Ro Review: It Publishes Its Entire Price List — Which Almost Nobody in Telehealth Does

What Is Ro?

Ro launched in 2017 as Roman, a men's ED brand, and has since become a broad telehealth platform operating in all 50 states. It now covers sexual health, hair loss for men and women, dermatology, fertility testing, weight loss through its Ro Body programme, and a line of supplements. The BBB lists it as an accredited business at 625 6th Ave, New York, NY, with a start date of 13 April 2017 and a B rating.

The single best thing about Ro is its pricing page. Almost every telehealth company in this market hides pricing behind an intake questionnaire, so you cannot compare without surrendering your medical history first. Ro publishes a full list: every drug, every strength, every plan length, with the price next to it. That alone changes the power balance between buyer and seller, and it is the main reason we rate Ro above providers with better complaint records.

The prices themselves are competitive on generics and unremarkable on everything else. Generic sildenafil is $4 for 25mg, $6 for 50mg and $10 for 100mg per dose, against $90 for branded Viagra at any strength. Generic tadalafil is $11 for 5mg and $44 for 10mg or 20mg, with a daily 2.5mg or 5mg option at $8. Finasteride runs $20/mo quarterly down to $16/mo on a 12-month plan; topical minoxidil $16/mo down to $13/mo. For FDA-approved generic medication with a prescription and delivery included, those are good numbers.

Weight loss is a separate proposition and we cover it in a dedicated review. In short: Ro Body is $39 for the first month then $74/mo prepaid annually, medication billed separately, and it prescribes brand-name GLP-1s rather than compounded ones — which is why it rates higher than most of this market.

Products & Published Pricing

Prices are Ro's published figures from its public pricing page as at 6 August 2026. Two clarifications matter. First, ED medication prices like '$4' are per dose, not per month — your monthly cost depends on how many doses you order, so a 10-dose month of 100mg sildenafil is roughly $100, not $10. Second, the supplements (Ro Daily, Testosterone Support) are not medications and are not held to drug efficacy standards; a testosterone support supplement is not testosterone replacement therapy and will not treat diagnosed hypogonadism.

FDA-Approved, Off-Label or Compounded?

Most of what Ro sells is FDA-approved generic or brand medication, which is the important headline. Sildenafil, tadalafil, finasteride, valacyclovir, sertraline and LATISSE are all approved products dispensed through normal pharmacy channels. That puts Ro in a materially better regulatory position than the compounded-only providers that dominate this market.

Two product lines are exceptions worth understanding. Ro Sparks combines sildenafil 55mg with tadalafil 22mg, and Daily Rise Gummies contain tadalafil 7mg. Those are not standard manufactured strengths — approved sildenafil comes in 25, 50 and 100mg and tadalafil in 2.5, 5, 10 and 20mg — which indicates compounded preparations. The Custom Rx skin treatment is likewise a compounded formulation. Compounded products are not FDA-approved and have not been reviewed for safety, efficacy or manufacturing quality.

There is a specific clinical point about Ro Sparks that deserves stating plainly. Combining two PDE5 inhibitors in a single product is not an FDA-approved regimen, and both drugs lower blood pressure through the same mechanism. That compounds the risk of hypotension, and it is dangerous with nitrates — which are an absolute contraindication — and requires care with alpha-blockers and in anyone with cardiovascular disease. If a clinician has not specifically discussed why you need both agents rather than an adequate dose of one, ask.

Also note oral minoxidil for hair loss is an off-label use of a blood pressure medication, and sertraline for premature ejaculation is an off-label use of an antidepressant. Both are well-established off-label practices with reasonable evidence, but off-label means the FDA has not evaluated the drug for that purpose, and sertraline in particular carries discontinuation effects and sexual side effects of its own.

The Consultation Process

Eligibility

• •Ro operates in all 50 states and treats adults. Specific eligibility depends on the condition and is assessed from your online intake by a licensed clinician.
• •PDE5 inhibitors for ED (sildenafil, tadalafil, Ro Sparks, Daily Rise) are absolutely contraindicated with nitrates such as nitroglycerin, isosorbide or amyl nitrite ('poppers') — the combination can cause a life-threatening drop in blood pressure. They require caution with alpha-blockers, in significant cardiovascular disease, and in anyone advised against sexual activity on cardiac grounds.
• •Finasteride is for men only and must not be handled by anyone who is pregnant or may become pregnant, as it can cause birth defects. It can cause sexual side effects including reduced libido and erectile dysfunction, which persist after stopping in a minority of users, and it lowers PSA readings — tell any clinician ordering a PSA test that you take it.
• •Oral minoxidil is a blood pressure medication used off-label; it can cause fluid retention, increased heart rate, unwanted body hair growth and, rarely, pericardial effusion. It needs clinician oversight rather than casual use.
• •Sertraline for premature ejaculation is an SSRI with its own side effect profile including nausea, sexual dysfunction and discontinuation symptoms if stopped abruptly. It carries a boxed warning regarding suicidal thoughts in young adults.
• •Ro's supplements, including Testosterone Support, are not medications, are not evaluated by the FDA for treating any condition, and are not a substitute for a proper hormone workup if you have symptoms of low testosterone.

