthwatchdog.com/corrections): 0 since October 31, 2026