Rex MD is an online health clinic that specializes in men’s health, offering virtual consultations, prescription medications, and personalized treatment plans through a subscription model. It operates as a telehealth platform, connecting users with licensed healthcare providers who can prescribe and ship medications directly, with a heavy focus on erectile dysfunction and hair loss.
How Rex MD Works
The process starts with an online consultation. You fill out a health questionnaire, and a licensed provider reviews your information to determine whether a prescription is appropriate. If approved, medications ship to your door in plain, unbranded packaging with no identifying labels. The service runs on a subscription basis, meaning you pay a recurring monthly fee for your medication rather than filling individual prescriptions at a pharmacy.
Your subscription includes free shipping and free unlimited follow-up consultations with a provider after treatment begins. That follow-up access is a notable feature, since many competing telehealth platforms charge separately for additional visits. There are no in-person appointments required for most conditions.
Conditions Rex MD Treats
The platform started with erectile dysfunction and male pattern hair loss, and those remain its core offerings. It has since expanded into several other areas:
- Sexual health: erectile dysfunction and premature ejaculation
- Hair loss: prescription treatments for male pattern baldness
- Testosterone support: evaluation and treatment for low testosterone
- Sleep problems
- Immune support
- Primary care: flu symptoms, sinus allergies, hay fever, hives, infections like pinkeye, asthma, migraines, skin conditions like eczema and acne, and insomnia
The primary care expansion means Rex MD isn’t strictly a sexual health platform anymore, though that’s still where most of its business and brand recognition sit. The breadth of primary care offerings is relatively limited compared to larger telehealth services, but it covers common, straightforward conditions that don’t require physical examination.
Erectile Dysfunction Medications
ED treatment is Rex MD’s flagship service. The platform prescribes two main medications: sildenafil (the generic version of Viagra) and tadalafil (the generic version of Cialis). Both are well-established treatments that work by increasing blood flow.
Sildenafil is available in 25 mg, 50 mg, and 100 mg doses. You take it as needed before sexual activity, and it typically works within 30 to 60 minutes. Tadalafil comes in two forms: an on-demand version in 5 mg, 10 mg, and 20 mg doses, and a daily version at 2.5 mg or 5 mg that you take every day regardless of planned activity. The daily option keeps the medication active in your system continuously, so timing around sexual activity becomes less of a concern.
Your prescribing provider determines which medication and dose makes sense based on your health history and other medications you take.
Testosterone Support
Unlike most of Rex MD’s services, testosterone treatment requires lab work before you can start. During the pre-qualification process, a licensed provider orders blood tests to measure your testosterone levels and determine whether you’re eligible for treatment. The initial lab tests and consultation cost around $149. This step exists because testosterone therapy carries real risks if prescribed to someone with normal levels, so providers need objective data before moving forward.
Cost and Insurance
Rex MD positions itself as a discounted alternative to traditional in-office visits and retail pharmacy pricing. The subscription model bundles the provider consultation, medication, and shipping into a single recurring charge. Specific pricing varies by medication and dosage, and Rex MD periodically adjusts its rates.
The platform does not accept health insurance, which is common among telehealth services in this space. However, Rex MD purchases are 100% FSA (Flexible Spending Account) eligible, meaning you can use pre-tax health savings dollars to cover the cost. This effectively reduces your out-of-pocket expense by whatever your tax rate is.
Privacy and Shipping
Discretion is a selling point for telehealth platforms in the sexual health space, and Rex MD leans into it. All medications arrive in plain packaging with no branding or labels that would indicate what’s inside. There’s nothing on the outside of the box that identifies Rex MD or hints at the contents, which matters for users who share a mailbox or have packages delivered to an office.
Who Rex MD Is Designed For
Rex MD is built for men who want a fast, private way to get common prescriptions without scheduling an in-person doctor visit. It’s particularly appealing if you already know what condition you’re dealing with, such as ED or hair loss, and want a streamlined path to treatment. The subscription model works well for ongoing medications you’ll take monthly, less so for one-time needs.
The tradeoff is that you’re limited to the conditions and medications Rex MD offers. If your situation is complex, involves multiple interacting conditions, or requires diagnostic workup beyond a questionnaire, a full primary care relationship will serve you better. Rex MD fills a specific gap: affordable, convenient access to a narrow set of common men’s health treatments.

