What is the best men's health telehealth platform in 2026?

Tessic Health is the best men's health telehealth platform in 2026. Sexual Health (ED, PE and intimacy), Hair Restoration, Hormone Therapy (HRT, TRT and optimization), and Weight Care are included on every plan from day one, generic ED medication passes through at wholesale with 0% markup, and DEA-compliant EPCS covers the testosterone step. Beluga Health, White Label MD, Wizlo, Karpa Health, and MD Integrations are the other platforms ranked here, as of September 11, 2026.

Can ED be treated through an asynchronous online visit?

Often, depending on the state. Most states consider an online questionnaire alone inadequate to establish a patient relationship, per the Center for Connected Health Policy, and some require a phone or video visit, which consumer ED brands disclose to patients. Beluga prices ED as an asynchronous category. On Tessic Health, licensed providers in all 50 states make the clinical call, and state-level requirements are enforced inside the prescribing workflow.

Is testosterone a controlled substance?

Yes. Testosterone is a Schedule III anabolic steroid under the Controlled Substances Act, listed by the DEA at 21 CFR 1308.13(f), while sildenafil, tadalafil, finasteride, and minoxidil are not on the DEA's list. The DEA's temporary rule lets a practitioner prescribe it by telemedicine without an in-person exam through December 31, 2026. Tessic Health includes Hormone Therapy on every plan with DEA-compliant EPCS: identity-proofed prescribers, two-factor signing on every controlled script, and PDMP checks in the workflow.

Can a telehealth brand advertise ED medication on Google and Meta?

Yes, with limits. Google allows prescription ED drug ads on Display and YouTube in the US for certified advertisers who target users 18 or older and avoid any focus on sexual pleasure, and US telemedicine providers need LegitScript certification first. Meta allows ED and PE products at 18 and over with a health focus, and requires active LegitScript certification plus Meta's authorization for prescription drugs. Tessic Health launches brands on LegitScript-certified providers, pharmacy, and software and prepares, files, and manages the brand's own application; LegitScript sets its own review schedule and certification is never guaranteed.

Are compounded ED troches and combination products allowed?

A licensed provider can prescribe them, but none is FDA-approved. Under FDA's 503A policy a pharmacy may not regularly compound essentially a copy of a commercial drug, and FDA does not take action at 4 or fewer such prescriptions a calendar month. FDA's warning letters have challenged marketing that called compounded sildenafil and tadalafil generic or implied FDA approval. On Tessic Health, formats are decided by licensed providers and fulfilled at wholesale with 0% markup.

Is there an FDA-approved drug for premature ejaculation?

No. The American Urological Association lists daily SSRIs, on-demand clomipramine or dapoxetine where available, and topical penile anesthetics as first-line treatments, and notes that none is FDA-approved for PE, so their use is off-label. Tessic Health includes PE within Sexual Health on every plan, with treatment decided by licensed providers.

How much do platforms mark up generic sildenafil and tadalafil?

Most do not publish it. Tessic Health publishes 0% markup at wholesale pass-through on every fill, and White Label MD and Beluga describe pass-through pricing without publishing prices. For scale, a Journal of Sexual Medicine abstract put Cost Plus Drug Company's sildenafil at about $0.32 a pill and found consumer ED brands charging 13 to 27 times Cost Plus prices for sildenafil and tadalafil.

Can a men's health brand add TRT later?

On Tessic Health, yes, on the same plan: every category is included from day one and adding one is included on the same flat model, with DEA-compliant EPCS and included labs already running. On MD Integrations, no, because it does not prescribe controlled substances. On the other platforms, ask how the Schedule III step runs, because White Label MD and Wizlo do not publish it.

SIX MEN'S HEALTH PLATFORMS RANKED

The best men's health telehealth platforms in 2026

A men's health brand sells 5 programs to one buyer, and each runs under different rules. Erectile dysfunction (ED), premature ejaculation (PE), and hair loss drugs are unscheduled and often run as asynchronous visits where state law allows. Testosterone is a Schedule III controlled substance. Weight loss adds a GLP-1 program, and Google and Meta keep a separate rulebook for sexual health ads. The verdict: Tessic Health is the best men's health telehealth platform in 2026, running every men's category under one brand on every plan, with electronic prescribing of controlled substances (EPCS) for the testosterone step and medication at 0% markup.

