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Roman vs Lemonaid Health: Comparing the Best Cloud Pharmacies

About the Author

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

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Medically reviewed by:
Dr. Steve Kim, MD

About Dr. Steve Kim, MD

Physician Advisor

Dr. Kim received his BA in Human Biology at Stanford University, before receiving his M.D. degree (Primary Care Track) from UC Davis School of Medicine. He completed his Internship & Residency in Family Practice from Glendale Adventist Hospital and is Board-Certified in Family Medicine via the American Board of Family Medicine. He has held faculty appointments at Stanford & UCSF medical schools and has championed telemedicine for decades. He is also a decorated, retired Flight Surgeon from the US Air Force Reserves.

In this Article

In this Article

Alex Goldberg

Doctor in a pocket. Telemedicine. Doctor on demand. Whichever way you wish to frame it – this new model for digital healthcare is absolutely teeming with potential and growing fast.

There has long been a stigma for men dealing with sensitive and somewhat embarrassing health struggles. Society tells us that males aren’t supposed to have issues like erectile dysfunction, premature ejaculation, and hair loss, but millions everywhere do, and they should never feel ashamed or relegated to suffer in silence.

The beauty of on-demand telehealth apps like Roman and Lemonaid is that they tackle these issues head-on. They offer men the help they need – when they need it most – by making it easier and more discrete to acquire prescription medications online.

On-demand healthcare is heating up

If you’re like most Americans, seeing a physician is a painful occurrence that’s minimized to once a year at most. Between the time it takes to drive, park, fill out forms, wait for the doctor, and ask the awkward, albeit necessary questions, it all adds up to a thoroughly draining experience. Of course, there’s also typically a hefty co-pay, and that’s merely step 1. The pharmacy and all its tedium awaits you patiently.


Innovative direct-to-consumer companies like Roman Health and Lemonaid were built to disrupt the monotony. They’ve focused on making healthcare as convenient as ordering an Uber, handling everything from diagnosis to medicine delivery. By and large, they are successfully giving dudes the luxury of treating some of their most embarrassing symptoms from the comfort (and privacy) of home.


While both Lemonaid and Roman cater to the modern man’s desire for expediency, convenience, value, and discretion, what exactly sets the two online pharmacies apart? Buckle up as we unpack their core differences and compare them head to head — Lemonaid vs Roman — including a full analysis of the medications they provide and the symptoms they treat.

Lemonaid Health: An Overview of the Platform

Photo source: Lemonaid

First, let’s take a look at Lemonaid, who calls themselves an “online doctor’s office.” Their mission-driven telehealth platform makes it easy to get affordable care, whether you have insurance or are one of the millions of Americans who don’t.


With 34 clinicians based in the US, consultations start at $25 for Lemonaid patients. That’s likely less than your current co-pay to see a doctor and works just as well as a means of acquiring a year’s supply of medication that the physician recommends.  The consultation occurs via chat message, phone, or video conference within two hours after a patient submits an online form.


The company facilitates the intake of medical history and condition-specific questions as well as a doctor’s review and writing of an Rx script (which Lemonaid sends electronically to your pharmacy of choice within two hours.)

What kind of medicine does Lemonaid prescribe online?

The list is long and ever-evolving (over 150 medications and 31 services now offered), but here’s a short list of the conditions Lemonaid offers prescription meds for:



Lemonaid operates in all 50 states, though some service-specific restrictions vary by state.

Roman Health: An overview of the leading digital health clinic for men

Photo Source: Roman

In contrast to Lemonaid’s long menu of prescription drugs, Roman focuses much more narrowly on the most common men’s health issues, providing convenient treatment for:


It’s platform to diagnose and treat these medical conditions is currently licensed to dispense pharmaceuticals in 49 out of 50 states. An online consultation with a doctor on Roman’s team takes about 5 minutes and is 100% free.


Yep, you read that right: it’s 100% free to get an online doctor’s visit via Roman. You only have to pay for the cost of treatments or medications, which get mailed in custom, discrete packages.


As a loyal customer, I can tell you that Roman makes it exceedingly easy to consult with a doctor virtually and get prescribed medication for a handful of the most common health issues plaguing men. We go deeper into this provider in our article “is Roman legit?” You can also read about some of the differences between Roman, Hims and Keeps, all players in the hair loss medicine space. 

How does Roman’s telemedicine platform work, exactly?

Patients simply submit a photo and an ID, as well as a medication preference, if they have one. Patients can download the company’s app, fill out the medical history as part of the comprehensive online visit, complete a questionnaire and speak with a physician if they choose.


A physician that is licensed in the patient’s state of residence will determine whether a prescription is appropriate. If approved, the medication is shipped to the patient’s home within two days.

Photo Source: Roman

Roman offers a handful of prescription drugs as part of their “cloud pharmacy.” That includes sildenafil — both generic and branded (Viagra) — as well as Cialis and Levitra, for erectile dysfunction. Prices range from $2 to $63 per pill. Other common medications they prescribe are finasteride (for hair loss), Valacyclovir (for herpes), Sertraline (for premature ejaculation), and bupropion (for smoking cessation).


Those prescriptions may also be sent to any pharmacy, but at Roman’s own, you can get your packages delivered in a plain brown box, with doses portioned into single-serve packets for wallet- and pocket-friendliness.

Lemonaid vs Roman: What's similar?

The drive for convenience, fast service, and price transparency is the standard that is now being set at both Roman and Lemonaid. And while both cutting-edge, VC-backed companies come equipped with fashionable packaging and effective social media-driven marketing campaigns – there are other key similarities between the two companies. 


While theoretically, it could be cheaper to shop on sketchy sites for prescription drugs, Roman and Lemonaid are leaders in the new class of legitimate online pharmacies that give you access to real doctors via the web. If you’re used to buying drugs on the dark web, you may have to pay a bit more, but for everyone else, Roman and Lemonaid’s drug prices are extremely affordable, especially given the convenience factor that comes with gaining access to a personalized consultation with a physician.


Both companies supply their own network of pharmacy partners, or will directly send patients to current pharmacies for pickup. They both respond with follow-ups to their questions and concerns with timeliness and carefulness.  


And while both Lemonaid and Roman Health employ similar practice models, they both have to navigate the thorny healthcare regulations in each state — many of which were written years ago and might not comply with their current business and operating model. 


Part of that means having their doctors go through extended background checks and license verification processes with the local medical board to determine how they fit into working with this new and evolving telemedicine framework. For this reason, both companies are extremely buttoned-up when it comes to regulatory standards for care.

Lemonaid vs Roman: What are the key differences?

Lemonaid vs roman cost compared

So which online pharmacy is better: Roman or Lemonaid? Roman is focused exclusively on lower-risk but extremely common conditions like hair loss and erectile dysfunction for men, while Lemonaid lacks a clear focus and provides medicines for a much wider range of patients (including women!)


Lemonaid currently offers 31 treatment services for things like mental health conditions, urinary tract infections (UTIs), cold sores, flu, acute sinusitis, and acne, as well as treatment to quit smoking, get tested and treated for sexually transmitted diseases (STDs) like chlamydia, and screening for high cholesterol and diabetes.


They are both available in all 50 states, so the biggest difference, in my opinion, is that Lemonaid charges $25 for a consultation, no matter what condition is assessed, compared to Roman’s free virtual doctor visit.

What are the risks associated with telemedicine from Roman or Lemonaid?

There are