RxSpan MD review: price per dose and safety record

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.

By Julian Caraulani · Last updated November 3, 2026

Quick answer

RxSpan MD scores 6.5/10 on our published score, #15 of 22. Plans start at $59/mo (monthly, $59). 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. The main trade-off: never says whether its plain tadalafil, vardenafil, dutasteride or minoxidil are FDA-approved generics.

#15 of 22 on our score

RxSpan MD

6.5/10Fair

Lowest all-in price

$59/mo

Dutasteride capsule · monthly, $59

Visit RxSpan MD See the ranking

Price checked Nov 3 on its own site · No email needed

Compounded, not FDA-approved
LegitScript seal ID shown
No FDA warning letter found
No state list published

Our five criteria

Price 30%6.5
Transparency 25%7.0
Care 20%7.0
Access 15%6.0
Reputation 10%5.0

It's for you if

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

It's not for you if

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

Quick facts

Monthly cost

From $59

Consultation fee

$0 telehealth visit in its catalog

States available

Not confirmed: no state list found on its own site (2026-11-02)

Medication type

Not stated

Insurance

Not mentioned (cash pay)

Medication in price

Included

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.

Ready to choose? See how RxSpan MD compares.

Cross-check RxSpan MD's 6.5/10 against the other 21 programs we track side by side, or skip ahead and start your consultation.

Visit RxSpan MD →See how it compares

How it works

Online consultation

Complete a health questionnaire; a licensed clinician reviews it and decides whether to prescribe. Consultation: $0 telehealth visit in its catalog.

Labs and plan

Labs: not stated on their site. If you are prescribed treatment, you choose a plan (17 published).

Delivery and support

Medication ships to your door from a pharmacy. Cancellation: Not stated; its terms of service have no cancellation or refund terms.

Treatments available

Erectile dysfunction (ED)Hair lossPT-141 (bremelanotide)Low testosterone (TRT and enclomiphene)

Its site does not say whether the medication is FDA-approved or compounded.

Pricing details

Plan	Per month	Billing
Tadalafil + pycnogenol (compounded), 6 doses checked 2026-11-03 Compounded, not FDA-approved Catalog lists a $0 telehealth visit and $0 shipping. $10 a dose is $60 divided by 6 (our arithmetic). Its 12 and 18 dose packs are in the catalog but not selectable. source, 2026-11-03	$60 $10 per dose	monthly, $60
Sildenafil + pycnogenol (compounded), 6 doses checked 2026-11-03 Compounded, not FDA-approved $10 a dose is our arithmetic. Larger packs are in the catalog but not selectable. source, 2026-11-03	$60 $10 per dose	monthly, $60
Tadalafil + sildenafil (compounded), 6 doses checked 2026-11-03 Compounded, not FDA-approved $10 a dose is our arithmetic. Larger packs are in the catalog but not selectable. source, 2026-11-03	$60 $10 per dose	monthly, $60
Tadalafil checked 2026-11-03 Pack size not stated, and RxSpan does not say whether this is an FDA-approved generic or a compounded tablet source, 2026-11-03	$89	monthly, $89
Tadalafil + caffeine + L-citrulline (compounded) checked 2026-11-03 Compounded, not FDA-approved Pack size not stated source, 2026-11-03	$129	monthly, $129
Vardenafil checked 2026-11-03 Pack size and whether it is compounded not stated source, 2026-11-03	$149	monthly, $149
Trimix injection (compounded alprostadil, papaverine and phentolamine) checked 2026-11-03 Compounded, not FDA-approved An injection, not a pill. No FDA-approved Trimix exists. source, 2026-11-03	$199	monthly, $199
Dutasteride capsule checked 2026-11-03 Catalog lists a $0 telehealth visit and $0 shipping. Off-label for hair loss. Whether it is an FDA-approved generic is not stated. source, 2026-11-03	$59	monthly, $59
Oral minoxidil tablet checked 2026-11-03 Off-label for hair loss; whether it is compounded is not stated source, 2026-11-03	$69	monthly, $69
Oral finasteride + minoxidil (compounded) checked 2026-11-03 Compounded, not FDA-approved source, 2026-11-03	$75	monthly, $75
Biotin + finasteride + minoxidil capsule (compounded) checked 2026-11-03 Compounded, not FDA-approved source, 2026-11-03	$85	monthly, $85
Finasteride + minoxidil + tretinoin solution (compounded topical) checked 2026-11-03 Compounded, not FDA-approved Several other compounded hair formulas are listed at $75 to $85 a month source, 2026-11-03	$75	monthly, $75
Men's Scalp Solution (compounded azelaic acid, liothyronine, progesterone and testosterone) checked 2026-11-03 Compounded, not FDA-approved source, 2026-11-03	$75	monthly, $75
PT-141 (bremelanotide) injection checked 2026-11-03 Catalog lists a $0 telehealth visit and $0 shipping. RxSpan does not say it is compounded; the only FDA-approved bremelanotide is Vyleesi, which is for women. source, 2026-11-03	$199	monthly, $199
Testosterone injection checked 2026-11-03 In RxSpan's catalog, but not selectable on rxspanmd.com when we checked on 3 Nov 2026, so we show no monthly price. source, 2026-11-03	Not published	catalog prices: $179 a month, or $450, $780 and $1,500 for 3, 6 and 12 months
Testosterone cream checked 2026-11-03 In RxSpan's catalog, but not selectable on rxspanmd.com when we checked on 3 Nov 2026, so we show no monthly price. source, 2026-11-03	Not published	catalog prices: $159 a month, or $399, $699 and $1,299 for 3, 6 and 12 months; troches carry the same prices
Enclomiphene combination tablet (with DHEA, boron and pregnenolone) checked 2026-11-03 Compounded, not FDA-approved In RxSpan's catalog, but not selectable on rxspanmd.com when we checked on 3 Nov 2026, so we show no monthly price. source, 2026-11-03	Not published	catalog prices: $179 a month, or $499, $849 and $1,599 for 3, 6 and 12 months