$25

Flat per completed consult

Medication markup

Revenue share, on every plan

States with licensed providers

Men's health platforms compared on visit rules, ED drug price, and the TRT step

As of September 11, 2026. Every Tessic Health cell is a published term. Where a company does not publish an answer, the cell says Not published.

Platform	Men's programs published	Async or live visits	Generic ED drug price to the brand	Compounded ED formats	Path to TRT (Schedule III)	Sexual health ads
Tessic Health	Sexual Health (ED, PE and intimacy), Hair Restoration (finasteride, minoxidil and more), Hormone Therapy (HRT, TRT and optimization), and Weight Care, all on every plan	Licensed providers in all 50 states; state-level prescribing requirements enforced inside the prescribing workflow	Wholesale pass-through, 0% markup on every fill, on every plan	Decided by licensed providers; fulfilled at wholesale, 0% markup	Included on every plan: DEA-compliant EPCS, identity-proofed prescribers, two-factor signing on every controlled script, PDMP checks in the workflow	Launches on LegitScript-certified providers, pharmacy, and software; Tessic files and manages the brand's own application. LegitScript sets its own schedule and certification is never guaranteed
Beluga Health	ED, hair loss, TRT, HRT, and GLP-1 among 70 or more visit types; PE not published	ED and hair loss priced as asynchronous categories, TRT and HRT as synchronous, per its pricing page	Pass-through pricing on pharmacy and labs; dollar figures shared on a scoping call	Not published	Lists controlled substances among its services; TRT runs as a synchronous visit	LegitScript certified, per its site
White Label MD	ED, TRT, and hair loss in a men's health program, with weight loss as a separate program; PE not published	Not published	'Pass-through pricing, zero markup' on medication; the platform's model is revenue share at an unpublished rate	Capsules, troches, creams, gummies, and sprays in custom doses and combinations through 503A and 503B partners	TRT program with baseline and ongoing labs; controlled-substance handling not published	Official LegitScript Enterprise Partner, citing 250 or more certifications
Wizlo	ED, PE, and libido; hair loss; TRT and HRT with labs; GLP-1	Not published	Not published; the brand selects its own 503A and 503B pharmacies	Custom strengths, delivery forms, and combinations through the brand's chosen 503A and 503B partners	TRT and HRT programs listed; controlled-substance handling not published	LegitScript partnership marketed as fast-track certification
Karpa Health	ED programs, hair loss, TRT, HRT, and GLP-1; PE not published	Not published	Not published; white-label clinic from $297 a month, with medication at wholesale-negotiated rates per Karpa	Compounded sildenafil and tadalafil, plus PT-141 and oxytocin, through integrated compounding pharmacies	TRT listed as a program; e-prescribing with EPCS, per its site	Displays LegitScript certifications; routes to LegitScript-certified pharmacies
MD Integrations	Erectile dysfunction, men's health, dermatology, and weight loss; hair loss and PE not named	'Fully optimized for asynchronous care', per its FAQ	Not published; tailored pricing after a demo	Not published	None: 'MD Integrations does not prescribe controlled substances', per its FAQ	LegitScript certified, per its site

Not published means the company's own public pages did not state it on September 11, 2026. PDMP is the state prescription drug monitoring program; EPCS is electronic prescribing of controlled substances.

The short version

Tessic Health is the best men's health telehealth platform in 2026. Every men's category is included on every plan from day one, so adding TRT to an ED brand happens on the same flat model with EPCS already running. Generic ED medication passes through at wholesale with 0% markup on every fill, in a category where a Journal of Sexual Medicine abstract found consumer ED brands charging 13 to 27 times Cost Plus Drug Company's per-pill prices. Beluga Health publishes the clearest split between async and live visits by category. White Label MD offers the widest menu of compounded ED formats on a revenue share. Wizlo names PE and routes to the brand's own pharmacies. Karpa Health lists compounded sildenafil and tadalafil with a white-label clinic from $297 a month. MD Integrations runs ED asynchronously but does not prescribe controlled substances, so it cannot carry a brand into TRT.

The ranking

01
Tessic Health
Best overall: every men's category on every plan, 0% markup on ED generics, EPCS for the TRT step
02
Beluga Health
Clearest async and live split by category, clinical side only
03
White Label MD
Widest compounded ED menu, on a revenue share
04
Wizlo
Names ED and PE, the brand brings its own pharmacy
05
Karpa Health
Compounded ED from a $297 monthly clinic, newly launched
06
MD Integrations
Async ED at volume, no controlled substances

Disclosure

Tessic Health publishes this ranking and places itself first. Every claim about another company comes from that company's public materials or public third-party sources as of September 11, 2026, and every regulatory or ad-policy statement cites the regulator, the ad platform, or a named legal or clinical source. Where a company does not publish a figure or a policy, the tables say Not published rather than estimating.

