RexMD review: cost, care and alternatives

At a glance

		RexMD
Model	One membership covers all conditions and unlimited visits	Pay per condition, no single membership
What is covered	Every treatment Sipra offers across men's, women's, and weight loss. Testosterone is Coming Soon	A la carte by condition, ED, TRT, hair, weight each separate
Medication pricing	Fixed by plan length, not by dose; longer plans cost less	Per dose or per program; generic sildenafil as low as $2/dose
Labs	Quarterly protocol labs at $65/mo, discounted with membership	Not bundled into a membership
Second condition	Already included in the same membership	New program fee, TRT from $99, GLP-1 from $75
Satisfaction	Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan	Verify their current refund terms directly

Based on publicly available information as of 2026-07-13. Confirm current details on each company's own site.

What RexMD is, and who it is for

RexMD is a men's telehealth service that grew up around erectile dysfunction and has expanded into testosterone support, hair loss, premature ejaculation, sleep, and a GLP-1 weight loss program. You complete a free online consultation, a licensed clinician reviews it, and approved medication ships discreetly to your door. There is no insurance and no in person visit.

The ideal RexMD customer is a man who wants one specific thing handled, usually ED, quickly and cheaply. On that narrow job it is very good. Generic sildenafil is listed as low as $2 per dose, the brand is established, and you are not asked to commit to a membership just to get started.

RexMD pricing in 2026

RexMD prices by medication and by program rather than through one flat membership. Generic sildenafil is listed as low as $2 per dose and generic daily tadalafil as low as $2 per dose, with typical monthly ED plans landing in the low tens of dollars depending on dose and quantity. Finasteride for hair is listed as low as $13.50 per month and sertraline for premature ejaculation from $27 per month.

The larger programs carry their own fees. The testosterone program is listed starting at $99 and the GLP-1 weight loss program starting at $75, and RexMD notes that weight loss medication cost is not included in that program price. Watch for intro promotions too; a holiday discount can make the first order look cheaper than the ongoing regular price, so always confirm what you pay on refill.

The what is included catch

Because RexMD is organized by condition, each new thing you treat tends to come with its own price. A man on ED who later wants testosterone support is looking at a separate program starting at $99, and adding a weight loss program means another fee on top. There is no single relationship that quietly covers all of it.

Sipra is built the other way around, over a narrower catalogue where testosterone therapy is marked Coming Soon rather than on sale. One membership covers unlimited physician visits and every treatment Sipra does offer across men's, women's, and weight loss, so a second or third need does not mean paying again to unlock care. Sipra medication pricing is also fixed by plan length rather than by dose, so the price does not climb as your dose does, and longer plans cost less per month. Quarterly protocol labs are available at $65/mo, discounted with membership, with thyroid and hormone labs available at member pricing in men's care so a physician can actually monitor what you are taking.

Where it falls short

RexMD's per condition structure is efficient for one prescription and less efficient the more of your health you want managed in one place. Ongoing labs and monitoring are not bundled the way a full membership includes them, so tracking hormones or metabolic markers over time is on you to arrange. And the catalog, while broad for men, does not extend to the shared men's, women's, and weight loss access a household might use.

None of this makes RexMD a poor choice. It makes it a focused one. The honest summary is that RexMD wins on a single cheap script and Sipra wins on breadth, one membership, fixed pricing, and labs plus treatment under one roof. Individual results vary, and what a clinician prescribes always depends on your intake.

RexMD pros and cons

sipra vs RexMD, side by side

		RexMD
Membership structure	One membership covers everything	No membership; pay per condition
Adding a second condition	Included, no new fee	New program, TRT from $99 or GLP-1 from $75
Cheapest single ED script	Competitive within the membership	Very low, generic sildenafil as low as $2/dose
How medication is priced	Fixed by plan length, not by dose	Per dose or per program, rises with dose/quantity
Labs	Quarterly protocol labs at $65/mo, hormone and thyroid at member pricing	Not bundled
Catalog breadth	Men's, women's, and weight loss all in one. Testosterone is Coming Soon	Men's focused, a la carte
Ongoing monitoring	Physician can act on labs under the same membership	Not built into a membership
Testosterone	Coming Soon, join the waitlist	Separate program from $99
Satisfaction terms	Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan	Verify current refund terms directly
Certification and fees	LegitScript certified 50053943; no hidden fees	Free consultation; verify current Trustpilot/BBB standing

As of 2026-07-13. Scope note: RexMD ED and hair medications are FDA approved generics, so compare the medication type and the number of separate fees, not just the headline per dose price.

Who should choose which