Compare

Online ED clinics, compared honestly

All of these will post you a prescription. They differ enormously in what they tell you first — whether the page names the nitrate interaction, publishes its doses, or admits what the ongoing price is.

Advertising disclosure. We currently have no paid partnership with any service on this page, so nothing here earns us a commission. If that changes, paid links will be marked Partner and it will not change any score. How we make money.

Latest reviewRecommended product

CoreAge Rx 4PLAY

The most complete safety disclosure of any combination product we have audited — and nothing recurs unless you say so

Why this one is up here. It is our pick of the combination products: the fullest safety and compounded-drug disclosure of any we have audited, and one of only two services in this comparison whose refills are opt-in rather than automatic — no membership fee, no contract, and a refund if a clinician decides the treatment is not appropriate. We rate it 4.8 out of 5. CoreAge Rx supplies our giveaway prize, but not a commission — clicking through to them earns us nothing, and this rating predates the giveaway. The review sets out the case in full, including the two things to ask the prescriber before your first dose — it stacks three PDE5 inhibitors rather than two, and it publishes no dose for any of its four ingredients. How we make money.

Our score

4.8 / 5

From $114/mo

Read our review Visit site

The services, ranked

Ranked on the four criteria below, except where a card says the rating is our own. Safety disclosure carries the most weight, because a cheap product is no bargain if the page never tells you what it can do to you.