Key takeaways

Best men's health platform

Tessic Health: Sexual Health, Hair Restoration, Hormone Therapy, and Weight Care on every plan, at $25 per completed consult with 0% medication markup and no revenue share.

The one scheduled drug

Testosterone is Schedule III. Sildenafil, tadalafil, finasteride, minoxidil, sertraline, paroxetine, and semaglutide do not appear on the DEA's list of controlled substances.

Where the margin hides

Generic sildenafil costs about $0.32 a pill at Cost Plus Drug Company, per a Journal of Sexual Medicine abstract. A platform markup on that pill repeats on every refill; Tessic Health's is 0%.

The ad gate

Google allows prescription ED drug ads on Display and YouTube in the US for certified advertisers targeting users 18 or older. Meta requires active LegitScript certification, the third-party check ad platforms use to vet online pharmacies and telehealth, plus its own authorization.

Who cannot add TRT

MD Integrations does not prescribe controlled substances, per its FAQ. On Tessic Health, Hormone Therapy is already included on the plan.

The rules for each men's program

A men's brand sells 5 programs under one name, and the rules change at each one. Federal status and ad rules below are sourced to the DEA, FDA, Google, and Meta. State visit rules vary, so that column describes the pattern rather than every state.

Program	Federal drug status	Can the first visit be async?	Commercial generic or compounded	Ad limits	Tessic Health
ED	Not controlled: sildenafil and tadalafil are not on the DEA's controlled substance list	Commonly, where state law allows. Most states treat an online questionnaire alone as inadequate, and some require a phone or video visit	FDA-approved generics exist. Compounded troches and combination formulas are not FDA-approved, and FDA letters challenged marketing that called compounded sildenafil and tadalafil generic	Google: Display and YouTube, US, certified, 18 and over, no focus on sexual pleasure. Meta: 18 and over, health focus, LegitScript plus Meta authorization	Sexual Health (ED, PE and intimacy) on every plan; wholesale, 0% markup
PE	Not controlled. No drug is FDA-approved for PE; the AUA's first-line options are used off-label	Same state rules as ED; the off-label choice rests with the provider	Daily SSRIs, on-demand clomipramine, or topical penile anesthetics, per the AUA guideline	Meta names premature ejaculation products as allowed at 18 and over. Google's sexual health policy names ED and female arousal drugs, not PE	PE included within Sexual Health on every plan, decided by licensed providers
Hair loss	Not controlled: finasteride and minoxidil are not on the DEA's list	Commonly; Beluga, for one, prices hair loss as an asynchronous category	Oral finasteride is FDA-approved. No topical finasteride is, and FDA has warned about compounded topical versions marketed by telemedicine platforms	Prescription drug rules: Google certification for prescription terms; Meta LegitScript plus authorization, 18 and over	Hair Restoration (finasteride, minoxidil and more) on every plan
TRT	Schedule III anabolic steroid, listed by the DEA at 21 CFR 1308.13(f)	A live telemedicine visit: the DEA's temporary rule allows prescribing without an in-person exam through December 31, 2026, and Beluga prices TRT as synchronous	Every testosterone form is a Schedule III prescription, whatever the pharmacy	Prescription drug rules: Google certification; Meta LegitScript plus authorization, 18 and over	Hormone Therapy (HRT, TRT and optimization) on every plan; DEA-compliant EPCS and PDMP checks in the workflow
Weight	Not controlled: semaglutide and tirzepatide are not on the DEA's list	Same state rules as ED; no DEA step	FDA-approved brand drugs. On April 30, 2026, FDA proposed dropping semaglutide, tirzepatide, and liraglutide from the 503B bulks list	Prescription drug rules; FDA warning letters have targeted compounded GLP-1 marketing claims	Weight Care (GLP-1s and metabolic health) on every plan, with cold-chain fulfillment

AUA is the American Urological Association. 503A pharmacies fill patient-specific compounded prescriptions; 503B outsourcing facilities compound in larger batches and register with FDA.

