State access guide · Selected providers
Sexual health in South Dakota.
Company statements checked September 13, 2026: 3 covered companies — Hims & Hers, LifeMD and Ro — advertise online sexual health services to patients in South Dakota. Confirm eligibility and total charges with the provider.
Selected online sexual-health services advertised for South Dakota, sold as prescription subscriptions after an online intake, with pricing and product qualifications.
For patients in South Dakota. These are advertised online services, not verified local offices, appointment slots or prescription guarantees.
A short statement of scope first. Three covered sexual health services publish statements that cover South Dakota. Those statements show where each company says its service is sold; they do not establish eligibility, a prescription or a price, and none of them implies an office in South Dakota. What the three services have in common, and what each says, follows.
Common to the three
Prescription products on a recurring plan, reached through an online intake rather than a booked appointment. Compounded products sold alongside FDA-approved generics. No service price published; each company advertises a figure and qualifies it on the same page.
Ro
The help-center article Where is Ro available? states that Ro is licensed to provide service to members in all 50 states and Washington D.C., followed by a state-by-state list of treatments it does not offer. South Dakota does not appear on that list for any sexual health treatment. The erectile-dysfunction page sells sexual health treatments on a recurring plan; the company states that two of its named products are compounded medications that are not FDA-approved. Provider review follows the online intake. Cost depends on the product selected, and the “up to 95% cheaper” figure compares generics with branded products rather than discounting Ro’s own price. The Ro profile carries company background.
Rex MD, sold by LifeMD
The FAQ answers “Is Rex MD available where I live?” by stating that the brand serves patients in all 50 states, South Dakota among them, and ships medications for most prescriptions throughout the U.S. “Most” is the company’s own qualifier and the FAQ does not say which prescriptions or locations are excepted. The consultation is normally an online questionnaire; the FAQ states that some states require an audio or video call and that certain medications require a synchronous call with a provider, without naming the states. Cost depends on the prescription, quantity and whether a branded or generic product is chosen, and promotional per-tablet pricing is advertised rather than a service price. The LifeMD profile carries company background.
Hims
The comparison article Hims vs. Roman states that medication can be ordered through the Hims platform in all 50 states and Washington, D.C., South Dakota included, and names sildenafil and tadalafil as the ED options an eligible customer can access. It says some states may require a video call or have stricter rules for online prescriptions. It is a company marketing statement about the ED offering as a whole; it does not establish that every sexual health product, including compounded chewable products or premature-ejaculation treatments, is prescribed in South Dakota, and Hims’s help center separately warns that specific treatments may be limited to certain states. The offering is subscription men’s sexual health products following an online consultation, including both FDA-approved and compounded options. Starting figures include generic sildenafil from $22 a month and generic tadalafil from $24 a month, with the actual price depending on the product and subscription plan purchased. The Hims & Hers profile carries company background.
The sexual health overview explains the subscription model, the difference between compounded and FDA-approved generic products, and the questions worth asking before subscribing. This page documents selected online access, not a complete directory.
More guides for patients in South Dakota
Related
Other care areas
- Chronic care
- Dermatology
- Fertility
- Hair loss
- Hormone health
- Men's health
- Mental health
- Pediatrics
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Other medications
More telehealth providers in South Dakota
Browse the complete Inside Telehealth directory for South Dakota, combining the care and medication guides currently supported by our state-level evidence.
Selected providers
Which providers serve South Dakota?
3 companies with published profiles and service-specific source records. Listed alphabetically, not ranked. This is selected coverage—not every provider in the market.
Formats describe the program, not a guaranteed first-visit option in every state. A messaging or questionnaire option does not promise an initial evaluation without a live appointment. Read each provider’s service and state access notes.
