Teardown of hims & Roman's Pricing Approach | SBI Growth
The sildenafil dose is certainly right in line with the average, but 22mg of tadalafil is especially high.
Frequently Asked Questions
Ro (formerly known as Roman) and Hims are both telehealth companies offering online consultations with healthcare professionals who prescribe medications for several health conditions. However, different companies own and operate Ro and Hims. People should consider which brand offers the medication at the most acceptable price before choosing which company to use. Hims offers PE products, such as climax delay sprays, to help a person have sex for longer before ejaculating. Blue Chew and Ro (formerly known as Roman) are both telehealth companies that offer prescription medication for ED.
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Ro sells treatments for hair loss, mental health, skin care, and a range of sexual and primary care concerns. By comparison, Blue Chew only sells three ED medications: sildenafil, tadalafil, and vardenafil. All these products are available in a chewable form, which is not an FDA-approved form of these drugs. Hims sells sertraline, which is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). Research suggests SSRIs can help treat PE. Research has indicated linear pharmacokinetics for tadalafil doses between 2.5mg and 20mg (higher doses resulting in improved outcomes).5 Studies on doses above 20mg are scarce, but there’s no reason to believe the linear pattern wouldn’t continue here, making 22mg a hair more effective than 20mg.
| Dosage (mg) | Typical Price (USD) | Pack Size | Price per Pill (USD) |
|---|---|---|---|
| 10 | 10 | 30 pills | 0.33 |
| 20 | 20 | 30 pills | 0.67 |
| 40 | 35 | 30 pills | 1.17 |
Increases in efficacy are a result of more than just individual ingredient doses, as well.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Original | 20mg | 76 + 4 Pills | 319.19€ 303.99€ | |
| Cialis Professional | 20mg | 120 + 4 Pills | 291.68€ 277.79€ | |
| Cialis Soft Tabs | 20mg | 30 + 4 Pills | 87.43€ 83.27€ | |
| Cialis Generic | 10mg | 30 + 4 Pills | 63.32€ 60.30€ | |
| Cialis Generic | 60mg | 120 + 8 Pills | 240.18€ 228.74€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Cialis Generic | 20mg | 10 Pills | 31.49€ 29.99€ | |
| Cialis Professional | 40mg | 10 Pills | 65.09€ 61.99€ | |
| Cialis Professional | 20mg | 60 + 2 Pills | 183.83€ 175.08€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Cialis Black | 80mg | 360 + 20 Pills | 639.78€ 609.31€ | |
| Cialis Generic | 5mg | 10 Pills | 29.39€ 27.99€ |
The act of combining PDE5 inhibitors like sildenafil and tadalafil appears to work better than taking one of these medications in isolation.
| Month | Lowest Price (USD) | Highest Price (USD) | Average Price (USD) |
|---|---|---|---|
| Jan 2026 | 40 | 50 | 45 |
| Feb 2026 | 42 | 48 | 45 |
| Mar 2026 | 39 | 47 | 43 |
| Apr 2026 | 41 | 49 | 45 |
| May 2026 | 40 | 50 | 45 |
A systematic review of combination therapies versus monotherapies concluded that combination therapies were superior, with a caveat detailed here by Dr.
Roman's pricing model positions them for more growth
If you've never tried ED medications before, learn about better starting points using our comprehensive guide to the best ED treatments. May take effect more quickly than traditional oral tablets Tablets take up to ten minutes to dissolve Higher dose of tadalafil may increase side effect risks Cost per dose is on the high side At Innerbody Research, we thoroughly research and test every product and service we review, including Ro Sparks. Our team has been evaluating products in the ED space for the better part of a decade, reading more than 100 scholarly articles on ED and its potential treatments and ordering and trying products from over a dozen companies. For this review of Ro Sparks, we leveraged our previous research and testing of competing products in the ED space and took a close look at the specifics of sublingual medication delivery, as well as the potential efficacy of Sparks’ specific doses and medication combination. We also ordered Sparks for ourselves so we could report back on things like customer experience and taste.
