About Roman ED Meds

By Derek Lakin
HighYa Staff Published on: Dec 1, 2017

If you’re experiencing erectile dysfunction and prefer to receive treatment from the comfort of your home, Roman ED Meds promises to handle everything from online diagnosis to prescription delivery, right to your door.

All you have to do is complete a five-minute online visit that involves answering questions about your medical history, as well as indicating if you have a medication preference. Within two hours, a U.S.-licensed Roman physician will review your treatment request and, if appropriate, will write a prescription.

From there, you’ll continue receiving automatic shipments of your ED medication once per month or per quarter, depending on your needs.

For most guys, going to the doctor isn’t at the top of our list. And this is perhaps especially the case when dealing with sexual issues like erectile dysfunction, which is why the concept behind Roman is so compelling.

But are they your only option for ED medication delivery? Before signing up, are there any important considerations to keep in mind? Let’s get you the information you’re looking for by covering a few quick basics.

What Is Erectile Dysfunction & What Causes It?

The Mayo Clinic defines erectile dysfunction simply as the “inability to get and keep an erection firm enough for sex.”

Despite this straightforward definition, they go on to explain that the cause of ED can be anything but, since achieving an erection involves a complex process of biological, emotional, and psychological factors. And a ‘hiccup' in any of these areas can culminate in the inability to get and keep an erection.

In some instances, ED might not be a cause for concern, but in others, it could represent an underlying health condition that needs to be addressed, as mentioned on the Roman site.

With this said, the Mayo Clinic outlines that common causes include heart disease, high blood pressure or cholesterol, diabetes, obesity, tobacco use, excessive stress, and sleep disorders, to name just a few.

And as you might imagine, the underlying cause will directly determine the optimal ED treatment, although common options include reducing stress, exercising regularly, eating a healthy diet, obtaining psychological help if necessary, and even taking a prescription medication while under your doctor’s care. According to WebMD, common choices include:

  • Avanafil (Stendra)
  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra, Staxyn)

Let’s find out how Roman can prescribe these types of medications, without requiring patients to attend an in-office visit.

How Does Roman’s Web-Based App Work?

According to their website, “Roman has built telemedicine technologies to enable physicians to create a patient-physician relationship and to enable physicians to satisfy the standard of care,” but without an in-person visit.

Let’s take a look at how they accomplish this, starting with eligibility.

Roman Eligibility Criteria

In order to use the Roman website, you’ll need to have five minutes available to complete their dynamic online visit (more next) and have access to a functioning desktop or mobile camera, a blood pressure reading from within the last six months, a driver’s license or other ID, and a credit card.

From a strict eligibility perspective, the company requires customers to be at least 18 years old, to have had a physical exam within the last five years (including an exam of the penis, testis, and groin), to have normal blood pressure readings, to not take nitroglycerin or other nitrate-containing medicines, and to be cleared for sex.

Finally, you’ll need to be a resident of New York, California, Pennsylvania, Florida, Washington, Montana, Virginia, Nebraska, or Michigan.

Taking a Closer Look at Roman ED Meds’ Online Visit System

To begin, prospective patients will enter their zip code, DOB, email address, and gender. Then, you’ll indicate how many times per month you anticipate using these medications, drug and dosage preferences, and shipping frequency.

Roman Online Visit Start ScreenRoman’s telehealth assistant automatically walks you through your online visit and tailors its workflow based on your individual responses. Credit: Roman Health Medical LLC

Next, you’ll indicate if you’ve been treated for ED (whether by prescription medication or dietary supplement) and dose, and if you experienced any side effects.

From there, you’ll answer several medical questions, such as if you ever have problems “getting or maintaining an erection that is satisfying enough for sex,” how your ED began, if you’ve had a physical exam with a healthcare provider in the past five years, blood pressure readings, libido level, and any other conditions you’re experiencing (HIV, low blood pressure, clotting or bleeding disorders, retinitis pigmentosa, etc.).

Following this, you’ll input any lifestyle habits that might impact your ED (e.g., exercise, healthy eating, smoking, drinking, problems sleeping, etc.), other medications you’re taking, and any allergies. You’ll then confirm if you would like for Roman to act as your pharmacy, or a third-party company.

Note: The company tells us that in order to use your own pharmacy, they must be in the Surescripts Network, which we’re told includes 95 percent of pharmacies across the U.S.

Roman Pharmacy Confirmation ScreenCustomers can choose Roman or another pharmacy to fill their prescriptions, although the company offers free shipping and the first month free for direct orders. Credit: Roman Health Medical LLC

Finally, you’ll input your personal information, take a photo of yourself and your driver’s license or ID, review your details, add payment info, and process your payment.

Roman Online Visit Image UploadIn order to complete your online visit, Roman requires all patients to upload their picture and driver’s license or ID. Credit: Roman Health Medical LLC

According to the website, within two hours, a Roman doctor will review your information, determine if it’s safe and appropriate to write a prescription for Sildenafil (Viagra—25, 50, or 100 mg), generic Sildenafil (20 mg only), Tadalafil (Cialis—2.5, 5, 10, or 20 mg), or Vardenafil (Levitra—2.5, 5, 10, or 20 mg).

