Comparison
An honest side-by-side comparison of two telehealth services treating erectile dysfunction. One is a flat-fee per-visit clinic licensed in 12 states. The other is a subscription-based men's-health platform operating across much of the U.S. Which is right for you depends on whether you want ongoing medication delivery or a one-time prescription.
Rex MD is genuinely useful for men who want ongoing discreet medication delivery without pharmacy pickup, particularly those on steady ED therapy who find a monthly mail-order cadence convenient. Its breadth of condition coverage — testosterone, weight-loss, hair-loss, and ED all under one account — is a real advantage if you're managing multiple men's-health concerns simultaneously.
What Rex MD is not: a one-time prescription service, a clinic for female patients, a lab-draw service (labs are arranged through third-party partners), or the cheapest option for infrequent ED use. The subscription model means that if you only need ED medication occasionally — a few doses every couple of months — you'll often pay more over time than a one-time visit at a flat-fee clinic.
Bidwell is built for patients who want a prescription without subscription. You pay $45 for the clinical review. If you're a clinical candidate, an e-prescription goes to your pharmacy of choice. If you're not, we refund automatically. There's no monthly billing, no auto-refill trap, and no pressure to upgrade to a plan. The same $45 fee applies to the first visit, a return visit six months later, or any future condition.
What Bidwell is not: a subscription service, a testosterone clinic, a weight-loss program, or a nationwide service. We don't prescribe testosterone replacement, Ozempic/GLP-1s, or controlled substances. We don't ship medication. We're only licensed in 12 states, and we turn away visits from states we don't cover. If you want bundled monthly delivery and access to expanded men's-health lanes, Rex MD is the product.
| Factor | Bidwell Health | Rex MD |
|---|---|---|
| Visit / consult fee | $45 flat, one-time | Included in subscription (often $0 first month, then $30–50/mo ongoing) |
| Medication cost | Paid separately at your pharmacy. Generic sildenafil $10–50 for 30 doses with GoodRx. | Bundled into subscription. Plan pricing varies by dosage and frequency. |
| Subscription required | No | Yes — auto-renewing |
| Monthly cost for occasional use (a few doses per month) | $0 ongoing (one $45 visit covers as many pharmacy fills as your Rx allows within the year) | Monthly membership continues whether you use it or not, unless paused/cancelled |
| Delivery | You pick up at any U.S. pharmacy (CVS / Walgreens / Walmart / Costco / Amazon Pharmacy / independent) | Mail-order delivery typically included |
| Insurance | Not accepted (cash-pay), but HSA/FSA eligible | Not typically used; some plans may cover medication if sent to local pharmacy instead of mail-order |
The right choice depends on your ED pattern and how you want to handle medication logistics.
Both platforms are staffed by U.S.-licensed clinicians — nurse practitioners and physicians credentialed through their respective state boards. Bidwell Health's clinicians are AANP board-certified Family Nurse Practitioners operating under autonomous practice authority in each of our 12 licensed states. Every intake on the Bidwell side is reviewed by a named clinician whose NPI and credentials are published on our site. Rex MD operates a similar NP/physician model; specific clinician names and credentials appear on their platform.
The practical meaning: both services are staffed by real prescribers bound by state-board rules. Neither is an "algorithm that writes prescriptions" — there is human clinical review on both sides. The difference is in the business model wrapped around that review (subscription vs. flat-fee), not in whether a clinician signs the Rx.
Both Bidwell Health and Rex MD operate under HIPAA with encrypted intake, secure prescriber review, and no sale of patient data. Bidwell's clinical model is documented openly on our clinical protocols page, including specific guideline bodies (AUA for ED) and the exact first-line medications we use. Rex MD's protocols are similarly documented on their platform.
One small structural difference: because Bidwell is a per-visit cash-pay clinic, your visit record doesn't get submitted to any insurance company. It doesn't appear on your explanation of benefits, your family health plan's claims history, or the insurance exchanges. Patients who prefer that privacy — whether for life insurance underwriting, family insurance coverage, or personal preference — often choose cash-pay clinics specifically for this reason. Rex MD is also typically cash-pay and similarly doesn't generate insurance claims.
Rex MD wins when: (1) you want mail-order delivery of recurring ED medication, (2) you're managing multiple men's-health conditions at once (testosterone, weight loss, hair loss, ED) and want one login, (3) you're in a state outside Bidwell's 12-state footprint, or (4) you want the convenience of a subscription box over pharmacy pickup.
