Men's Health Watchdog

Rex MD review: price per dose and safety record

LifeMD's men's brand: generic sildenafil from $1.80 a dose and finasteride from $18 a month, consult included.

By Julian Caraulani · Last updated

Quick answer
Rex MD scores 9.1/10 on our published score, #2 of 20. Plans start at $18/mo (reduced price with a 6-month order). Best for men who want FDA-approved generics at a low per-dose price with the consult included. The main trade-off: pages give conflicting per-dose and finasteride prices.
#2 of 20 on our score
Rex MD
9.1/10Excellent
Lowest all-in price
$18/mo

Finasteride 1 mg, 6-month order · reduced price with a 6-month order

Price checked Oct 31 on its own site · No email needed

  • FDA-approved products only
  • LegitScript seal ID shown
  • No FDA warning letter found
  • Lawsuits on record
  • All 50 states
Rex MD's homepage, captured by us
Our five criteria
  • Price 30%10.0
  • Transparency 25%8.5
  • Care 20%9.0
  • Access 15%8.0
  • Reputation 10%9.4

It's for you if

  • Generic sildenafil from $1.80 a dose with the consult included
  • FDA-approved generics and brands only
  • Free consult and two-day shipping

It's not for you if

  • Pages give conflicting per-dose and finasteride prices
  • No monthly total published for ED packs
  • A privacy class action over tracking pixels was settled in 2025

Quick facts

Monthly cost
From $18
Consultation fee
Free online consultation
States available
All 50 states, per its own site (2026-10-31)
Medication type
FDA-approved
Insurance
No (Rex MD does not accept insurance)
Medication in price
Included
Best for

Men who want FDA-approved generics at a low per-dose price with the consult included.

Ready to choose? See how Rex MD compares.

Cross-check Rex MD's 9.1/10 against the other 19 programs we track side by side, or skip ahead and start your consultation.

How it works

01

Online consultation

Complete a health questionnaire; a licensed clinician reviews it and decides whether to prescribe. Consultation: Free online consultation.

02

Labs and plan

Labs: not stated on their site. If you are prescribed treatment, you choose a plan (8 published).

03

Delivery and support

Medication ships to your door from a pharmacy. Cancellation: Pause or cancel any time; refunds case by case.

Treatments available

Erectile dysfunction (ED)Hair lossPremature ejaculation (PE)Low testosterone (TRT and enclomiphene)

This program dispenses FDA-approved products. Your clinician decides what is right for you.

Pricing details

PlanPer month
Generic sildenafil 20 to 100 mg
checked 2026-10-31
FDA-approved product
Free online consult and two-day shipping. Rex MD's product page also says 'from $2 per use', so the lowest figure may need a specific strength or pack.
source, 2026-10-31
Not published
$1.80 per dose
Generic tadalafil 10 to 20 mg, as needed
checked 2026-10-31
FDA-approved product
source, 2026-10-31
Not published
$6 per dose
Daily generic tadalafil 2.5 to 5 mg
checked 2026-10-31
FDA-approved product
source, 2026-10-31
Not published
$1.80 per dose
Branded Cialis 10 to 20 mg
checked 2026-10-31
FDA-approved product
source, 2026-10-31
Not published
$29 per dose
Branded Viagra 50 to 100 mg
checked 2026-10-31
FDA-approved product
source, 2026-10-31
Not published
$96 per dose
Finasteride 1 mg, 6-month order
checked 2026-10-31
FDA-approved product
Consult and shipping included. The product page says 'less than $14 per month'; the two pages conflict.
source, 2026-10-31
$18
Sertraline for PE (off-label)
checked 2026-10-31
FDA-approved product
source, 2026-10-31
Not published
Testosterone Program (cypionate, gel or Clomid)
checked 2026-10-31
Medication and follow-up labs. Not in this price: the first lab tests and consultation, $99 once.
source, 2026-10-31
$250
plus add-ons
Treatments
Erectile dysfunction (ED), Hair loss, Premature ejaculation (PE), Low testosterone (TRT and enclomiphene)
Medication in price
Included
Drugs dispensed
FDA-approved
Labs
Not stated on their site
Consult fee
Free online consultation
Membership
None found
Insurance
No (Rex MD does not accept insurance)
States
All 50 states, per its own site (2026-10-31)
Cancellation
Pause or cancel any time; refunds case by case
Est. first year
About $216 on the lowest plan, before one-off fees

Compare every program's price.