1
CoreAge Rx 4PLAY
Recommended
The most complete safety disclosure of any combination product we have audited — and nothing recurs unless you say so
Best for: Men who want a combination product and refuse to be locked into a subscription
What is good
Auto-refill is opt-in after the first order rather than opt-out — only one other service in this comparison does that, and it is among the biggest things separating this service from the rest
No membership fee and no long-term contract; the same 5-pack can be bought outright, with no subscription at all, for about 5% more than the $114 rate
Refunded if a provider decides the treatment is not appropriate for you — you are not charged for a no
Flat pricing with no dose-based markups, and the pre-discount figure is shown rather than hidden
States that billing frequency, plan term, renewal date, cancellation method and any early-termination charge are all shown at checkout before you enter payment details
Explains WHY nitrates are dangerous rather than just naming them, names riociguat, and flags alpha-blockers — a combination only a handful of pages in this comparison manage
Warns about the four-hour rule and about sudden vision or hearing loss
The fullest compounded disclosure in this comparison: USP standards, not FDA-approved, not a generic equivalent, not shown to be therapeutically equivalent, and ingredients possibly prescribed off-label
A US board-certified physician reviews the questionnaire, and some states require a live consultation rather than making it optional
Footnotes its own onset and duration headlines as the ingredients' published pharmacology, and labels its coverage chart “illustrative only … not measured patient data” — the opposite of the usual practice
The testimonials added in July carry the disclosure most of this market skips — not typical results, solicited from all patients on the same terms, and any material connection declared
Where it runs a sponsored advertorial, it says so at the top and discloses that the author was paid — labelling most of this category does not bother with
No countdown timers or manufactured scarcity on the page itself
The doses, once you have them, are restrained — the three PDE5 inhibitors together come to about one maximum dose split three ways, not three doses stacked
The compounding pharmacy is named and contactable on the literature that ships with it — Foothills Professional Pharmacy in Tempe, Arizona, with a street address and a phone number
The patient literature is genuinely thorough: it covers the 24-hour dosing limit, the alpha-blocker and CYP3A4 interactions, grapefruit, and how long to hold the dose under the tongue
What is not
The landing pages still name the four ingredients without quantities — the company supplied the figures on request and says the pages are being updated, but at the time of writing you have to ask
The page's safety block does not mention the 5-HT3 anti-nausea interaction that the patient literature covers — worth knowing up front if you take ondansetron or similar
Stacks three PDE5 inhibitors, more of the same drug class than any competitor here — worth raising with the prescriber if you already keep sildenafil or tadalafil at home
At $114 for five doses — about $23 each — it is priced at the top of this comparison
What you are told depends which of its three landing pages you arrive on; the one we score and link to is comfortably the strongest of them
Consultation
Online health questionnaire reviewed by a US board-certified physician, feedback in about 24 hours
Delivery
Fast free delivery if a prescription is granted
Billing
Monthly at the advertised $114, or the same 5-pack bought once for about 5% more; no membership fee, no long-term contract mentioned
Cancelling
Auto-refill is opt-in rather than automatic; refunded if a provider declines you
Ingredients
Sildenafil, Tadalafil, Vardenafil, Apomorphine
Doses published
Sildenafil 40 mg, tadalafil 4 mg, vardenafil 7.5 mg, apomorphine 2 mg per 2 mL vial — supplied by the company from its patient literature
Our rating
4.8 / 5
Our own rating, not calculated from the four criteria. The page audit comes out at 4.2.
From
$114/mo
the subscription rate for a one-month 5-pack — five doses, about $23 each — down from a stated $175; the same pack bought once is about 5% more
Read full review of CoreAge Rx 4PLAY Visit site — CoreAge Rx 4PLAY
Not a paid link. Page audited July 2026.
2
Lemonaid Health
The only service that turns unsuitable patients away — and asks for your blood pressure
Best for: Men who want online convenience without giving up a real screen
What is good
Publishes every dose of every drug it offers — the most complete in this comparison
Requires a recent blood pressure reading, which no other service asks for
Requires a physical exam within the last five years
Refuses to treat men on nitrates, or with heart disease, heart failure or low blood pressure
Full side-effect lists broken out by individual medication
Sells FDA-approved generics, and is candid about what the pills cannot do
$2 a pill with one $25 consultation covering a year of refills
What is not
Will not treat anyone aged 73 or over — a hard cut-off that excludes many of our readers
Will not treat anyone under 25 either
Does not state the regulatory status of its three proprietary products
Cancellation terms are on a linked policy page rather than in front of the buyer
Consultation
Health questionnaire including a recent blood pressure reading, reviewed by the clinical team; video visit required in some states
Delivery
Free shipping in 2–3 days, next-day available
Billing
One consultation covers 12 refills; daily tadalafil auto-delivers monthly
Cancelling
Cancellation and refund policies are published, though linked rather than on the page
Ingredients
Sildenafil, Tadalafil, Vardenafil
Doses published
Sildenafil 25/50/100 mg · Tadalafil 5/10/20 mg · Tadalafil daily 5 mg · Vardenafil 2.5/5/10/20 mg
Our rating
4.5 / 5
From
$2 a pill
$2 a pill, plus a one-time $25 consultation that covers 12 refills
Read full review of Lemonaid Health Visit site — Lemonaid Health
Not a paid link. Page audited July 2026.
3
CNL Med ED consultation
One flat fee, no subscription, and a safety section better than most of this market
Best for: Men who want a prescription for ordinary generics and refuse to be enrolled in anything
What is good
Names the nitrate interaction, names the drugs it applies to, and gives the consequence — a sudden, unsafe drop in blood pressure
Explains priapism properly, including that untreated it can cause permanent damage — a consequence most pages in this comparison omit
Flags alpha-blockers, blood pressure medication and ritonavir specifically
Raises severe heart failure as a reason to be cautious about sex itself, not just about the drug
“No hidden fees, no subscriptions” — and you are only charged once a prescription is actually sent
One published flat price covering up to a 90-day supply, which is unusually clear for this market
Prescribes FDA-approved generics by name rather than a proprietary compounded blend
What is not
Publishes no doses in mg for any of the three drugs it names
Does not quote what the medication itself will cost at the pharmacy, so the $64.99 is not the total you will spend
No general list of the common side effects — the safety copy covers the serious interactions well and the everyday ones barely
Operates on a third-party platform, so the terms you agree to are partly somebody else's
Consultation
Virtual consult by message or phone through the Push Health platform, 9am to 9pm daily
Delivery
Requests outside hours are addressed the following day; prescription sent to your chosen pharmacy once approved
Billing
None. The page states there are no subscriptions.
Cancelling
Nothing recurring to cancel, and you are not charged unless a prescription is issued
Ingredients
Sildenafil, Tadalafil, Vardenafil
Doses published
No — not stated on the page
Our rating
4.3 / 5
From
$65 a visit
$64.99 flat for the consult and a prescription of up to 90 pills; the medication itself is dispensed by your pharmacy and that cost is not quoted
Read full review of CNL Med ED consultation Visit site — CNL Med ED consultation
Not a paid link. Page audited August 2026.
4
PlushCare tadalafil consultation
One of only two services here that says outright who should not take this — and the only one that takes insurance
Best for: Men who want a real doctor's appointment, can use insurance, and want the contraindications spelled out
What is good
One of only two pages here with an outright exclusion list: “Not for those with heart conditions, low or high blood pressure, or liver or kidney problems”
Names the nitrate interaction twice and gives the consequence both times — an unsafe drop in blood pressure, low blood pressure and fainting
Uses a two-hour threshold for a prolonged erection rather than the usual four, which errs on the cautious side
Publishes every dose — 2.5 and 5 mg daily, 10 and 20 mg as needed — and states a maximum of 20 mg in 24 hours
Names sickle cell anaemia and pulmonary arterial hypertension as reasons to seek advice first, which nobody else here does
Flags alpha-blockers, and addresses alcohol as a health risk rather than a lifestyle note
States plainly that medication and lab work are not included in the membership
A full refund if they cannot treat you, so you are not charged for being turned down
Takes insurance, which almost nothing else in this comparison does
A video appointment with a board-certified doctor rather than a questionnaire scored by software
What is not
Three separate charges — membership, visit fee and medication — and only two of them are quoted
The medication prices shown appear to be brand rates; the generic is called “much more affordable” with no figure attached
“Cancel anytime” is asserted with no cancellation process described
Does not name riociguat, the one contraindication its otherwise thorough list misses
No dispensing pharmacy named and no licence number, though it sends to a pharmacy you choose
For a man who only wants cheap generic tadalafil, the membership and visit fee are overhead a per-visit service avoids
Consultation
A video appointment with a board-certified doctor, same-day availability seven days a week
Delivery
Same-day appointments, with prescriptions sent for same-day pickup
Billing
$19.99 a month membership, separate from the visit fee and from the medication
Cancelling
“Cancel anytime”, with no process described; a full refund is promised if they cannot treat you
Ingredients
Tadalafil
Doses published
Tadalafil 2.5 or 5 mg daily, 10 or 20 mg as needed; maximum 20 mg in 24 hours
Our rating
4.3 / 5
From
$20/mo
$19.99 a month for membership, which does not include the medication; the visit is $129 without insurance or “$30 or less” for most in-network patients
Read full review of PlushCare tadalafil consultation Visit site — PlushCare tadalafil consultation
Not a paid link. Page audited August 2026.
5
Vybrique (sildenafil) oral film
An FDA-approved sildenafil film that does what the compounded troches were never approved to do
Best for: Men who want a fast-dissolving form with an actual FDA label behind it