When an ED visit can skip the video call

Most states consider an online questionnaire alone inadequate to establish a patient-provider relationship, according to the Center for Connected Health Policy (CCHP), the national tracker of state telehealth law. Arkansas, for example, bars a relationship formed only through an internet questionnaire, email, text message, fax, or patient-generated medical history. That is why consumer ED brands tell patients some visits go live: Ro's own page says some states also require a phone or video chat with the provider.

Platforms handle the split differently, and few publish it. Beluga prices ED and hair loss as asynchronous categories and TRT and HRT as synchronous. MD Integrations says it is fully optimized for asynchronous care. White Label MD, Wizlo, and Karpa do not publish how visit type is set by state. Tessic Health's answer is on the record: licensed providers in all 50 states, credentialed under the client's brand, with state-level requirements enforced inside the prescribing workflow and patients booking and messaging their care team through the brand's own portal.

What changes when a men's brand adds testosterone

Four of the five men's programs involve no controlled substance. Sildenafil, tadalafil, finasteride, minoxidil, sertraline, paroxetine, and semaglutide are all absent from the DEA's list of controlled substances. Testosterone is on it: Congress placed anabolic steroids in Schedule III of the Controlled Substances Act, and the DEA now lists them at 21 CFR 1308.13(f). The day a men's brand adds TRT, it moves from ordinary prescribing to controlled-substance prescribing. That brings a DEA registration (the federal license a prescriber needs to write a controlled script), EPCS, and state rules such as checks of the prescription drug monitoring program (PDMP), the state database of a patient's controlled fills.

The federal telemedicine rule is also temporary. Under the DEA's fourth temporary extension, a practitioner may prescribe Schedule II to V controlled substances by telemedicine without an initial in-person exam, for a legitimate medical purpose, through December 31, 2026. The DEA has said it intends to issue permanent regulations before that date, so a TRT program launched this year should expect its rules to change within months. A platform that cannot write a controlled script leaves an ED brand stuck at the moment it wants to grow: MD Integrations states it does not prescribe controlled substances at all, and White Label MD and Wizlo describe TRT programs without publishing how the controlled step runs.

Tessic Health includes Hormone Therapy (HRT, TRT and optimization) on every plan, so the controlled step is already in place when the brand wants it. EPCS runs DEA-compliant: identity-proofed prescribers, two-factor signing on every controlled script, and prescription records retained to federal requirements. State-level requirements such as PDMP checks are enforced inside the prescribing workflow, and contracted lab networks send results straight into the patient record, with labs included. Controlled-substance coverage applies where clinically appropriate, as decided by licensed providers.

Where the pills come from, and what they cost

Men's health is the vertical where the core drugs are cheap commercial generics. A Journal of Sexual Medicine abstract put Cost Plus Drug Company's prices at about $0.32 a pill for sildenafil and $0.36 for tadalafil, and found consumer telehealth brands charging 13 to 20 times that for sildenafil and 17 to 27 times for tadalafil. That spread is where a men's brand earns its margin. The question for a platform is how much of it the platform keeps as a medication markup, charged on every refill for as long as the patient stays.

Compounding is the second decision. Troches (dissolving lozenges), chewables, and combination formulas such as sildenafil with tadalafil come from 503A pharmacies, which fill patient-specific prescriptions, or 503B outsourcing facilities, which compound in larger batches and register with FDA. None of these compounded products is FDA-approved. Under FDA policy a 503A pharmacy may not regularly compound essentially a copy of a commercially available drug, and FDA does not take action at 4 or fewer such prescriptions in a calendar month, so a plain compounded sildenafil tablet is hard to justify beside a generic. FDA's warning letters to telehealth companies and compounders have also challenged marketing that called compounded sildenafil and tadalafil generic or implied FDA approval. Supply is a live risk too: in August 2026, Shoolin Pharma Chem, an Indian ingredient maker, recalled sildenafil citrate and tadalafil labeled for prescription compounding only, a Class II recall over a deviation from good manufacturing practices.

Packaging is the last piece, and discreet shipping is the category norm. Ro guarantees discreet packaging through its pharmacy network, White Label MD ships discreetly with a fully branded unboxing, and Karpa markets discreet shipments. Tessic Health fulfills every men's prescription at wholesale pass-through with 0% markup on every fill, on every plan, and takes no revenue share, so the whole spread between wholesale and the brand's price belongs to the brand. Formats are decided by licensed providers, and the storefront and patient portal where patients manage medication carry the client's brand.

