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Men's health clinic review · TRT & ED
Hims ED and Testosterone Review 2026: Pricing, Pharmacies and Refund Terms
Hims sells FDA-approved generic sildenafil and tadalafil by subscription, alongside its own compounded ED products, which are not approved by the FDA. It suits men who want a free online assessment, published starting prices and free shipping if a prescription is issued.

On this page16 sections
- Key facts
- What stands out
- Our verdict
- How it works
- Pricing
- Medications offered
- Who prescribes, who dispenses, and the regulatory record
- Availability, labs, speed and shipping
- Cancellation and refunds
- What customers and the BBB report
- What to ask before you pay
- How it measures up
- Worth confirming
- FAQ
- Alternatives
- Sources
Key facts about Hims
- Price
- Generic sildenafil from $22 a month; generic tadalafil from $24 a month; enclomiphene from $99 a month on a 10-month plan paid upfront
- Medications
- Generic sildenafil and tadalafil; compounded chewables and combination pills; compounded enclomiphene, alone or with tadalafil (compounded products are not FDA-approved)
- Pharmacy
- Six pharmacies named in the terms; in a September 2024 post, Hims said it runs 503A pharmacies (Ohio, Arizona) and had acquired a 503B facility (California)
- Availability
- "All 50 states," but some treatments are limited; no published state list for testosterone
- Refunds
- Cancel in the app or online at least 48 hours before the next order; Hims says a refund is not guaranteed once the pharmacy has processed an order; arbitration with a 30-day opt-out
- Ratings
- Trustpilot 2.9 (9,289 reviews); BBB Not Rated, 4,456 complaints in three years; FTC lawsuit pending
What stands out
Strengths
- Generic sildenafil starts at $22 a month and generic tadalafil at $24.
- The ED assessment is free, and shipping is free if a prescription is issued.
- The terms name six dispensing pharmacies and the medical groups that provide care.
- Testosterone care starts with an at-home lab kit processed in a CLIA-certified lab.
- Product pages state that its compounded products are not FDA-approved.
- The arbitration clause includes a 30-day opt-out.
Good to know
- Prices are starting figures in mixed units, and the final price will "depend on product and subscription plan purchased."
- Regulatory record: the FDA wrote to Hims & Hers in September 2025 about its marketing of compounded semaglutide, which is not FDA-approved, and in December 2025 to MedisourceRx, the 503B outsourcing facility Hims said in 2024 it had acquired (closed out July 2026).
- No refund is described for ED or testosterone patients whom a provider does not treat.
- No testosterone injections, HSA/FSA payments or published testosterone state list.
Our verdict
Is Hims worth considering?
Hims names its pharmacies and medical groups, said in a September 2024 post that it runs its own 503A pharmacies and had acquired a 503B facility, and lists generic sildenafil from $22 a month. Prices are starting figures that Hims says depend on the product and plan, and refunds are not guaranteed once the pharmacy processes an order, so record the plan length, price and renewal date shown at checkout. It fits men who want a generic ED tablet by subscription, or enclomiphene after at-home lab testing.
A good fit for
- Men who want a generic ED tablet at a low starting price
- Readers who want to know which pharmacies may fill an order
- Men interested in enclomiphene after at-home lab testing
Might not fit if
- Anyone who wants testosterone injections; Hims says it does not currently offer them
- Anyone who needs a fixed, all-in monthly price or HSA/FSA payment before starting
- Anyone who wants a stated refund if a provider declines treatment
How Hims works
Free assessment
The ED page’s first step is: “Take a free, online assessment.”
Provider review
A licensed provider decides whether a prescription is appropriate. The FTC alleges Hims charges consumers “almost immediately after they submit an intake form.”
Labs for testosterone
Testosterone patients use an at-home Hims Labs kit processed by a CLIA-certified lab; some states require a video visit.
Delivery
If a prescription is issued, medication ships free in discreet packaging.
Renewal
Plans renew automatically; changes must be made “at least 48 hours before payment is processed for your next order.”
Hims pricing
Hims shows starting prices and says the “Actual price to customer will depend on product and subscription plan purchased.” The pages we read have no full table by dose, quantity and plan length. Prices below were read on September 16, 2026. Insurance is not required, and the testosterone FAQ says Hims “doesn’t take FSA or HSA plans as payment at this time.”
Generic sildenafil
$22per month, starting
subscription; varies by dose and plan
- Free online assessment
- Free shipping if prescribed
The sildenafil page quotes "From $4 per use" and "about $4 to $10 per dose"; the ED page says treatments start "as low as $2/dose." Hims describes this generic as "FDA approved to work the same" as Viagra®.