What is good
FDA-approved, which no compounded troche or dissolvable tablet in this comparison is
All four strengths published: 25, 50, 75 and 100 mg
Full FDA prescribing information on the site, including the nitrate contraindication
The phase 3 trial is named and described — 475 men, 12 weeks, placebo-controlled
Specifies a lower 25 mg starting dose for men 65 and over
Dissolves without water, which is the genuine practical advantage
What is not
$8 a film is four times the price of generic sildenafil from a telehealth service
Dispensed through a single specialty pharmacy, so there is no price competition
The “faster than a pill” framing is not supported by the published pharmacokinetics
You need a prescriber — this is not a telehealth service and does not provide one
Consultation
Prescription required from your own prescriber
Delivery
Direct home delivery, available in all states
Billing
None — dispensed per prescription
Cancelling
Nothing to cancel
Ingredients
Sildenafil
Doses published
25 mg, 50 mg, 75 mg and 100 mg
Our rating
4.3 / 5
From
$8 a dose
$8 per film through IBSA Direct, dispensed by a single specialty pharmacy; retail cash prices quoted elsewhere run far higher
Read full review of Vybrique (sildenafil) oral film Visit site — Vybrique (sildenafil) oral film
Not a paid link. Page audited August 2026.
6
BosleyRx 2:1 Sildenafil + Tadalafil Blend
The only combination product that publishes its doses, its FDA status and a cancellation phone number
Best for: Men who want a two-drug blend and expect to be told what is in it and how to stop it
What is good
Publishes the actual doses — sildenafil 60 mg and tadalafil 10 mg — which twenty of the other services in this comparison do not
Carries the correct compounded disclosure: “Compounded drugs are permitted by federal law but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review.”
Names the nitrate interaction with its consequence, and includes guanylate cyclase stimulators alongside it
Tells you to seek emergency care for an erection lasting more than four hours, and for sudden loss of vision or hearing
One of the fullest side-effect lists in this comparison, including abnormal vision, back pain and rash
Flags alpha-blockers, blood pressure medication and alcohol above five units
Orders are one-time by default — automatic refills are opt-in rather than opt-out
Notifies you before each automatic shipment, and publishes a phone number to cancel on
No countdown timers, no scarcity language and no testimonials to disclose
What is not
Never names existing heart disease as a reason for caution, despite covering alpha-blockers and blood pressure medication
“Starting at $7 per lozenge” with no pack size published, so you cannot work out what an order costs
No refund policy anywhere on the page
No physical address, pharmacy name or licence number, so the dispensing pharmacy cannot be looked up
At about $7 a dose it is several times the cost of the same two drugs as separate generics
Consultation
Consultation with a licensed medical provider to determine suitability, arranged through the site
Delivery
Not stated on the page
Billing
One-time shipments by default; automatic refills every 3, 6 or 12 months are opt-in at checkout or in the patient portal
Cancelling
Notification before every shipment, and auto-shipments can be cancelled or adjusted in the patient portal or by phone on (877) 352-1906
Ingredients
Sildenafil, Tadalafil
Doses published
Sildenafil 60 mg, tadalafil 10 mg
Our rating
4.2 / 5
From
$7 a pill
“starting at $7 per lozenge”, with a first-month-free offer on selected products; the page does not say how many lozenges a pack contains
Read full review of BosleyRx 2:1 Sildenafil + Tadalafil Blend Visit site — BosleyRx 2:1 Sildenafil + Tadalafil Blend
Not a paid link. Page audited August 2026.
7
Rex MD
FDA-approved generics with the most complete safety disclosure we have found
Best for: Almost anyone starting ED treatment online
What is good
The most complete safety disclosure of any service we have audited
Names nitroglycerin, poppers by their chemical names, and riociguat specifically
Full side-effect list including the serious ones: NAION, sudden hearing loss, tinnitus
Extensive cardiac warnings — heart attack, arrhythmia, angina, uncontrolled blood pressure, alpha-blockers
Sells FDA-approved medication rather than compounded combinations
Prices published for all five options, from $2 per use
What is not
Does not state the doses offered
No subscription, auto-renewal or cancellation terms on the page
“Save up to 95% off” is the kind of headline discount that usually implies a higher renewal price
Branded Viagra at $96 per use sits on the same page as the $2 generic, which invites the wrong comparison
Consultation
Free online consultation reviewed by a US-licensed provider who prescribes if appropriate
Delivery
Within about two days
Billing
Not stated on the page
Cancelling
Not stated on the page
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
4.1 / 5
From
$2 a pill
from $2 per use for generic sildenafil or daily generic tadalafil
Read full review of Rex MD Visit site — Rex MD
Not a paid link. Page audited July 2026.
8
Generic sildenafil and tadalafil
$1.99 a pill for FDA-approved generics, at any strength, with the safety copy on another page
Best for: Men who want the lowest honest price on a real generic
What is good
$1.99 a pill is as cheap as anything in this comparison, and unusually it is a flat rate at any strength with nothing added at checkout
FDA-approved generics rather than compounded copies, so the strengths are label strengths
Consultation and shipping are included rather than added at checkout
Publishes both strengths — 100 mg sildenafil, 20 mg tadalafil
Cancellation page linked in the footer, and a 60-day money-back guarantee
LegitScript certified and using a national e-prescribing network
What is not
The pricing page carries no safety information at all — it is one click away behind a link
No nitrate warning, four-hour rule or cardiac language on the page you buy from
Only sells the top strengths, which is the wrong starting dose for many men over 50
“Lowest Price Guaranteed” is a marketing claim with no stated terms
Delivery time is not stated
Consultation
Free online consultation, no in-person visit
Delivery
Not stated on the pricing page
Billing
Subscription, with a linked cancellation page
Cancelling
A “Cancel Subscription” page is linked in the footer; 60-day money-back guarantee advertised
Ingredients
Sildenafil, Tadalafil
Doses published
Sildenafil 100 mg, tadalafil 20 mg
Our rating
4.1 / 5
From
$2 a pill
$1.99 a pill at any strength, consultation and shipping included; shown as $2 here because prices display in whole dollars
Read full review of Generic sildenafil and tadalafil Visit site — Generic sildenafil and tadalafil
Not a paid link. Page audited August 2026.
9
Provn+ Fusion
Sildenafil, tadalafil and oxytocin in one dissolving tablet
Best for: Men who want to know exactly what they are taking
What is good
Publishes the actual doses of all three ingredients
States cancellation terms on the landing page — the only service here that does
Names side effects and the four-hour erection rule
No testimonials, so no compensated-endorsement problem
FSA/HSA eligible
What is not
The nitrate warning does not explain why it matters or name the common drugs
No heart disease or blood pressure screening language anywhere on the page
No physical address or pharmacy licence number, so you cannot verify the pharmacy
Small review base — a young operation
Consultation
3-minute written intake reviewed by a US-licensed physician
Delivery
A few business days
Billing
Month-to-month or 3-month plan
Cancelling
Month-to-month, no long-term commitment — stated on the page
Ingredients
Sildenafil, Tadalafil, Oxytocin
Doses published
Sildenafil 50 mg, tadalafil 20 mg, oxytocin 125 IU
Our rating
4.0 / 5
From
$41/mo
per month on the 3-month plan; $59 month-to-month
Read full review of Provn+ Fusion Visit site — Provn+ Fusion
Not a paid link. Page audited July 2026.
10
Empower Tadalafil / Apomorphine Troche
A 503A compounding pharmacy that documents its product properly — bring your own prescriber
Best for: Men already under a doctor's care who need a compounded formulation filled
What is good
Publishes exact doses: tadalafil 40 mg, apomorphine 6 mg
States the nitrate interaction as a contraindication, naming nitroglycerin and isosorbide dinitrate
Cardiac contraindications with actual thresholds — MI or stroke within 90 days, systolic under 90 mmHg
Side effects broken out per ingredient, including apomorphine's orthostatic hypotension
Names NAION and sudden sensorineural hearing loss
Discloses its 503A status and cites the statute, plus 18 peer-reviewed references
Says openly that high-quality trials for this combination remain limited
No subscription, no auto-renewal, nothing to cancel
What is not
Tadalafil 40 mg is double the maximum approved as-needed dose — the highest we have seen
You cannot buy it here; you need your own prescriber first
No price published anywhere on the page
No physical address, and licensure is caveated as “subject to change”
Consultation
None — you must obtain a prescription from your own licensed provider first
Delivery
Shipped directly once the prescription is submitted
Billing
None. There is no plan and nothing recurring.
Cancelling
Not applicable — no subscription exists
Ingredients
Tadalafil, Apomorphine
Doses published
Tadalafil 40 mg / apomorphine 6 mg per troche
Our rating
4.0 / 5
From
Not shown
no price published; you order against a prescription rather than buying a plan
Read full review of Empower Tadalafil / Apomorphine Troche Visit site — Empower Tadalafil / Apomorphine Troche
Not a paid link. Page audited July 2026.
11
Eroxon ED Treatment Gel
The first ED treatment cleared to sell without a prescription — and the only one here with no nitrate problem
Best for: Men who cannot take PDE5 inhibitors, especially anyone on nitrates
What is good
No PDE5 inhibitor, so the nitrate interaction that rules out every pill here does not apply to it
FDA-cleared and sold over the counter — no intake form, no prescriber, no subscription
Works in about ten minutes, faster than any pill on this site
No systemic side effects: no headache, no flushing, no blocked nose
One flat retail price you can see before you buy, and it is FSA/HSA eligible
Made by Haleon, a large consumer health company with a traceable corporate identity
What is not
Works for fewer men than pills do — the company's own figure is “over 60%”
The page tells you to try it three or four times before judging, which concedes the first go often does not work
About $7 a use, so heavy users pay more than they would for generic sildenafil
Being sold without a prescription means nobody screens you for the heart disease that ED often signals
Needs a partner or foreplay to work with — it is not a take-and-wait product
Consultation
None — sold over the counter, no prescription needed
Delivery
Off the shelf, or standard retail delivery
Billing
None. You buy a box
Cancelling
Nothing to cancel
Ingredients