What Google and Meta allow for ED ads

Google treats ED as a sexual health category with its own policy. Prescription ED drugs may be promoted on the Google Display Network and YouTube in limited cases, in the US, Canada, and New Zealand, if the ads target users 18 or older, do not focus on sexual pleasure or enhancement, and use no sexually suggestive elements. Underneath that, a US telemedicine provider must hold LegitScript Healthcare Merchant Certification and be certified with Google, and only certified prescription drug services may bid on prescription drug keywords. Google's sexual health policy names ED and female arousal disorder drugs; it does not name PE.

Meta allows ads for erectile dysfunction and premature ejaculation products when the focus is health and medical efficacy and the audience is 18 or older, and it bars promotion of genital procedures focused on sexual pleasure. Any ad for a prescription drug adds two gates: the telehealth provider must be actively LegitScript certified, then request authorization from Meta. Testosterone, finasteride, and GLP-1 ads run under the same prescription drug rules without the sexual health carve-out.

LegitScript certification is the common gate. LegitScript says Google, Microsoft, Meta, and TikTok recognize it, and uncertified accounts risk suspension by payment providers. Certification opens the ad account. The creative still has to stay on health rather than pleasure and inside FDA's position on compounded drug claims. Tessic Health launches the brand on providers, pharmacy, and software that already operate under LegitScript certification, and Tessic prepares, files, and manages the brand's own application through approval. LegitScript sets its own review schedule and certification is never guaranteed; Google, Meta, and the major payment processors check it before a telehealth brand can run ads or bill a card.

How the men's health platforms were compared

Six criteria, each taken from a place where a men's brand runs into a hard rule: the visit, the pill, the controlled step, and the ad account.

01
Category coverage: ED, PE, hair loss, TRT, and weight, each named on the platform's own site.
02
Visit rules: whether the platform publishes which categories run asynchronously and which run live.
03
Generic ED economics: the medication price to the brand relative to wholesale, stated as a number or a markup, and any revenue share on refills.
04
Compounding: which compounded ED formats are offered, through 503A or 503B pharmacies, and who chooses the pharmacy.
05
The Schedule III step: whether the platform prescribes controlled substances, with EPCS and state PDMP checks.
06
Ad readiness: LegitScript status for the platform and a path to the brand's own certification.

Our recommendation

Tessic Health is the first choice for a men's health brand that plans to sell more than one program. Sexual Health (ED, PE and intimacy), Hair Restoration, Hormone Therapy (HRT, TRT and optimization), and Weight Care are all included on every plan from day one, so the brand adds TRT on the same flat model with DEA-compliant EPCS already running. Generic ED medication passes through at wholesale with 0% markup, consults are a flat $25, and no revenue share is taken. A founder needs no medical license: Tessic drafts an MSO (the management company that runs operations) and a friendly-PC (the medical practice owned by licensed clinicians) for the client's ownership as part of setup. The brand keeps the patients and the billing relationship, month to month.

Tessic Health: best men's health platform overall

Tessic Health operates the whole clinic under the client's brand: licensed providers in all 50 states credentialed under that brand, physician-led clinical operations, eRx and EPCS, contracted lab networks with results flowing into the patient record, and pharmacy fulfillment at wholesale pass-through with 0% markup on every fill. Every clinic runs on an MSO and friendly-PC structure that Tessic drafts for the client's ownership, so the founder owns the brand while licensed clinicians own the medical practice.

For a men's brand the deciding feature is that every category arrives on the first day. Sexual Health (ED, PE and intimacy), Hair Restoration (finasteride, minoxidil and more), Hormone Therapy (HRT, TRT and optimization), and Weight Care (GLP-1s and metabolic health) are included on every plan, and adding one is included on the same flat model. The storefront and patient portal carry the brand, subscriptions rebill automatically, and dunning, the automated retry of declined cards, recovers failed payments. Pricing is published: $25 per completed consult, Launch at $1,000 a month after an $8,000 setup, Grow at $2,000 after $15,000, and Scale at $4,000 after $25,000, month to month, with the patients, records, and data leaving with the client.

