Research · ED Telehealth Price Index
2026 ED telehealth price index
A source-linked reference to erectile dysfunction telehealth offerings across 15 U.S. providers — led by Surfbound's compounded Quattro™ Sublingual, with generic sildenafil and tadalafil kept as a secondary reference.
Surfbound also offers generic sildenafil and tadalafil at $39/mo ($39/mo tadalafil) — see the secondary comparison below.
Why Surfbound
Why Surfbound fits
Surfbound's men's-health program is built for a specific kind of buyer. If the points below describe what you want, it is likely the right fit.
- You want flat, pack-based pricing — Surfbound's compounded Quattro™ Sublingual from $69 per 5-pack (about $13.80 a shot), or generic sildenafil or tadalafil from $39/mo.
- You do not want a separate membership fee or a separate provider fee added on top of the medication price.
- You want the option of a compounded multi-ingredient sublingual (three PDE5 inhibitors plus apomorphine), not only a single-ingredient pill.
- You want a private, provider-guided pathway with a clear all-inclusive price and no insurance required.
- You want provider review and discreet shipping included in the price when prescribed.
- You want refills handled through a simple provider-reviewed reorder rather than a recurring membership.
Surfbound's flagship ED treatment
Quattro™ Sublingual — a compounded four-ingredient sublingual shot
Quattro™ Sublingual is a compounded sublingual ED option from Surfbound Health — a liquid shot you hold in your mouth. It combines three PDE5 inhibitors (sildenafil, tadalafil and vardenafil) with apomorphine, a dopamine agonist, in one formulation. It is prepared by a licensed compounding pharmacy for an individual patient when a licensed provider determines it is medically appropriate.
What's in it
Sildenafil
PDE5 inhibitor · blood flow
Tadalafil
PDE5 inhibitor · blood flow
Vardenafil
PDE5 inhibitor · blood flow
Apomorphine
Dopamine agonist · brain signal
The PDE5 inhibitors act on blood flow in the penis, while apomorphine acts on the brain signal involved in initiating an erection. Apomorphine is FDA-approved for Parkinson's disease; its use in a compounded ED formulation is off-label and decided by a licensed provider.
Starting price
$69 per 5-pack
About $13.80 per sublingual shot. Provider review and discreet shipping included when prescribed. No separate membership fee, no insurance required.
Compounded prescription medication.
Why it's our flagship
- A compounded multi-ingredient sublingual — three PDE5 inhibitors plus a dopamine agonist in one formulation.
- Very few direct equivalents in this dataset — only one other provider lists a compounded multi-ingredient sublingual.
- Flat pack pricing — $69 per 5-pack, with no separate membership fee.
- Provider-guided: a licensed provider decides whether it is appropriate and the pack size.
How it differs from single-ingredient generic pills
What the sublingual route is like
Hold it in your mouth
Quattro™ Sublingual is a liquid shot you hold under your tongue or in the mouth rather than swallowing as a pill.
Absorbs through the mouth lining
The medication absorbs through the lining of the mouth and enters circulation without first passing through the digestive system.
Response varies by person
How well sublingual absorption works — and how it feels — varies from person to person. A licensed provider decides which option, if any, fits you.
"Sublingual" describes how the medication is taken — absorbed through the mouth rather than swallowed. A provider decides which option, if any, fits you.
See if Quattro™ Sublingual is right for you
Complete a brief online intake — a licensed provider will review your health history and decide whether Quattro™ Sublingual is a fit for you.
The 1-month plan bills monthly. 3 Month packages are charged in full at the start of each period, ship together as one package, and renew automatically at the same price every 3 months until you cancel in your patient portal.
