Hims vs. Roman: Products, Services, Prices, and Reviews for 2024

Hims and Roman are telehealth companies that sell prescription and nonprescription products to treat erectile dysfunction (ED), hair loss, and premature ejaculation (PE).
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Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
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ED and hair loss are common health issues, with ED commonly affecting males over 40 years old and hair loss due to hormonal changes occurring in up to 50% of males.
ED
hair loss
commonly affecting
up to 50%
Both ED and hair loss can cause emotional distress, but there is a range of prescription treatments available for both conditions.
Hims and Roman offer these treatments to order online.
This article discusses both brands, their products, and how to order, and answers some frequently asked questions.
Overview: Hims vs. Roman
Hims and Roman are both telehealth companies that provide prescription and nonprescription treatments for various conditions. They typically market their products to males.
Neither Hims nor Roman are covered by insurance.
Hims
Roman
3.84 stars out of 5
1.26 stars out of 5
sildenafil
Viagra
tadalafil
Cialis
finasteride
minoxidil
sertraline
paroxetine
anxiety
depression
testosterone
*Prices and ratings correct as of September 2024
What does Hims offer?
Hims began operating in 2017 and is headquartered in San Francisco, California. The company sells prescription and nonprescription treatments geared primarily toward males, including treatments for ED, hair loss, and PE. Hims has a sister company, Hers, which sells female health products.
ED
hair loss
PE
Hers
Hims also sells skin care products, including those for aging support, wrinkles, and acne, and various medication treatments for mental health conditions. Hims also provides psychiatry assessments and individual and group therapy sessions.
acne
mental health conditions
group therapy
Hims is a subscription company, and people receive their treatment every month or once every 3 months.
Before making an order from Hims, a person might consider the advantages and disadvantages of the service.
There is a wide range of products for male health.
There are branded and generic versions of medication available.
Hims states its consultations are free.
The company claims its shipping is free.
People can opt for a subscription service for some medications.
Some reviewers found customer service staff difficult to communicate with.
The website does not clearly list prices for all of its products.
Some medications are far more expensive than those of its competitors.
Orders may take longer to arrive than those of competitors.
Not all hair loss products are approved by the Food and Drug Administration (FDA).
It has a low average customer review rating on BBB.
Learn more about Hims.
Learn more about Hims.
What does Roman offer?
New York-based company Roman also launched in 2017. The company sells prescription and nonprescription treatments for ED, hair loss, and PE.
Roman
In addition, Roman offers treatments for skin conditions such as eczema and excessive sweating. It also sells various daily health supplements, including multivitamins and products for testosterone support, stress relief, and prostate health.
eczema
excessive sweating
stress
prostate
Roman is also a subscription company. People will receive their treatment on demand, monthly, or every 3 months.
It is important to note that this company offers drugs for off-label use.
Some companies offer medication in a way that the FDA has not approved, meaning the way the company prescribes the medication is not how the label recommends. This is known as off-label use. A person should contact a doctor before taking medications in this way. Learn more about off-label use from the FDA.
Learn more about off-label use from the FDA.
Before making an order from Roman, a person might consider the following advantages and disadvantages.
It provides treatments for a wide range of health concerns.
It offers branded and generic versions of drugs.
Its medications are more affordable than competitors in some cases.
The company says it has free, fast shipping.
Its subscription service may be convenient.
It offers a free initial consultation and ongoing support at no extra cost.
Some customers found canceling the subscription difficult.
Customers comment that there is a lack of flexibility in choosing doctors.
Reviews mention the company made unauthorized charges.
It has a low average customer review rating on BBB.
Customer reviews and brand reputation
Online customer reviews are mixed for Hims and Roman. Learn more about the reputation of both brands below.
Hims has an accredited page with the BBB. When publishing, the BBB gave the company an A+ grade. Customer reviews average 3.84 out of 5 stars.
BBB
Reviews praising Hims mention quick responses when problems occurred with orders. However, neutral and negative reviews mention difficulty canceling subscriptions, canceled appointments, and slow doctor responses.
Roman is accredited with the BBB. At the time of publication, the organization gave the company an A+ grade and received 1.6 out of 5 stars.
BBB
At the time of publishing, there are 50 reviews on BBB. Critical reviews mention late deliveries and undelivered medication. However, positive reviews state that the company’s vitamins and ED medications are effective, and deliveries are fast.
Erectile dysfunction treatment
Hims and Roman offer similar prescription medication for ED.
Learn more about the different ED treatments available.
Learn more about the different ED treatments available.
Hims ED Medications

