Stop paying $5–$6 a pill.
Pay a flat clinical-evaluation fee. If treatment is appropriate, the provider may send a generic prescription to your local pharmacy. You pay the pharmacy directly — no clinic per-pill markup and no forced subscription.
The pill is cheap. The subscription isn't.
Generic sildenafil and tadalafil have been off-patent for years. At most pharmacies they cost around $15 for 30 tabs in cash. The subscription sites know that — they just bundle a marked-up per-pill price into a recurring charge and count on you not doing the math.
- Marked-up medication baked into the fee
- Recurring charge you have to remember to cancel
- Locked to their pharmacy
- Fill the generic at your own pharmacy
- Often just a few dollars for the medication
- No recurring charge, no per-pill markup
Pay for the evaluation. Skip the subscription.
Both options cover a clinical evaluation. If treatment is medically appropriate, the provider may issue a generic PDE5 prescription for the pharmacy of your choice.
1-Month Evaluation
Get evaluated. If treatment fits, your prescription goes to your local pharmacy.
- Clinical evaluation with a licensed provider
- Prescription decision based on your health history
- If prescribed, sildenafil or tadalafil (generic)
- Prescription sent to the pharmacy of your choice
6-Month Care Plan
Evaluation plus refill review for up to six months. Best value by a mile.
- Everything in the 1-month option
- Refill review for up to six months
- Refills only when clinically appropriate
- No monthly charges, ever
- Request refills through your portal
The $49 and $89 fees cover the clinical evaluation and prescription decision. Payment does not guarantee a prescription, a particular medication or dose, or refills. Medication is purchased separately; generic pricing varies by pharmacy, location, dose, and any discount programs, but is commonly around $15 for 30 tabs.
An evaluation canceled before the appointment occurs is fully refundable. A completed evaluation is a provided clinical service; a decision not to prescribe medication does not, by itself, make it refundable. Full payment terms.
Established options. Individualized care.
Your evaluation helps determine whether an oral ED medication is right for you.
Sildenafil
Generic oral medication
Sildenafil is the active ingredient in Viagra. If it is appropriate for you, your clinician selects the dose and explains how to use it. You fill the prescription at your chosen pharmacy.
Tadalafil
Generic oral medication
Tadalafil is the active ingredient in Cialis. Your clinician can discuss whether it fits your health history and preferences. Medication is purchased separately from the pharmacy.
Oral ED medications are not right for everyone. Tell your clinician about all medicines and supplements you take, and review risks, interactions, and instructions before starting treatment. Individual response varies.
Care that looks at the whole picture.
Plenty of sites will sell you ED pills without asking a single real question. We don't work that way — not because we like paperwork, but because ED is sometimes the first sign of something worth catching early, like a cardiovascular or hormone issue.
- Real evaluation. A provider reviews your health before prescribing.
- Flat provider fee. No subscription and no clinic per-pill markup. If prescribed, you buy the generic separately from your pharmacy.
- Total discretion. Telehealth when appropriate; if prescribed, medication goes to your pharmacy.
- Whole picture. If low testosterone may be part of it, we can evaluate that too.
ED treatment, straight answers.
How does the pricing actually work?
You pay a flat clinical-evaluation fee — $49 for the one-month option or $89 for the six-month care plan. If treatment is medically appropriate, the provider may issue a prescription. Medication is purchased separately at your pharmacy, where generic sildenafil or tadalafil often costs far less than a subscription box. Payment does not guarantee a prescription or refills.
Why is this cheaper than the subscription sites?
Subscription boxes bundle the medication into a recurring charge that often works out to $5 to $6 per pill. Generic sildenafil and tadalafil are inexpensive at many pharmacies — commonly around $15 for 30 tablets cash, and sometimes less with a discount card. We charge for the clinical evaluation and prescription decision; if prescribed, you buy the generic from your pharmacy. No recurring box and no clinic per-pill markup.
What treatments do you offer for ED?
We evaluate whether oral PDE5 medications, such as sildenafil or tadalafil, are appropriate for you. Your provider reviews your health history, current medications, and symptoms before recommending a plan. If oral treatment is not a good fit, we can discuss next steps or an appropriate referral.
Do I have to come in, or can this be done discreetly?
You can be seen in person in Beulaville or evaluated by telehealth while physically located in North Carolina. A live clinical evaluation is required. If treatment is appropriate, the provider may send a prescription to your pharmacy. Some patients may need additional testing or an in-person examination.
Is ED ever a sign of something bigger?
Sometimes, yes. ED can be an early signal of cardiovascular issues, low testosterone, or other conditions — which is why a provider evaluates you rather than just handing over pills. If we spot something worth looking into, we will tell you.
Can I combine ED treatment with TRT?
Often they go together. Low testosterone can contribute to ED, and treating it can help — though not always on its own. If both are in play, we treat the whole picture instead of one symptom.