Treatments: Erectile dysfunction (ED), Hair loss, PT-141 (bremelanotide), Low testosterone (TRT and enclomiphene)
Medication in price: Included
Drugs dispensed: Not stated
Labs: Not stated on their site
Consult fee: $0 telehealth visit in its catalog
Membership: None found
Insurance: Not mentioned (cash pay)
States: Not confirmed: no state list found on its own site (2026-11-02)
Cancellation: Not stated; its terms of service have no cancellation or refund terms
Est. first year: About $708 on the lowest plan, before one-off fees ($0 telehealth visit in its catalog)

Compare every program's price.

RxSpan MD from $59/mo: start your intake online.

Consultation: $0 telehealth visit in its catalog · Not stated; its terms of service have no cancellation or refund terms

Get started →

Is RxSpan MD Legit?

RxSpan MD is an online program where a licensed clinician reviews your health history and decides whether to prescribe. We found no FDA warning letter when we searched on November 2, 2026. Our score is 6.5/10.

No FDA warning letter found (searched November 2, 2026)
Doesn't say if medication is FDA-approved or compounded
Publishes an all-in monthly price
Cancellation terms not stated

LegitScript: Its site says it is LegitScript-certified and loads a LegitScript seal (seal ID 50405601) linked to the lookup for rxspanmd.com. Certification not independently confirmed.source, checked November 2, 2026
Pharmacy: Not named. It says it works with 'licensed U.S. pharmacies that we have carefully vetted' and does not make compounded medications itself.source, checked November 2, 2026
Company: RxSpan MD LLC, Beverly Hills, California, founded by Dr. John Diaz, a plastic surgeon. It runs on CareValidate's white-label telehealth platform. Not affiliated with Rex MD.source, checked November 2, 2026

Read the full check: Is RxSpan MD legit? →

As with any online program, confirm a licensed clinician reviews your intake and that the pharmacy is licensed.

What customers say about RxSpan MD

We have not found a public review profile for RxSpan MD with enough reviews to quote. Weigh the published pricing and record checks above, and look for recent customer threads before you decide.

How we reviewed RxSpan MD

We score every program on the same five criteria, from what its own site publishes: the real all-in price, transparency, care, access and reputation. Commission is not a criterion.

Price 30%6.5

Transparency 25%7.0

Care 20%7.0

Access 15%6.0

Reputation 10%5.0

Overall 6.5/10 · prices checked November 3, 2026 · pricing basis: lowest published all-in plan. How each criterion is scored.

What we could not verify

Whether plain tadalafil, vardenafil, dutasteride and oral minoxidil are FDA-approved generics or compounded
Pack size for tadalafil, vardenafil and the hair products
Pharmacy: not named
States served: not published
Cancellation and refund terms: not published
Customer reviews: none found (no Trustpilot, BBB or Reddit presence)
Testosterone and enclomiphene: in its catalog, not selectable on its site on 3 Nov 2026

Our verdict

6.5/10

RxSpan MD scores 6.5/10 in our evaluation, #15 of 22. Its strongest point: visit and shipping are $0 in its catalog, so each monthly price is all in. 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.

See how RxSpan MD compares to all programs · Take the quiz to find your match