Type prescription medication
Treatments offered Viagra, sildenafil, Cialis, tadalafil, Hard Mints
Prescription needed yes
Accepts insurance no
GET STARTED WITH HIMS
Hims offers the following medications:
Viagra
Viagra
This product is branded sildenafil. Its active ingredient is sildenafil citrate. It is a well-known and very established ED drug.
Hims offers this product from $139 per use.
Sildenafil
Sildenafil
This PDE5 inhibitor helps people get and maintain an erection by increasing blood flow to the penis. It is the generic version of Viagra and contains the same active ingredient. Hims claims it is the company’s most popular ED treatment as it is 95% cheaper than its branded equivalent.
PDE5 inhibitor
Sildenafil is available from Hims starting at $4 per use.
Cialis
Cialis
This branded product is another PDE5 inhibitor. It is the branded version of tadalafil. People can take it once a day for people who want ongoing support with ED. It means people do not have to plan ahead and take medication before sex — the drug will deliver erection support as they need it.
Cialis is available from $958 per month.
Tadalafil
Tadalafil
Tadalafil is the generic version of Cialis. People can take it as needed, and according to Hims, its effects can last for up to 36 hours. While it is more affordable than branded Cialis through Hims, people will need to plan ahead and take it at the right time before sex.
This drug is available starting at $40 per month.
Stendra
Stendra
This is another PDE5 inhibitor and one that Roman does not offer. Its active ingredient is avanafil, but Hims does not offer a generic version.
This drug can be effective 15 minutes after a person takes it.
Hims offers this drug starting at $53 per use.
offers a wide range of ED pills that some other brands do not, such as Stendra
options are available for most budgets
offers both branded and generic version of drugs
the medication can take effect in as little as 15 minutes
does not clearly list all prices
does not accept insurance
offers a wide range of ED pills that some other brands do not, such as Stendra
options are available for most budgets
offers both branded and generic version of drugs
the medication can take effect in as little as 15 minutes
does not clearly list all prices
does not accept insurance
Location availability: available in the United States
Returns: no returns on prescription medication
Shipping: free
Location availability: available in the United States
Returns: no returns on prescription medication
Shipping: free
Roman ED Medications

Type prescription medication
Treatments offered Viagra, generic sildenafil, generic tadalafil, daily generic tadalafil, Cialis
Prescription needed yes
Accepts insurance no
GET STARTED WITH RO
Roman sells the following ED treatment:
Viagra
Viagra
Roman sells Viagra in 25, 50, and 100 milligrams (mg) strengths. These are available from $90 per dose.
Roman states 50 mg is its customers’ favorite strength.
Sildenafil
Sildenafil
The generic version of Viagra, sildenafil works in the same way for a much lower price per dose. It comes in 25, 50, and 100 mg options starting at $4 per dose.
Cialis
Cialis
From Roman, Cialis comes in 5, 10, and 20 mg strengths, available from $20 per dose.
Tadalafil
Tadalafil
With the same active ingredient as Cialis, tadalafil is a more affordable, generic as-and-when option. Roman offers this treatment starting at $8 per dose.
Roman also has Daily Rise Gummies, a compounded medication that contains tadalafil. It states people should take one gummy daily to treat ED. It starts from $69 per month.
offers generic and branded medication
has more affordable medication than Hims
offers gummy alternatives to pills
does not accept insurance
does not offer as many medications
offers generic and branded medication
has more affordable medication than Hims
offers gummy alternatives to pills
does not accept insurance
does not offer as many medications
Shipping: free
Delivery time: 2 days
Location availability: available in the United States
Returns: no returns on prescription medication
Shipping: free
Shipping: free
Delivery time: 2 days
Location availability: available in the United States
Returns: no returns on prescription medication
Shipping: free
Hair loss treatment
Hims and Roman sell prescription and nonprescription treatments for hair loss.
Hims Hair Loss Treatments