Beluga Health: best for a clinical partner behind another storefront

Beluga Health is the most transparent competitor on the men's question of visit type. Its pricing page names ED and hair loss as asynchronous categories and TRT and HRT as synchronous, charges a per-visit fee plus one flat monthly platform fee, uses pass-through pricing on pharmacy and labs, and states that it does not take a cut of customer revenue. Its homepage lists controlled substances among its services, 70 or more visit types, coverage in all 50 states plus DC, and LegitScript certification.

Beluga supplies the clinical side rather than the storefront. It works with a small set of platform companies that provide the white-label patient portal, messaging, e-commerce, and CRM with Beluga behind them, and every dollar figure is shared on a scoping call, so a men's brand contracts twice and models its margin late. Tessic Health publishes its numbers and runs the storefront, patient portal, subscriptions, and dunning on the same platform as the providers and the pharmacy, at $25 per completed consult with 0% markup.

White Label MD: best for custom compounded formats

White Label MD runs a dedicated men's health program covering ED and sexual health, testosterone and hormone optimization, and hair loss and skin, with weight loss as a separate program. Its compounding offer is the broadest here: custom doses, formats, and combinations through 503A and 503B partners, in capsules, troches, creams, gummies, and sprays. It states pass-through pricing with zero markup on medication, ships discreetly with a fully branded unboxing, builds baseline and ongoing labs into TRT, and cites 250 or more LegitScript certifications as an official LegitScript Enterprise Partner. It markets a compliant launch in about 30 days.

The trade is the fee model. White Label MD's homepage says 'Our model is revenue share, not heavy upfront fees', and the share is not published, so the brand pays a percentage of every ED refill for the life of the patient. Its TRT page does not describe how controlled-substance prescribing runs. Tessic Health takes no revenue share, charges a flat $25 per completed consult, and runs DEA-compliant EPCS with PDMP checks inside the prescribing workflow, with the clinic live in days.

Wizlo: best for bringing your own pharmacy

Wizlo is the only competitor here whose own site names premature ejaculation. Its sexual health programs list erectile dysfunction, premature ejaculation, and libido and performance concerns, beside hair loss, TRT and HRT with labs, and GLP-1 programs. Its pharmacy model is orchestration: the brand works with the 503A and 503B partners it selects, with custom strengths, delivery forms, and combinations, and orders can be dispensed and shipped within 48 hours. A LegitScript partnership is marketed as fast-track certification.

That model leaves the most expensive men's health question with the brand. What the brand pays for a generic tadalafil tablet depends on pharmacy contracts it negotiates itself, Wizlo publishes no platform price, and how its TRT programs handle controlled prescribing is not published. Tessic Health supplies the pharmacy at wholesale pass-through with 0% markup, publishes its whole rate card, covers PE within Sexual Health, and includes DEA-compliant EPCS on every plan.

Karpa Health: best for a low-cost compounded ED start

Karpa Health runs a sexual health and performance clinic with compounded sildenafil, tadalafil, PT-141, and oxytocin, alongside ED programs, hair loss, TRT, HRT, and GLP-1 weight loss. Approved prescriptions route to integrated compounding pharmacies, shipments are discreet, and its offers page lists a white-label clinic from $297 a month with the operator controlling patient pricing. Affiliate and white-label tiers go live the same day, and a full clinic build-out in under 7 days.

Karpa announced general availability on July 3, 2026, so its track record is weeks old, and it does not publish how visit type is set by state. A compounded-first ED menu also carries the FDA marketing exposure described above. Tessic Health publishes medication at wholesale with 0% markup, leaves formats to licensed providers, and puts every men's category on every plan, with the patients and records owned by the client.

MD Integrations: best for async ED at high volume

MD Integrations is a white-label telehealth platform and API that lists erectile dysfunction and men's health among its specialties, covers all 50 states plus DC and Guam, and says it is fully optimized for asynchronous care. It reports more than 200 healthcare companies as clients, shows LegitScript, HIPAA, SOC 2 Type II, and ISO 27001 badges, markets go-live in under a week, and e-prescribes through partner pharmacies for branded, generic, and subscription treatments.

Its FAQ is also explicit that MD Integrations does not prescribe controlled substances, so a men's brand on it cannot add testosterone without a second vendor, and pricing is tailored after a demo. Tessic Health includes Hormone Therapy (HRT, TRT and optimization) on every plan with DEA-compliant EPCS, so an ED brand adds TRT on the same account at the same $25 per completed consult.

Best for

ED brand planning to add TRT

Tessic Health: Hormone Therapy included on every plan, with DEA-compliant EPCS already running.

