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Roman and BlueChew are online services known for their erectile dysfunction (ED) treatments. Both companies offer easier access to ED medications without trips to the doctor or pharmacy, and none of the awkwardness typically associated with this process. Instead, medication is conveniently shipped right to your door.

While BlueChew only offers two chewable tablets for ED, Roman’s offerings aren’t limited to ED medications. You can also find treatments for viral infections, hair loss, eczema, allergies, dandruff, and excess sweating.

What it isA monthly subscription-based service that provides two kinds of chewable tablets to treat ED.An online health service that specializes in ED treatments and other men’s health conditions. ED medications include sildenafil, generic Viagra, branded Viagra, generic Cialis, and branded Cialis.
How it worksComplete a medical profile and digital consultation, then choose a plan to meet your needs. If deemed appropriate, a prescription will be prepared and medication will be shipped to your door.Complete an online visit. Within 24 hours, a licensed healthcare professional will reach out with an update on the treatment request. Then, prescriptions are prepared, packed, and shipped with free 2-day shipping.
What it costs$20–$120 per month, plus shipping and tax, depending on the medication and dosage$2–$70 per tablet, depending on the medication, dosage, and quantity
Pros✓ chewable tablets
✓ no in-person doctor’s visits or trips to the pharmacy
✓ shipped in discreet packaging
✓ monthly subscription means easy ordering
✓ less expensive than brand name medications
✓ made domestically
✓ choice of brand and generic ED medications
✓ no in-person doctor’s visits or trips to the pharmacy
✓ shipped in discreet packaging
✓ monthly subscriptions available
✓ may be less expensive than purchasing through a pharmacy, depending on your insurance
Cons✓ tablets aren’t Food and Drug Administration (FDA)-approved, though their active ingredients are
✓ not available in North Dakota, South Carolina, U.S. territories, or internationally
✓ pricing could be higher depending on your insurance plan, or if you choose brand-name medications
certain services and medications aren’t available in some states


BlueChew offers chewable sildenafil and tadalafil tablets. Sildenafil is the active ingredient in Viagra, while tadalafil is the active ingredient in Cialis. Both sildenafil and tadalafil are oral phosphodiesterase type 5 (PDE5) inhibitors. They work by helping relax blood vessels, making it easier to get an erection when you’re sexually aroused.

It’s important to understand that BlueChew tablets are compounded treatments that haven’t been independently approved by the FDA. However, they’re made with the same active ingredients as Viagra and Cialis, which are both FDA approved.

As a chewable form of ED medication, BlueChew tablets can be a good option if you have difficulty swallowing capsules, and they may also be less expensive, depending on your insurance.


Sildenafil is designed to last between 4 and 6 hours. It’s prescribed for use as needed, which means it can be a good option if you’re planning for a sexual encounter. BlueChew offers sildenafil in 30-milligram (mg) and 45-mg doses, with monthly subscriptions of 6, 10, 17, and 34 chewable tablets available.


Tadalafil remains in the body for 24 to 36 hours. That can give users more flexibility or spontaneity for sex over a longer period. This medication is offered in 6-mg and 9-mg doses. Monthly subscriptions are available for doses of 4, 7, 14, and 28 chewable tablets.


Roman also offers sildenafil and tadalafil, but in pill form rather than chewable tablets. In addition, they offer brand-name Viagra and Cialis. While these products are similar in terms of how they work and the side effects they can cause, dosing and pricing vary.

Having lots of options through Roman may be a good thing, as it can take some trial and error to figure out what works best for you. Your healthcare professional at Roman may recommend trying an ED medication a few times in different situations or changing the dosage.


Roman sells both Viagra and generic Viagra in 25-mg, 50-mg and 100-mg doses. Generic Revatio, which also has sildenafil as the active ingredient, is available in 20-, 40-, 60-, 80-, and 100-mg doses.


Cialis and its generic version can be taken as a single pill when needed or as a daily dose. Roman’s generic and branded Cialis is sold in 2.5-mg, 5-mg, 10-mg, and 20-mg doses. If you intend to take it daily, you’ll be prescribed either the 2.5-mg or 5-mg dose.


Getting started with BlueChew is simple. You’ll choose a medication, dosage, and frequency before being prompted to create an account.

Don’t worry if you’re not sure what’s right for you. After creating an account and completing a medical profile, you can schedule a digital consultation with a licensed physician to discuss your symptoms. If it’s medically appropriate, the physician will prescribe one of the medications in an appropriate dosage.

Then, your BlueChew order will be shipped to your door in discreet packaging every month. If you prefer, BlueChew will provide a digital prescription that you can take to a compounding pharmacy of your choosing.

Note that prescription treatments can’t be refunded or returned. If you’re not finding success with your medication, you can reach out to the BlueChew-affiliated medical team through your account to see if another treatment is recommended.


Roman is a robust online health service offering digital visits, contact-free delivery, and ongoing care to people experiencing ED and other health conditions. To receive treatment, you must have seen a physician within the last 3 years.

To begin an online visit, you’ll choose from a list of health conditions and then answer a series of specific questions. After setting up an account, you can expect to hear from a licensed healthcare professional within 24 hours for a status update on your request for treatment.

Some states require a phone or video chat, and that will be scheduled if it’s necessary. Note that online visits cost $15, a fee that’s separate from the cost of your medication.

If a physician or nurse practitioner has determined that you’re a good candidate for telemedicine after your first online visit, you’ll be able to schedule messaging, phone calls, or video conferences as you need them.

If you’re a Roman member, you can have your prescription prepared and shipped from the platform’s pharmacy network right to your door with free 2-day delivery. You can also choose to use your own pharmacy, as long as it’s part of the Surescripts Network Alliance, and receive electronic prescriptions.

Like BlueChew, Roman doesn’t accept returns or exchanges for prescription medications, and all sales are final. However, you can pause or cancel individual shipments from your account portal.


BlueChew’s monthly subscription plans are based on which medication you’re prescribed, the dosage, and the quantity. All plans include the digital provider consultation, chewable tablets, and medical support.

The cheapest plan starts at $20 per month for six tablets of 30-mg sildenafil. At most, you’ll spend $120 per month for 28 tablets of 9-mg tadalafil, plus shipping and tax. The most popular plans are between $50 and $65 per month.

BlueChew services aren’t covered by insurance, but the company notes that its tablets retail between 50 and 80 percent less than traditional sildenafil and tadalafil.

These prices are inexpensive compared with brand-name ED medications.

According to research from 2019, the median price of Viagra inflated 190 percent between 2012 and 2017, with pricing for a 30-tablet supply at $370. During the same time frame, Cialis increased from $127 to $365.


At Roman, ED medications are sent with free 2-day shipping. Total costs are dependent on the ED medications and dosage you’re prescribed, as well as shipping frequency.

Branded ED medications — Viagra and Cialis — are the more expensive. A single Viagra tablet is $70, while a Cialis tablet is $17 for 2.5- or 5-mg dose and $69 for 10- or 20-mg. Generic versions of these medications cost less. Roman sells sildenafil tablets between $2 and $10 per tablet, depending on dosing.

A full breakdown of pricing is available on the Roman website. Note that services on the Roman platform aren’t covered by insurance.

BlueChew is limited to ED medications, but Roman offers a few products for men’s health. These include products for:

  • Hair loss. Medications include finasteride and minoxidil to treat male pattern baldness.
  • Premature ejaculation. Roman-affiliated physicians may recommend behavioral tips, oral medication, and a topical anesthetic.
  • Cold sores and genital herpes. Valacyclovir is the only medication that Roman’s physicians prescribe for the treatment of cold sores and genital herpes.
  • Testosterone support. Roman sells a supplement made with six main ingredients, including vitamin D3, zinc, magnesium, copper, ashwagandha, and maca. Note that this isn’t intended to treat low testosterone.
  • Allergies. Roman offers several allergy medications, including azelastine nasal spray and montelukast.
  • Skin care, including eczema. Roman-affiliated physicians may prescribe a cream with active ingredients intended to remedy your specific skin concerns. In the case of eczema, Roman prescribes triamcinolone, a medium-potency steroid cream. However, a previous diagnosis of eczema is necessary for treatment through Roman.
  • Dandruff. If it’s appropriate, you may be prescribed a blended shampoo that’s made with ciclopirox.
  • Hyperhidrosis. Roman-affiliated physicians may prescribe a prescription antiperspirant made with 20 percent aluminum chloride to block sweat glands.

Both Roman and BlueChew are relatively young companies. We searched online and checked the FDA warning letter database, and couldn’t find any warning letters or pending lawsuits against either company.