| Company & service | Program formats & clinicians | Payment & advertised charges | Access & evidence |
|---|---|---|---|
| Hims & Hers Subscription men's sexual health products following an online consultation, including both FDA-approved and compounded options Official website ↗ |
An online consultation with a healthcare provider who the company says determines whether a prescription is appropriate. The consultation is part of the purchase flow rather than a separately booked appointment. Access channel: Direct to consumer | Cash pay The page advertises several starting figures rather than one: generic sildenafil from $22 a month, generic tadalafil from $24 a month, other items from $30 and $35 a month, and treatments as low as $2 a dose. The company states the actual price depends on the product and subscription plan purchased, so none of these is the price of any particular plan. | Hims's erectile-dysfunction comparison article states that medication can be ordered through its platform in all 50 states and Washington, D.C., South Dakota among them, and adds that some states may require a video call or have stricter online-prescription rules, without naming them. That is a company statement about the ED offering as a whole rather than a per-product or per-state eligibility list; it does not establish that every sexual-health product is prescribed in South Dakota, and Hims's help center separately warns that specific treatments may be limited to certain states. Hims's own erectile-dysfunction comparison article states that you can order medication through its platform in all 50 states, as well as Washington, D.C., and names sildenafil and tadalafil as the ED options an eligible customer can access. The same article says some states may require a video call or have stricter rules for online prescriptions, so the consultation format can differ by state. This is a company marketing statement about the ED offering as a whole; it does not establish that every sexual-health product, including compounded chewable products or premature-ejaculation treatments, is prescribed in every state, and Hims's help center separately warns that specific treatments may be limited to certain states. State evidence checked · State availability source The company states that featured products include compounded products that have not been approved by the FDA. A compounded product is not an FDA-approved generic of a branded drug; that distinction is the FDA's. Company-reported. Company-reported · Checked |
| LifeMD Men's sexual health prescribing through the company's Rex MD brand, normally an online questionnaire, with a live audio or video call where the state or the medication requires one Official website ↗ |
An affiliated licensed provider reviews the consultation and writes a prescription if appropriate. The company states that a patient who already holds a prescription still needs a consultation through an affiliated clinician to confirm the diagnosis. Access channel: Direct to consumer | Cash pay No universal fee is established. The company describes cost as depending on the prescription, quantity and whether a branded or generic product is chosen, and advertises promotional per-tablet pricing rather than a service price. Treat any advertised headline as an offer, not a quote. | Rex MD, the brand through which LifeMD sells this men's sexual health service, says it serves patients in all 50 states, South Dakota among them, and ships most prescriptions throughout the U.S. The company does not say which prescriptions or locations are excepted, and it states that some states and some medications require an audio or video call. Rex MD's FAQ answers "Is Rex MD available where I live?" with "Rex MD serves patients in all 50 states and ships medications for most prescriptions throughout the U.S." The statement is about the Rex MD brand, through which LifeMD sells this men's sexual health service, rather than about any single medication; the brand's erectile-dysfunction page states no state restrictions and publishes no state list. "Most prescriptions" is the company's own qualifier, and it does not say which prescriptions or which locations are excepted. The same FAQ states that "Some states do require an audio or video call" and that certain prescription medications require a synchronous call with a provider, without naming the states. It names the fifty states and not the District of Columbia. It does not establish eligibility, a prescription, a price, or that a particular medication ships to a given state. State evidence checked · State availability source The company states it serves patients in all fifty states and ships most prescriptions throughout the United States. The consultation is normally an asynchronous questionnaire, but the company states some states require an audio or video call and that certain medications require a synchronous call with a provider, so the format depends on location and product. Company-reported. Company-reported · Checked |
| Ro Sexual health treatments sold on a recurring plan, spanning generic prescription medicines and compounded products Official website ↗ |
Provider review follows an online intake rather than a booked appointment with a chosen clinician. Access channel: Direct to consumer | Cash pay No service price is established; the cost depends on the product selected. The page describes generics as up to 95% cheaper than the branded products, which is a comparison between generic and brand rather than a discount off this company's own price. Separately, a promotional offer is stated as valid only for new sexual health patients on a recurring plan and subject to a minimum $35 order value; the two are different claims and should not be read together. | Ro's help-center article lists South Dakota among the states where it says it is licensed to serve members, and names no sexual health treatment as unavailable in South Dakota. The claim covers where the company says its treatments are offered, not every product, dose or plan. Ro's help-center article "Where is Ro Available?", which the company last edited on August 20, 2025, states that "Ro is licensed to provide service to members in all 50 states and Washington D.C." and that "there are a few states where the selection of our offerings is limited due to telemedicine laws", followed by a state-by-state list of unavailable treatments. That list names "Erectile Dysfunction" as unavailable in North Dakota, so North Dakota is omitted here. Within the states listed, the same article names product-level exceptions: "Ro Sparks (ED)", a compounded product, is listed as unavailable in Alabama, Indiana, Mississippi, Montana, Nebraska, New Jersey, North Carolina and South Carolina, and also in the District of Columbia; "Genital Herpes" treatment is listed as unavailable in Delaware, Maryland, Nebraska, Nevada, South Carolina, Washington and West Virginia. Ro's erectile-dysfunction page itself states no state restrictions. This describes where the company says its sexual health treatments are offered, not that every product, dose or plan on the page is offered in each state, and it does not establish eligibility, a prescription or a price. State evidence checked · State availability source The company states that two of its named products are compounded medications that are not FDA-approved and do not undergo FDA safety, effectiveness or manufacturing review. Its separate body membership is a different product from these treatments. Company-reported. Company-reported · Checked |
No providers match these filters. Try a different payment model or program format.
How companies enter this list
Each selected company has a published profile, a maintained service row and a separately reviewed match to current evidence for this state. A general national footprint is insufficient. The list is selective; an omitted provider is not necessarily unavailable. Inclusion does not establish clinical suitability, state licensure or a currently available appointment.
Smaller and larger providers use the same source requirements and alphabetical ordering. Visit each profile for company history and wider context, or suggest another provider.
Source documents
The table dates show when its claims were checked. Document dates below describe the original sources, where supplied. Additional sources are linked directly in the guide.
- Hims — Erectile dysfunction treatments — Hims
- Help center: How does this work? — Hims & Hers Health, Inc.; revised
- Hims vs. Roman for ED 2025: How Do They Compare? — Hims & Hers Health, Inc.; revised
- Telemedicine for Men | REX MD — LifeMD, Inc. (Rex MD brand)
- Rex MD — Frequently asked questions — Rex MD
- Erectile Dysfunction treatment — Roman Health Ventures Inc.
- FDA to Telehealth Companies: What to Know When Promoting Compounded Drugs — U.S. Food and Drug Administration
- Ro — Where is Ro available? — Ro