MED3000 (drug-free volatile gel)
Doses published
One single-use tube per occasion; no drug, so no strength to state
Our rating
4.0 / 5
From
$25 a pack
roughly $25–30 for a four-tube pack at CVS and Target, so about $7 a use; FSA/HSA eligible
Read full review of Eroxon ED Treatment Gel Visit site — Eroxon ED Treatment Gel
Not a paid link. Page audited August 2026.
12
BlueChew Gold
Four ingredients, three strengths, and the best safety information we found
Best for: Readers who want the risks spelled out before they buy
What is good
The most complete safety information of any service we audited
Explains why nitrates are dangerous rather than just naming them
Publishes doses for all three strength tiers
Priapism and the four-hour rule appear twice, including a dedicated safety section
Compounded and not-FDA-approved status stated prominently and repeatedly
What is not
No price anywhere on the landing page
No cancellation terms on the landing page
The top tier stacks doses above either drug's approved maximum
Celebrity endorsements with no visible compensation disclosure
Consultation
Medical profile reviewed by a licensed doctor, usually within 24 hours
Delivery
Ships within 24 hours of approval
Billing
Plan-based; terms not shown on the landing page
Cancelling
Not stated on the landing page
Ingredients
Sildenafil, Tadalafil, Apomorphine, Oxytocin
Doses published
Three tiers — sildenafil 70–110 mg, tadalafil 18–22 mg, apomorphine 2–4 mg, oxytocin 160–240 IU
Our rating
3.9 / 5
From
Not shown
not shown on the landing page we audited
Read full review of BlueChew Gold Visit site — BlueChew Gold
Not a paid link. Page audited July 2026.
13
Sesame ED consultation
A real video visit with a doctor you choose, no subscription, and the lowest per-tablet prices we found
Best for: Men who want an actual consultation rather than a questionnaire
What is good
A genuine video consultation, not a form scored by software
You choose the clinician, with ratings and the price shown before you book
No subscription of any kind — pay per visit
The cheapest medication in this comparison: tadalafil from $18.50 for 30 tablets
Explains the nitrate interaction and its consequences — fainting, heart attack, stroke
Names its medical reviewer on the page, which no other service does
Sells FDA-approved generics, all four PDE5 inhibitors including avanafil
Says openly that ED may be a warning sign of heart disease
What is not
No priapism or four-hour erection warning anywhere on the page
Side effects are mentioned only in passing and described as “usually temporary”
No warning about sudden vision or hearing loss
No dedicated safety information section
Doses are not systematically listed
Consultation
A roughly 15-minute video visit with a licensed provider you pick yourself, with ratings and prices shown before you book
Delivery
Same-day appointments available; prescription sent to your pharmacy
Billing
None — you pay per visit
Cancelling
Not applicable; there is no plan to cancel
Ingredients
Sildenafil, Tadalafil, Vardenafil, Avanafil
Doses published
Not fully listed; 100 mg sildenafil and 5 mg tadalafil appear in pricing
Our rating
3.9 / 5
From
$34 a visit
from $34 for a video visit, then $15–$18.50 for a 10–30 tablet supply of generics
Read full review of Sesame ED consultation Visit site — Sesame ED consultation
Not a paid link. Page audited July 2026.
14
Hard Mints
The category's biggest advertiser, with the best safety writing and no published dose
Best for: Men who want a large, established company and do not mind not knowing the strength
What is good
The best safety information of any service in this comparison, and it is linked from every product tile rather than hidden
States plainly and repeatedly that compounded products are not FDA approved
Also sells plain FDA-approved generic sildenafil and tadalafil, from $22/mo
LegitScript certified, and a large company with a real corporate address
No insurance needed, free shipping, provider messaging included
What is not
No dose published anywhere — for a compounded product with no reference label, that is the important omission
The storefront does not say which drug is in a Hard Mint; only the safety page reveals it is tadalafil, vardenafil, or both
Every price carries an asterisk and depends on the plan you pick
Cancellation terms are not stated before you buy
Consultation
Free online assessment reviewed by a licensed provider
Delivery
Not stated on the page
Billing
Subscription, with plan length affecting the price
Cancelling
Not stated on the landing page
Ingredients
Tadalafil, Vardenafil
Doses published
No — not stated on the page
Our rating
3.7 / 5
From
$30/mo
from $30/mo for Hard Mints; the page also advertises “as low as $2/dose”, and generic sildenafil starts at $22/mo
Read full review of Hard Mints Visit site — Hard Mints
Not a paid link. Page audited August 2026.
15
Kare Sildenafil Citrate Rapid Dissolve Tablet
Textbook clinical safety copy, five published strengths, and the dietary supplement disclaimer on a prescription drug
Best for: Men who already have a prescriber and want a compounding pharmacy that documents the drug properly
What is good
The only page in this comparison that gives side effects with frequency bands — “Very common (more than 1 in 10): headache”, “Common (1–10 in 100)”, “Uncommon (1–10 in 1,000)” — which is how a patient leaflet does it
Names riociguat alongside nitrates, and gives the same consequence for both: dangerous drops in blood pressure
States the four-hour rule and then says plainly that it “is a medical emergency”
Publishes a real exclusion list: severe heart or liver problems, very low blood pressure, recent stroke or heart attack, retinitis pigmentosa, and allergy to sildenafil
Names tamsulosin as an example alpha-blocker, and flags grapefruit and alcohol as things that lower blood pressure further
Names sudden loss of vision or hearing, chest pain and shortness of breath as the rare serious effects
Publishes all five available strengths rather than hiding them behind “personalised”
Publishes a street address in Danville, Virginia and carries a LegitScript approval with a verification link
No testimonials, no scarcity language and no urgency of any kind
What is not
Uses the dietary supplement disclaimer on a prescription drug — “not intended to diagnose, treat, cure, or prevent any disease” is the wrong instrument entirely for compounded sildenafil
No price at all: “Sign in to see instant pricing” puts the cost behind an account
The 115 mg strength is above the 100 mg maximum of approved oral sildenafil, and the page does not remark on it
Does not say whether it prescribes or whether you must bring your own prescriber
No subscription or cancellation terms, and the refund policy is linked rather than summarised
No pharmacy licence number, and no section 503A or 503B reference to say which kind of compounder it is
Consultation
Prescription required; the page does not say whether Kare prescribes or whether you must bring your own prescriber
Delivery
Not stated on the page
Billing
Not stated on the page; a refill request and transfer form are offered
Cancelling
No terms on the page; a refund policy is linked but not summarised
Ingredients
Sildenafil
Doses published
Sildenafil 17, 36, 60, 80 or 115 mg
Our rating
3.4 / 5
From
Not shown
no price anywhere on the page — it reads “Sign in to see instant pricing”, so the cost is behind an account
Read full review of Kare Sildenafil Citrate Rapid Dissolve Tablet Visit site — Kare Sildenafil Citrate Rapid Dissolve Tablet
Not a paid link. Page audited August 2026.
16
Eddie by Giddy
A sized constriction device for men who keep the erection but cannot hold it
Best for: Men whose problem is losing the erection rather than getting one
What is good
No drug, so no nitrate interaction and no systemic side effects
Bought once at $188 rather than billed monthly — cheaper than most subscriptions within a year
Sized to girth instead of one-size-fits-all, and resizing is free
The U-shape is designed to leave the urethra uncompressed, unlike a plain ring
Works alongside pills, and for men whose pills only half work
30-day money-back guarantee stated plainly
What is not
“FDA Class II” is a risk category, not an approval, and the page uses it as a badge
Says it was “validated through clinical trials” without naming or linking one
Only addresses keeping an erection — it does nothing for a man who cannot get one
Heavy on testimonials, which are the least reliable evidence there is
$188 up front, and opened devices are exchanged rather than refunded
There is a real learning curve, which the reviews on their own page mention repeatedly
Consultation
None — sold direct, no prescription
Delivery
Standard retail shipping
Billing
None. A single purchase
Cancelling
30-day money-back guarantee; opened products are replaced in another size rather than refunded
Ingredients
No drug — a physical constriction device
Doses published
Not applicable; sized to penis girth rather than dosed
Our rating
3.4 / 5
From
$188 one-time
$188 for the device, bought once; no refills and no subscription
Read full review of Eddie by Giddy Visit site — Eddie by Giddy
Not a paid link. Page audited August 2026.
17
ZipHealth generic tadalafil
Publishes four strengths and the real price, and not one word about nitrates
Best for: Men who want plain FDA-approved generic tadalafil with the dose and price stated up front
What is good
Publishes all four strengths — 2.5, 5, 10 and 20 mg — so you can see what you are choosing before you start
Shows the regular price struck through beside the discounted one, and states the per-tablet figure, so the discount is checkable rather than asserted
Sells FDA-approved generic tadalafil and represents its approval status accurately, rather than implying approval for a compounded blend
Names the prescribers: a board-certified physician and a board-certified nurse practitioner, both listed on the page
Publishes a physical address and a DUNS number, and carries a LegitScript seal
Side-effect list includes low blood pressure and abnormal vision, which most pages omit
No countdown timer, no expiring-offer language and no manufactured scarcity
What is not
No nitrate warning anywhere on the page — the single most important omission for this drug
No priapism or four-hour erection warning
No heart disease or blood pressure warning, despite listing low blood pressure as a side effect
No cancellation, billing or refund terms of any kind
Testimonials are labelled “verified” but carry no disclosure about whether they are typical or solicited
No pharmacy name or licence number, so the dispensing pharmacy cannot be looked up
Consultation
About a two-minute online consultation reviewed by a US-based medical team, with the physician and nurse practitioner named on the page
Delivery
Not stated on the page
Billing
Not stated on the page either way
Cancelling
No cancellation, billing or refund terms published
Ingredients
Tadalafil
Doses published
Tadalafil 2.5, 5, 10 or 20 mg
Our rating
3.3 / 5
From
$45 a pack
$45 for 30 tablets with the NEW25 new-customer code, $60 without — $1.50 and $2.00 a tablet; the advertised “from $0.94” is the floor on a larger pack