If it is, your medication will be shipped to you in discreet packaging as soon as the next day, and then monthly or quarterly after that. If necessary, they may ask follow up questions.

Keep in mind that Roman’s physicians depend solely on your online visit for answers, so it’s important to be truthful and as accurate as possible. After you complete your treatment request, though, you can message a physician at any time.

More About Roman’s Staff Physicians

Whenever you interact with a physician, the company automatically shares their resume and credentials with you, so you can know more about who you’re dealing with.

The Roman website emphasizes that customers will only be treated by physicians licensed in their state. And since staff physicians are currently only licensed in New York, California, Pennsylvania, Florida, Washington, Montana, Virginia, Nebraska, and Michigan, this means you’ll have to reside in one of these states in order to use the company’s services.

They also tell us that every physician on their staff has undergone a background check and license verification process.

However, they also emphasize that their physicians are intended to act as a “complement, not a replacement, to your primary care physician.” As a result, it’s important to keep your primary care doctor in the loop about your interaction with Roman, and share with them any related news or new prescriptions.

How Much Do Roman’s ED Meds Cost?

For the online visit discussed above, Roman charges a flat rate of $15. From there, medications range between $2 and $63 per dose, with multiple quantities available, along with monthly or quarterly shipping options.

In other words, the exact price you pay will depend on the medication you choose, the dosage, the quantity (between four and 10 per month), and shipping frequency. In general though, here were the prices provided by Roman at the time of our research:

Roman ED Meds Price ListRoman ED’s medication price list, which was listed as accurate as of 11/5/17, although they emphasize that prices are updated weekly. Credit: Roman Health Medical LLC

Shipping is free, and your first shipment will arrive within two to three days of the prescription. If a physician determines that you’re not a candidate, you’ll be refunded your $15 fee.

All purchases are cash only, and the company doesn’t handle or process insurance payments. For additional details, customer service can be reached at 888-798-8686, support@getroman.com, or via live chat.

What Are Customers Saying In Their Online Roman ED Meds Reviews?

Roman Health Medical LLC is a brand new startup that launched in late October 2017. As you might imagine, this means we didn’t encounter much direct customer feedback at the time of our research.

But because they’re potentially tapping into a largely unmet marketplace (men who want to avoid an embarrassing conversation with their doctor, but who also want to do something about their ED), they’ve received a lot of press attention in a short time from popular outlets like TechCrunch, Mashable, The New York Times, Forbes, CNN, and Men’s Health, to name just a few.

And in general, it seems that many health professionals agree that bringing a broader awareness and product availability is mostly positive. As Dr. Michael Eisenberg, Director of Male Reproductive Medicine and Surgery and Stanford University told Mashable, “Any time you can reduce friction or decrease the barriers to care, I think that’s a good thing.”

Reading through these articles, we also learned that co-founder and CEO Zachariah Reitano first experienced ED at the age of 17 due to a heart condition. After undergoing surgery and recovering, he set out to help men receive the treatment they need for their ED, along with any underlying health problems it might be a side effect of.

The company was also co-founded by Saman Rahmanian and Rob Schutz. Previously, Saman worked as a partner with Prehype and co-founder of Managed by Q, while Rob worked as the VP of Growth for Bark & Co. and as Instructor and Curriculum Developer for General Assemb.ly.

Roman currently boasts a team of 11 physicians. Their Medical Team is staffed by Dr. Steven Lamm (Medical Director at the NYU Center for Men’s Health), Dr. Pepper Schwartz (author, researcher, and relationship expert), and Dr. Jeff Gardere, who is listed on the site as “one of the most widely sought-after experts in the field of mental health.”

Are There Other ED Medication Companies Like Roman?

While there are certainly other online pharmacies out there, as well as companies that utilize telemedicine to diagnose patients without an in-office visit, we didn’t encounter any competitors with the exact business model as Roman.

Perhaps the closest option was Hims, who also employs a staff of physicians (across a total of nine states) that can diagnose patients and then write a prescription for the ED medication Sildenafil ($20 for 10X 20mg tablets). It can then be filled through one of Hims’ partners, or through a third-party pharmacy of the customer’s choosing.

Unlike Roman, though, Hims also offers prescriptions for hair loss-related medications like finasteride, as well as OTC options like Minoxidil and multivitamin supplements.

How can you decide which of these options—if either—is right for you? Let’ carry this thought over as we come to a conclusion.

Our Final Thoughts About Roman ED Meds

According to Becker’s Health IT & CIO Review, “the global telemedicine market is anticipated to grow at a compound annual growth rate of 14.3 percent between 2014 and 2020,” at which point it’s estimated to represent a $36 billion industry—a more than 250 percent increase.

And as telemedicine grows, it’s only natural that it will continue making its way into different areas of the medical field, where it potentially stands to greatly increase access to varying aspects healthcare. In this regard, it’s exciting to see companies like Roman make their way to the market, who we can only imagine stands to help further disrupt the industry with their ED-specific approach.

But whether you choose to go with Roman or another online erectile dysfunction medication provider, as emphasized on their website, these companies don’t intend to replace your primary care physician.

And since you’ll need to have a relatively recent checkup to use Roman’s services anyway, you might as well discuss your ED with your doctor before paying for an Online Visit or placing an order for a prescription.

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