Roman has been in business since 2017. Roman is Better Business Bureau (BBB) accredited and has an A+ rating on the website. But there are 13 complaints, and the company has an overall rating of 2.3 out of 5 stars. Common complaints relate to billing and delivery issues and service problems.

BlueChew has no BBB accreditation. The company currently has an F rating, which is based on its failure to respond to two of the four complaints filed against it.

Customer feedback is largely mixed for both BlueChew and Roman. In addition to third-party review sites Trustpilot, we also checked reviewed customer feedback on Reddit.


BlueChew has only two reviews on Trustpilot as well, with a rating of 3.6 out of 5 stars. One review is 5 stars, while the other review complains about both the product and the customer service. BlueChew responded to this poor review and invited the unhappy customer to contact their support team for assistance.

BlueChew reviews on Reddit are generally positive and mention both the efficacy of the products and the experience of ordering online.


Roman has just two reviews on Trustpilot at the time of writing, and one relates to a hiring incident. The other review compares Roman with another online prescription medication site and finds Roman to be outrageously priced. The overall rating is 2.9 out of 5 stars.

On Reddit, reviews for Roman are mostly focused on the effects of the ED medications. Most reviewers are pleased, though some mention side effects like facial flushing and heart palpitations.

Both sildenafil and tadalafil are FDA-approved under a physician’s supervision for the treatment of ED. Still, there can be some side effects. These include:

If you’re experiencing side effects, speak with your physician.


ED medications can interact with other medications you may be taking, causing some serious side effects. These include certain blood pressure and heart medications. Be sure to tell your physician about all medications and supplements that you’re taking, whether they’re prescription or over-the-counter.

How can you choose between Roman and BlueChew?

Both Roman and BlueChew offer convenience, affordability, and professional support for ED. If you’re interested in low cost ED medication only, and you prefer to pay less for generic versions, BlueChew offers a simple platform that gives access to a trained medical team for treatment and prescriptions.

At Roman, adults experiencing a range of health conditions — not limited to ED — can receive treatment from the privacy of their own home. Depending on your preferences and treatment recommendations, you’ll have the option of branded and non-branded ED medications.

Do you need a prescription to use Roman or BlueChew?

You don’t need an existing prescription to use Roman or BlueChew. On both platforms, physicians will write prescriptions if it’s considered safe and appropriate following your digital visits.

Are BlueChew treatments FDA approved?

BlueChew’s chewable tablets are compounded treatments that haven’t been approved by the FDA. However, their active ingredients are the same as those in Viagra and Cialis, which have been FDA approved.

All tablets prescribed by the BlueChew-affiliated physicians are safely compounded by state-licensed compounding pharmacies.

Note that research from 2017 suggests that chewable sildenafil tablets have similar efficacy as pills, though the chewable tablets have 40 percent more active ingredient in order to reach these results. Since BlueChew isn’t FDA approved, and the dosing is less than standard pills, some experts question exactly how much active ingredient is in BlueChew’s tablets.

Are Roman treatments FDA approved?

Roman sells branded and generic ED medications. Viagra and Cialis are FDA approved, and both sildenafil and tadalafil have been approved by the FDA under a physician’s supervision.

Where’s Roman available?

Roman is available in all 50 states, but some conditions can’t be treated in certain states because of telemedicine laws. ED treatment and medication aren’t available in North Dakota or South Carolina.

Where’s BlueChew available?

BlueChew is available in all U.S. states except North Dakota and South Carolina. It’s not offered in U.S. territories or internationally.

Both Roman and BlueChew offer digital alternatives to traditional healthcare for ED. They’re designed to be convenient, discreet, and affordable, which may be appealing if you have difficulty going to a doctor’s office or pharmacy. At Roman, you can also get treatment for a few men’s health conditions.

Choosing between BlueChew and Roman largely boils down to your health needs and your preference for branded or non-branded ED medications. In addition, you may also want to consider if you prefer a chewable tablet, clarity around a product’s active ingredients, or an FDA-approved product.

Jessica Timmons has been working as a freelance writer since 2007, covering everything from pregnancy and parenting to cannabis, chiropractic, stand-up paddling, fitness, martial arts, home decor, and much more. Her work has appeared in mindbodygreen, Pregnancy & Newborn, Modern Parents Messy Kids, and Coffee + Crumbs. See what she’s up to now at