Read full review of ZipHealth generic tadalafil Visit site — ZipHealth generic tadalafil
Not a paid link. Page audited August 2026.
18
CareFirst Compounded Sildenafil
The only one you can actually verify — accredited, licensed, and it publishes the numbers to check
Best for: Men who already have a prescription and want a pharmacy they can look up
What is good
PCAB-accredited, .Pharmacy verified, and a member of PCCA and IACP
Names its licensing body — the New Jersey Board of Pharmacy — which nobody else does
Publishes a full physical address and an NCPDP number you can look up
Lists nitroglycerin among its contraindications, and the four-hour and painful erection warnings
Extensive cardiac history list: prior heart attack, stroke, chest pain during sex, high or low blood pressure
Discloses the $19.95 refrigerated shipping charge rather than surprising you with it
One drug, not a stack
What is not
No strengths shown on the page, so you cannot see what doses exist
Says the product is compounded but carries no FDA statement
The nitrate line names the drug without explaining what the interaction does
Vision and hearing changes are listed as ordinary side effects rather than emergencies
No refund terms published
Consultation
None — you transfer or send an existing prescription, or your prescriber sends it directly
Delivery
Not stated; shipped refrigerated
Billing
None. You order against a prescription.
Cancelling
No refund terms published
Ingredients
Sildenafil
Doses published
No — not stated on the page
Our rating
3.1 / 5
From
$53 a pack
from $52.95, plus a disclosed $19.95 per order for refrigerated shipping
Read full review of CareFirst Compounded Sildenafil Visit site — CareFirst Compounded Sildenafil
Not a paid link. Page audited July 2026.
19
Shameless Duo
81 mg of sildenafil and 12 mg of tadalafil in one troche, and it tells you so
Best for: Nobody starting out — the doses are published, and they are the reason to be careful
What is good
Publishes both doses precisely — 81 mg sildenafil and 12 mg tadalafil
States clearly, and more than once, that compounded medications are not and cannot be FDA approved
Gives the beyond-use date, which almost no compounded seller does
Sold as packs rather than an auto-renewing subscription
Explains the sublingual route and why it claims faster absorption
What is not
Two PDE5 inhibitors in one dose, both near their individual maximums
No nitrate warning on the page, for a product containing two vasodilators
No four-hour rule and no cardiac screening language
About $7 to $11 a dose, against $1.99 for an FDA-approved generic
Markets the high dose as the selling point — “far more powerful than standard generics”
Consultation
Telemedicine consultation
Delivery
Not stated on the page
Billing
Sold in packs of 12 or 24
Cancelling
Not stated on the audited page
Ingredients
Sildenafil, Tadalafil
Doses published
Sildenafil 81 mg, tadalafil 12 mg per troche
Our rating
3.1 / 5
From
$130 a pack
$130 for 12 troches or $170 for 24 — about $10.83 and $7.08 a dose
Read full review of Shameless Duo Visit site — Shameless Duo
Not a paid link. Page audited August 2026.
20
Ro Sparks
Sildenafil and tadalafil in a fast-dissolving tablet from a large platform
Best for: Men who want an established company and a low first-order price
What is good
States clearly that it is compounded and not FDA-approved
Links to a full Important Safety Information page
Largest and most established operator of the five, with a licensed US pharmacy
Lowest advertised entry price of the five
LegitScript certified
What is not
No nitrate warning on the landing page itself
No priapism or four-hour warning on the landing page
Does not publish the doses
No cancellation terms on the landing page
The $28 figure is a first-order discount, not the ongoing cost
Consultation
About a 20-minute intake, reviewed by a licensed provider in roughly 24 hours
Delivery
4–7 days
Billing
Described on the page as a recurring plan
Cancelling
Not stated on the landing page
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
3.0 / 5
From
$28/mo
first order with the $20 new-patient discount; $48 thereafter
Read full review of Ro Sparks Visit site — Ro Sparks
Not a paid link. Page audited July 2026.
21
Ro Daily Rise Gummies
A daily tadalafil gummy at a dose above the approved daily range
Best for: Men who want daily dosing and will not remember a tablet
What is good
Publishes the dose and states repeatedly that it is compounded and not FDA-approved
Both prices are on the page, and cancellation is stated
Only one active ingredient — no stacking
Daily dosing removes the planning problem entirely
Warns against doubling up with other tadalafil within 24 hours
Unlimited follow-ups included in the price
What is not
7 mg is above the 2.5–5 mg range approved for daily tadalafil
No nitrate warning — and on a daily drug there is no washout window at all
No priapism warning, no side effects and no cardiac warning on the page
Roughly three times the cost of generic daily tadalafil
Consultation
Health history reviewed by a licensed provider, usually within 24 hours
Delivery
4–7 days, discreet packaging
Billing
Monthly or quarterly, with unlimited follow-ups included
Cancelling
“You may cancel your plan in your Ro account”
Ingredients
Tadalafil
Doses published
Tadalafil 7 mg daily
Our rating
3.0 / 5
From
$69/mo
$89 a month for 30, or $207 a quarter — about $2.30 a day on the quarterly plan
Read full review of Ro Daily Rise Gummies Visit site — Ro Daily Rise Gummies
Not a paid link. Page audited July 2026.
22
AgeMD Vardenafil Sublingual Troche
Publishes the dose and the FDA status, prices three plans clearly, and puts the safety information behind a link
Best for: Men who specifically want vardenafil and will read the linked safety page before ordering
What is good
Publishes the dose — 25 mg per troche — and the quantity per shipment, which most of this comparison does not
Correct and repeated compounded disclosure: “Not FDA-approved as a finished product” and “Compounded medications are not FDA-approved for safety, efficacy, or quality”
States that compounding is done by an FDA-registered pharmacy, and references LegitScript certification
Three price tiers with the billing frequency printed against each, so the commitment is visible rather than buried
Offers vardenafil, which fewer services carry than sildenafil or tadalafil
No countdown timers and no manufactured scarcity
What is not
No safety information on the page at all — no nitrate warning, no four-hour rule, no side-effect list and no cardiac prompt; it all sits behind a “Full Safety Information” link
25 mg per troche is above the 20 mg maximum single dose of approved oral vardenafil, and the page does not explain why the sublingual figure differs
The shortest plan available is three months — there is no month-to-month option and no cancellation terms published
No refund policy anywhere on the page
Testimonials are labelled “Verified customer” with no disclosure, and several carry women's names on a product sold for erectile dysfunction
No physical address and no named dispensing pharmacy
Consultation
A one-minute form and a free consultation, with the product available by prescription following physician consultation to eligible members
Delivery
Not stated on the page
Billing
Quarterly, semi-annual or annual billing — the shortest commitment offered is three months
Cancelling
No cancellation or refund terms published on the page
Ingredients
Vardenafil
Doses published
Vardenafil 25 mg per troche
Our rating
2.8 / 5
From
$74/mo
$74 a month billed annually, $81 billed semi-annually, or $89 billed quarterly — ten 25 mg troches a shipment, so about $7.40 to $8.90 a dose; there is no month-to-month option
Read full review of AgeMD Vardenafil Sublingual Troche Visit site — AgeMD Vardenafil Sublingual Troche
Not a paid link. Page audited August 2026.
23
WebDoctors ED consultation
The most expensive consultation in this comparison, with a safety section that is brief but real
Best for: Men who want a board-certified doctor, no subscription, and their own pharmacy
What is good
Names the nitrate interaction and gives the consequence — “avoid combining with nitrates (dangerous blood pressure drops)”
Lists common side effects and, unusually, separates out the serious ones: “rare cases of hearing or vision loss, priapism”
Names hearing and vision loss at all, which most pages in this comparison omit entirely
“No monthly subscription — only pay per visit”, stated plainly before you buy
Sells FDA-approved medication and says so accurately rather than implying approval for something unapproved
Publishes a full street address — 6823 Kingery Hwy, Willowbrook, IL — and carries a LegitScript seal
Sends the prescription to your own pharmacy, so you can shop the generic price yourself
American board-certified physicians, reachable in under an hour
What is not
$79.95 is the highest consultation fee in this comparison, and it does not include the medication
Publishes no dose for any of the three drugs it names
Priapism is named in a list of serious side effects with no definition, no four-hour threshold and no instruction to seek emergency care
Heart disease appears only as a cause of ED, never as a reason to be careful with the drug
No alpha-blocker warning, and no riociguat
No refund policy anywhere, despite the fee being paid before the consultation
Consultation
Access to an American board-certified physician in less than an hour, with a same-day prescription sent to your pharmacy
Delivery
“Less than 1 hour” to reach a doctor; same-day prescription pickup
Billing
“No monthly subscription — only pay per visit”
Cancelling
Nothing recurring to cancel, but no refund policy is published anywhere
Ingredients
Sildenafil, Tadalafil, Vardenafil
Doses published
No — not stated on the page
Our rating
2.8 / 5
From
$80 a visit
$79.95 per visit with no subscription — the highest consultation fee in this comparison, and the medication is bought separately from your own pharmacy at a cost the page does not state
Read full review of WebDoctors ED consultation Visit site — WebDoctors ED consultation
Not a paid link. Page audited August 2026.
24
Q Care Plus ED treatment
Names poppers, bills through insurance, and will only sell you ED medication if you are already a PrEP patient
Best for: Men already taking PrEP through Q Care — and effectively nobody else
What is good
Names poppers alongside nitrates — “poppers or nitrates should never be used when taking ED medications, as a dangerous drop in blood pressure may occur requiring urgent medical attention” — which only one other service in this comparison manages
Gives the consequence of the interaction rather than only the rule, and says it requires urgent medical attention
Warns that taking more will not work faster and can cause a sustained erection needing emergency care
Bills through insurance, with “most insured patients get everything for $0”
Commits to reviewing any out-of-pocket cost with you before anything ships, rather than charging first
Offers a genuine video visit or a scheduled appointment, not only a questionnaire