Generic tadalafil
$24per month, starting
subscription; varies by dose and plan
- Free online assessment
- Free shipping if prescribed
Compounded ED chewables and combination pills
$30–$39per month, starting
subscription
- Sildenafil, tadalafil or both in chewable form, "from $6 a use"
- Daily tadalafil chewable "from $39 a month"
Compounded drugs are not FDA-approved.
Enclomiphene, 10-month plan
$99per month
"paid upfront and in full"
- Consultation, medication, delivery and provider support, per Hims' price guide
The price guide (January 8, 2026) also lists a 5-month plan at $139/month, a 3-month plan at $199/month and a $94 initial lab kit.
Our calculation for the 10-month enclomiphene plan: 10 × $99 = $990 at checkout, or $1,084 with the $94 lab kit. The 5-month plan totals 5 × $139 = $695 and the 3-month plan 3 × $199 = $597; the guide does not say whether those are billed upfront too.
A year of ED treatment at the $22 starting price is $264 (our calculation: 12 × $22).
The FTC’s July 2026 complaint alleges Hims “fails to clearly disclose that it charges consumers for prescriptions almost immediately after they submit an intake form.” These are allegations; the FTC notes that “The case will be decided by the court.”
Check Hims’s current prices
Prices and promotions change often. Confirm the recurring amount and billing interval before you pay.
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Medications offered
For erectile dysfunction, Hims sells generic sildenafil (“The generic form of Viagra®”) and generic tadalafil (“Generic for Cialis®”) tablets. It also sells compounded chewables containing sildenafil, tadalafil or both, a daily tadalafil chewable, a compounded “3-in-1” pill with sildenafil and tadalafil, and other combination products priced from $35 to $39 a month.
The ED page states that its featured products “include compounded products which have not been approved by the FDA.” Compounded drugs are not FDA-approved; the FDA does not review them for safety, effectiveness or quality before they are sold. The chewables page does not say which pharmacy makes them.
For low testosterone, the FAQ says Hims “offers access to a daily oral medication that contains just enclomiphene or combines enclomiphene with tadalafil,” and that “enclomiphene is not FDA-approved.” The same page lists Kyzatrex®, an oral testosterone it labels “FDA approved,” and shows injectable testosterone as “Coming in 2026,” while the FAQ says: “No, Hims does not currently offer access to TRT injections.” The company’s September 2025 press release said the branded oral testosterone would launch in 2026 through a collaboration with Marius Pharmaceuticals. Whether Kyzatrex can be ordered now is not stated.
Who prescribes, who dispenses, and the regulatory record
Hims & Hers Health, Inc. gives its address as 2269 Chestnut Street, #523, San Francisco, in its terms (updated August 31, 2026); the BBB lists Andrew Dudum as CEO. The terms say “Hims & Hers is not a healthcare provider.” Care comes from affiliated “Medical Groups,” named as the You Health practices of Alaska, California, Hawaii, Kansas, Nebraska, Nevada, New Jersey and Texas. Individual providers are not listed.
Pharmacies. The terms name six: Apostrophe Pharmacy LLC, XeCare LLC, EHT Pharmacy LLC (dba Curexa), CD Pharmacy LLC (d/b/a Red Rock Pharmacy), AnazaoHealth Corporation and Strive Specialties, Inc. Prescriptions may be “transferred among the Pharmacies without notice,” and which one fills a given order is not stated. In a September 2024 newsroom post, Hims said it runs “503A compounding pharmacies located in Ohio and Arizona,” had acquired “MedisourceRx, a 503B outsourcing facility in California,” and tests formulations “with a third-party analytical laboratory.”
Regulatory record.
- September 9, 2025: an FDA warning letter to Hims & Hers Health, Inc. about website claims for compounded semaglutide, such as “Same active ingredient as Ozempic and Wegovy.” The FDA wrote: “Compounded drug products are not FDA-approved.” The letter did not concern ED or testosterone products, and we found no close-out letter.
- December 12, 2025: an FDA warning letter to MedisourceRx, a registered 503B outsourcing facility in Los Alamitos, California, which Hims said in September 2024 it had acquired (the letter does not name Hims): “You failed to submit the adverse event report identified in Complaint Log # C25004.” The FDA issued a close-out letter on July 27, 2026.
- July 29, 2026: the FTC, joined by Utah and California, sued Hims & Hers in federal court. It alleges the company shared “sensitive health information about medical conditions with third-party advertising platforms” and “made it difficult for them to cancel their subscriptions by hiding the cancellation button from consumers.” The case is pending.
Availability, labs, speed and shipping
Hims’ help center (updated September 1, 2026) says Hims & Hers is “currently available in all 50 states” but that “specific treatments may be limited to certain states,” without a list. The testosterone page says that program is “not available in all 50 states” and that “In some states, a video visit with a healthcare provider is required.” Hims’ broader lab service is “Not available in Hawaii.”