Clinicians, Testing & Pharmacy

Shipping & Support Services

Shipping is included in the published plan prices, with discreet packaging. Delivery delays and unexpectedly changed shipment dates are a recurring complaint theme at the BBB, with unclear status communication cited. If you are on a treatment where interruption matters, do not run your supply to zero.

• •Full public pricing page covering nearly every product — rare in telehealth
• •FDA-approved generics at low per-dose prices
• •Operates in all 50 states since 2017
• •Broad coverage: ED, hair loss, skin, fertility, weight loss, supplements
• •Longer plan commitments reduce the monthly price substantially
• •GLP-1 insurance coverage checker for weight loss patients
• •Discreet packaging and included shipping
• •BBB accredited

Fees, Cancellation & Refunds

Insurance & HSA/FSA

Pros & Cons

Who Ro May Be Best For

• •Anyone who wants to know the price before handing over their medical history
• •Men wanting FDA-approved generic ED medication cheaply and discreetly
• •People treating hair loss who will commit to a 12-month plan for the lowest rate
• •Patients who prefer approved generics over the compounded products that dominate telehealth
• •Weight loss patients who want brand-name GLP-1s with real insurance navigation support
• •Anyone wanting several unrelated concerns handled on one platform

Limitations

• •The complaint volume needs context but not dismissal. 642 BBB complaints over three years is a large number, and Ro is a large company — a small percentage of a very big customer base. The B rating and the fact that complaints are being answered support that reading. But the themes are specific and repeated: unclear separation of membership from medication cost, having to cancel twice, and prepaid money treated as gone. Those are process failures, not scale artefacts.
• •'All sales are final' does more work than it should. Federal rules genuinely prevent returning dispensed prescription drugs, so that part is not Ro's doing. Applying the same finality to a prepaid annual membership cancelled the next day is a business decision, and it is the single thing most likely to leave you out of pocket. Prefer monthly billing until you are confident, even though it costs more per month.
• •The per-dose pricing on ED products flatters the comparison. '$4' is a striking number, but if you use ten 100mg doses a month you are spending about $100, not $10. Work out your realistic monthly usage before treating Ro as dramatically cheaper than an alternative quoting monthly rates.
• •Ro Sparks deserves a harder look than the marketing invites. It is a compounded combination of two PDE5 inhibitors at non-standard strengths, which is neither FDA-approved as a regimen nor necessary for most people who respond to an adequate dose of one agent. If you have any cardiovascular history, or take nitrates or alpha-blockers, this is a conversation to have with a clinician who knows your full history rather than an intake form.
• •Support is deliberately thin. No phone line and asynchronous messaging is how the prices stay low, and for a finasteride refill that is a fine trade. If something goes wrong with a shipment, a charge or a side effect, it is a much worse one.

Alternatives to Consider

Frequently Asked Questions

Our Verdict

Ro earns its rating mostly on one thing that sounds mundane and is not: it tells you the price. In a market built on funnel design — where you answer twenty medical questions before learning what anything costs — a company that publishes every strength and every plan length with a number next to it has handed real power back to the buyer. The prices behind that transparency are also good where it counts, with FDA-approved generics at $4 a dose for sildenafil, $16/mo finasteride and $13/mo topical minoxidil.

The weaknesses are commercial rather than clinical. 'All sales are final' with no stated refund window, prepaid memberships treated as unrecoverable, subscriptions that must be cancelled twice, and no phone line to sort any of it out — that combination produced 357 BBB complaints closed in twelve months and a B rating rather than an A. For a company of Ro's size the rate may be defensible; the specific, repeated nature of the themes is less so.

There are also two things to read carefully rather than buy casually. Ro Sparks and Daily Rise are compounded combinations at non-standard strengths, and stacking two PDE5 inhibitors is not an approved regimen — worth a real conversation if you have any cardiac history. And Testosterone Support is a supplement wearing hormone-therapy clothing; if you suspect low testosterone, get a blood test, not a bottle.

We rate Ro 4.0 out of 5 — our highest-rated general telehealth platform, on transparency and approved-generic value, marked down for refund terms that give you no way back. Buy the generics, start on monthly billing rather than prepaying annually, cancel early and check both subscriptions, and it is a good deal. For weight loss specifically, see our separate Ro Body review.

This review is informational only and is not medical advice. ED medications, finasteride, oral minoxidil and sertraline all carry real contraindications and side effects — speak to a licensed clinician about whether a treatment is appropriate for you before starting, changing or stopping it.