Telehealth Subscription Audit 2026: Stop Overpaying for Generic Medications
Updated February 2026 · The DTC telehealth pricing reality check
💊 The Telehealth Markup Problem
DTC telehealth companies (Hims, Hers, Ro, Done, Cerebral, Nurx) charge $20-200+/month for medications that cost $3-30/month at your pharmacy with GoodRx. The convenience is real but the markup is 2-10x. If you're on a stable medication, switching to a local provider + pharmacy can save $500-3,000/year.
The Telehealth Subscription Landscape
Here's how the major DTC telehealth brands break down:
🧔 Hims ($20-95/mo)
ED, hair loss, skincare, mental health. Largest DTC men's health brand. Same generic medications available at any pharmacy. Cancel guide
👩 Hers ($20-85/mo)
Skincare, hair loss, birth control, mental health. Hims' sister brand for women. GoodRx makes most medications 50-80% cheaper. Cancel guide
💊 Ro/Roman ($20-200/mo)
ED, hair loss, weight loss (compound semaglutide). Mark Cuban's Cost Plus Drugs sells same generics at 80-95% less. Cancel guide
🧠 Done ADHD ($79/mo)
ADHD evaluation + medication management. Local psychiatrist with insurance = $200/year vs Done's $1,147/year. Cancel guide
🗣️ Cerebral ($85-325/mo)
Mental health + medication management. Some insurance accepted. Higher cost but includes therapy sessions in premium plans. Cancel guide
💊 Nurx ($15-75/mo)
Birth control, PrEP, STI testing, migraine treatment. Insurance often covers same medications at $0 copay. Cancel guide
The Three-Step Savings Play
- Ask your telehealth provider for your prescription details — medication name, dosage, frequency
- Schedule one appointment with a local doctor ($25-50 copay with insurance, or $75-150 without). Tell them what you're taking and ask them to write the same prescription. Most will do this easily for stable, ongoing medications
- Fill at your pharmacy using GoodRx or Cost Plus Drugs — compare prices across CVS, Walgreens, Costco (no membership needed for pharmacy), and Amazon Pharmacy
When Telehealth Subscriptions Make Sense
- No insurance and no regular doctor: Telehealth is still faster and often cheaper than an ER or urgent care
- Rural areas: Limited access to specialists (dermatologists, psychiatrists)
- Stigma-sensitive conditions: Some people prefer the privacy of telehealth for ED, STI testing, or mental health
- Initial evaluation: Getting started on a medication through telehealth, then transferring to a local provider for ongoing management
Price Comparison Cheat Sheet
- Sildenafil (ED): Hims $30-50/mo → GoodRx $3-10/mo → Cost Plus $0.12/dose
- Finasteride (hair loss): Hims $25-35/mo → GoodRx $5-15/mo → Cost Plus $4.20/month
- Tretinoin (skincare): Hers $30-50/mo → GoodRx $15-40/tube (lasts 2-3 months)
- Birth control pills: Nurx/Hers $20-30/mo → Insurance $0 → GoodRx $8-20/mo
- Lexapro/sertraline (SSRI): Cerebral $85-325/mo → Insurance $5-25/mo → GoodRx $4-15/mo
💰 Total Potential Savings
If you're on two telehealth subscriptions averaging $60/month each, switching to local providers + pharmacy fills saves approximately $1,000-2,400/year. One doctor visit replaces 12 months of telehealth fees. The math overwhelmingly favors switching once you're on a stable medication regimen.
🔍 Find all your health subscriptions
Upload your bank statement to JustCancel and we'll identify Hims, Hers, Ro, Done, Cerebral, Nurx, BetterHelp, Noom, and every other health-related recurring charge.