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. Some of the services below are paid partners, marked Partner — we may earn a commission if you sign up through our link. Partners do not receive better ratings, better placement, or advance sight of what we write. How we make money.
CoreAge Rx 4Play
Three PDE5 inhibitors plus apomorphine, personally compounded
What being featured does and does not mean. CoreAge Rx pays for this placement, which is why it appears here rather than only in the list below. It has not changed the score — this product is rated 1.6 out of 5 on the same checks as every other service, and our review says plainly where it falls short. How we make money.
The services, ranked
Ranked on the four criteria below. 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.
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
per month on the 3-month plan; $59 month-to-month
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
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
first order with the $20 new-patient discount; $48 thereafter
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
for 6 tablets — about $11.50 a dose
Read full review of Motivated Hard+ DriveVisit site — Motivated Hard+ DriveNot a paid link. Page audited July 2026.
Three PDE5 inhibitors plus apomorphine, personally compounded
Best for: Men who want the widest combination on the market
What is good
- States repeatedly that the product is compounded
- A licensed physician reviews the questionnaire, and some states require a live consultation
- No fake urgency, no countdown timers, no invented testimonials
- Price is shown on the page
- LegitScript certified
What is not
- Combines three PDE5 inhibitors — the most aggressive stack we have audited
- No nitrate warning, no priapism warning, no side effects, no cardiac warning
- No doses published for any of the four ingredients
- Carries the supplement-style FDA disclaimer rather than the compounded-drug one
- No cancellation or refund terms on the page
- Joint most expensive of the six at $114 a month
- 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, no membership fee; no long-term contract mentioned
- Cancelling
- Not stated on the product page
- Ingredients
- Sildenafil, Tadalafil, Vardenafil, Apomorphine
- Doses published
- No — not stated on the page
Our rating
1.6 / 5
From
$114
per month, quoted as “starting at” with no tiers shown
Read full review of CoreAge Rx 4PlayVisit site — CoreAge Rx 4PlayPaid link. We may earn a commission. Page audited July 2026.
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
per month, anchored against a $179 “retail” figure
Side by side
The same information in one place, if you would rather scan than read.
| Service | Rating | From | Consultation | Cancelling | Best for |
|---|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| CoreAge Rx 4PlayPartner | 1.6 | $114/mo | Online health questionnaire reviewed by a US board-certified physician, feedback in about 24 hours | Not stated on the product page | Men who want the widest combination on the market |
| 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.
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