Four ingredients.
One sublingual formula.
Surfbound Health offers Quattro™ Sublingual, a compounded four-ingredient ED formula, at $69 for a 5-pack, with medication included if prescribed and no membership fee. Packs are billed in full upfront, and nothing is charged unless your medication is approved. Automatic renewal is optional and chosen at checkout. Start online, connect with a licensed provider, and see if it’s a fit.
About 5 minutes to complete your intake.
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Quick answer
Quattro™ Sublingual at a glance
Surfbound Health offers Quattro™ Sublingual at $69 for a 5-pack, with medication included if prescribed and no membership fee, billed in full upfront. Automatic renewal is optional and chosen at checkout. It is a compounded erectile-dysfunction treatment: a sublingual liquid shot that combines three PDE5 inhibitors (sildenafil, tadalafil, and vardenafil) with apomorphine. You complete a short online intake, a licensed provider reviews your health history, and if prescribed, treatment ships discreetly. It is compounded, so it is not an FDA-approved finished drug product.
- Formulation
- Compounded sublingual liquid shot
- Active ingredients
- Sildenafil, tadalafil, vardenafil, apomorphine
- How it is taken
- Held in the mouth (sublingual route)
- Who decides
- A licensed provider reviews your intake
- Starting price
- $69 for a 5-pack
- Regulatory status
- Compounded
The fuller picture
Erections aren’t just about blood flow.
Two signals work together when an erection happens. Increased blood flow, and arousal signaling from the brain. Most familiar ED tablets focus on the blood-flow side. Quattro™ includes ingredients that act on both.
Blood flow
This is the physical side. Blood vessels relax and fill.
Arousal signaling
This is the brain’s side. Dopamine signaling involved in arousal.
Quattro’s four ingredients map to these two signals — a different approach a licensed provider may consider for your situation.
See how the four ingredients map to itMeet Quattro™ Sublingual
Beyond a single ingredient.
A four-ingredient compounded ED formula in a sublingual liquid format. A different option to discuss with your provider.
Blood-flow pathway
These ingredients belong to the PDE5 inhibitor class.
Dopamine signaling
A different ingredient class that acts on dopamine receptors involved in erectile signaling.
Ingredient mechanisms do not establish the effectiveness of the combined formula. Quattro is a compounded medication.
Want the deep clinical detail? Read the Quattro™ Sublingual ingredients, route & safety reference.
Surfbound Health offers Quattro™ Sublingual at $69 for a 5-pack, with medication included if prescribed and no membership fee, billed in full upfront. Automatic renewal is optional and chosen at checkout.
See all Quattro™ plan pricesFour active ingredients in one prescribed formulation.
Sublingual liquid rather than a swallowed tablet.
Multiple existing pack sizes.
Support
Real people behind the screen.
Questions about getting started or your order? Get help from the Surfbound team, not another article telling you to contact support.
Email hello@surfbound.co
New patients (941) 315-5217 · Monday–Friday, 9:00 AM–5:00 PM ET
Existing patients (813) 532-3185 · Monday–Friday, 9:00 AM–5:00 PM MST
Customer support is here for orders and getting started. Medical decisions come from your licensed provider.
How it works
The next part is simple.
Complete your intake.
Answer a few health questions, about five minutes.
A licensed provider reviews your information.
A real clinician reads your history and decides what’s appropriate.
If prescribed, treatment ships discreetly.
Your medication arrives in plain, unmarked packaging.
No charge applies unless your medication is approved.
Common questions
Before you begin
Straight answers to the questions that matter.
You complete a private online intake, about five minutes, and a licensed provider reviews your health history and current medications. If Quattro™ Sublingual is medically appropriate, it is prepared by a licensed compounding pharmacy and shipped discreetly. You don't choose the medication or pack size yourself; your provider decides what's appropriate.
Surfbound Health offers Quattro™ Sublingual at $69 for a 5-pack, with medication included if prescribed and no membership fee, billed in full upfront. Automatic renewal is optional and chosen at checkout. Your price covers the licensed provider review and, if prescribed, your medication and shipping. Sildenafil and tadalafil start at $39. No insurance is required.
Nothing is charged unless your medication is approved.
In most states, no. A licensed provider reviews your online intake and health history, no webcam or phone appointment is usually required.
If prescribed, your medication ships in plain, unmarked packaging. There is no branding on the outside of the box.
Yes. The Surfbound team can help with getting started, your order, and logistics by email or phone during business hours. Medical decisions, including whether treatment is appropriate, come from your licensed provider.
There is no single right answer, it depends on your health history and what you're looking for. Sildenafil is the familiar single-ingredient as-needed tablet, tadalafil offers a longer treatment window, and Quattro™ Sublingual is a four-ingredient compounded liquid shot. Your licensed provider reviews your intake and recommends what's medically appropriate. For the full ingredient, route, and safety breakdown, see the Quattro™ Sublingual reference page.
Nothing is charged unless your medication is approved. Orders are nonrefundable once the pharmacy has processed the item.
Ready when you are.
ED treatment from $69. You are only charged once your medication is approved.
You’ve explored the options.
Your next move starts here.
Explore your options with a licensed provider. Start your private ED intake today.
ED treatment from $69.
You are billed only after your medication is approved.
Safety: ED medications such as sildenafil and tadalafil can interact with nitrates and certain heart medications, and may not be appropriate for everyone. A licensed provider reviews your full health history and current medications before any treatment is initiated. Be straightforward about everything you take, including supplements.
Treatment decisions are made solely by a licensed medical provider based on individual medical history and clinical appropriateness. Surfbound Health does not guarantee treatment. Individual eligibility, treatment, and results vary. Surfbound Health is a telehealth platform, not a pharmacy or medical practice. All treatment is initiated by independent licensed medical providers and fulfilled through licensed pharmacy partners.
Last updated: October 6, 2026