Sesame Care for ED: Choose Your Own Doctor and Pay $1 for Medication

Every other telehealth ED platform works roughly the same way: you answer a questionnaire, an anonymous provider reviews it, and generic medication ships to your door. You never see who your doctor is. You have no input on pricing. The platform is the product.

Sesame flips that model. You browse real doctor profiles — with photos, credentials, reviews from other patients, and transparent pricing. You pick who you want to see. And through their Everyday Rx program, FDA-approved medications cost as little as $1 per month.

For men who've been frustrated by the opacity of other telehealth platforms, Sesame's transparency-first approach is worth understanding.

How Sesame's Choose-Your-Provider Model Works

When you visit Sesame for an ED consultation, you're not funneled into a questionnaire that disappears into a provider queue. Instead, you see a marketplace of licensed healthcare providers who treat ED in your state. Each profile shows the provider's name, medical credentials, specialty training, patient ratings, number of consultations completed, and — critically — their price.

Consultation prices vary by provider and typically range from $30–$75 for an ED-focused visit. Some providers offer video consultations; others offer asynchronous (messaging-based) evaluations. You choose the format, the provider, and the price point that fits your preferences.

This is meaningfully different from platforms where a randomly assigned provider reviews your questionnaire behind a screen. At Sesame, you know exactly who is evaluating your health, what their qualifications are, and what other patients have said about their experience.

The Everyday Rx $1 Medication Program

Sesame's Everyday Rx program is the most aggressive medication pricing in the telehealth space. FDA-approved generic medications — including generic sildenafil and generic tadalafil — are available for as low as $1 per month through participating pharmacies.

To be clear about what this means: you pay a consultation fee to your chosen provider (not to Sesame), and if they prescribe an ED medication, you fill that prescription through Everyday Rx at the $1 price point. The total cost of treatment is the consultation fee plus $1 per month for the medication. Even at the highest consultation pricing, that makes Sesame among the most affordable total-cost options for ongoing ED treatment.

The medications available through Everyday Rx are FDA-approved generics — the same molecules, same manufacturing standards, same clinical efficacy as any other pharmacy. The $1 price point is a pharmacy partnership model, not a compromise on medication quality.

Brand-Name, FDA-Approved Medications Only

Sesame providers prescribe FDA-approved brand-name and generic medications. This includes sildenafil (generic Viagra), tadalafil (generic Cialis), vardenafil (generic Levitra), and brand-name versions where appropriate.

Sesame does not offer compounded medications. For men who specifically want a standard, FDA-approved medication with the full regulatory backing that implies, this is a feature, not a limitation. You know exactly what you're getting, and every medication has been through the complete FDA approval process.

The Consultation Experience

After choosing a provider, the ED consultation follows a familiar telehealth pattern — but with the added comfort of knowing who you're talking to and why you chose them.

Your provider will review your medical history, current medications (particularly nitrates, which are contraindicated with PDE5 inhibitors), cardiovascular risk factors, and the nature of your ED symptoms. Based on that assessment, they'll recommend a treatment plan and write a prescription if appropriate.

Because you chose the provider, the relationship can extend beyond a single visit. Need a follow-up? You can book with the same person. Want to adjust your dosage? Contact the provider who knows your history. This continuity of care is something most telehealth ED platforms don't offer.

What ED Medications Sesame Providers Prescribe

Sesame providers can prescribe any FDA-approved ED medication based on their clinical judgment and your medical profile. The most commonly prescribed include:

Sildenafil (generic Viagra): The first PDE5 inhibitor, effective for 4–6 hours. Take 30–60 minutes before activity on an empty stomach for best results. Available through Everyday Rx from $1/month.

Tadalafil (generic Cialis): Longer-acting PDE5 inhibitor, effective up to 36 hours. Available in as-needed and daily dosing options. The daily option (typically 2.5–5mg) provides continuous background readiness. Available through Everyday Rx from $1/month.

Vardenafil (generic Levitra): Similar to sildenafil with slightly different pharmacokinetics. Some men who experience side effects with sildenafil find vardenafil more tolerable.

Avanafil (Stendra): The newest FDA-approved PDE5 inhibitor with the fastest onset (as quick as 15 minutes) and fewer food interactions. May be prescribed as brand-name.

Who Sesame Is Best For

Who Should Look Elsewhere

Sesame's model prioritizes transparency and patient choice, which means it's not the fastest path from "I need ED medication" to "medication is at my door." If speed and minimal friction are your top priorities — complete a questionnaire, get approved, medication ships — a vertically integrated platform like FeelGood Telehealth or MyDrHank will get you there faster.

And if you're specifically interested in compounded multi-ingredient formulations (like BraveRX's tadalafil + apomorphine + icariin combination), Sesame isn't the platform — their providers prescribe FDA-approved medications only.

Alternatives worth considering depending on your priorities: