Adults 18+ Tadalafil & Sildenafil Same-Day Decision

ED treatment without the awkward waiting room.

Erectile dysfunction is common, treatable, and often a signal worth investigating. A licensed physician reviews your health questionnaire — most patients get a decision the same day — and sends your prescription electronically to the pharmacy you choose. With GoodRx, the medication itself can cost as little as $20.

1 in 3men affected
Same daydecision for most
45states served

Every ED plan includes

  • Confidential health reviewCardiovascular history, medications, and contributing factors assessed by a licensed clinician
  • Physician consult + prescriptionLicensed provider matches the medication to your routine and health profile
  • Sent to your pharmacyE-prescribed to the pharmacy you pick — usually ready same or next day
  • Root-cause screeningTestosterone and lab testing coordinated when your history calls for it
  • $85/month refill accessOngoing prescription access on autopay with refill reminders — cancel anytime
  • Full refund guaranteeIf treatment isn't safe for you, your consultation fee is refunded in full
From $129 first consult · then $85/mo autopay refills · medication ~$20 with GoodRx
Why it matters

ED is common — and often an early warning.

Erectile dysfunction affects roughly one in three men and becomes more likely with age. It is also linked to cardiovascular disease, low testosterone, diabetes, sleep apnea, and medication side effects. Treating the symptom is straightforward; understanding the cause is what a good provider does.

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Trouble getting an erection
Inconsistent or difficult to achieve
Trouble maintaining one
Firmness fades before or during sex
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Reduced sex drive
Lower interest than your baseline
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Low energy or motivation
Often overlaps with low testosterone
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Performance anxiety
Anticipating difficulty makes it worse
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Known heart or metabolic risk
High blood pressure, cholesterol, or diabetes
Treatment options

Two proven medications. One right fit.

Your physician will prescribe either Sildenafil or Tadalafil based on your health history and lifestyle. Both are FDA-approved and proven effective — the difference is timing.

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Tadalafil (Generic Cialis)

As needed or daily · up to 36 hours

The long-acting option. Many men take a low daily dose so intimacy does not have to be scheduled.

  • Take as needed or once daily at low dose
  • Works for up to 36 hours
  • More spontaneous — longer window
  • Can be taken with or without food
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Sildenafil (Generic Viagra)

As needed · 4–6 hours

The original and most familiar ED medication. Taken 30 to 60 minutes ahead, it suits planned intimacy.

  • Take as needed, 30–60 min before activity
  • Works for 4–6 hours
  • Best for on-demand use
  • Do not take more than once daily
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What you get

Men's health care, handled quietly.

Every plan includes the clinical review that makes treatment safe and the follow-up that makes it work — no surprise fees.

Confidential health intake

Symptom history, cardiovascular risk, blood pressure, and full medication review — completed online in minutes.

Licensed physician consultation

A licensed provider reviews your chart, discusses options, and prescribes when clinically appropriate.

Prescription sent to your pharmacy

E-prescribed to the pharmacy you choose — usually ready same or next day. Use GoodRx to pay as little as $20.

Root-cause screening

If your history points to low testosterone, diabetes, or cardiovascular risk, your provider can order labs or coordinate TRT.

Switch or adjust anytime

If the first medication or dose isn't right, your provider can change it at no extra cost.

Discreet support, cancel anytime

Reach us at (757) 920-5388 or admin@genwellrx.com, Mon–Fri 9am–6pm EST. Cancel refills anytime — no commitment.

How it works

What happens after you submit.

01

Physician review

A licensed physician reviews your health questionnaire — most patients receive a decision the same day.

02

Prescription sent

If approved, your prescription is sent electronically to the pharmacy you selected.

03

Pharmacy notifies you

Your pharmacy will let you know when your medication is ready — typically same day or next day.

04

Pick up & save

Show your GoodRx coupon at pickup to pay as little as $20.

05

Refill access begins

Your $85/month autopay refill access starts. We send reminders when a refill is due.

Safe use

How to take your medication safely.

✓ Do

  • Take your medication as prescribed — follow dose instructions exactly
  • Take Sildenafil 30–60 minutes before sexual activity on an empty or light stomach
  • Tadalafil can be taken with or without food
  • Store at room temperature, away from moisture
  • Contact us if you experience side effects or have questions

✗ Do Not

  • NEVER take with nitrates (nitroglycerin, isosorbide, or recreational 'poppers') — this can cause a dangerous drop in blood pressure
  • Do not take more than the prescribed dose
  • Do not take more than once per day (Sildenafil)
  • Do not combine with other ED medications
  • Do not take if you have had a heart attack or stroke in the last 6 months without first consulting your doctor
What to expect

Common side effects.

Most men tolerate these medications well. Common side effects are mild and temporary.

Headache
Most common, usually mild
Facial flushing or warmth
Passes as the dose wears off
Nasal congestion
Temporary stuffiness
Upset stomach
Less common with Tadalafil
Temporary visual changes
Slight blue tint or light sensitivity (Sildenafil)
Back pain or muscle aches
More common with Tadalafil

Seek emergency care immediately if you experience sudden vision or hearing loss, chest pain, severe dizziness, or an erection lasting more than 4 hours (priapism).

Saving money

Pay as little as $20 with GoodRx.

Both Sildenafil and Tadalafil are available as low-cost generics at most pharmacies. GoodRx is free and needs no insurance.

1

Go to goodrx.com or download the free GoodRx app.

2

Search for Sildenafil or Tadalafil and your zip code.

3

Find the lowest price at a nearby pharmacy — often $10–$25.

4

Show the GoodRx coupon on your phone to the pharmacist.

5

Pay the GoodRx price. No insurance needed.

Transparent pricing

What you pay.

What you payAmount
First consultation (physician review + first prescription)$129
Monthly refills (ongoing prescription access · autopay)$85/month
Medication at pharmacy (with GoodRx)~$20

Full refund guarantee

If our physician determines that ED medication is not safe for you based on your medical history, you will receive a full refund of your consultation fee. Your safety is our priority.

Cancel your refill subscription at any time by phone or email — there is no long-term commitment.

ED Questions

Common questions about treatment.

Who qualifies for treatment?
Adult men 18+ with difficulty getting or keeping an erection firm enough for sex. Your provider reviews your cardiovascular history, current medications, and blood pressure before prescribing. The consulting physician makes the final clinical decision.
What is the difference between tadalafil and sildenafil?
Sildenafil works in about 30–60 minutes and lasts 4–6 hours, so it suits planned intimacy. Tadalafil lasts up to 36 hours and can be taken daily at a low dose, which many men prefer for spontaneity. Your provider recommends the better fit for your routine.
How do I get my medication?
Your prescription is sent electronically to the pharmacy you select during intake. The pharmacy notifies you when it's ready — typically same day or next day — and you pick it up like any other prescription. Show your GoodRx coupon at the counter to pay as little as $20.
What does the $85/month refill cover?
It covers ongoing prescription access on autopay — your provider keeps your prescription active, sends refills to your pharmacy, and reminds you when one is due. The medication itself is paid at the pharmacy (about $20 with GoodRx). You can cancel anytime by phone or email; there is no long-term commitment.
What if I'm not approved?
If our physician determines ED medication is not safe for you based on your medical history, you receive a full refund of your consultation fee.
Do I need bloodwork or an in-person exam?
Most patients do not. If your history suggests an underlying cause such as low testosterone, diabetes, or a cardiovascular concern, your provider may order labs — we can arrange at-home collection through our lab program.
Can I take ED medication with blood pressure medicine?
Often yes, but it depends on which medications. Nitrates are a hard contraindication, and alpha-blockers require careful timing. Bring your full medication list to the consult so your provider can prescribe safely.
Could my ED be a symptom of something else?
It can be. ED is often an early marker of cardiovascular disease, low testosterone, diabetes, sleep apnea, or medication side effects. Your provider screens for these rather than only treating the symptom, and can coordinate testosterone therapy or lab testing if indicated.

⚠️ Important safety information

ED medications are not appropriate for everyone. Do not take them with nitrates such as nitroglycerin, isosorbide, or amyl nitrite — the combination can cause a dangerous drop in blood pressure. Tell your provider about heart disease, recent heart attack or stroke, uncontrolled blood pressure, liver or kidney disease, retinitis pigmentosa, sickle cell disease, or a prior priapism. Seek emergency care for an erection lasting more than four hours or sudden vision or hearing loss. This page is advertising — any prescription is at the sole discretion of the consulting licensed provider.

A five-minute consult beats another year of avoiding it.

Most patients get a decision the same day, with the prescription at their pharmacy by the next. Full refund if treatment isn't right for you.

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