They have the same benefits and risks as their brand-name counterparts. Insurance: If you plan to use insurance, make sure the online provider accepts it. This allows the smooth muscles in the penis to relax and fill with blood. This increase in blood flow results in a firmer, longer-lasting erection. You’ll also need to fill out a medical questionnaire with answers about your medical history, current medications, and lifestyle habits. However, some states require a live video consultation.Cialis is a popular ED medication. Find out everything you need to know about this doctor-prescribed medication including usage, effectiveness, and safety . Best for follow-up care: Roman | Skip to review Best for insurance coverage: Lemonaid | Skip to review Best for affordability: Optum | Skip to review Best doctor availability: K Health | Skip to. Hims and Roman offer brand-name and generic medications for ED, such as Viagra (sildenafil), Cialis (tadalafil), and avanafil. Whether those medications work for ED depends on the person and.