Names its clinical leadership with real credentials, including HIV-medicine specialist certification
No countdown timers, no scarcity language and no testimonials to disclose
What is not
ED medication is only available to existing PrEP patients, so most men reading this cannot buy from it at all
No price anywhere on the page, and the $0 claim is conditional on insurance nobody can check in advance
No dose in milligrams for either drug
No side-effect list of any kind
No heart disease, blood pressure or alpha-blocker warning, despite covering the nitrate interaction well
No four-hour figure attached to the prolonged-erection warning
No cancellation or refund terms, and no dispensing pharmacy named
Consultation
An online questionnaire, an on-demand video visit, or a scheduled same-day, next-day, evening or weekend appointment with a licensed provider specialising in sexual health
Delivery
Not stated on the page
Billing
Not stated on the page
Cancelling
No cancellation or refund terms published
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
2.6 / 5
From
Not shown
no price published; the page says “Most insured patients get everything for $0” and that any out-of-pocket cost is reviewed with you by the pharmacy before shipping
Read full review of Q Care Plus ED treatment Visit site — Q Care Plus ED treatment
Not a paid link. Page audited August 2026.
25
Keeps Combo
The lowest doses of any combination product, and the easiest to cancel
Best for: Men who want a cautious first combination and a real refund window
What is good
Publishes its doses — and they are the most conservative of any combination product we have audited
Best cancellation terms of any service here: no fees, cancel anytime, 60-night money-back guarantee with no returns required
Lists common side effects on the page itself
A licensed clinician reviews the consultation before anything ships
No invented testimonials and no manufactured urgency
What is not
No nitrate warning anywhere on the page
No priapism or four-hour erection warning
No heart disease or blood pressure warning
Never states that the product is compounded or that the FDA has not approved this combination
No price on the page, and a footnote concedes the figure shown is a first-order discount
Consultation
Required consultation reviewed by a licensed clinician before shipping
Delivery
Delivered on a one- or three-month cycle
Billing
Monthly or quarterly delivery
Cancelling
Adjust, pause or cancel anytime in the portal, no cancellation fees, plus a 60-night money-back guarantee
Ingredients
Sildenafil, Tadalafil
Doses published
Sildenafil 28 mg, tadalafil 11 mg
Our rating
2.5 / 5
From
Not shown
not shown on the page; a footnote says the price displayed is a first-order discount
Read full review of Keeps Combo Visit site — Keeps Combo
Not a paid link. Page audited July 2026.
26
Push Health ED request
Names the nitrate drugs by name, then stops — no price, no priapism warning, no terms
Best for: Men who already know what they want prescribed and have their own pharmacy
What is good
Names specific nitrate drugs — isosorbide dinitrate and isosorbide mononitrate — rather than just saying “nitrates”, which is more useful to a man reading his own prescription bottle
Gives the consequence of that interaction rather than only the rule
Explains that ED can be an early signal of blood vessel disease and heart disease, which is the single most valuable thing a page in this category can tell a man over 50
Offers four different FDA-approved molecules including avanafil, which is rarer than the usual two
Routes to your own pharmacy, so you can shop the generic price yourself
What is not
No price anywhere on the page — not for the consultation, not for the medication
No four-hour erection warning at all, on a page selling four drugs that can cause priapism
Acknowledges that side effects exist without naming a single one
No subscription, billing or cancellation terms of any kind
Publishes no doses on this page, though its individual drug pages do
Consultation
Written request to a licensed provider through the platform; the page advertises same-day prescriptions
Delivery
“Same-day prescriptions available”, with no further detail given
Billing
Not stated on the page
Cancelling
Not stated on the page
Ingredients
Sildenafil, Tadalafil, Vardenafil, Avanafil
Doses published
No — not stated on the page
Our rating
2.5 / 5
From
Not shown
no price shown on the ED services page we audited
Read full review of Push Health ED request Visit site — Push Health ED request
Not a paid link. Page audited August 2026.
27
Rocket RX Rocket Rise
Gets the compounded and FDA disclosure exactly right, then prices three other products and not this one
Best for: Men who want the regulatory status stated plainly and will chase the price themselves
What is good
Carries the correct compounded disclosure, twice: “The featured products include compounded products which have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs.”
Side-effect list includes low blood pressure and abnormal vision, which most pages in this comparison omit
No countdown timer, no expiring-offer language and no manufactured scarcity
Shows the regular price struck through beside the discounted one — on the products it does price
Publishes a real physical address
A US-licensed clinician reviews the consultation before anything is dispensed
What is not
Publishes no price for the product the page is selling, while pricing three other products on the same page
Publishes no dose in milligrams for either ingredient; the only 20/20 figures are in an order-link product code, not in the copy
No nitrate warning anywhere on the page
No priapism or four-hour erection warning
No heart disease or blood pressure warning, despite listing low blood pressure as a side effect
Six named testimonials with no disclosure of whether they are typical, solicited or compensated
No refund policy, and no statement of whether anything recurs
“Over 80% of people with ED agree that it works” is an unsourced satisfaction claim, not efficacy data
Consultation
Two-minute online consultation, prescription from a US-licensed clinician
Delivery
Ships after the prescription is issued
Billing
Not stated on the page either way
Cancelling
No cancellation, refund or billing terms published
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
2.2 / 5
From
Not shown
no price for this product anywhere on the page; three other products on the same page are priced, which is what the earlier audit mistakenly recorded here
Read full review of Rocket RX Rocket Rise Visit site — Rocket RX Rocket Rise
Not a paid link. Page audited August 2026.
28
Rugiet Ready
A three-drug troche sold on a claim its own page cannot support
Best for: Few men, on the strength of this page
What is good
Correct and prominent disclosure that compounded drugs are not FDA-approved
A full and honest list of common side effects, including blue-tinted vision
A licensed US physician reviews the assessment
LegitScript certified, and an Important Safety Information page exists
What is not
“3x stronger than generics” is a quantified potency claim with nothing behind it
No nitrate warning, no priapism warning, no cardiac warning on the page
Publishes no doses, despite selling four different strength tiers
No price and no cancellation terms anywhere on the page
Safety information is behind a link rather than in front of the buyer
Consultation
5-minute health assessment reviewed by a licensed US physician
Delivery
4–7 days, unmarked packaging
Billing
Monthly plan in strength tiers; terms not stated on the page
Cancelling
Not stated on the page
Ingredients
Sildenafil, Tadalafil, Apomorphine
Doses published
No — not stated on the page
Our rating
2.2 / 5
From
Not shown
no price on the page; sold in strength tiers with a “buy 2 months, get the 3rd free” offer
Read full review of Rugiet Ready Visit site — Rugiet Ready
Not a paid link. Page audited July 2026.
29
Motivated Hard+ Drive
A four-ingredient chew with no doses and no safety information
Best for: Nobody, on the strength of this page
What is good
Compounded and not-FDA-approved status stated twice
Discloses that testimonial-givers were compensated and results unverified — properly FTC-compliant
Fast turnaround: doctor review quoted at 2 hours
What is not
No nitrate warning, no priapism warning, no side effects, no cardiac warning
Publishes no doses at all for any of the four ingredients
The “free month” requires signing up to a quarterly plan
No cancellation or refund terms on the page
Disclaims responsibility for the clinical decision it is selling
Consultation
2-minute quiz reviewed by a US-licensed doctor within 2 hours
Delivery
Free 2-day shipping
Billing
Quarterly plan required for the advertised free month
Cancelling
Not stated on the landing page
Ingredients
Sildenafil, Tadalafil, PT-141, Oxytocin
Doses published
No — not stated on the page
Our rating
2.1 / 5
From
$69/mo
for 6 tablets — about $11.50 a dose
Read full review of Motivated Hard+ Drive Visit site — Motivated Hard+ Drive
Not a paid link. Page audited July 2026.
30
Hone Health ED treatment
The only service that runs your bloods first — and the page tells you nothing about risk
Best for: Men who want lab work and a physician reviewing it, and will ask the safety questions themselves
What is good
The only service in this comparison that requires blood testing before prescribing
50 biomarkers, reviewed by a licensed physician alongside your history
Correctly describes its tadalafil and sildenafil as FDA-approved generics
Cancellation stated plainly: no commitments, cancel anytime
Every price is published — lab, membership and medication
What is not
No nitrate warning, no priapism warning, no side effects, no cardiac warning — nothing at all
Sells PT-141, which is not FDA-approved for men, with no disclosure of its status
No doses published for any product
Layered pricing: medication is quoted “+ membership”, so the real monthly figure takes working out
The page's promised benefits — sleep, energy, mood, muscle — are testosterone-clinic claims on an ED page
Consultation
50-biomarker blood test, then a licensed physician reviews your labs and health history
Delivery
About 5 days for lab results, then roughly 10 days to the consult
Billing
Membership plus medication, billed monthly
Cancelling
“No commitments. Cancel anytime.”
Ingredients
Tadalafil, Sildenafil, PT-141
Doses published
No — not stated on the page
Our rating
2.1 / 5
From
$50/mo
$25 a month for medication plus a membership from $25 a month, and a $65 lab test to start
Read full review of Hone Health ED treatment Visit site — Hone Health ED treatment
Not a paid link. Page audited July 2026.
31
Modern Wellness Tadalafil / Sildenafil Troches
A real clinic that takes insurance — and charges $199 before telling you if you qualify
Best for: Men in Las Vegas who want an in-person clinic and can use their insurance
What is good
A real clinic with two published Las Vegas addresses and opening hours
Accepts insurance — BCBS, Aetna, United Healthcare, Humana and Optum
Says all patients are evaluated for cardiovascular safety before prescribing