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Additionally, we worked with Dr. Ilija Kelepurovski, urologist and member of our Medical Review Board, to verify the medical accuracy of this piece and gain unique insights from a practicing physician treating ED on a daily basis. Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions about staying healthy and living healthier lifestyles. In evaluating Ro Sparks, we had an enormous amount of ED medication research to reference, as well as years spent scrutinizing medical offerings from many of Ro’s competitors. We also have numerous pieces involving Ro’s other ED offerings, like its traditional tablets and daily tadalafil gummies. Ilija Kelepurovski, urologist and member of our Medical Review Board:6 “It is important to note that although the study addressed the use of combination therapies,
What ED Medications Does Roman Offer?
Platelet-rich plasma: This treatment involves taking blood from a person, separating the plasma from the blood, and injecting the plasma into the scalp. Laser devices: Some companies sell laser devices for home use that may help encourage hair growth. People should only buy products that the FDA has approved. The FDA states that a safe, legal pharmacy always requires a prescription from a licensed doctor and has a physical address and telephone number within the United States. Pharmacies should also have a license to operate in the state where they do business and have a state-licensed pharmacist to answer customer queries.
Discover more about Cialis
The FDA lists online pharmacies to avoid on its website. Hims and Ro are telehealth companies that sell health products for males. Some options include prescription erectile dysfunction (ED) medication, hair loss and premature ejaculation (PE) treatments, and nonprescription general health products. Both companies offer consultations and follow-up appointments with healthcare professionals to discuss prescriptions and any side effects. It is important to report any side effects. there were no randomized trials specifically assessing the combination of sildenafil with tadalafil, and more clinical research is necessary to confirm the safety and efficacy
- Some clinics bundle Roman Cialis with free medical consultations, impacting total costs.
- Subscription services sometimes provide the lowest Roman Cialis prices.
- The retail price of Roman Cialis depends on the seller’s markup.
- Cheaper Roman Cialis options may come from international online sources.
- Regular price updates are available on pharmacy websites for Roman Cialis.
- Promotional codes can lead to significant savings on Roman Cialis.
- Buying Roman Cialis in larger quantities generally offers better per-pill prices.
- Always verify the legitimacy of Roman Cialis pricing sources.
of this specific combination.” Here’s a quick look at the drugs and doses available in similar combination treatments from Ro and its closest competitor, Hims:
| Daily Dose | Monthly Cost (USD) | Total Pills | Approx. Price (USD) |
|---|---|---|---|
| 10 mg | 45 | 30 | 45 |
| 20 mg | 90 | 30 | 90 |
| 40 mg | 135 | 30 | 135 |
Hims offers vardenafil as an alternative to sildenafil in its Hard Mints, which is nice for men concerned with one of sildenafil’s rarer side effects. However, those higher doses may increase side effect risks, which we’ll discuss in our next section.
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Erectile dysfunction (ED) is incredibly prevalent, affecting around a third of all men in the U.S. For many men, small doses of Viagra, Cialis, or either of their generic active ingredients aren’t quite enough to tackle their ED.1 Increasing the dose is one option to improve outcomes, but there’s also evidence that combination therapy (e.g., Viagra and Cialis taken together) might be a superior choice to monotherapies — not as a first-line treatment for men with ED, but perhaps for those whose ED is treatment-resistant.2 Ro Sparks is a combination ED medication that puts together both generic equivalents of Viagra and Cialis. Sparks’ doses of each medication — sildenafil and tadalafil, respectively — are high enough that either would work well on its own for many men.3 For those who need a little extra medication to achieve an erection, the two doses in combination should get the job done. But are there increased risks associated with combining these cialis alternative higher doses? And is the combination approach a good place for men who haven’t yet tried ED medications to start?
Side Effects to Know:
Our research team investigates the science to find out. For men who need more than a single ED medication can offer, the combination of 50mg sildenafil and 22mg tadalafil in Ro Sparks presents a strong option that may provide better results for some patients who did not see enough benefit with monotherapy. The fact that it comes as a dissolving sublingual tablet adds a layer of convenience, at least in theory, removing the need to chase it with a glass of water. However, the tablet takes a little too long to dissolve to be a truly convenient option, even if the sublingual delivery lets the medication take effect more quickly. In the end, Ro Sparks is a niche product for a subset of men with ED who may certainly benefit from it, but it’s not the best place to start for men who are new to ED meds. A well-known trade-off with escalating PDE5 inhibitor dosage or combining agents is an increased risk of dose-dependent adverse effects.