Testosterone patients “check out with an initial at-home Hims Labs kit” and ship samples back by FedEx the same day; labs are “processed in a CLIA-certified lab,” which Hims says is “required to determine your eligibility for treatment.” The 2025 press release promised results “in days instead of months”; an exact turnaround and a follow-up lab schedule are not published.
ED care is “100% online from start to finish,” with “Free and discreet shipping.” Subscribers are directed to secure messaging; the terms list 1-800-368-0038 for cancellations.
Cancellation and refunds
Hims subscriptions renew automatically. The terms say a subscription “will automatically renew for another subscription period unless you cancel at least two (2) days before the applicable renewal processing date.” The help center gives the same 48-hour rule, with cancellation steps for the app and website.
The refund article (updated August 27, 2026) says: “While we can’t guarantee a refund once the pharmacy has processed your order, we are here to support you through this process.” The terms add: “We do not offer refunds for partially used subscription periods, although we may provide refunds on a case-by-case basis in our sole and absolute discretion.” Returns are not accepted “Due to the unique nature of our products.”
The terms promise refunds within 48 hours of payment only for the weight-loss medication plan and for lab testing not yet received. We found no equivalent refund for ED or testosterone patients whom a provider does not treat.
Disputes go to “binding and final arbitration” on an individual basis, with an opt-out “Within thirty (30) days after first becoming subject to this Arbitration Agreement.”
What customers and the BBB report
| Source (September 16, 2026) | What it shows |
|---|---|
| Trustpilot | 2.9 from 9,289 reviews; 38% five-star, 29% one-star; claimed February 2024; “Replied to 98% of negative reviews” |
| BBB (Hims & Hers Inc.) | Not Rated; accredited since February 22, 2018; 4,456 complaints in three years, 1,331 closed in the last 12 months; alert on the pending FTC lawsuit |
| BBB complaint types | Product 1,867; service or repair 1,230; delivery 472; sales and advertising 330; billing 300; customer service 137; order 120 |
| Recurring praise | Easy sign-up; quick provider verification; video consultations |
| Recurring complaints | Unexpected recurring charges; difficult cancellation; unwanted shipments and delays; refund denials; support difficult to reach |
The BBB’s September 2025 file review found: “Complaints on file concern issues with cancelling orders and refund requests.” Both profiles cover all Hims products, including the weight-loss program in our Hims weight loss review.
What to ask before you pay
- What is the price per dose and per shipment for this plan, and when is the first charge?
- What is refunded if the provider does not prescribe?
- Which pharmacy will fill the order?
- For testosterone: is the state covered, is a video visit required, and is Kyzatrex available?
See also our TRT and ED clinic checklist.
How Hims measures up
The same six criteria for every clinic, each tied to the facts above.
| Criterion | What we found |
|---|---|
| Clinical oversight & pharmacy transparencyWe look for: A named prescriber and pharmacy, 503A/503B status, compounding and FDA disclosures, a physical address | Names six pharmacies and its medical groups, and said in a September 2024 post that it runs its own 503A pharmacies and had acquired a 503B facility; the FDA sent the company a warning letter in September 2025 over claims about compounded semaglutide, which is not FDA-approved, and an FTC and state lawsuit filed in July 2026 is pending. |
| Pricing clarityWe look for: A recurring price and billing interval you can find before paying, extra fees, price by dose | Starting prices in mixed units that depend on the plan; most testosterone plan and lab-kit prices appear only in a blog post, and the FTC alleges unclear billing. |
| Medication optionsWe look for: A range of clearly described treatment options | Generic sildenafil and tadalafil, compounded ED chewables and combination pills, and enclomiphene with or without tadalafil (compounded products and enclomiphene are not FDA-approved); Kyzatrex is listed but absent from the FAQ; no injections. |
| Access & logisticsWe look for: A published state list, lab requirements, review time, shipping and follow-up | Service in all 50 states with some treatments limited, at-home labs processed in a CLIA-certified lab and free shipping; no testosterone state list, review times or follow-up schedule published. |
| Cancellation & refund termsWe look for: Refunds if a clinician declines you, refund windows, cancellation timing, arbitration clauses | Changes must be made 48 hours before the next order; refunds after pharmacy processing are not guaranteed, no refund is stated for patients a provider does not treat, and disputes go to arbitration with a 30-day opt-out. |
| Reputation signalsWe look for: BBB and Trustpilot records, complaint volume and the themes that recur | Trustpilot 2.9 from 9,289 reviews, 29% of them one-star; BBB accredited but not rated, with 4,456 complaints in three years and an alert about the pending FTC lawsuit. |
Ready to check your options with Hims?
The intake is free, and the site shows the current price before you pay.
