How we make this list: we compare pricing pages, product documentation and public user reviews. Ratings come from G2, Capterra or Trustpilot, with the date we checked them.
Key takeaways
- Ro is the most comprehensive option, covering over 1,200 medications across 15 conditions with ongoing provider relationships.
- Hims and Hers lead for specific conditions like hair loss, skin, and sexual health, with free consultations and bundled pricing.
- Amazon Pharmacy plus RxPass is the cheapest route for stable generics, at $5 per month for a long formulary list.
- Sesame Care suits cash payers who want upfront visit prices, while Teladoc suits insured patients with broad plan acceptance.
- Online prescriptions still require a licensed clinician's review. Controlled substances face stricter rules, compounded products are not FDA approved, and urgent symptoms need in person or emergency care, not an online form. This article is general information, not medical advice.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 Ro | Broadest condition coverage | See website | No |
 Hims and Hers | Specific condition bundles | $25 per month | No |
 Amazon Pharmacy | Cheap stable generics | $5 per month | Yes |
 Sesame Care | Transparent cash pay visits | $29 per visit | No |
 Teladoc Health | Insurance based care | See website | No |
 GoodRx Care | Price aware prescriptions | $19 per visit | No |
 MDLIVE | 24/7 urgent care plus prescriptions | See website | No |
 LifeMD | Ongoing primary care | $79 per month | No |
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The best online prescription services
Starting priceSee website
Free planNo
Ro covers more conditions than any rival here, from sexual health and hair loss to skincare, weight loss, thyroid, depression, and urinary tract infections, with board certified providers in all 50 states. The platform favors ongoing relationships over one off visits, with pharmacists available for questions. Generic ED medicines run about $25 to $50 per month in published comparisons, hair loss $20 to $45, skincare $30 to $45, and the Ro Body weight program $145 to $300 or more depending on branded or compounded GLP-1.
Subscriptions auto renew by default, and Ro does not generally pro rate mid cycle cancellations, so set a renewal reminder. Shipped medicine usually cannot be returned under pharmacy rules. For a patient with several conditions who wants one platform, Ro is the most comprehensive choice.
What we like- Over 1,200 medications across 15 conditions
- Providers in all 50 states
- Ongoing provider relationships and pharmacist access
Watch out for- Pricing varies by product and membership
- Subscriptions auto renew
- Shipped medicine usually cannot be returned
Starting price$25 per month
Free planNo
Hims and Hers dominate condition specific telehealth, with Hims for men and Hers for women. Consultations are free, follow ups are unlimited, and treatments ship directly. Published 2026 ranges put treatments at $25 to $85 per month, with hair loss from about $22 per month for oral finasteride, topical sprays $32 to $50, and ED generics from about $4 per dose for sildenafil and $6 per dose for daily tadalafil.
The main limit is consultation depth: a nurse practitioner or physician assistant typically reviews a questionnaire rather than holding a live visit, which suits straightforward cases but not complex ones. Compounded products are not FDA approved, a distinction worth knowing. For a first time treatment seeker with a specific condition, Hims and Hers are the easiest start.
What we like- Free consultations and unlimited follow ups
- Widest product range for hair, skin, and sexual health
- Bundled prescriptions shipped to the door
Watch out for- Consults are usually asynchronous questionnaires, not live doctors
- Subscription forward model
- Compounded products are not FDA approved
Starting price$5 per month
Free planYes
Amazon Pharmacy is a pharmacy, not a clinic: it fills prescriptions from any clinician, with insurance acceptance, Prime savings, and fast delivery. RxPass is its standout deal: $5 per month covers unlimited access to over 150 generic medicines, including lisinopril, atorvastatin, and metformin, with no per prescription fees and no insurance required. Amazon has discussed expanding the list toward 300 medicines.
The catch is scope. RxPass covers stable generics for chronic conditions, not antibiotics for an acute infection or specialty medicines. Patients still need a clinician for new prescriptions, though Amazon Clinic offers message based visits from $30 to $75 per condition. For a patient on one or two stable generics, RxPass is the lowest cost option in the US.
What we like- RxPass gives unlimited access to over 150 generics for $5 per month
- Broad pharmacy catalog with insurance and Prime savings
- Fast delivery
Watch out for- RxPass list excludes acute and specialty medicines
- Needs a clinician elsewhere for new prescriptions
- Prime benefits differ by membership
Starting price$29 per visit
Free planNo
Sesame Care lists visit prices upfront, from $29 to $99 depending on service, with no insurance and no hidden fees. Patients pick a clinician, see the price, and book, then any prescription goes to their chosen pharmacy. That transparency suits cash payers who want to know the cost before booking.
Sesame does not take insurance, so insured patients may pay less elsewhere, and medicine is not bundled into the visit price. For an uninsured patient or a patient with a high deductible who wants a simple, priced visit plus a prescription, Sesame is the clearest option.
What we like- Upfront visit prices from $29 to $99
- No insurance required
- Prescriptions sent to the pharmacy of choice
Watch out for- Self pay only, so insurance does not help
- Visit prices vary by clinician and service
- No bundled medicine subscription
Starting priceSee website
Free planNo
Teladoc Health is the largest telehealth provider for insured patients, accepting most major plans with copays commonly from $0 to $75. It covers general visits, dermatology, and mental health, with prescriptions sent to a local pharmacy for pickup. For a patient whose employer or insurer already covers Teladoc, the visit may cost little or nothing.