Rex MD from $18/mo: start your intake online.

Consultation: Free online consultation · Pause or cancel any time; refunds case by case

Get started →

Is Rex MD Legit?

Rex MD is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on October 31, 2026. On Trustpilot it scores 4.7/5 from 5,265 reviews. Our score is 9.1/10.

  • No FDA warning letter found (searched October 31, 2026)
  • Medication type on file: FDA-approved
  • Publishes an all-in monthly price
  • States its cancellation terms
LegitScript
LifeMD's site shows a LegitScript seal (seal ID 10012446); Rex MD's footer links to LegitScript's checker. Certification not independently confirmed.source, checked October 31, 2026
Owner
Rex MD is LifeMD's men's health brand; LifeMD's general video visits are priced separately and are not used for these plans.source, checked October 31, 2026
Lawsuits
Marden v. LifeMD, a privacy class action over tracking pixels sharing patient data with Meta and Google, was settled with no admission of liability.source, checked October 31, 2026

Read the full check: Is Rex MD legit? →

It dispenses FDA-approved medication. As with any online program, confirm a licensed clinician reviews your intake and that the pharmacy is licensed.

What customers say about Rex MD

On Trustpilot, Rex MD scores 4.7/5 from 5,265 reviews.

We treat recurring complaints as the useful signal, not the average score: a pattern you can check before you pay is worth more than a star rating. Where the theme is price, note that we re-read Rex MD's published prices on its own site and date every one on this page.

Read the reviews →

How we reviewed Rex MD

We score every program on the same five criteria, from what its own site publishes: the real all-in price, transparency, care, access and reputation. Commission is not a criterion.

Price 30%10.0
Transparency 25%8.5
Care 20%9.0
Access 15%8.0
Reputation 10%9.4

Overall 9.1/10 · prices checked October 31, 2026 · pricing basis: lowest published all-in plan. How each criterion is scored.

What we could not verify

  • Monthly totals for ED packs
  • Which strength the $1.80 per dose applies to
  • Sertraline price

Our verdict

9.1/10

Rex MD scores 9.1/10 in our evaluation, #2 of 20. Its strongest point: generic sildenafil from $1.80 a dose with the consult included. Best for men who want FDA-approved generics at a low per-dose price with the consult included.

See how Rex MD compares to all programs · Take the quiz to find your match

Start your intake with Rex MD

Starting at $18/month (reduced price with a 6-month order). Consultation: Free online consultation.

Start your intake

Questions

Rex MD FAQ

Is Rex MD legit?

Rex MD is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on October 31, 2026. On Trustpilot it scores 4.7/5 from 5,265 reviews. Our score is 9.1/10.

How much does Rex MD cost?

From $18 per month (Finasteride 1 mg, 6-month order, reduced price with a 6-month order). Membership: None found.

Is the medication included in Rex MD's price?

Yes, the headline price includes the medication.

Does Rex MD use FDA-approved or compounded medication?

FDA-approved. Compounded drugs are mixed by a pharmacy and are not FDA-approved as finished products.

Does Rex MD take insurance?

No (Rex MD does not accept insurance).

Alternatives to Rex MD

ro.co
Ro$16

9.2/10 · Excellent

Best for men who want plain FDA-approved generics with the visit included and a clear per-dose price.

Ro reviewVisit Ro
Happy Head's homepage, captured by us
Happy Head$18

8.8/10 · Very good

Best for men who want hair loss care from a dermatologist and will prepay six months for the lowest monthly price.

Happy Head reviewVisit Happy Head
Strut Health's homepage, captured by us
Strut Health$16

8.8/10 · Very good

Best for men who want the lowest all-in price on FDA-approved generic sildenafil or tadalafil and can take a 90-day supply.

Strut Health reviewVisit Strut Health

How Rex MD Compares to Other Programs