Red flags in online ED and hair loss programs, checked
Every program we track against the same checks: FDA warning letters, FTC actions and lawsuits, the LegitScript seal and how many of its plans are compounded rather than FDA-approved.
By Julian Caraulani · Last updated
The four checks, counted
have an FDA warning letter on record
have an FTC action on record
show no LegitScript-issued seal ID
sell only compounded, not FDA-approved, products
Every program, the same checks
Highest score first. A LegitScript seal ID is one LegitScript issues and serves; a logo hosted on the program's own site proves nothing on its own, and we have not confirmed any certification on LegitScript's own checker. Each name links to its review, where every fact has its source.
| Program | FDA warning letter | FTC action | LegitScript | What it dispenses | Compounded plans |
|---|---|---|---|---|---|
| None found | None found | Logo, no seal ID | FDA-approved + compounded | 3 of 13 | |
| None found | None found | Seal ID 10012446 shown | FDA-approved | 0 of 7 | |
| None found | None found | Seal ID 10508964 shown | FDA-approved + compounded | 2 of 5 | |
| On record | None found | Seal ID 11142478 shown | FDA-approved + compounded | 3 of 9 | |
| On record | On record | Logo, no seal ID | FDA-approved + compounded | 6 of 14 | |
| On record | None found | Seal ID 3225649 shown | Compounded | 6 of 6 | |
| None found | On record | None found | FDA-approved | 0 of 2 | |
| On record | None found | Seal ID 9646940 shown | FDA-approved + compounded | 9 of 10 | |
| On record | None found | Seal ID 34369530 shown | Not stated | Not stated | |
| None found | None found | None found | FDA-approved + compounded | 1 of 3 | |
| None found | None found | Logo, no seal ID | Compounded | 6 of 6 | |
| None found | None found | Seal ID 788573 shown | FDA-approved + compounded | 1 of 5 | |
| None found | None found | Seal ID 13220361 shown | FDA-approved + compounded | 1 of 2 | |
| None found | None found | Not checked | Not stated | Not stated | |
| None found | None found | None found | FDA-approved | 0 of 3 | |
| None found | None found | Seal ID 10842626 shown | FDA-approved + compounded | 0 of 2 | |
| None found | None found | Logo, no seal ID | Compounded | 5 of 5 | |
| None found | None found | Not checked | Compounded | 3 of 3 | |
| None found | None found | Seal ID 15963304 shown | Compounded | 3 of 3 | |
| None found | None found | Not checked | Not stated | Not stated |
Each record, in its own words
Quoted from our reviews with the source. A letter about one product line says nothing on its own about another, so read what each one concerned.
Rex MD- Lawsuits: Marden v. LifeMD, a privacy class action over tracking pixels sharing patient data with Meta and Google, was settled with no admission of liability. source
Strut Health- FDA: FDA sent Strut Health a warning letter dated February 20, 2026 about misbranding claims for compounded semaglutide and tirzepatide (GLP-1 weight loss), not its ED or hair loss products. source
Hims- FDA: FDA sent Hims & Hers a warning letter on September 9, 2025 about claims for compounded semaglutide (GLP-1 weight loss), not its ED or hair loss products. source
- FTC lawsuit: On July 29, 2026 the FTC, Utah and California (through Los Angeles County) sued Hims & Hers in federal court in Northern California. The complaint alleges health data was shared with advertising platforms and that billing and cancellation were not clearly disclosed. The case is pending; these are allegations, not findings. source
BlueChew- FDA: 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. source
GoodRx Care- FTC order: In February 2023 the FTC fined GoodRx $1.5 million in its first Health Breach Notification Rule case, over sharing health data with advertisers; GoodRx admitted no wrongdoing. The order predates GoodRx Care Direct. source
Maximus- FDA: FDA sent Maximus a warning letter on June 8, 2026 about website claims for compounded semaglutide and tirzepatide (GLP-1 weight loss), not its ED or hair loss products. source
Tuyo Health- FDA: FDA sent Tuyo Health a warning letter on September 9, 2025 about compounded semaglutide and tirzepatide (GLP-1 weight loss) offered on its website, not its hair loss products. source
MangoRx- Lawsuit: Eli Lilly sued MangoRx's parent, Mangoceuticals, in October 2024 over its compounded oral tirzepatide (weight loss, not ED or hair loss); MangoRx denied the claims. source
The warning signs, explained
No prescription required
Sildenafil, tadalafil and finasteride are prescription drugs. A site that sells them without one is the first warning sign on the FDA's BeSafeRx list.
No named US pharmacy
A licensed program says which state-licensed pharmacy fills your order. No US address and phone number is a warning sign on the FDA's own list.
Compounded sold as generic
A chew or mint is not generic Viagra. Compounded products are not FDA-approved, whatever the page implies.
Counterfeit risk
The FDA keeps finding fake ED pills and sildenafil hidden in 'natural' enhancement products. Prices that seem too good to be true are on its list too.
A LegitScript logo with no seal ID
A real seal is served by LegitScript and tied to the domain. An image on the program's own site proves nothing on its own.
A plan you pay for in full
Many headline prices are 3, 6 or 12 month plans paid upfront, and some keep billing if you cancel early. Check the month-to-month price.
Compounded is not FDA-approved, and fake ED pills are common
Generic sildenafil, tadalafil and finasteride tablets are FDA-approved. Compounded chews, mints, troches, sprays and multi-drug formulas are mixed by a pharmacy and are not FDA-approved; in September 2025 the FDA sent warning letters to sellers that implied otherwise. Outside licensed programs, the FDA warns that many websites sell prescription drugs without a prescription, and it keeps finding sildenafil and tadalafil hidden in 'natural' sexual enhancement products. Its BeSafeRx program explains how to check that an online pharmacy is licensed.
How these feed the score is on our methodology page.