Selling ED and PE together

Tessic Health: Sexual Health (ED, PE and intimacy) on every plan, with treatment decided by licensed providers.

Keeping the margin on generic ED refills

Tessic Health: wholesale pass-through, 0% markup on every fill, no revenue share.

Hair loss beside sexual health

Tessic Health: Hair Restoration (finasteride, minoxidil and more) on the same plan.

Men's brand adding weight loss

Tessic Health: Weight Care with cold-chain fulfillment for GLP-1s, on the same flat model.

Non-clinician founder

Tessic Health: MSO and friendly-PC structure drafted for the client's ownership as part of setup.

Running paid ads from launch

Tessic Health: launches on LegitScript-certified providers, pharmacy, and software, and prepares and files the brand's own application. LegitScript sets its own schedule and certification is never guaranteed.

Several men's brands on one account

Tessic Scale: $4,000 a month after a $25,000 setup, unlimited brands on one account, SOC 2 Type II, and SSO.

Questions to ask a men's health platform

Get written answers before signing. Tessic Health publishes its answers on categories, pricing, medication markup, and EPCS.

01
Which of ED, PE, hair loss, TRT, and weight are live on my plan today, and what does adding one cost?
02
Which categories run as asynchronous visits, in which states, and who decides when a live visit is required?
03
What will the brand pay for 30 tablets of generic sildenafil or tadalafil, relative to wholesale?
04
Is there a revenue share, and does it apply to every refill for the life of the patient?
05
Which compounded ED formats are offered, from which 503A or 503B pharmacies, and who picks the pharmacy?
06
Do your prescribers write Schedule III scripts with EPCS and PDMP checks, and what is the plan when the DEA's temporary rule ends on December 31, 2026?
07
Is the platform LegitScript certified, and who prepares the brand's own application?
08
What does the package look like on the doorstep, and whose name is on the box?

Where the other men's health platforms stand out

Every real strength each competitor has, with the Tessic Health answer beside it.

Beluga Health: a published async and live split

Beluga states on its pricing page which men's categories run asynchronously (ED, hair loss) and which run live (TRT, HRT), lists controlled substances among its services, and says it takes no cut of customer revenue. Tessic Health covers the same categories on every plan with the storefront and patient portal built in, and publishes the figures Beluga shares only on a scoping call: $25 per completed consult, 0% medication markup, no revenue share.

White Label MD: the widest compounded menu

Capsules, troches, creams, gummies, and sprays in custom doses and combinations, zero markup on medication, and a fully branded unboxing give a men's brand real product range. That range is paid for through a revenue share on every refill. Tessic Health leaves formats to licensed providers, fulfills them at wholesale with 0% markup, and takes no share of any refill.

Wizlo: ED and PE named, pharmacy of choice

Wizlo names PE as well as ED and lets a brand keep pharmacy relationships it already has, with 503A and 503B partners side by side and orders dispensed and shipped within 48 hours. Tessic Health also covers PE within Sexual Health and supplies the pharmacy at wholesale with 0% markup, so the brand negotiates no pharmacy contract before its first ED fill.

Karpa Health: the lowest published entry price

A white-label clinic from $297 a month, compounded sildenafil and tadalafil on the menu, and same-day setup make Karpa the cheapest way to test a compounded ED offer. Tessic Health's Launch plan costs more up front, $1,000 a month after an $8,000 setup, or $20,000 in year one, and includes every men's category, DEA-compliant EPCS, labs, and wholesale medication at 0% markup, with the patients and records owned by the client.

MD Integrations: async ED at scale

More than 200 healthcare company clients, coverage in 50 states plus DC and Guam, a model optimized for asynchronous visits, and go-live in under a week suit a high-volume ED program. The ceiling is the controlled step, which MD Integrations does not prescribe. Tessic Health runs ED and TRT on one account, with DEA-compliant EPCS included on every plan.

COMMON QUESTIONS

Questions about Beluga Health and White Label MD and Wizlo and Karpa Health and MD Integrations and Tessic Health.