Treatments offered finasteride and minoxidil spray, oral finasteride, minoxidil, thickening shampoo, thickening conditioner, max volume shampoo, max volume conditioner
Prescription needed yes
Accepts insurance no
GET STARTED WITH HIMS
Hims sells the following prescription hair loss treatments:
Oral finasteride
Oral finasteride
This pill may help prevent new hair loss by preventing testosterone from converting to dihydrotestosterone (DHT). Higher levels of DHT can prevent new hair growth.
preventing
Finasteride is available starting from $22 per month.
Minoxidil Solution or Foam
Minoxidil Solution or Foam
Minoxidil (Rogaine) is another treatment that may help prevent hair loss. This medication encourages hair to remain in the growing stage and prevents hair from falling out of the follicles.
encourages hair to remain in the growing stage
Hims offers minoxidil in a foam or solution. The foam may be easier to apply and Hims claims it can show results within 3–6 months. However, it is more expensive at $20–$30 per bottle.
foam
solution
The minoxidil solution is best suited to the crown of the head, according to Hims. It costs $15 per bottle.
Topical finasteride and minoxidil spray
Topical finasteride and minoxidil spray
This spray combines finasteride and minoxidil to provide the benefits of both FDA-approved medications. However, this spray is not FDA-approved.
Instructions advise people to spray this onto their hair once a day and they may see results within 3–6 months.
Hims does not state the price of this treatment.
Thick Fix Thickening Shampoo and Conditioner
Thick Fix Thickening Shampoo and Conditioner
Hims’ Thickening Shampoo uses saw palmetto, which research suggests is a potential natural treatment for hair loss. However, more research is needed, and this shampoo may only make hair appear thicker. It costs $19.
Thickening Shampoo
suggests
The Thickening Conditioner costs $22 a bottle. It uses niacinamide to hydrate the hair. It makes hair appear fuller and feel softer.
Thickening Conditioner
niacinamide
offers prescription and nonprescription options
offers oral and topical products
the shampoo and conditioner are unlikely to be as effective as
does not acccept insurance, so is likely to be more expensive for some people
offers prescription and nonprescription options
offers oral and topical products
the shampoo and conditioner are unlikely to be as effective as
does not acccept insurance, so is likely to be more expensive for some people
Location availability: available in the United States
Location availability: available in the United States
Roman Hair Loss Medications

Type oral and topical hair loss medications
Quantity varies
Prescription needed yes for medications, no for OTC topical products
GET STARTED WITH RO
Roman has the following hair loss treatments available:
Oral finasteride
Oral finasteride
Finasteride is the generic name for the branded drug Propecia. It can help slow hair loss. It costs $20 per month.
Topical minoxidil
Topical minoxidil
Roman recommends this topical treatment for the crown of the head. It may help regrow hair. It costs $16 per month.
Oral minoxidil
Oral minoxidil
While minoxidil is FDA-approved, oral minoxidil is considered an off-label use of the drug. This means the FDA has not approved it in this form for hair loss.
It contains the same ingredients as topical minoxidil but may cause different side effects, such as low blood pressure and leg swelling, according to Roman.
This treatment is available at $30 per month.
Finasteride and minoxidil
Finasteride and minoxidil
This pack combines oral finasteride and topical minoxidil. This provides a person with the benefits of both drugs: finasteride can slow hair loss, while minoxidil can help regrow hair.
This kit costs $35 per month.
offers prescription medication that is proven to be effective against hairloss
some treatments are less expensive than Hims
does not offer as many products as Hims
offers prescription medication that is proven to be effective against hairloss
some treatments are less expensive than Hims
does not offer as many products as Hims
Premature ejaculation treatment
Both Hims and Roman also sell treatments for PE, including wipes and sprays.
Hims PE Medications

