ED consultation & prescription
A disciplined formulary at the highest consultation price on this page.
Approved components, used conventionally, but with something about the format, the price or the process worth knowing before you buy.
- Price
- $79.95 / visit
- Verdict
- Reasonable with caveats
- Sourcing
- Read at source
- Last checked
- 2 August 2026
Read this first
We are a competitor of the companies reviewed on this page. That is a conflict of interest and you should read everything here with it in mind. What we can offer against it: every factual claim is drawn from the company's own published material and linked, every clinical criticism applies equally to us where it applies, and no assessment on this page is for sale — the one company we carry advertising for, CoreAge Rx, is graded at our lowest tier in its own review, and those placements are labelled wherever they appear.
FDA-approved medicines only, no compounded anything, the prescription sent to your own pharmacy, and the risks published on the page. The most expensive consultation reviewed here, and the money buys something.
What the company states
- What it is
- Brand-name Viagra, Cialis and Levitra plus generics, described as FDA-approved. No compounded product offered.
- Fee
- $79.95 per visit, with no monthly subscription
- Prescribers
- Board-certified physicians
- Consultation
- Conducted by phone or online; the page states prescriptions follow “after speaking with a physician” but does not specify video
- Fulfilment
- An electronic prescription is sent to a pharmacy of your choice for local pickup — no mail shipping
- Risks published
- Nitrates and dangerous blood pressure drops, priapism, and rare hearing or vision loss
- Labs or examination
- None described
Our assessment
Start with what is absent, because it is the most telling thing here. There is no compounded product. No 4-in-1, no sublingual combination, no proprietary formulation with a name. Brand-name Viagra, Cialis and Levitra, plus their generics, and nothing else. In a market where nearly every competitor has built a house formulation, choosing not to is a decision.
The safety information on the page is also better than most. Nitrates and the blood pressure risk, priapism, and the rare hearing and vision events are all named. Set that against 24hrDoc, reviewed above, whose page carried none of it — same category, same kind of service, a materially different standard of disclosure.
The prescription goes to a pharmacy you choose, for local pickup. That means you buy the drug at retail rather than through a captive channel, and at a large chain generic tadalafil runs about a dollar a tablet. It also means no delivery, which is a genuine loss of discretion for some men and worth weighing.
The price is the caveat. At $79.95 this is the most expensive single consultation reviewed on this page — twice 24hrDoc, twice Amazon, and without the insurance route PlushCare offers. It is a one-off rather than a subscription, which is in its favour, but you are paying a premium for the consultation and then paying for the medication on top.
The other thing we could not pin down is what the consultation actually consists of. The page says prescriptions follow after speaking with a physician, which implies a conversation, but it does not say whether that is video, telephone or messaging. Given that the difference between a form and a conversation is the main axis this page grades services on, it is worth asking before you pay.
Reasonable for
- Men who want approved medicines only and no compounded formulation offered to them
- Men who prefer collecting from their own pharmacy and buying the drug at retail
- Men who would rather pay once than enrol in a plan
Not for
- Anyone taking nitrates in any form, including recreational ‘poppers’
- Men who want home delivery — this service does not mail medication
- Men on a budget, for whom a $39 consultation elsewhere buys the same approved drug
- Men who have not had a blood pressure reading or blood work recently
Considering a combination product?
CoreAge Rx 4PLAY combines sildenafil, tadalafil, vardenafil and apomorphine in a single sublingual dose, from $114 / mo, prescribed online.
This is a featured placement, not a result of our assessment — it appears because we placed it, and it is an advertisement for the purposes of how you should read it. 4PLAY is a compounded product, which the FDA does not review for safety, effectiveness or quality, and it contains apomorphine, which is not approved in the United States for erectile dysfunction.
4PLAY by CoreAge Rx
A compounded sublingual combining four active ingredients, prescribed online after a consultation and shipped to your door.
- Sildenafil, tadalafil, vardenafil and apomorphine in one sublingual dose
- ~10 minute typical activation, up to a 36-hour window
- Compounded in the USA, prescribed after an online consultation
- Auto-refill is opt-in; price locks at checkout
This is a featured placement, not a result of our assessment — it appears because we placed it, and it is an advertisement for the purposes of how you should read it. 4PLAY is a compounded product, which the FDA does not review for safety, effectiveness or quality, and it contains apomorphine, which is not approved in the United States for erectile dysfunction.
$114 / mo
4PLAY — four actives, one sublingual dose.
This is a featured placement, not a result of our assessment — it appears because we placed it, and it is an advertisement for the purposes of how you should read it. 4PLAY is a compounded product, which the FDA does not review for safety, effectiveness or quality, and it contains apomorphine, which is not approved in the United States for erectile dysfunction.
Important
The information on this website is provided for general education and does not constitute medical advice, diagnosis, or treatment. Erectile dysfunction can be the first sign of cardiovascular disease, diabetes, or hormonal disorders. Always consult a licensed physician about your individual circumstances, and never start, stop, or change a prescription based on what you read here.
If you want the other thing
A diagnosis, rather than a subscription.
If you have already been assessed and just need a refill, this may serve you well. If nobody has taken your blood pressure in years, that is the appointment to make.