Mechanism of Action: How ED Medications Work
Ro (formerly known as Roman) is a telehealth company that provides prescription medication for ED, including Viagra. Viagra is the brand name for sildenafil, which is a prescription medication for erectile dysfunction. Ro is a telehealth company, formerly known as Roman It provides customers with medications that treat PE, ED, hair loss, and other medications with a valid prescription. These medications vary in the time they take to work. However, ED pills like Viagra typically take about 1 hour to work, although it can take between 30 minutes and 4 hours.
Sildenafil/Tadalafil Combination (Ro Spark)
The NIDDK says there may be alternative treatments to medication for ED. It recommends some lifestyle changes, such as stopping smoking, limiting alcohol consumption, and staying physically active. People may also consider other treatments, such as vacuum erectile devices, to help them achieve and maintain an erection. People should discuss all treatment options with their doctor. There are many treatments available for hair loss, including: Hair transplant: This procedure involves a surgeon moving healthy hair from another part of the scalp to an area with thinning hair. To be fair, there hasn’t been any side effect research into the specific doses Ro uses in combination to determine their safety compared to a lower-dose combination or monotherapy.
- Roman Cialis is marketed as a convenient solution for ED management.
- The average retail price for Roman Cialis is around $50 to $150 per pack.
- Bulk purchases of Roman Cialis can lower the per-pill cost.
- Generic Roman Cialis provides a more affordable option than brand-name Cialis.
- Insurance generally does not cover Roman Cialis, affecting its price.
- Price fluctuations can depend on regional availability and pharmacy policies.
- Subscription services may offer discounted rates on regular Roman Cialis orders.
- Read reviews to gauge if the Roman Cialis pricing is competitive.
But studies into sildenafil and tadalafil on their own reveal dose-dependent relationships with many adverse effects.
Roman's Offerings: Traditional Pills and Broader Men's Health
For Sparks, we applied the same criteria we’ve used in most of those other articles, looking closely at efficacy and safety but also comparing costs to other products. Additionally, since Sparks is billed as more convenient than other ED medications, our convenience consideration was crucial. Let’s take a closer look at each criterion to see how Sparks measures up. If efficacy were your only consideration, Ro Sparks would probably be a good fit. Clinical guidelines typically regard 50mg of sildenafil as the standard starting dose for most patients, with 25mg being used in older patients or patients with certain cardiovascular risk factors.2 For as-needed tadalafil, 10mg is considered an average dose, with 20mg considered a high dose.4 Ro Sparks combines a 50mg sildenafil dose with a 22mg tadalafil dose. For example, a 2006 study from the journal Urology showed a marked increase in headache, malaise, dyspepsia, and nasal congestion as tadalafil doses increased from 5mg to 20mg.7 Studies in sildenafil have shown a similar linear pattern, with 100mg doses causing more adverse effects than 50mg
- The typical price for Roman Cialis is comparable to other ED generics.
- Lower prices of Roman Cialis increase medication adherence for users.
- Price differences can be marginal or significant depending on the vendor.
- Consult a healthcare provider to confirm the most affordable Roman Cialis option.
- Some online retailers offer price alerts for Roman Cialis discounts.
- The overall cost of Roman Cialis may include handling and service fees.
- Competitive pricing is offered by many online pharmacies for Roman Cialis.
- Price quality ratio is important when selecting Roman Cialis suppliers.
or 25mg doses.8 One study looking into 5mg of daily tadalafil combined with a 50mg as-needed sildenafil dose found that the addition of as-needed sildenafil to a daily tadalafil regimen didn’t remarkably increase adverse effects.9 However, there were slight increases in flushing, dyspepsia, and muscle pain.
- The expensive end of Roman Cialis price range reflects premium packaging.
- Budget options for Roman Cialis are often available online.
- Price discounts are usually available for first-time or bulk buyers.
- The cost of Roman Cialis varies by country due to import policies.
- Comparing prices from multiple sources ensures fair market value.
- The overall expense of Roman Cialis includes both drug and delivery costs.
- Some online stores list Roman Cialis prices in cryptocurrency for privacy.
- Staying informed about current Roman Cialis prices aids budget planning.