Treatments offered sertraline, sildenafil, paroxetine, Climax Delay Spray, Climax Delay Wipes
Prescription needed yes
Accepts insurance no
GET STARTED WITH HIMS
Hims offers prescription and nonprescription treatment for PE.
Climax Delay Spray
Climax Delay Spray
Climax Delay Spray is a nonprescription desensitizing product that people can spray on their penis to delay ejaculation. It uses lidocaine, which is a local anesthetic. This costs $29.
anesthetic
Climax Delay Wipes
Climax Delay Wipes
Climax Delay Wipes work in a similar way to the spray. Each wipe contains benzocaine, which is a local anesthetic generally used for pain, to reduce sensation and delay orgasm. They may be a less messy way to use topical PE products.
The cost is $19 per wipe.
Learn more about PE wipes.
Learn more about PE wipes.
Antidepressants
Antidepressants
Hims offers two antidepressants as off-label treatments for PE. These include sertraline and paroxetine.
sertraline
paroxetine
Antidepressants are known to reduce libido, which may help a person delay ejaculation. However, they can also cause ED.
reduce
While these medications are FDA-approved to treat anxiety and depression, Hims offers these antidepressants for off-label use to treat PE.
anxiety
depression
The cost of this treatment is $24 per month.
offers antidepressants and desensitising products that can help delay ejaculation
offers prescription and nonprescription products
offers monthly subscriptions on some products, which may be more affordable for long-term use
more expensive than Roman products
offers antidepressants and desensitising products that can help delay ejaculation
offers prescription and nonprescription products
offers monthly subscriptions on some products, which may be more affordable for long-term use
more expensive than Roman products
Location availability: available in the United States
Location availability: available in the United States
Roman Swipes

Type wipes
Quantity 8 wipes per box
Prescription needed no
GET STARTED WITH RO
Roman Swipes is a desensitizing product that people can wipe onto their penis to help delay ejaculation. It uses 4% benzocaine.
The FDA has not approved spray benzocaine products. Each box contains eight single-use wipes. It costs $22 per month.
not approved
 