Side-effect list includes the delivery-specific ones: oral irritation, tingling, metallic taste
Bought per pack, so nothing recurs
What is not
You pay first: “purchasing this product initiates the consultation process”, and a prescription is not guaranteed
No refund policy published anywhere, which is the problem that makes the above serious
About $25 a dose at the entry tier — the most expensive per dose in this comparison
Publishes no doses for either ingredient
Says the product is compounded but carries no FDA disclaimer
No priapism warning and no vision or hearing loss warning
Consultation
Required, but it starts only after you have paid — and a prescription is not guaranteed
Delivery
Not stated; telehealth available statewide in Nevada
Billing
Bought per pack rather than as a subscription
Cancelling
No refund or cancellation terms published
Ingredients
Tadalafil, Sildenafil
Doses published
No — not stated on the page
Our rating
1.9 / 5
From
$199 a pack
$199 for 8 troches, $249 for 16, $299 for 24 — about $25 a dose at the entry tier
Read full review of Modern Wellness Tadalafil / Sildenafil Troches Visit site — Modern Wellness Tadalafil / Sildenafil Troches
Not a paid link. Page audited July 2026.
32
ZipHealth MAXX Chews
Says it is compounded, then explains the FDA away in the same sentence — and never shows a price
Best for: Nothing we can identify from this page
What is good
Does use the word compounded and does say the product is not FDA-approved, which several competitors selling compounded products avoid entirely
Side-effect list includes low blood pressure and abnormal vision, which most pages in this comparison omit
Names both active ingredients rather than hiding them behind a proprietary blend
Publishes a corporate address and DUNS number
A US-licensed clinician reviews the consultation before anything is dispensed
No countdown timer and no expiring-offer language
What is not
No price anywhere on the page — it advertises 25% off without ever saying off what
The compounded disclosure argues against itself in the same sentence, offering “approved by registered healthcare professionals” as consolation for the FDA
Publishes no dose for either ingredient; the only figures are in an order-link product code
No nitrate warning, on a two-drug product containing tadalafil
No priapism or four-hour erection warning
No heart disease or blood pressure warning, despite listing low blood pressure as a side effect
Fourteen named testimonials with no disclosure about whether results are typical or reviewers were compensated
No refund policy and no statement of whether anything recurs
Consultation
“Answer a confidential online consultation in just 2 minutes”, then “Get a free prescription from a US-licensed clinician”
Delivery
Not stated on the page
Billing
Not stated on the page either way
Cancelling
No cancellation, billing or refund terms published
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
1.9 / 5
From
Not shown
no price anywhere on the page — only a “25% off for new customers” code with nothing to apply it to
Read full review of ZipHealth MAXX Chews Visit site — ZipHealth MAXX Chews
Not a paid link. Page audited August 2026.
33
Mt. Everest RDT
A three-ingredient compounded tablet at $3 a dose, sold with no safety information at all
Best for: Nothing we can identify from this page
What is good
States plainly that the formulation is compounded, which several competitors selling compounded products do not
Names all three active ingredients rather than hiding them behind a brand name
At an advertised $3 a tablet it is far cheaper per dose than most compounded multi-ingredient products in this comparison
A licensed provider reviews the request before anything is dispensed
Offers a plain generic sildenafil and tadalafil alongside the branded blend, so the expensive option is not the only one
What is not
Not one word of safety information on either page we read — no nitrate warning, no four-hour rule, no side effects, no cardiac prompt
Says the product is compounded but never says that compounded drugs are not FDA-approved
Contains PT-141, which is approved only for premenopausal women and is off-label in men — a fact the page does not mention
Publishes no dose in mg for any of the three ingredients, and sells a “MAX” strength without saying what either strength is
“As low as $3 / Tbl” with no pack size, plan term or renewal price attached
No billing or cancellation terms on the page
Consultation
“A licensed Nu Image Medical provider will review your goals and help you decide if Mt. Everest® fits your plan”
Delivery
Not stated on the page
Billing
Not stated on the page
Cancelling
Not stated on the page; policy pages are linked but not summarised
Ingredients
Tadalafil, Oxytocin, PT-141
Doses published
No — not stated on the page
Our rating
1.6 / 5
From
$3 a pill
“As low as $3 / Tbl” — the only figure published, with no pack size, dose count, plan term or renewal price anywhere on the page
Read full review of Mt. Everest RDT Visit site — Mt. Everest RDT
Not a paid link. Page audited August 2026.
34
24hrdoc ED consultation
A prescription for four vasodilators in forty-five minutes, and not one word about when they are dangerous
Best for: Men who already know exactly what they need and are buying speed, not advice
What is good
Publishes a full street address, a phone number and an email — 24hrdoc LLC, 3050 Post Oak Blvd, Houston, TX 77056 — which most of the weaker pages in this comparison do not
One flat, clearly stated consultation fee of $39.99 with no subscription attached to it
Offers all four approved oral drugs including avanafil, which fewer services carry
A licensed provider reviews the assessment before anything is prescribed
A refund policy exists and is linked
No countdown timers and no manufactured scarcity
What is not
No safety information of any kind — no nitrate warning, no four-hour rule, no side effects, no cardiac or blood pressure prompt
Sells speed as the product: a five-minute assessment and a prescription in forty-five minutes, with nothing on the page to slow down a man who should not be taking these
Publishes no dose for any of the four drugs it offers
The $39.99 covers the consultation only — the medication cost appears nowhere
No subscription or cancellation terms, and the refund policy is linked rather than summarised
No dispensing pharmacy named and no licence number
Consultation
A five-minute online assessment reviewed by a licensed provider, with a prescription quoted within 45 minutes
Delivery
“Prescription within 45 minutes”
Billing
Not stated on the page
Cancelling
No terms on the page; a refund policy is linked but not summarised
Ingredients
Sildenafil, Tadalafil, Vardenafil, Avanafil
Doses published
No — not stated on the page
Our rating
1.6 / 5
From
$40 a visit
$39.99 for the consultation; the medication is dispensed separately and its cost is not stated anywhere on the page
Read full review of 24hrdoc ED consultation Visit site — 24hrdoc ED consultation
Not a paid link. Page audited August 2026.
35
MaxRx ED treatment
Prices, a quiz, and not one word about what the medication can do to you
Best for: Nobody, on the strength of this page
What is good
Prices are published, with per-day equivalents
A licensed provider reviews the quiz before anything is dispensed
Unlimited provider messaging included
LegitScript verified
What is not
No nitrate warning, no priapism warning, no side effects, no cardiac warning — nothing at all
Sells a dual-ingredient dissolvable tablet with no statement of what is in it
No compounded or FDA disclosure despite offering a combination product
No doses for any product
No subscription or cancellation terms
Only a city — Miami, FL — with no street address or pharmacy licence
Consultation
Quiz answers reviewed by a licensed provider
Delivery
Not stated; discreet delivery from US pharmacies
Billing
Not stated on the page
Cancelling
Not stated on the page
Ingredients
Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
1.4 / 5
From
$43/mo
$42.99 for its dual-ingredient tablet; sildenafil $62.99 and tadalafil $53.99, quoted at roughly $1.79–$2 a day
Read full review of MaxRx ED treatment Visit site — MaxRx ED treatment
Not a paid link. Page audited July 2026.
36
Invigor Medical ED treatments
Injections, orals and peptides described in a video, with no prices and almost no warnings
Best for: Men who want injections and will get their safety information elsewhere
What is good
Offers injectable trimix, which has a high success rate in men who fail oral medication and is under-offered generally
Volunteers that PT-141 is “FDA-approved for women for low libido” — an accurate disclosure about approved population that a direct competitor selling the same peptide omits entirely
Defines priapism correctly as an erection longer than four hours, and states an antidote exists
Warns against combining injections with oral medication, which is a real interaction and a sensible thing to raise
States that treatments require a clinical evaluation and are prescribed by licensed providers
What is not
No prices anywhere on the page — for anything
No nitrate warning, on a page selling both tadalafil and injectable vasodilators
No cardiac or blood pressure prompt, and no mention of alpha-blockers
No side effect list for any of the five products named
Frames priapism reassuringly — “we have a safety precaution for them” — rather than as an emergency requiring urgent care
No doses in mg for anything, including trimix, where the concentration is the whole prescription
No billing, subscription or cancellation terms
Consultation
“You can call in, chat in, with our treatment specialists”; treatments “require a clinical evaluation and are prescribed by licensed medical providers”
Delivery
Not stated on the page
Billing
Not stated on the page
Cancelling
Not stated on the page
Ingredients
Trimix, Sildenafil, Tadalafil, PT-141, Oxytocin
Doses published
No — not stated on the page
Our rating
1.2 / 5
From
Not shown
no price of any kind on the page we audited
Read full review of Invigor Medical ED treatments Visit site — Invigor Medical ED treatments
Not a paid link. Page audited August 2026.
37
MEDVi QUAD
Four ingredients, a guaranteed outcome, and no safety information at all
Best for: Nothing we can identify
What is good
If you do not qualify, you are not charged
What is not
Discloses nothing about nitrates, priapism, side effects or cardiac risk
Never states that the product is compounded or that the FDA has not approved it
“Peak rigidity guaranteed” — an outcome guarantee on a medical product
No doses published for any of four ingredients
Unsubstantiated “Verified Results from 50,000+ Men”
Most expensive of the five at $114 a month
Consultation
3-minute intake, approval quoted within 24 hours
Delivery
Discreet delivery in unmarked packaging
Billing
Monthly subscription
Cancelling
“Cancel anytime” asserted; no terms given
Ingredients
PT-141, L-citrulline, Sildenafil, Tadalafil
Doses published
No — not stated on the page
Our rating
0.9 / 5
From
$114/mo
per month, anchored against a $179 “retail” figure
Read full review of MEDVi QUAD Visit site — MEDVi QUAD
Not a paid link. Page audited July 2026.

