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Best Online ED Providers: Five Options to Explore

Explore treatment formats, supply options and clinician support from five online ED providers.

By The HealthGeek Editorial TeamUpdated September 2026

There was a time when the only thing running through your head was whether you’d get lucky, and the thought of underperforming in bed never crossed your mind. Then one night, you did.

You laughed it off. But after a few more letdowns, the doubt started creeping in, and little by little, it consumed you. Now, even kissing someone you’re crazy about sets off an argument in your head: one part wants to take things further; the other says you’re going to embarrass yourself.

You’d like to get back to enjoying those mating rituals. The flirting, teasing, kissing and sex instead of running and hiding. It’s all about confidence: when you have it, you’re the man, when you don’t, you feel like a dud.

Imagine being a beast in bed again, having even more confidence than you did in your prime. That’s why ED treatment caught your attention.

Now you’re looking at pills, chews, dissolvable tablets and liquids, each with its own routine. We looked at BlueChew Gold, HeyFeels Quattro, Keeps ED, MEDVi QUAD and Rugiet Ready to see what each offers, what it costs and what care comes with it, so you can find a provider you’d feel good talking to.

What We Looked At

It used to be simple: Viagra or Cialis. Today you’ve got generics, combination formulas, chews, dissolvable tablets, liquids, different plan sizes and a whole lineup of online providers. For guys who already have a lot on their plate, that’s a lot to sort through. Don’t worry, we’ve got you covered.

We did the monotonous homework for you, digging into each provider’s treatments, strengths, dose counts, prices and plan terms. We also checked how you reach a clinician and what help you get after starting. The providers appear alphabetically, with a label highlighting something we like about each. Their order isn’t a ranking.

ED Providers Worth Considering

BlueChew Gold

Strength & Supply Flexibility

Cost: From $79/month for 6 uses
Treatments: Dissolvable tablets; three strengths
Care: Online clinician review
Start: Complete an online medical profile

All treatments & prices

Treatment	Starting price	Price terms
Gold Base	Monthly plan: from $79 for 6 uses to $269 for 24 uses	Three-month order: $154 for 6 uses/month to $525 for 24 uses/month
Gold High	Monthly plan: from $119 for 6 uses to $419 for 24 uses	Three-month order: $229–$799 for 6–24 uses/month
Gold Extra	Monthly plan: $139 for 6 uses	Three-month order: $269 for 6 uses/month

All three contain sildenafil, tadalafil, apomorphine and oxytocin in different strengths. Three-month prices are the full amount charged for the order, not monthly payments. A doctor consultation and overnight shipping are included; shipping follows prescription approval.

What We Found

BlueChew Gold gives you more room to tailor the order: three prescription strengths, four monthly quantities and a choice of monthly or three-month deliveries. The tablets dissolve under your tongue, and the Base plan starts at $79 a month for six uses. That smaller quantity gives you a place to start if you don’t need a larger supply.

The lower per-use prices come with larger orders, so check the total due against the amount you’ll actually use. The strength of this program is having options for both the prescription and how often it arrives.

Pros & Cons

Three prescription strength options
6–24 uses per month
Monthly or three-month deliveries
Doctor consultation included
Free overnight shipping
Discreet packaging
Fully online assessment

Lowest per-use rate requires a larger three-month order

HeyFeels Quattro

Best for Longer Plans

Cost: From $99/month on a six-month plan; $594 total
Treatment: Four-ingredient shot taken under the tongue
Care: Provider messaging and free adjustments
Delivery: Free, discreet rush shipping

All treatments & prices

Treatment	Starting price	Price terms
Quattro: 5 uses/month	One-month plan: $119	Three-month plan: $357 total ($119/month). Six-month plan: $594 total ($99/month).
Quattro: 10 uses/month	One-month plan: $159	Three-month plan: $477 total ($159/month). Six-month plan: $834 total ($139/month).
Quattro: 20 uses/month	One-month plan: $229	Three-month plan: $687 total ($229/month). Six-month plan: $1,194 total ($199/month).

Quattro is a compounded, under-the-tongue shot containing sildenafil, vardenafil, tadalafil and apomorphine. A licensed provider decides whether it’s suitable for you and may adjust the strengths. HeyFeels states that Quattro is not FDA-approved.

What We Found

HeyFeels Quattro gives you a lower monthly rate if you choose a six-month plan, whether you want 5, 10 or 20 uses per month. You can start with a one-month plan instead. The three-month plan offers a longer supply, but its monthly rate is the same as paying one month at a time.

Quattro is taken as needed under the tongue, and care continues after the prescription. Provider messaging and adjustments are included, along with free, discreet rush shipping. Between the supply sizes and plan lengths, you can choose an order that matches how often you expect to use it.

Pros & Cons

Under-the-tongue shot taken as needed
Choose 5, 10 or 20 uses per month
One-, three- or six-month plans
Provider consultation included
Provider messaging and free adjustments
Free, discreet rush shipping
No charge unless prescribed

Lowest monthly rate requires a six-month plan
Three-month plan has no monthly savings over the one-month plan

Keeps ED

Budget-Friendly Starting Options

Cost: From $25.20 for the first month
Treatments: Single-ingredient and combination options
Care: 24/7 clinician care
Start: Complete an online questionnaire

All treatments & prices

Treatment	Form / contents	Starting at
Quicky	Sildenafil pill	$25.20 for 6 doses in the first month
Weekend	Tadalafil pill	$25.20 for 6 doses in the first month
Combo	Sildenafil + tadalafil pill	$25.20 for 6 doses in the first month
Powerhouse	Sublingual tadalafil + vardenafil + apomorphine	$98 for 6 uses or $119.70 for 12 uses in the first month

These are first-month prices. Check the refill price for the plan you choose. Powerhouse includes the clinician visit and expedited shipping. It also has a 60-night money-back guarantee that doesn’t require a return; check its full terms before ordering.

