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Men's health (ED, hair, T) review

Rex MD review for Black men (2026)

3.9/5

Rex MD is a credible second pick after Hims for ED, hair, and premature ejaculation telehealth, with cleaner pricing on specific products but a narrower overall menu.

Last reviewed How we review

Pros and cons

Pros

  • Premature-ejaculation treatment is prominently surfaced and includes oral and topical options.
  • Pricing is competitive with Hims on ED and hair-loss medications.
  • Subscription model is straightforward; cancellation is one-click in the dashboard.
  • Generic sildenafil pricing matches Hims at $20/month.

Cons

  • Narrower medication menu than Hims; no testosterone replacement track, no dermatology adjacency.
  • Operational scale and customer-service consistency trail Hims (smaller company).
  • No specific Black-clinician filter at intake.
  • Marketing is heavily ED-focused; the rest of the platform is thinner than it appears at first.

Pricing and coverage

Pricing
ED medications from $20/month; premature-ejaculation treatment from $30/month; hair loss from $25/month.
Insurance
No commercial insurance
Notes
Self-pay only. HSA / FSA eligible. Generic ED medications are typically cheaper at a retail pharmacy with GoodRx if you have a primary-care prescription; Rex MD's value is bundled telehealth + delivery.

Where Rex MD fits

Rex MD is a credible second pick to Hims (Men's Health). On the core ED medication menu (sildenafil, tadalafil), pricing is essentially identical. Where Rex MD differentiates is premature-ejaculation treatment, which Hims treats but does not market as prominently. Rex MD's PE-specific intake surfaces both topical and oral options (lidocaine sprays, paroxetine off-label) more clearly.

Where Hims wins

Hims has a broader overall menu: testosterone replacement therapy, mental-health adjacency, dermatology partnership (Hims Skin for PFB and skin-of-color care). Rex MD is narrower: ED, hair, PE. If you need only those, the operational difference is minor. If you may eventually want any of the other Hims tracks, the consolidated billing of Hims is simpler.

The cheaper alternative

For ED specifically, generic sildenafil at a retail pharmacy with a GoodRx coupon often runs $5-15 for a month's supply, versus $20 through Rex MD. The premium pays for telehealth consultation, subscription auto-refill, and discreet shipping. If you have a primary-care doctor who will write the prescription, retail pharmacy is the cheaper path. Rex MD's value is the bundled convenience.

Our methodology

Evaluated against Hims, Roman, BlueChew, Keeps, and Lemonaid on medication menu breadth, premature-ejaculation specifically, cost transparency, and operational reliability. October 2026.

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