Ro vs. BlueChew for ED 2026

Comparing Ro vs. BlueChew for erectile dysfunction (ED)? Then you’re probably looking for an ED medication prescribed online so you can skip the waiting room.  

After all, research shows that even though ED is increasingly common, most individuals don't seek help because it's not exactly an easy topic to discuss. Telehealth platforms, such as Ro and BlueChew, can make it more convenient to connect with a healthcare provider online and, if eligible, receive a prescription for ED medication. 

There is a major differentiator between the two, though: cost. Ro is often less expensive than BlueChew. This is especially true when comparing the brands’ compounded treatments. Take, for example, Ro Sparks vs. BlueChew Gold. For six doses:

• Ro Sparks costs $12 per dose or $72 per month 

• BlueChew Gold (Base) costs $13.71 per dose or $79.02 per month  

• BlueChew Gold (High) costs $19.84 per dose or $119 per month 

Another standout difference is that only Ro offers access to brand-name and generic medications FDA-approved for ED, as well as compounded formulations containing sildenafil and tadalafil (the active ingredients in Viagra and Cialis, respectively) (though these are not FDA-approved). So, with Ro, you can choose between ED traditional treatments and more personalized options (if prescribed). 

Ahead, we compare Ro vs. BlueChew more closely so you can better understand the products offered, available form factors, pricing, and more. The goal? To help you make an informed decision to improve your sex life. 

Note: This article is Ro-sponsored content intended for informational purposes only. It should not be taken as medical advice. If you have any questions or concerns about your condition or treatment, please talk to a healthcare provider.

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Ro and BlueChew’s offerings contain phosphodiesterase type 5 (PDE5) inhibitors, oral medications considered first-line treatments for ED. These drugs are prescribed for ED and work by increasing blood flow to the penis, making it easier to get and maintain an erection once you’re aroused. 

That shared foundation of PDE5 inhibitors can translate into different treatment options. Ro offers flexibility and transparency for patients who prefer traditional ED treatments (e.g. Viagra, Cialis) as well as those whose needs or preferences may be better served by an alternative, compounded formulation (e.g. gummies, sublinguals). 

BlueChew’s treatments also contain PDE5 inhibitors, including sildenafil and tadalafil, that are individually FDA-approved for ED. However, detailed information about its individual products isn’t always transparently disclosed on the website before starting the online visit. And the company seems to refer to certain products as chewables in some places and sublinguals in others online. Meaning, it can be particularly difficult (and confusing) to learn about product pricing, exact dosages, and other key details for decision-making. 

Of note, compounded medications are not FDA-approved, but may be prescribed when a patient’s needs cannot be met by a commercially available drug or during shortages.  

Ro

Ro offers access to four traditional FDA-approved medications for ED, including brand-name and generic versions of sildenafil and tadalafil — two of the most commonly prescribed and well-studied PDE5 inhibitors. The four pill options include: 

• Viagra (sildenafil): Viagra made a big impact when it became the first-ever FDA-approved drug for ED back in 1998. Viagra and its generic, sildenafil, are taken around 30–60 minutes before sex and last about four hours. Ro offers both generic and brand-name versions in 25 mg, 50 mg, and 100 mg tablets (if prescribed). 

• Cialis (tadalafil): Cialis can be taken as-needed before sex (like Viagra) or daily (for 24/7 effects). When taken on demand, Cialis works in as little as 30 minutes and lasts for up to 36 hours, which is why it’s sometimes called the “weekend pill.” As-needed Cialis and its generic (tadalafil)in 5 mg, 10 mg, and 20 mg as well as daily generic tadalafil and daily Cialis in 2.5 mg and 5 mg strengths are all offered through Ro. 

In addition to traditional oral medications like brand-name Viagra and Cialis and their generics, Ro also offers two compounded ED medications: Ro Sparks and Daily Rise Gummies. While these formulations are not FDA-approved, they contain sildenafil and tadalafil (the active ingredients in Viagra and Cialis, respectively).

BlueChew

BlueChew only offers compounded ED medications. These formulations are not FDA-approved, though they also contain sildenafil, tadalafil, and/or vardenafil (another PDE5 inhibitor that’s also prescribed for ED). 

Some of BlueChew’s treatments are also formulated with vitamins, caffeine, and other ingredients such as apomorphine and oxytocin that are not individually approved for ED.  

Pills aren’t for everyone — whether you just don’t love swallowing a pill or have a medical reason that makes it more difficult. Both Ro and BlueChew offer ED medications in different, non-pill formulations that may include gummies, other chewables, and sublinguals (i.e. dissolvable tablets). 

Ro

In addition to the four traditional ED pills, Ro’s ED treatment options also include a sublingual lozenge and a daily gummy — both of which are fruit-flavored. Here’s a closer look: 

• Ro Sparks: A 2-in-1 treatment, Ro Sparks is a sublingual lozenge containing 55 mg of sildenafil and 22 mg of tadalafil. Because it dissolves under your tongue, it works in about 15 minutes on average after dissolving — faster than most traditional oral pills. Effects can last up to 36 hours because the dual-action formula contains tadalafil.

• Daily Rise Gummies: These fruit-flavored gummies each contain 7 mg of tadalafil. Designed to be taken once daily, Daily Rise Gummies help keep the ED medication active in your system 24/7 so you’re ready whenever the moment strikes. 

BlueChew

BlueChew’s ED offerings fall into two categories: chewables and sublinguals. All but two treatments are for on-demand use.