more affordable than Hims
does not offer as many products as Hims
only offers wipes
more affordable than Hims
does not offer as many products as Hims
only offers wipes
Returns: no returns or refunds
Shipping: free shipping
Returns: no returns or refunds
Shipping: free shipping
How to order
A person can order nonprescription products directly from the Hims and Roman websites, but getting prescription medication requires a few extra steps.
To order a prescription treatment, people must create an account with Hims and discuss their symptoms with a licensed healthcare professional. This consultation takes place online.
If the healthcare professional finds medication suitable, they can write a prescription. Hims then ships the medication to the person in discreet packaging. The free shipping and package arrives in 2–5 business days.
2–5
Hims offers free consultations and ongoing care. However, insurance companies do not cover the costs of these services.
GET STARTED WITH HIMS
To order prescription treatment, a person completes an online questionnaire about their medical history and symptoms and uploads a photo of their ID.
If necessary, a healthcare professional reviews this questionnaire to determine the best approach and writes a prescription.
Roman offers follow-up appointments at no extra cost. Insurance companies do not cover the costs of these sessions or treatments.
The company offers free shipping in discreet packaging. Roman writes that people will receive their packages 2–4 days after ordering, although all orders qualify for 2-day shipping at no extra cost.
GET STARTED WITH ROMAN
How do Hims and Roman compare?
Hims and Roman both offer similar services and products. Below, we provide a more in-depth comparison of the two companies.
Roman has a pricing page on its website for all products, whereas Hims lists some prices but not others.
pricing page
The table below shows how Hims and Roman compare on prices for treatments for ED, hair loss, and PE.
Prices are correct as of March 2024.
Hims
Roman
In addition to ED, hair loss, and PE treatments, Hims also offers the following:
Skin care: This includes pro-aging support, acne creams, and basic skin care products.
Skin care
Allergies: Hims treats seasonal allergies, hay fever, itchy eyes, and sinus congestion.
Allergies
hay fever
Infections: Treatments for ringworm, jock itch, athlete’s foot, yeast infections, urinary tract infections, and more are available from Hims.
Infections
ringworm
jock itch
athlete’s foot
yeast infections
urinary tract infections
Anxiety and depression: Various antidepressant medications are available following a consultation.
Anxiety and depression
Therapy and support groups: Hims offers online counseling with licensed therapists for $99 per session and online, anonymous support groups.
Therapy and support groups
Roman offers these additional products:
Cold sores and genital herpes: Roman offers the antiviral valacyclovir.
Cold sores
genital herpes
valacyclovir
Daily supplements: Roman can provide a men’s multivitamin and daily supplements for heart health, testosterone support, stress relief, and prostate health.
men’s multivitamin
stress relief
Allergies: Various anti-allergy medications are available starting at $19 per month.
Allergies
Eczema: Prescription triamcinolone cream is available on a quarterly plan.
Eczema
Excessive sweating: A topical prescription solution is available for individuals who sweat excessively, which is known as hyperhidrosis.
Excessive sweating
hyperhidrosis
Mental health: Roman offers treatments for depression, anxiety, and seasonal affective disorder (SAD).
Mental health
seasonal affective disorder (SAD)
Weight management: Roman offers a prescription of Plenity, which it states is the only FDA-approved weight management tool made from natural building blocks.
Weight management
Both companies offer initial consultations and ongoing appointments at no extra cost.
Both companies offer monthly or quarterly subscriptions. Roman also allows people to buy certain products on demand.
Hims and Roman offer free delivery in discreet packaging.
Neither service accepts insurance.
Safety considerations
Hims and Roman provide safety information for all products. Below is an overview of some of the potential side effects a person may experience when taking medication from Hims or Roman.
Some common side effects of ED medication include:
include
headaches
headaches
nasal congestion
nasal congestion
sensitivity to light
sensitivity to light
Both Roman and Hims supply finasteride for hair loss. Some common side effects of finasteride include:
include
ED
decrease in ejaculate volume
increase in the risk of high-grade prostate cancer
prostate cancer
If a person takes any other medication, they should inform the healthcare professional during their consultation. Certain drugs can interact with other medications, which can lead to potentially life threatening conditions.
For example, people who take nitrates and PDE5 inhibitors for ED have an increased risk of developing potentially serious low blood pressure.
an increased risk
low blood pressure
Additionally, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends that a person seek medical attention if their ED medication causes a prolonged erection or they experience vision or hearing loss.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Alternatives
A person can consider the following telehealth companies as alternatives to Hims and Roman:
Keeps: Keeps offers hair loss treatments, including oral finasteride, minoxidil solution and foam, ketoconazole shampoo, and a range of thickening shampoos, conditioners, and other hair products. Prices start at $10 monthly, depending on a person’s treatment. Learn more about Keeps.
Keeps
Learn more about Keeps.
Lemonaid: Lemonaid provides a similar range of products to Hims and Roman, including treatments for ED, PE, and hair loss. Prices start at $2 for Lemonaid ED medication, $1 for PE treatment, and $60 for a 3-month supply of hair loss treatments. Learn more about Lemonaid.
Lemonaid
Learn more about Lemonaid.
The following table compares Hims, Roman, Keeps, and Lemonaid.
Hims
Roman
Keeps
Lemonaid
Frequently asked questions about Hims and Roman
The NIDDK says there may be alternative treatments to medication for ED. It recommends some lifestyle changes, such as stopping smoking, limiting alcohol consumption, and staying physically active.
NIDDK
People may also consider other treatments, such as vacuum erectile devices, to help them achieve and maintain an erection. People should discuss all treatment options with their doctor.
vacuum erectile devices
Learn about other natural ways to treat ED.
Learn about other natural ways to treat ED.
The NIDDK says there may be alternative treatments to medication for ED. It recommends some lifestyle changes, such as stopping smoking, limiting alcohol consumption, and staying physically active.
NIDDK
People may also consider other treatments, such as vacuum erectile devices, to help them achieve and maintain an erection. People should discuss all treatment options with their doctor.
vacuum erectile devices
Learn about other natural ways to treat ED.
Learn about other natural ways to treat ED.
There are many treatments available for hair loss, including:
including
Hair transplant: This procedure involves a surgeon moving healthy hair from another part of the scalp to an area with thinning hair.
Hair transplant

Platelet-rich plasma: This treatment involves taking blood from a person, separating the plasma from the blood, and injecting the plasma into the scalp.
Platelet-rich plasma

Laser devices: Some companies sell laser devices for home use that may help encourage hair growth. People should only buy products that the FDA has approved.

