BlueChew vs RxSpan MD
BlueChew is cheaper to start ($20 vs $59 per month, lowest published plans). BlueChew scores higher overall (8.2 vs 6.5).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: BlueChew
BlueChew scores 8.2/10 against 6.5 for RxSpan MD, ahead on price, price transparency, clinical care and reputation. RxSpan MD can still be the better fit: it is best for men who want a compounded ED combination or several hair loss formulas from one program, with the visit and shipping in the price.
Side by side
| BlueChew | RxSpan MD | |
|---|---|---|
| Lowest price | $20/mo (monthly subscription) | $59/mo (monthly, $59) |
| Our score | 8.2/10 | 6.5/10 |
| Treatments | Erectile dysfunction (ED) | Erectile dysfunction (ED), Hair loss, PT-141 (bremelanotide), Low testosterone (TRT and enclomiphene) |
| Medication in price | Included | Included |
| Drugs dispensed | Compounded | Not stated |
| Labs | Not stated | Not stated |
| Membership | None found | None found |
| Insurance | Not stated | Not mentioned (cash pay) |
| States | 49 states (not ND), per its own site (2026-10-31) | Not confirmed: no state list found on its own site (2026-11-02) |
| Cancellation | Cancel or put on hold at least 24 hours before renewal; no returns on prescription treatments | Not stated; its terms of service have no cancellation or refund terms |
| FDA warning letters | Letter on record | None found (November 2, 2026) |
| Trustpilot | 4.1/5 (3,277 reviews) | No profile we could quote |
| Best for | Men who specifically want a dissolve-under-the-tongue tablet or a daily chewable and accept a compounded, non-FDA-approved product. | Men who want a compounded ED combination or several hair loss formulas from one program, with the visit and shipping in the price. |
| Prices checked | 2026-10-31 | 2026-11-03 |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | BlueChew | RxSpan MD |
|---|---|---|
| Erectile dysfunction (ED) | $20/mo (monthly subscription) source, 2026-10-31 | $60/mo (monthly, $60) source, 2026-11-03 |
BlueChew: a closer look
Compounded sildenafil, tadalafil and vardenafil sublingual tablets and a daily chewable by subscription, from $20 a month. The FDA has sent BlueChew a warning letter: FDA sent Dermacare LLC (BlueChew) a warning letter on September 9, 2025 objecting to claims that its compounded sildenafil and tadalafil are the 'same active' as Viagra and Cialis.
In its favour
- Low entry price with the consult included
- Per-tablet prices published
- Names its compounding pharmacies
To weigh
- Every product is compounded, not FDA-approved
- FDA warning letter in September 2025 over 'same active as Viagra/Cialis' claims
- Tablet count for the entry plan not stated
RxSpan MD: a closer look
ED, hair loss and PT-141 prescriptions with a $0 online visit and $0 shipping: dutasteride from $59 a month and compounded ED combinations at $60 for 6 doses. We searched the FDA warning-letter database on November 2, 2026 and found no letter naming RxSpan MD.
In its favour
- Visit and shipping are $0 in its catalog, so each monthly price is all in
- Compounded ED combinations at $60 for 6 doses
- ED, hair loss and PT-141 on one account
To weigh
- Never says whether its plain tadalafil, vardenafil, dutasteride or minoxidil are FDA-approved generics
- Pharmacy, states served and cancellation terms not published
- No independent reviews: only three testimonials on its own site, all about weight loss
Which should you choose?
Choose BlueChew
Best for men who specifically want a dissolve-under-the-tongue tablet or a daily chewable and accept a compounded, non-FDA-approved product. Its lowest all-in plan is $20/mo (monthly subscription).
Check BlueChew's priceChoose RxSpan MD
Best for men who want a compounded ED combination or several hair loss formulas from one program, with the visit and shipping in the price. Its lowest all-in plan is $59/mo (monthly, $59).
Check RxSpan MD's priceBlueChew vs RxSpan MD: questions people ask
Is BlueChew or RxSpan MD cheaper?
BlueChew starts lower at $20 per month versus $59 at RxSpan MD, comparing each program's lowest all-in plan.
Which is better, BlueChew or RxSpan MD?
On our published score BlueChew rates 8.2 and RxSpan MD rates 6.5. BlueChew is best for men who specifically want a dissolve-under-the-tongue tablet or a daily chewable and accept a compounded, non-FDA-approved product; RxSpan MD is best for men who want a compounded ED combination or several hair loss formulas from one program, with the visit and shipping in the price.
Do BlueChew and RxSpan MD offer the same treatments?
BlueChew: Erectile dysfunction (ED). RxSpan MD: Erectile dysfunction (ED), Hair loss, PT-141 (bremelanotide), Low testosterone (TRT and enclomiphene).
Does either include the medication in the price?
BlueChew: included. RxSpan MD: included.
Men's Health Watchdog is for information only and is not medical advice. Sildenafil, tadalafil, finasteride, oral minoxidil and testosterone are prescription drugs (testosterone is a federally controlled substance); talk to a licensed clinician about whether one is right for you and at what dose. Partner links may earn us a commission; our score never depends on it. Compare other programs.