Which Online ED Programs Ship to Your State (November 2026)
Which online ED programs serve your state, from each program's own statement: all 50 states, exceptions such as North Dakota or Arkansas, and a 20-state list.
By Julian Caraulani · Last updated
Guide
- FDA-approved and compounded
- LegitScript seal ID shown
- 49 states (not AR)
A telehealth company can only prescribe where its clinicians are licensed, so the state list decides whether you can sign up at all. A program that gives no list is marked "not confirmed", never "available". For the full ranking, see Best men's health programs.
What each program says about states
| Program | What its own page says | Scope | Source |
|---|---|---|---|
| Hims | "Hims has licensed medical providers in all 50 states." | Licensed providers; products may vary by state | hims.com, read 2026-10-31 |
| Rex MD | "Rex MD serves patients in all 50 states" | Rex MD patients | rexmd.com, read 2026-10-31 |
| HealthRX | "Service is available in all 50 US states" | All HealthRX treatments | healthrx.com, read 2026-11-09 |
| Maximus | "Vardenafil, Tadalafil, and Sildenafil are available in all US States and DC." | ED medication; hair loss list not published | maximustribe.com, read 2026-10-31 |
| BlueChew | "BlueChew is currently available throughout the United States, with the exception of North Dakota." | All BlueChew products | bluechew.com, read 2026-10-31 |
| GoodRx Care | "GoodRx Care Direct for ED is available in all U.S. states, except North Dakota and South Carolina." | GoodRx Care Direct for ED | GoodRx support, read 2026-10-31 |
| Strut Health | "...we can ship to all states except for Arkansas." | All Strut products; the page dates its own statement to September 2024 | struthealth.com, read 2026-11-06 |
| PeterMD | "Not available in these states: AL, ID." | Sildenafil, tadalafil and finasteride pages | getpetermd.com, read 2026-10-31 |
| DudeMeds | "ED medications cannot ship to South Dakota." | ED medication; other states not listed | dudemeds.com, read 2026-10-31 |
| MangoRx | Its FAQ lists the states it ships to, beginning "MangoRx ships to Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois" | 46 states plus DC; Alabama, Alaska, Arkansas and Mississippi are not on the list (our reading) | mangorx.com, read 2026-10-31 |
| Tuyo Health | "We currently operate in Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Minnesota, Missouri, Nevada, New Jersey, New York" | A 20-state list, below | tuyohealth.com, read 2026-10-31 |
Not confirmed: Ro and Lemonaid. Ro publishes no state list. Lemonaid says its pharmacy is "licensed in all 50 states". That is a licence for the pharmacy, not a statement of where its clinicians can prescribe, so we do not count it. Programs not in this table have no state statement we could find.
Tuyo Health's 20 states
Tuyo Health names the states it operates in. The full list on its FAQ page: Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Virginia and Wisconsin. If your state is not on that list, Tuyo cannot treat you yet, and the all-state programs below are the place to look.
- FDA-approved and compounded
- LegitScript seal ID shown
- 49 states (not AR)
States that are left out most often
The same few states come up again and again in the lists above:
- North Dakota: excluded by BlueChew and GoodRx Care.
- South Carolina: excluded by GoodRx Care.
- Arkansas: excluded by Strut Health (its 2024 statement) and not on MangoRx's list.
- Alabama: excluded by PeterMD and not on MangoRx's list.
- Idaho: excluded by PeterMD. MangoRx does list Idaho.
- Alaska and Mississippi: not on MangoRx's list.
- South Dakota: DudeMeds does not ship ED medication there.
If you live in one of those states
Every state above still has options. These programs say on their own sites that they cover all states:
| If you live in | Programs that say they serve every state |
|---|---|
| North Dakota, South Carolina, Arkansas, Alabama, Idaho, Alaska, Mississippi or South Dakota | Hims, Rex MD and HealthRX (all 50 states); Maximus (all states and DC, for ED medication) |
State lists change, and a statement about providers does not mean every product ships to you. Hims, for one, notes that products may vary by state. Confirm at sign-up. Each state has its own page under ED treatment by state once at least two programs confirm it.
Why a program cannot serve every state
Telehealth prescribing follows the clinician's licence and the rules of the state where the patient is. A program whose clinicians are licensed in only some states, as with Tuyo Health, cannot treat people elsewhere. Some programs limit one product rather than the whole service: DudeMeds, for example, limits only its ED medication in South Dakota. We do not give legal advice; the program's own terms decide what it will sell you.
What a state limit means for price
A state list does not change a program's published price, but it can change your choices. If the cheapest generic programs leave out your state, the ones that remain may sell mostly compounded products. Those are mixed by a pharmacy and are not FDA-approved; our compounded ED medication guide explains the difference. Some starting prices from programs that say they serve all or nearly all states, read on each program's own page:
| Program | States | Lowest published ED price we track |
|---|---|---|
| Hims | All 50 | $22 a month for generic sildenafil |
| Rex MD | All 50 | $1.80 a dose for generic sildenafil |
| Strut Health | All but Arkansas | $16 a month for generic sildenafil, billed every 90 days |
For every program's price side by side, see ED prices. Prices checked November 7, 2026.
How to check your state before you pay
- Find the state statement on the program's own site, usually in the FAQ or on the sign-up page.
- Check that it covers the product you want, not just the company.
- Look at the date. Strut Health's statement, for example, is from September 2024.
- Enter your state at checkout before you pay anything; most sign-ups ask for it first.
- If you are turned down, a prescription from your own doctor can be filled at a cash pharmacy instead. See the cheapest ED medication guide.
Questions
FAQ
Which online ED programs ship to my state?
Hims, Rex MD and HealthRX say all 50 states on their own sites, and Maximus says all states and DC for ED medication. BlueChew, GoodRx Care, PeterMD, Strut Health and DudeMeds each leave out one or two states, listed in the table above. Check the exact page and date for your state before you pay.
Is online ED treatment available in all 50 states?
Yes, from some programs. Hims, Rex MD and HealthRX say they serve all 50 states. Others leave out North Dakota, South Carolina, Arkansas, Alabama, Idaho or South Dakota, and Tuyo Health serves only 20 states. Coverage depends on where each program's clinicians are licensed.
Which ED programs serve North Dakota?
BlueChew and GoodRx Care both say they do not. Hims, Rex MD, HealthRX and Maximus say they serve all states, though Hims notes products may vary by state. Confirm at checkout, since state lists change and a company-wide statement may not cover each product.
Can I get ED medication online in Texas, Florida or New York?
Yes. The programs that say they serve all states cover them, and none of the exclusions we found names these three states. Tuyo Health also lists Texas, Florida and New York among its 20 states. Our state pages show what each program confirms for a given state.
Why does Ro not appear in the state table?
Ro publishes no list of states on the pages we read, so we mark it "not confirmed" rather than guess. That does not mean Ro is unavailable anywhere. The Ro review shows what we could check and the gaps we noted.
What if my state is not served by the program I want?
Choose another program from the table, or ask your own doctor for a prescription and fill it at a cash pharmacy. Generic sildenafil and tadalafil are FDA-approved generics you can buy that way. Our cost page compares program prices and cash options. See the best online ED programs or ED prices to compare what is available once you know your state.
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