The platform’s chewables include:

• Chewable versions of the PDE5 inhibitors sildenafil, tadalafil, and vardenafil as individual treatments or as combinations 

• A daily chewable (aka DailyTAD) made of tadalafil and vitamins 

According to the brand, most taste like “fruit punch,” while the vardenafil chewable has a mint flavor. 

BlueChew also offers sublingual products that dissolve under the tongue and contain varying strengths of tadalafil. Other active ingredients may include sildenafil, vardenafil, apomorphine, and oxytocin. 

Ro is generally less expensive than BlueChew. This is particularly true when comparing the brands’ sublingual treatments containing sildenafil and tadalafil: Ro Sparks vs. BlueChew Gold.

• For six doses, Ro Sparks costs $12 per dose or $72 per month (monthly plan) 

• For six doses, BlueChew Gold (Base) costs $13.71 per dose or $79.02 per month (monthly plan)

• For six doses, BlueChew Gold (High) costs $19.84 per dose or $119 per month (monthly plan)

Plus, Ro offers free shipping, which helps make it a more cost-effective option, depending on the treatment. Meanwhile, BlueChew tacks on an additional shipping fee. So, your actual per-dose cost may run higher than the plan price suggests online.  

It’s also worth noting that if you’re able to find the individual BlueChew product pages with their pricing information, you’re automatically set up to purchase a quarterly plan and, in the case of BlueChew Gold, the “High” version. Meaning, you have to very consciously notice and select your preferred option instead. 

FYI, neither platform bills insurance for ED medications, so all costs are considered out of pocket.

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When you’re prescribed medication through Ro or BlueChew, there’s no need to drop a script off at the pharmacy and wait for it to be filled. Both platforms ship medication directly to your home in discreet packaging. However, only Ro offers free shipping. BlueChew charges an additional $5 for ground shipping. 

All of the ED treatments available through Ro and BlueChew require a prescription from a licensed healthcare provider. 

Before a prescription can be considered, you’ll first need to follow a few simple steps. For Ro, this means providing information about your health history, current health status, symptoms, and goals. BlueChew prompts you to select a treatment plan that’s chosen for you based on your answers to just three questions. Then, you provide more information about your health. 

Ro

Getting a prescription through Ro typically involves the following steps:

1. Online visit. To start, you’ll complete an online intake form in which you’ll answer some questions about your health history, symptoms, and health goals.  

2. Clinical evaluation. A licensed healthcare provider affiliated with Ro will review your information (usually within just 24 hours!) and determine the best treatment plan for you. If you live in a state that requires a provider and patient to chat via video, your provider will reach out to schedule a convenient time to chat. 

3. Prescription and ongoing care: If eligible, your Ro-affiliated provider will prescribe an ED treatment that’s appropriate for you based on your health history, symptoms, and preferences. They’ll also explain how and when to take your medication, as well as any potential side effects. Your treatment plan can also be adjusted depending on your response and its effects. You’ll have access to free, unlimited follow-up messaging. So, if necessary, just reach out to a Ro-affiliated provider. 

4. Discreet, free delivery. Once prescribed, you can expect your treatment to arrive at your door — for free and in non-descript packaging — in 4–7 days. 

5. Refills and subscriptions. You can manage refills and subscription preferences online or through the Ro app.

BlueChew 

While the overall premise is similar, BlueChew’s intake and prescription process differ from that of Ro’s. Here’s how it works, according to the brand and an online visit that we did: 

1. Treatment selection. Based on your answers to just a few questions about your goals and any previous ED treatments, BlueChew suggests one treatment option. You are not given any others to consider, and you must select the automatic suggestion to proceed. You’ll then make an online account.

2. Online account. Once you select your plan, you’ll create an online account and provide your email, shipping, and billing information in order to move forward. 

3. Online intake. Next, you’ll provide more information about your health history and physical health status to help a licensed healthcare provider determine whether your chosen treatment is appropriate. 

4. Provider review and prescription.  A provider will review your information and, if appropriate, prescribe your medication. According to BlueChew, this process can take up to 48 hours. Some states may also require a video consultation (as is the case with Ro, too).

5. Delivery and online support. If approved, your treatment will ship directly to your home for an additional cost. You’ll continue to have access to support online.

6. Refills and subscriptions. You can manage refills, shipment preferences, and treatment plans online. BlueChew does not have an app. 

Ro and BlueChew are both legitimate telehealth platforms with real affiliated providers, real prescriptions, and no awkward waiting rooms. The differences come down to cost and treatment options. 

If you’re choosing between BlueChew vs. Ro, here’s a high-level breakdown:

• Range of ED treatments: Ro offers both FDA-approved ED treatments as well as compounded formulations for those whose needs are not met by commercially available treatments. These include FDA-approved Viagra, sildenafil, Cialis, and tadalafil, and Ro Sparks and Daily Rise Gummies, both of which include sildenafil and tadalafil. 

• Form factors: Both Ro and BlueChew offer access to medications in non-pill formulations.

• Pricing: Ro is generally less expensive than BlueChew and offers free shipping, while BlueChew charges additional shipping costs. Pricing depends on the product and dosage you’re prescribed and the subscription model you select.

• Treatment management: Both platforms let you manage subscriptions and refills online. Ro goes a step further with the dedicated Ro app and unlimited provider follow-ups, so if something isn't working or you want to adjust your dose, you're not on your own.