A phone or video consultation is sometimes required for legal purposes. This allows the smooth muscles in the penis to relax and fill with blood. Your primary care doctor should always know what medications you’re taking, including ED pills prescribed by another provider. Finally, we checked customer reviews to better understand user experiences with each platform. Online ED consultations offer privacy, convenience, and affordability while allowing you to quickly get the medications you need—the same day, with some services. Insurance: If you plan to use insurance, make sure the online provider accepts it. According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety.Hims and Roman offer brand-name and generic medications for ED, such as Viagra (sildenafil), Cialis (tadalafil), and avanafil. Whether those medications work for ED depends on the person and. Roman is a telehealth company providing medication and treatments for erectile dysfunction (ED), hair loss, and premature ejaculation. We provide a detailed review of its services, products, and. Hims vs. Roman: Comparison and Review Hims and Roman are telehealth companies that offer prescription treatments for erectile dysfunction, hair loss, and premature ejaculation. Learn more about.