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Worth confirming
Hims does not publish these as of September 16–18, 2026, so they are quick questions to ask before you pay.
- Which pharmacy fills a given ED or testosterone order
- A full ED price table by dose, quantity and plan length, and whether Kyzatrex can be ordered now and at what price
- States where testosterone treatment is available
- Provider review time, shipping time, and the follow-up and testosterone lab schedule after the first kit
- A refund policy for ED or testosterone patients who are not prescribed
Hims FAQ
Is Hims legit?
Hims & Hers Health, Inc. is a San Francisco company that names its medical groups and pharmacies. It faces a pending FTC and state lawsuit (filed July 29, 2026) and received an FDA warning letter in September 2025. Trustpilot showed 2.9 from 9,289 reviews on September 16, 2026; the BBB lists it as Not Rated.
How much does Hims ED treatment cost?
Generic sildenafil is “Starting at $22/mo” and generic tadalafil “Starting at $24/mo”; compounded options, which are not FDA-approved, start at $30 to $39 a month. Hims says the final price will “depend on product and subscription plan purchased.”
How much does Hims testosterone treatment cost?
Enclomiphene “starts at $99/month for a 10-month plan paid upfront and in full”: $990 at checkout by our calculation (10 × $99). Hims’ price guide also lists 5-month ($139/month) and 3-month ($199/month) plans and a $94 lab kit.
Does Hims accept insurance, HSA or FSA?
Hims says insurance is not required for ED or testosterone care. Its testosterone FAQ says Hims “doesn’t take FSA or HSA plans as payment at this time.”
Which pharmacy fills Hims prescriptions?
The terms name six: Apostrophe Pharmacy, XeCare, Curexa, Red Rock Pharmacy, AnazaoHealth and Strive Specialties. Prescriptions may be “transferred among the Pharmacies without notice”; which one fills a given order is not published.
Can I cancel Hims and get a refund?
Cancel in the app or online at least 48 hours before the next order; the terms also list a phone number. Hims says it “can’t guarantee a refund once the pharmacy has processed your order.”
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Before you sign up
Considering Hims?
Check these four things on Hims’s own pages before you enter card details.
- Recurring price
- Billing interval
- Refund policy
- Your state is served
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How we reviewed Hims
What we checked
- Hims product pages for ED and testosterone, Labs by Hims and the enclomiphene price guide
- Terms and conditions (updated August 31, 2026); help-center articles on refunds, cancellation, returns and availability
- Hims' 2024 pharmacy newsroom post and September 2025 press release; FDA letters; the FTC press release
- BBB and Trustpilot profiles, as of September 16, 2026
- We did not order, use or test this service.
Upkeepwell Editorial
Research & comparison team
Upkeepwell compares online health programs by reading what each company publishes (prices, terms, refund and pharmacy disclosures) and its public records. Every program is checked against the same six criteria, every fact on the page is sourced, and no company pays us for a review or a ranking.
Sources22Facts on this page come from these sources, read on the dates shown.
- Hims homepagehims.com · read September 16, 2026
- Hims: Erectile dysfunction treatmenthims.com · read September 16, 2026
- Hims: Generic sildenafilhims.com · read September 16, 2026
- Hims: Chewable ED medicationhims.com · read September 16, 2026
- Hims: 3-in-1 pillhims.com · read September 16, 2026
- Hims: Testosteronehims.com · read September 16, 2026
- Hims: Enclomiphene price guidehims.com · read September 16, 2026
- Labs by Himshims.com · read September 16, 2026
- Hims Terms and Conditionshims.com · read September 16, 2026
- Hims support: Refund policysupport.hims.com · read September 16, 2026
- Hims support: Cancelling a subscriptionsupport.hims.com · read September 16, 2026
- Hims support: Return policysupport.hims.com · read September 16, 2026
- Hims support: Where Hims & Hers is availablesupport.hims.com · read September 16, 2026
- Hims newsroom: Building our pharmacy operationsnews.hims.com · read September 16, 2026
- The company's press release: testosterone launch (September 10, 2025)investors.hims.com · read September 16, 2026
- FDA warning letter: Hims & Hers Health, Inc.fda.gov · read September 16, 2026
- FDA warning letter: MedisourceRxfda.gov · read September 16, 2026
- FDA close-out letter: MedisourceRxfda.gov · read September 16, 2026
- FTC press release: FTC and States Act Against Hims & Hersftc.gov · read September 16, 2026
- BBB profile: Hims & Hers Inc.bbb.org · read September 16, 2026
- BBB complaints: Hims & Hers Inc.bbb.org · read September 16, 2026
- Trustpilot: Himstrustpilot.com · read September 16, 2026
Hims
From $22/mo sildenafil, $24 tadalafil