Learn more about how to treat hair loss.
Learn more about how to treat hair loss.
There are many treatments available for hair loss, including:
including
Hair transplant: This procedure involves a surgeon moving healthy hair from another part of the scalp to an area with thinning hair.
Hair transplant

Platelet-rich plasma: This treatment involves taking blood from a person, separating the plasma from the blood, and injecting the plasma into the scalp.
Platelet-rich plasma

Laser devices: Some companies sell laser devices for home use that may help encourage hair growth. People should only buy products that the FDA has approved.

Learn more about how to treat hair loss.
Learn more about how to treat hair loss.
The FDA states that a safe, legal pharmacy always requires a prescription from a licensed doctor and has a physical address and telephone number within the United States.
FDA
Pharmacies should also have a license to operate in the state where they do business and have a state-licensed pharmacist to answer customer queries.
The FDA lists online pharmacies to avoid on its website.
online pharmacies to avoid
The FDA states that a safe, legal pharmacy always requires a prescription from a licensed doctor and has a physical address and telephone number within the United States.
FDA
Pharmacies should also have a license to operate in the state where they do business and have a state-licensed pharmacist to answer customer queries.
The FDA lists online pharmacies to avoid on its website.
online pharmacies to avoid
Roman and Hims are both telehealth companies offering online consultations with healthcare professionals who prescribe medications for several health conditions.
However, different companies own and operate Roman and Hims. People should consider which brand offers the medication at the most acceptable price before choosing which company to use.
Roman and Hims are both telehealth companies offering online consultations with healthcare professionals who prescribe medications for several health conditions.
However, different companies own and operate Roman and Hims. People should consider which brand offers the medication at the most acceptable price before choosing which company to use.
Hims offers PE products, such as climax delay sprays and wipes. These products can help a person have sex for longer before ejaculating.
Hims offers PE products, such as climax delay sprays and wipes. These products can help a person have sex for longer before ejaculating.
Blue Chew and Roman are both telehealth companies that offer prescription medication for ED.
Roman sells treatments for hair loss, mental health, skin care, and a range of sexual and primary care concerns. By comparison, Blue Chew only sells three ED medications: sildenafil, tadalafil, and vardenafil. All these products are sold in a chewable form, which is not an FDA-approved form of these drugs.
Blue Chew and Roman are both telehealth companies that offer prescription medication for ED.
Roman sells treatments for hair loss, mental health, skin care, and a range of sexual and primary care concerns. By comparison, Blue Chew only sells three ED medications: sildenafil, tadalafil, and vardenafil. All these products are sold in a chewable form, which is not an FDA-approved form of these drugs.
Hims sells two prescription medications to address PE. These medications are sertraline and paroxetine, which are a type of antidepressant called selective serotonin reuptake inhibitors (SSRIs). Research suggests SSRIs can help prevent PE.
SSRIs can help prevent PE
Hims sells two prescription medications to address PE. These medications are sertraline and paroxetine, which are a type of antidepressant called selective serotonin reuptake inhibitors (SSRIs). Research suggests SSRIs can help prevent PE.
SSRIs can help prevent PE
Roman is a telehealth company that provides prescription medication for ED, including Viagra.
Viagra is the brand name for sildenafil, which is a prescription medication for erectile dysfunction.
Roman is a telehealth company that provides prescription medication for ED, including Viagra.
Viagra is the brand name for sildenafil, which is a prescription medication for erectile dysfunction.
Roman is a telehealth company. It provides customers with medications that treat PE, ED, hair loss, and other medications with a valid prescription.
These medications vary in the time they take to work. However, ED pills like Viagra typically take about 1 hour to work, although it can take between 30 minutes and 4 hours.
Find out more about Viagra.
Find out more about Viagra.
Roman is a telehealth company. It provides customers with medications that treat PE, ED, hair loss, and other medications with a valid prescription.
These medications vary in the time they take to work. However, ED pills like Viagra typically take about 1 hour to work, although it can take between 30 minutes and 4 hours.
Find out more about Viagra.
Find out more about Viagra.
Summary
Hims and Roman are telehealth companies that sell health products for males. Some options include prescription ED medication, hair loss and PE treatments, and nonprescription general health products.
Both companies offer consultations and follow-up appointments with healthcare professionals to discuss prescriptions and any side effects. Reporting any side effects is important.