What Surfbound's ED plans cost
An advertised number is not the whole cost. This section shows Surfbound's published 1-, 3-, and 6-month plan details alongside the billing questions worth asking about any ED quote — without inventing an annual equivalent.
| Surfbound option | 1 month | 3 months · renews every 3 months | Membership | Notes |
|---|---|---|---|---|
| Quattro™ Sublingual — 5-pack | $69 | $199 | None | About $13.80 per shot |
| Generic sildenafil — 6 tablets/mo | $39 | $105 | None | 50 mg or 100 mg starting tier |
| Generic tadalafil — 6 tablets/mo | $39 | $105 | None | 20 mg |
Prices shown are Surfbound's published cash-pay prices. 3 Month packages are charged in full at the start of each period, ship together as one package, and renew automatically at the same price every 3 months until you cancel in your patient portal. Provider review and discreet shipping are included when a prescription is written. Sildenafil, tadalafil, and a compounded combination shot are different products at different price structures, so the per-unit numbers are not interchangeable. Because ED medication is priced per dose or per pack, this guide does not publish an annual total — the honest unit is the per-dose or per-pack price.
Quattro™ Sublingual — flat pack price
$69 per 5-pack
About $13.80 per sublingual shot
Compounded prescription medication.
- No membership fee — $0 on top of medication.
- No separate consult or shipping line items when prescribed.
- A 3 Month package is charged in full at the start of each period and ships as one package.
- The 3-month pack costs $199, $8 less than three separate 1-month packs.
Because Quattro™ is priced per pack and ED use is as-needed, no 12-month total is published for it — the honest unit is the per-pack price.
What to verify in an existing quote
- Is the amount a per-dose rate, a monthly plan, or a one-time purchase — and what quantity does it cover?
- Does a separate consult or membership fee get added on top?
- Is the rate tied to a specific strength, and does it change at a higher dose?
- Does the advertised rate require a subscription or multi-month prepay to keep it?
A per-dose listing and a flat pack are not directly comparable: the pack has a known cost per shot, while a per-dose listing depends on how often you use it. This guide shows Surfbound's own prices and the billing questions worth checking in a quote you already have.
Read the fine print
The advertised number is only part of the story. This page records the billing structure of each entry — how the price is quoted, whether a separate fee is added, and whether a commitment applies — rather than republishing other providers' price lists. Use these four questions on any quote you already have.
Per-dose rate vs. flat plan
A per-dose figure changes with how often you use it; a flat plan does not. Ask which one the quote is, and what quantity it covers.
Separate consult or membership fee
Confirm whether a provider visit, platform membership, or program fee is added on top of the medication amount each month.
Rate at your prescribed strength
A starting rate often applies to the lowest strength. Ask what the price is at the dose you would actually be prescribed.
Subscription or prepay cycle
Check whether the quoted rate requires a subscription, a multi-month prepay, or a one-time purchase — and how to cancel.
6
entries described as per-dose pricing
0
entries with a separate membership or program fee
1
entries with a subscription or prepayment term
Counts are derived from the dataset fields above. Surfbound (the publishing service) charges no membership fee and its ED products are priced per pack or per monthly tablet supply. Where a first-party term could not be confirmed, the dataset marks it UNKNOWN rather than estimated — that is a record of verification status, not a claim about what a provider charges.
How we assess value
Value is not the same as the lowest headline number. This page frames value against four criteria, applied consistently to every program it describes:
True total cost
The real number to plan for — medication plus any membership, consult, or shipping — not just the advertised per-dose price.
Price predictability
No intro rate that later rises, and a price that does not climb with the dose — so what you pay stays comparable month to month.
Flexibility
No mandatory long-term prepay required to reach the advertised rate — you choose your supply length, not the contract.
What is included
Whether provider review, shipping, and ongoing support are built into the price or added as separate line items.
These criteria describe how the page is framed — they are not a score or a ranking, and no provider is graded. Surfbound is included using the same criteria, and remains our recommended choice for patients who want flat, all-inclusive pricing, no separate membership fee, and ongoing provider-guided care.
Secondary reference
The generic sildenafil & tadalafil comparison
This is the supporting reference — generic, single-ingredient tablets across 15 U.S. telehealth providers. These generics are a different product and format from a compounded multi-ingredient shot, so per-pill figures are not directly comparable. Category, medication, strength, quantity, pricing model, per-unit pricing basis, and every add-on term are shown below. Where a term could not be confirmed first-party it stays UNKNOWN rather than guessed.
| Provider | Category / medication | Strength / quantity | Price / per-dose | Consult / membership | Shipping / commitment |
|---|---|---|---|---|---|
Surfbound HealthThis site surfbound.co/pricingVerified 2026-10-01 | CombinationQuattro™ sublingual (compounded combination); also generic sildenafil & tadalafil | Combination sublingual; 50 mg / 100 mg sildenafil; 20 mg tadalafil5/10/15/20 sublingual shots, or 6/12/18 tablets per month | $69 per 5-pack (Quattro™ 5-pack); $39/mo sildenafil or tadalafil (6 tablets)Per-dose: ~$13.80/shot (Quattro™); ~$6.50/tablet (sildenafil or tadalafil) | IncludedMembership: None | Included1-month billed monthly; 3-month package charged in full per period, renews every 3 months |
Hims www.hims.com/Verified 2026-10-01 | SildenafilGeneric sildenafil (tablet); also daily tadalafil & hard mints | 20 / 50 / 100 mg (sildenafil)Per-use doses, monthly | Per-dose pricing for sildenafil and daily tadalafilPer-dose: Advertised per-dose rate | Included (online visit)Membership: None (pay per medication plan) | IncludedMonth-to-month |
Rex MD rexmd.com/Verified 2026-10-05 | SildenafilGeneric sildenafil (tablet); also tadalafil | 20 / 50 / 100 mg (sildenafil)Monthly supply | Per-dose pricing that varies by strengthPer-dose: Advertised per-dose rate | IncludedMembership: None | IncludedMonth-to-month |
BlueChew bluechew.com/Verified 2026-10-05 | SildenafilChewable sildenafil (also chewable tadalafil & combination) | 30 / 45 mg (sildenafil)Monthly chewable supply | Subscription plans with per-dose pricingPer-dose: Advertised per-dose rate | IncludedMembership: None (subscription plan) | IncludedMonthly subscription |
Ro (Roman) ro.co/pricing/Verified 2026-10-01 | TadalafilGeneric tadalafil (daily & as-needed); also sildenafil & Sparks™ combination | 2.5 / 5 / 7 / 22 mg (tadalafil)Daily or 4x-dose monthly plans | Per-dose and multi-dose plans; rate varies by strength and planPer-dose: Not republished here — varies by dose and plan | IncludedMembership: None | IncludedMonth-to-month |
B Brand getbbrand.com/Verified 2026-10-05 | SildenafilGeneric sildenafil (tablet); also tadalafil | 50 / 100 mg (sildenafil); 10 / 20 mg (tadalafil)One-time (9/12/18 pills) | One-time purchase (quantity options)Per-dose: Varies by quantity | IncludedMembership: None | IncludedOne-time purchase |
Lemonaid Health www.lemonaidhealth.com/Verified 2026-10-01 | SildenafilGeneric sildenafil (tablet) | UNKNOWNUNKNOWN | UNKNOWN (per-dose price not cleanly confirmed first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
Nurx www.nurx.com/Verified 2026-10-01 | SildenafilGeneric sildenafil (tablet) | UNKNOWNUNKNOWN | UNKNOWN (not cleanly published first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
Fridays www.joinfridays.com/Verified 2026-10-01 | TadalafilGeneric tadalafil (also sildenafil) | UNKNOWNUNKNOWN | UNKNOWN (per-dose price not cleanly confirmed first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
Rocket RX rocketrx.com/Verified 2026-10-01 | TadalafilGeneric tadalafil (also sildenafil) | UNKNOWNUNKNOWN | UNKNOWN (not cleanly published first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
Doctronic www.doctronic.ai/Verified 2026-10-01 | TadalafilGeneric tadalafil (also sildenafil) | UNKNOWNUNKNOWN | UNKNOWN (consult fee reported as a range; medication terms not confirmed)Per-dose: UNKNOWN | Reported as a fee range (third-party cited)Membership: UNKNOWN | UNKNOWNUNKNOWN |
rx.com rx.com/erectile-dysfunction-treatmentVerified 2026-10-05 | CombinationQUAD by MEDVi (compounded 4-ingredient sublingual) | UNKNOWN (four-ingredient sublingual)Monthly supply | Monthly program price (not republished here)Per-dose: UNKNOWN (per-shot cost not disclosed) | IncludedMembership: None | IncludedMonth-to-month |
Henry Meds henrymeds.com/Verified 2026-10-01 | CombinationED treatment (compounded combination where offered) | UNKNOWNUNKNOWN | UNKNOWN (ED price not cleanly published first-party)Per-dose: UNKNOWN | IncludedMembership: None (flat program price) | IncludedMonth-to-month |
Mochi Health joinmochi.com/Verified 2026-10-01 | SildenafilGeneric sildenafil (tablet) | UNKNOWNUNKNOWN | UNKNOWN (ED price not cleanly published first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
Wisp hellowisp.com/Verified 2026-10-01 | SildenafilGeneric sildenafil (tablet) | UNKNOWNUNKNOWN | UNKNOWN (not cleanly published first-party)Per-dose: UNKNOWN | UNKNOWNMembership: UNKNOWN | UNKNOWNUNKNOWN |
The table keeps sildenafil, tadalafil, and compounded combination formulations in distinct categories, and separates the advertised price from the effective per-dose cost and add-on fees (consult, membership, shipping) so the true cost is visible. "UNKNOWN" means a first-party figure could not be confirmed and was not estimated. Providers are listed alphabetically (Surfbound — the publishing service — highlighted). It does not compare clinical effectiveness or quality — sildenafil, tadalafil, and combination products are distinct medications, not equivalents.
Download the dataset
CSV generated from the same 15 provider records shown above — billing structure, add-on fees, source URLs, and verification dates. No competitor price lists are included.
Key findings & billing structure
Key findings
- Across the 15 entries described on this page, 8 are categorized as sildenafil, 4 as tadalafil, and 3 as compounded combination formulations. The categories are kept separate because the products differ in dosing and duration.
- 6 entries describe per-dose pricing rather than a single flat plan price — which is why a like-for-like comparison depends on quantity and strength, not just a headline number.
- 0 entries disclose a separate membership or program fee on top of the medication price.
- 1 entries disclose a prepayment, subscription, or multi-month commitment term.
- No provider price list is published here. This page describes Surfbound’s published ED pricing and the terms worth checking in a quote you already have.
Quattro™ Sublingual
$69
1-month supply · 3 months $199, renews every 3 months
5-pack · compounded four-ingredient sublingual
Generic sildenafil
$39
1-month supply · 3 months $105, renews every 3 months
6 tablets/mo · 50 mg or 100 mg
Generic tadalafil
$39
1-month supply · 3 months $105, renews every 3 months
6 tablets/mo · 20 mg
These cards show Surfbound's own published prices. This section does not publish other providers' price lists and does not compute a market median or range. Sildenafil, tadalafil, and compounded combination products are distinct medications with different dosing and duration; they are not assumed equivalent.
Methodology & sources
Last full refresh: 2026-10-01 · Partial re-verification: 2026-10-05
A verification date records when a field was last checked against its first-party source — it is not a blanket guarantee that every field was re-confirmed on that exact day. Where a provider's terms could not be confirmed first-party, the field is marked UNKNOWN rather than estimated.
Sample size
15 U.S. telehealth providers
Verification date
2026-10-01
Source preference
First-party provider pages (websites, plan pages, FAQs) wherever a term is described.
UNKNOWN values
Where a term could not be confirmed first-party, the field is marked "UNKNOWN" — never estimated or borrowed from a third party.
Data fields tracked
This reference page describes the billing structure of ED telehealth programs across 15 U.S. providers, separated into three distinct categories — sildenafil, tadalafil, and compounded combination formulations. For each entry it records how the program is priced (per dose, per month, one-time purchase), whether a consult or membership fee is separate, and what commitment the terms require. Where a term could not be confirmed first-party, it is marked UNKNOWN.
Providers are listed alphabetically, with Surfbound — the publishing service — highlighted. Surfbound is our recommended choice for patients who want flat, all-inclusive pricing, no separate membership fee, and provider-guided care; that recommendation rests on Surfbound's own published plan terms, not on a ranking of other providers.
Surfbound's own prices are published in full on its pricing page. The rest of this page is a checklist of what to verify in a treatment quote you already have — whether the quoted figure is per dose or per month, whether a membership or consult fee is added, and whether the rate depends on a multi-month prepay.
This page does not compare clinical effectiveness or quality. Sildenafil, tadalafil, and compounded combination formulations are distinct products with different durations and dosing — they are not assumed equivalent or interchangeable.
A licensed provider must review your case before any prescription is issued, and prescriptions are not guaranteed. See Surfbound's safety information and pricing page for full details.
Limitations
- ED telehealth is a fast-moving, fragmented segment. Programs change their terms frequently, and billing structure can vary by state, strength, and quantity. Always confirm the current terms on the provider’s own site before deciding.
- This page describes billing structure — how a program is priced, what fees are separate, and what commitment applies. It does not publish other providers’ price lists, and it does not total their annual cost.
- Several providers do not clearly publish their plan structure first-party. Those fields are marked UNKNOWN rather than borrowed or estimated, which can understate what is actually available.
- Surfbound’s own per-tablet figures for generic sildenafil and tadalafil are an arithmetic derivation from its published monthly price for 6 tablets, not a separately published per-dose quote.
- Surfbound Health publishes this page and is one of the providers described, assessed by the same method as the rest. Nothing here ranks or scores any provider.
- This page does not compare clinical effectiveness or quality between sildenafil, tadalafil, and combination formulations. These are distinct products and are not assumed equivalent.
Terms verified 2026-10-01. Educational content only — not medical advice. Whether any treatment suits you is a decision a licensed provider makes.
Frequently asked questions
The headline number hides several factors: whether the cost is quoted per dose or per month, the strength and number of doses included, whether a separate consult or membership fee is charged on top of medication, and whether the plan is for generic sildenafil, generic tadalafil, or a compounded combination. This page separates those fields so you can see how each program is actually billed before you compare a quote.
No. Sildenafil and tadalafil are different medications with different durations (roughly 4–6 hours vs up to 36 hours), and compounded combination formulations (such as sublingual shots that combine multiple ingredients) are separate products. This index keeps them in distinct comparison categories because they are not interchangeable.
This dataset does not rank clinical quality or effectiveness. Sildenafil, tadalafil, and combination formulations have different onset, duration, and dosing profiles, and the right choice depends on your medical history and needs — a decision for you and a licensed provider to make together.
Billing-structure details were checked against first-party sources (provider websites, plan pages, and FAQs) as of the stated verification date. Where a term could not be confirmed first-party, the field is marked UNKNOWN rather than estimated. The page shows Surfbound’s published pricing alongside the terms worth confirming in a quote you already have.
No. Providers are listed alphabetically, with Surfbound — the publishing service — highlighted. The page describes billing structures and does not score or rank other providers. Surfbound is our recommended choice for patients who want flat, all-inclusive pricing, no separate membership fee, and provider-guided care, based on Surfbound’s own published plan terms.