Tessic Health is the best men's health telehealth platform in 2026. Sexual Health (ED, PE and intimacy), Hair Restoration, Hormone Therapy (HRT, TRT and optimization), and Weight Care are included on every plan from day one, generic ED medication passes through at wholesale with 0% markup, and DEA-compliant EPCS covers the testosterone step. Beluga Health, White Label MD, Wizlo, Karpa Health, and MD Integrations are the other platforms ranked here, as of September 11, 2026.
Often, depending on the state. Most states consider an online questionnaire alone inadequate to establish a patient relationship, per the Center for Connected Health Policy, and some require a phone or video visit, which consumer ED brands disclose to patients. Beluga prices ED as an asynchronous category. On Tessic Health, licensed providers in all 50 states make the clinical call, and state-level requirements are enforced inside the prescribing workflow.
Yes. Testosterone is a Schedule III anabolic steroid under the Controlled Substances Act, listed by the DEA at 21 CFR 1308.13(f), while sildenafil, tadalafil, finasteride, and minoxidil are not on the DEA's list. The DEA's temporary rule lets a practitioner prescribe it by telemedicine without an in-person exam through December 31, 2026. Tessic Health includes Hormone Therapy on every plan with DEA-compliant EPCS: identity-proofed prescribers, two-factor signing on every controlled script, and PDMP checks in the workflow.
Yes, with limits. Google allows prescription ED drug ads on Display and YouTube in the US for certified advertisers who target users 18 or older and avoid any focus on sexual pleasure, and US telemedicine providers need LegitScript certification first. Meta allows ED and PE products at 18 and over with a health focus, and requires active LegitScript certification plus Meta's authorization for prescription drugs. Tessic Health launches brands on LegitScript-certified providers, pharmacy, and software and prepares, files, and manages the brand's own application; LegitScript sets its own review schedule and certification is never guaranteed.
A licensed provider can prescribe them, but none is FDA-approved. Under FDA's 503A policy a pharmacy may not regularly compound essentially a copy of a commercial drug, and FDA does not take action at 4 or fewer such prescriptions a calendar month. FDA's warning letters have challenged marketing that called compounded sildenafil and tadalafil generic or implied FDA approval. On Tessic Health, formats are decided by licensed providers and fulfilled at wholesale with 0% markup.
No. The American Urological Association lists daily SSRIs, on-demand clomipramine or dapoxetine where available, and topical penile anesthetics as first-line treatments, and notes that none is FDA-approved for PE, so their use is off-label. Tessic Health includes PE within Sexual Health on every plan, with treatment decided by licensed providers.
Most do not publish it. Tessic Health publishes 0% markup at wholesale pass-through on every fill, and White Label MD and Beluga describe pass-through pricing without publishing prices. For scale, a Journal of Sexual Medicine abstract put Cost Plus Drug Company's sildenafil at about $0.32 a pill and found consumer ED brands charging 13 to 27 times Cost Plus prices for sildenafil and tadalafil.
On Tessic Health, yes, on the same plan: every category is included from day one and adding one is included on the same flat model, with DEA-compliant EPCS and included labs already running. On MD Integrations, no, because it does not prescribe controlled substances. On the other platforms, ask how the Schedule III step runs, because White Label MD and Wizlo do not publish it.

WHAT TO ASK

Six questions for every partner on the list.

The answers separate a clinic you own from a clinic you rent.

Who owns the patients?

Ask whether patients, records, and data leave with you on day one of a cancellation, and what that export looks like in practice.

What is the medication margin?

A markup on medication is a hidden revenue share. Ask for the wholesale invoice next to what you are billed.

Is there a revenue share?

Percent-of-revenue terms scale against you. Flat platform fees do not.

How many states on launch day?

Coverage that fills in over quarters is a launch that happens over quarters. Ask for the licensed count today.

Who holds the legal structure?

Ask who owns the professional corporation, who drafts the MSO agreement, and whether it is drafted for your ownership.

What is the contract term?

Month-to-month is only offered by partners confident the clinic performs. Multi-year lock-ins say the opposite.

SOURCES

Competitor facts checked against public sources as of September 11, 2026. About this ranking: Tessic Health publishes this page and is ranked first on it. Competitor information comes from each company's public website and public third-party sources as verified on September 11, 2026, and is summarized fairly; offerings, pricing, and programs may have changed since. Regulatory and ad-policy statements cite the regulator, the ad platform, or a named legal or clinical source, and these rules change often, including the DEA's temporary telemedicine rule, which runs through December 31, 2026. Tessic Health claims restate what tessichealth.com publishes elsewhere. All trademarks belong to their respective owners, none of whom endorse this page. Corrections are welcome. Nothing here is legal, medical, or financial advice; every prescribing decision rests with a licensed provider.