Side by side

The same information in one place, if you would rather scan than read.

Online ED clinics compared on rating, price, consultation type and cancellation terms
Service	Rating	From	Consultation	Cancelling	Best for
CoreAge Rx 4PLAY	4.8	$114/mo	Online health questionnaire reviewed by a US board-certified physician, feedback in about 24 hours	Auto-refill is opt-in rather than automatic; refunded if a provider declines you	Men who want a combination product and refuse to be locked into a subscription
Lemonaid Health	4.5	$2 a pill	Health questionnaire including a recent blood pressure reading, reviewed by the clinical team; video visit required in some states	Cancellation and refund policies are published, though linked rather than on the page	Men who want online convenience without giving up a real screen
CNL Med ED consultation	4.3	$65 a visit	Virtual consult by message or phone through the Push Health platform, 9am to 9pm daily	Nothing recurring to cancel, and you are not charged unless a prescription is issued	Men who want a prescription for ordinary generics and refuse to be enrolled in anything
PlushCare tadalafil consultation	4.3	$20/mo	A video appointment with a board-certified doctor, same-day availability seven days a week	“Cancel anytime”, with no process described; a full refund is promised if they cannot treat you	Men who want a real doctor's appointment, can use insurance, and want the contraindications spelled out
Vybrique (sildenafil) oral film	4.3	$8 a dose	Prescription required from your own prescriber	Nothing to cancel	Men who want a fast-dissolving form with an actual FDA label behind it
BosleyRx 2:1 Sildenafil + Tadalafil Blend	4.2	$7 a pill	Consultation with a licensed medical provider to determine suitability, arranged through the site	Notification before every shipment, and auto-shipments can be cancelled or adjusted in the patient portal or by phone on (877) 352-1906	Men who want a two-drug blend and expect to be told what is in it and how to stop it
Rex MD	4.1	$2 a pill	Free online consultation reviewed by a US-licensed provider who prescribes if appropriate	Not stated on the page	Almost anyone starting ED treatment online
Generic sildenafil and tadalafil	4.1	$2 a pill	Free online consultation, no in-person visit	A “Cancel Subscription” page is linked in the footer; 60-day money-back guarantee advertised	Men who want the lowest honest price on a real generic
Provn+ Fusion	4.0	$41/mo	3-minute written intake reviewed by a US-licensed physician	Month-to-month, no long-term commitment — stated on the page	Men who want to know exactly what they are taking
Empower Tadalafil / Apomorphine Troche	4.0	Not shown	None — you must obtain a prescription from your own licensed provider first	Not applicable — no subscription exists	Men already under a doctor's care who need a compounded formulation filled
Eroxon ED Treatment Gel	4.0	$25 a pack	None — sold over the counter, no prescription needed	Nothing to cancel	Men who cannot take PDE5 inhibitors, especially anyone on nitrates
BlueChew Gold	3.9	Not shown	Medical profile reviewed by a licensed doctor, usually within 24 hours	Not stated on the landing page	Readers who want the risks spelled out before they buy
Sesame ED consultation	3.9	$34 a visit	A roughly 15-minute video visit with a licensed provider you pick yourself, with ratings and prices shown before you book	Not applicable; there is no plan to cancel	Men who want an actual consultation rather than a questionnaire
Hard Mints	3.7	$30/mo	Free online assessment reviewed by a licensed provider	Not stated on the landing page	Men who want a large, established company and do not mind not knowing the strength
Kare Sildenafil Citrate Rapid Dissolve Tablet	3.4	Not shown	Prescription required; the page does not say whether Kare prescribes or whether you must bring your own prescriber	No terms on the page; a refund policy is linked but not summarised	Men who already have a prescriber and want a compounding pharmacy that documents the drug properly
Eddie by Giddy	3.4	$188 one-time	None — sold direct, no prescription	30-day money-back guarantee; opened products are replaced in another size rather than refunded	Men whose problem is losing the erection rather than getting one
ZipHealth generic tadalafil	3.3	$45 a pack	About a two-minute online consultation reviewed by a US-based medical team, with the physician and nurse practitioner named on the page	No cancellation, billing or refund terms published	Men who want plain FDA-approved generic tadalafil with the dose and price stated up front
CareFirst Compounded Sildenafil	3.1	$53 a pack	None — you transfer or send an existing prescription, or your prescriber sends it directly	No refund terms published	Men who already have a prescription and want a pharmacy they can look up
Shameless Duo	3.1	$130 a pack	Telemedicine consultation	Not stated on the audited page	Nobody starting out — the doses are published, and they are the reason to be careful
Ro Sparks	3.0	$28/mo	About a 20-minute intake, reviewed by a licensed provider in roughly 24 hours	Not stated on the landing page	Men who want an established company and a low first-order price
Ro Daily Rise Gummies	3.0	$69/mo	Health history reviewed by a licensed provider, usually within 24 hours	“You may cancel your plan in your Ro account”	Men who want daily dosing and will not remember a tablet
AgeMD Vardenafil Sublingual Troche	2.8	$74/mo	A one-minute form and a free consultation, with the product available by prescription following physician consultation to eligible members	No cancellation or refund terms published on the page	Men who specifically want vardenafil and will read the linked safety page before ordering
WebDoctors ED consultation	2.8	$80 a visit	Access to an American board-certified physician in less than an hour, with a same-day prescription sent to your pharmacy	Nothing recurring to cancel, but no refund policy is published anywhere	Men who want a board-certified doctor, no subscription, and their own pharmacy
Q Care Plus ED treatment	2.6	Not shown	An online questionnaire, an on-demand video visit, or a scheduled same-day, next-day, evening or weekend appointment with a licensed provider specialising in sexual health	No cancellation or refund terms published	Men already taking PrEP through Q Care — and effectively nobody else
Keeps Combo	2.5	Not shown	Required consultation reviewed by a licensed clinician before shipping	Adjust, pause or cancel anytime in the portal, no cancellation fees, plus a 60-night money-back guarantee	Men who want a cautious first combination and a real refund window
Push Health ED request	2.5	Not shown	Written request to a licensed provider through the platform; the page advertises same-day prescriptions	Not stated on the page	Men who already know what they want prescribed and have their own pharmacy
Rocket RX Rocket Rise	2.2	Not shown	Two-minute online consultation, prescription from a US-licensed clinician	No cancellation, refund or billing terms published	Men who want the regulatory status stated plainly and will chase the price themselves
Rugiet Ready	2.2	Not shown	5-minute health assessment reviewed by a licensed US physician	Not stated on the page	Few men, on the strength of this page
Motivated Hard+ Drive	2.1	$69/mo	2-minute quiz reviewed by a US-licensed doctor within 2 hours	Not stated on the landing page	Nobody, on the strength of this page
Hone Health ED treatment	2.1	$50/mo	50-biomarker blood test, then a licensed physician reviews your labs and health history	“No commitments. Cancel anytime.”	Men who want lab work and a physician reviewing it, and will ask the safety questions themselves
Modern Wellness Tadalafil / Sildenafil Troches	1.9	$199 a pack	Required, but it starts only after you have paid — and a prescription is not guaranteed	No refund or cancellation terms published	Men in Las Vegas who want an in-person clinic and can use their insurance
ZipHealth MAXX Chews	1.9	Not shown	“Answer a confidential online consultation in just 2 minutes”, then “Get a free prescription from a US-licensed clinician”	No cancellation, billing or refund terms published	Nothing we can identify from this page
Mt. Everest RDT	1.6	$3 a pill	“A licensed Nu Image Medical provider will review your goals and help you decide if Mt. Everest® fits your plan”	Not stated on the page; policy pages are linked but not summarised	Nothing we can identify from this page
24hrdoc ED consultation	1.6	$40 a visit	A five-minute online assessment reviewed by a licensed provider, with a prescription quoted within 45 minutes	No terms on the page; a refund policy is linked but not summarised	Men who already know exactly what they need and are buying speed, not advice
MaxRx ED treatment	1.4	$43/mo	Quiz answers reviewed by a licensed provider	Not stated on the page	Nobody, on the strength of this page
Invigor Medical ED treatments	1.2	Not shown	“You can call in, chat in, with our treatment specialists”; treatments “require a clinical evaluation and are prescribed by licensed medical providers”	Not stated on the page	Men who want injections and will get their safety information elsewhere
MEDVi QUAD	0.9	$114/mo	3-minute intake, approval quoted within 24 hours	“Cancel anytime” asserted; no terms given	Nothing we can identify

Methodology

How we score these

Published so you can check our work — and so we can be held to it.

Safety disclosure
35%
Does the page tell you what can go wrong before you buy? We look for the nitrate interaction and whether it explains the danger, the four-hour erection rule, a real list of side effects, and whether it raises heart disease and blood pressure.
Product transparency
25%
Does it publish the actual doses of every active ingredient, and does it state that the product is compounded and has not been approved by the FDA?
Commercial clarity
20%
Can you see the real ongoing price, the plan terms and how to cancel — before you hand over health information or a card? Do the marketing claims stand up?
Value
20%
Cost per dose against what the same active ingredients cost as a generic from a licensed pharmacy.

Looking for one particular thing?

The same thirty-one services, ordered by the question you actually came with. Each list says what it is ranking on before it ranks anything.

Best online ED treatments
Ranked on what each service discloses before you buy.
Cheapest ED treatment
Ranked strictly on cost per dose, whatever else we think of them.
Most affordable ED treatment
What you are still paying in month three, after the intro price ends.

Before you sign up with any of them

Tell them about every heart medication you take. ED pills and nitrates together can drop your blood pressure to a dangerous level. This is the one thing that must not be skipped, and an intake form that never asks about it is not a medical intake form.

Online care does not replace a physical. No telehealth service can take your blood pressure or run a cholesterol panel. For a man over 50, ED is often the first sign of vascular disease — so use these for convenience, and still see someone in person.

How to tell a legitimate service from a counterfeit pharmacy

Find a doctor near you

Online ED clinics, compared honestly

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