Bidwell Health wins when: (1) you want one-time-visit pricing without subscription billing, (2) you prefer local pharmacy pickup over mail-order delivery, (3) you want HSA/FSA reimbursement on a flat-fee medical visit, (4) you also need UTI / yeast / BV / hair loss / bridge refills on the same flat-fee basis, or (5) you want published clinical protocols and clinician names with NPI before you pay.
Are you in Arizona, Colorado, Connecticut, Florida, Iowa, Maryland, Montana, New Mexico, New York, Utah, Virginia, or Washington?
→ No: Rex MD (or another nationally-licensed platform). Bidwell isn't available outside these 12 states.
→ Yes: Continue.
Do you want monthly subscription delivery or a one-time pay-per-visit?
→ Monthly delivery, multiple conditions bundled: Rex MD — their model centers here.
→ One-time visit, pharmacy pickup: Bidwell Health — flat $45, no subscription, pick up locally. Start at /start-visit.
Is ED your only concern, or are you also exploring testosterone or GLP-1 weight loss?
→ ED only (plus maybe hair loss): Either platform works in your state. Bidwell is cheaper for occasional use.
→ Want testosterone or GLP-1s bundled: Rex MD. Bidwell doesn't treat those conditions.
It depends on frequency. For occasional ED medication use — a few doses per month — Bidwell Health's $45 flat visit plus pharmacy cost (generic sildenafil ~$15–25 for 6 doses with GoodRx) is typically the cheapest. Total: $60–70, one-time. For daily ED use with mail-order convenience, Rex MD's subscription model (typically $40–90/month all-in) may feel more streamlined, though the ongoing monthly charge continues whether you use that month's supply or not.
Rex MD operates as a men's-health platform across most U.S. states. Bidwell Health is licensed in 12 states (listed above). If you're outside our 12, Rex MD is likely the option available to you. If you're in our 12, both work and the choice is about pricing model and delivery preference.
Most subscription telehealth platforms allow cancellation through account settings. Rex MD's current cancellation policy is visible on their site — read it before signing up because auto-renewal is the default. Bidwell Health has no subscription to cancel; each $45 visit is a one-time charge.
Rex MD offers testosterone replacement therapy (TRT) pathways where clinically appropriate, with lab draws through third-party partners and injectable or topical testosterone. Bidwell Health does not treat TRT — it's outside our async-telehealth scope. If you're suspected of having hypogonadism (low testosterone), we refer to in-person urology or endocrinology for lab workup and evaluation; we don't prescribe testosterone remotely.
Yes, both Bidwell Health and Rex MD operate under HIPAA. Both use encrypted intake forms, secure prescriber review, and don't sell patient data. Both are typically cash-pay models, which means visits don't generate insurance claims that appear on your explanation of benefits.
At Bidwell Health, every intake is read by a licensed U.S. nurse practitioner — one of two named AANP board-certified Family Nurse Practitioners on our team, both with published NPI numbers and state licensure verifiable through the respective state boards. Rex MD uses U.S.-licensed NPs and physicians for intake review. Neither service is algorithmic auto-prescribing; a human clinician signs your Rx on both sides.
If Bidwell's clinician determines your case isn't appropriate for async telehealth — a red flag, contraindication, or something requiring in-person workup — your $45 is refunded automatically and you're directed to the right in-person option (urgent care, primary care, urology, cardiology as appropriate). Rex MD's refund policy for declined visits is visible on their platform and generally follows a similar pattern, though the specifics depend on your subscription state at the time of decline.
Bidwell Health regularly delivers same-day prescriptions during business hours — intake reviewed in under 2 hours, e-prescription to your pharmacy, medication often ready for pickup within another hour. Rex MD's standard pathway is mail-order, which takes a few business days to arrive; their timeline is optimized for ongoing cadence, not first-day urgency. If you need a prescription today, Bidwell's pickup-based model is structurally faster.
Fair-comparison disclaimer: This page was authored and reviewed by Bidwell Cranage, APRN, FNP-C. Rex MD is a registered trademark of its parent company and is not affiliated with Bidwell Health. Information about Rex MD reflects publicly available descriptions of their service as of April 2026 and may change. For current Rex MD pricing and policies, check rexmd.com directly.