Costs vary by plan, and the generalist model suits common conditions better than niche ones. For an insured patient who wants a familiar, widely accepted telehealth front door with prescriptions, Teladoc is the safest pick.
What we like- Largest insurance network among telehealth providers
- $0 to $75 copays for many plans
- General, dermatology, and mental health visits
Watch out for- Visit cost varies by plan
- Generalist focus over condition depth
- Wait times vary by demand
Starting price$19 per visit
Free planNo
GoodRx Care pairs telehealth visits from $19 to $75 with GoodRx prescription discounts, which helps cash payers compare medicine prices across pharmacies before filling. It suits patients who shop for the lowest prescription price and want a visit without insurance complexity.
GoodRx Care does not bill insurance, and its visit scope is narrower than a full primary care platform. For a price sensitive patient who already uses GoodRx coupons, GoodRx Care is a natural, low cost route to a prescription.
What we like- Visits from $19 to $75
- Prescription discount integration through GoodRx
- Clear pricing for cash payers
Watch out for- No insurance billing
- Visit scope is narrower than Teladoc
- Medicine costs are separate
Starting priceSee website
Free planNo
MDLIVE offers round the clock urgent care plus dermatology and mental health, with broad insurance acceptance and visit costs from $0 to $82 depending on plan. It suits a patient who needs a prescription quickly for a common acute issue, such as an infection or rash, at any hour.
Urgent care is the focus, so ongoing primary care relationships are thinner than LifeMD or Ro. For a late night or weekend need where a prescription cannot wait until morning, MDLIVE is the most available option.
What we like- 24/7 urgent care, dermatology, and mental health
- Broad insurance acceptance including Aetna and Cigna
- Prescriptions from urgent visits
Watch out for- Visit cost varies from $0 to $82 by plan
- Urgent focus over ongoing care
- Specialist depth varies
Starting price$79 per month
Free planNo
LifeMD offers ongoing primary care with a dedicated doctor and unlimited visits for $79 per month, without insurance billing. That model suits patients who want continuity: the same clinician, regular follow ups, and prescriptions managed over time rather than per visit transactions.
The subscription does not include medicine costs, and there is no insurance option. For a patient who wants a steady primary care relationship online and is comfortable paying a subscription, LifeMD is the best continuity pick.
What we like- Dedicated doctor with unlimited visits
- Ongoing primary care rather than one off visits
- Subscription covers consultations
Watch out for- $79 per month subscription with no insurance billing
- Medicine costs are separate
- Narrower condition marketing than Ro
How we chose
We ranked services by condition coverage, consult cost transparency, insurance fit, and delivery options. Broad platforms scored on range, focused platforms on depth and price for their conditions, and pharmacies on medicine cost. We favored services with published prices and clear subscription terms, and marked pricing as "See website" where it varies by product, plan, or insurance.
We stated clinical limits plainly. Online services cannot examine a patient physically, controlled substances face stricter evaluation rules, and compounded products are not FDA approved. Urgent symptoms such as chest pain, severe breathing difficulty, or signs of stroke need emergency care, not an online form. Any service promising a prescription without clinician review should be avoided.
Buying guide
Start with the condition and the coverage. For one specific condition, Hims or Hers is usually cheapest and simplest. For several conditions or ongoing care, Ro or LifeMD fits better. For a stable generic refill, check whether Amazon RxPass covers it for $5 per month before paying a visit fee anywhere.
Next, compare the total cost: visit or membership plus medicine plus delivery. A free consultation with a $50 monthly bundle may cost more than a $29 Sesame visit plus a $4 generic at a local pharmacy. Check whether insurance applies, since Teladoc and MDLIVE copays can beat cash prices, and check subscription renewal terms before starting any plan.
Finally, verify legitimacy. Confirm the service uses licensed clinicians in your state and a licensed pharmacy, read the terms on cancellations and returns, and keep a list of current medicines and allergies ready for intake. If a service cannot name its clinicians or pharmacy, choose another one.
Frequently asked questions
What is the best online prescription service overall?
Ro is the most comprehensive, covering over 1,200 medications across 15 conditions. Hims and Hers lead for specific conditions, Amazon Pharmacy is cheapest for stable generics, and Teladoc is best for insured patients.
Can I get any prescription online?
No. Clinicians must review each case, controlled substances face stricter rules, and some conditions need an in person exam. Services that promise prescriptions without review should be avoided.
How much does an online prescription visit cost?
Sesame visits run $29 to $99, GoodRx Care $19 to $75, Amazon Clinic $30 to $75 per condition, and LifeMD $79 per month for unlimited visits. Teladoc and MDLIVE copays range from $0 to about $82 depending on insurance.
Is Amazon RxPass worth it?
For patients taking one or two stable generics on its list, yes: $5 per month covers unlimited access to over 150 generics with no per prescription fees. It does not cover acute or specialty medicines.
Are compounded medicines FDA approved?
No. Compounded products are custom made by pharmacies and are not FDA approved, unlike branded and generic medicines. Ask the prescriber why a compounded product is recommended and what the alternatives cost.
Sources we checked (0)
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has 5+ years in B2B and SaaS SEO. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.