What We Found

Keeps ED gives you three pill options starting at $25.20 for six doses in the first month. You can discuss a single-ingredient treatment or the sildenafil-and-tadalafil Combo with a clinician. Powerhouse adds a sublingual option if you’d rather have a treatment that dissolves under your tongue.

The program includes 24/7 clinician care, so you can ask questions and discuss dose adjustments after starting. Keeps ED makes the first order inexpensive, but that introductory price doesn’t tell you what refills will cost. Check the ongoing price for the treatment you want before signing up.

Pros & Cons

Four ED treatment options
24/7 clinician care and dose adjustments
Expedited shipping included with Powerhouse
60-night money-back guarantee for Powerhouse; no return required
Auto-refills; pause or cancel anytime
Most prescriptions approved within 24 hours
U.S.-based Powerhouse care team

Displayed starting prices are introductory offers

MEDVi QUAD

Fast-Acting Liquid

MEDVi says QUAD can work in 10–15 minutes.

Cost: From $114 for a four-week supply
Treatment: Sublingual liquid
Care: Unlimited 24/7 clinician support
Start: Complete an online assessment

All treatments & prices

Treatment	Starting price	Price terms
Five-pack	$114	Described as four weeks of medicine
Ten-pack	$179	Described as four weeks of medicine

QUAD combines apomorphine, L-citrulline, sildenafil and tadalafil in a liquid taken under the tongue. Medication, consultation, unlimited medical support and shipping are included. MEDVi offers a money-back satisfaction guarantee; check its terms before ordering. If a clinician doesn’t approve treatment, you won’t be charged.

What We Found

MEDVi QUAD is built around a quick, simple routine: liquid under the tongue, with a claimed onset of 10–15 minutes. For someone who doesn’t want to plan far ahead, that’s the main draw.

The four-part formula comes in five- and ten-pack options, starting at $114 for a four-week supply. You also get personalized dosing, the same price across doses and unlimited 24/7 clinician support, so you can raise questions after starting. Medication, consultation and shipping are included.

Pros & Cons

Liquid taken under the tongue
MEDVi says it can work in 10–15 minutes
Medication, consultation and rush shipping included
Unlimited 24/7 clinician support
Personalized dosing; same price across doses
Cancel anytime
Money-back satisfaction guarantee
No charge if treatment isn’t approved

QUAD is offered as a liquid, so it won’t suit someone who prefers a pill or chew

Rugiet Ready

Daily & As-Needed Options

Cost: Ready High Strength from $119/month
Treatments: Sublingual, daily and as-needed options
Care: Unlimited doctor follow-ups with Ready
Start: Choose a plan and complete the intake

All treatments & prices

Treatment	Form / contents	Starting at
Ready High Strength	Sildenafil + tadalafil + apomorphine tablet that dissolves under the tongue	From $119/month for 6 uses to $419/month for 24 uses
Daily Boost	Daily tadalafil + DHEA chewable	See provider for pricing
Go Long	As-needed paroxetine + tadalafil dissolving tablet	See provider for pricing

Ready High Strength is also offered in three-month orders: $229–$799 for 6–24 uses per month. Those prices are for the full three-month order, not monthly payments.

Ready includes medication, a consultation, unlimited doctor follow-ups and free shipping. You’re charged only if prescribed. The prices and inclusions above apply to Ready High Strength; check the separate offers for Daily Boost and Go Long.

What We Found

Rugiet gives you different routines to discuss with a clinician. Ready is a tablet you take as needed and let dissolve under your tongue. Daily Boost is a daily chew, while Go Long is another as-needed option. That range is the reason to consider Rugiet if you’re still working out what would suit your sex life.

With Ready, a clinician reviews your dose and you get unlimited doctor follow-ups after starting. High Strength begins at $119 a month for six uses, with monthly and three-month supply choices. The three-month orders cost more upfront, and you’ll need to check Rugiet for Daily Boost and Go Long pricing.

Pros & Cons

Daily and as-needed treatment options
Clinician-reviewed dosing with Ready
Unlimited doctor follow-ups with Ready
Medication and consultation included with Ready
Free Ready shipping
Monthly or three-month Ready supply
Charged for Ready only if prescribed

Three-month Ready savings require a larger upfront payment
Daily Boost and Go Long prices aren’t shown

Programs at a Glance

Starting Price and Form

Provider	Starting offer	Form
BlueChew Gold	Base: $79/month; 6 uses	Under-the-tongue tablet
HeyFeels Quattro	$99/month with a 6-month plan; $594 total; 5 uses/month	Under-the-tongue shot
Keeps ED	$25.20 first month; 6 pill doses	Pills; Powerhouse sublingual option
MEDVi QUAD	$114 for a four-week supply; five-pack	Under-the-tongue liquid
Rugiet Ready	High Strength: $119/month; 6 uses	Under-the-tongue tablet

Care and Choice

Provider	Care feature	Treatment or supply choice
BlueChew Gold	Included doctor consultation	Three strengths; 6–24 uses/month
HeyFeels Quattro	Provider messaging and free adjustments	5, 10 or 20 uses/month; 1-, 3- or 6-month plans
Keeps ED	24/7 clinician care and adjustments	Four ED treatments
MEDVi QUAD	Unlimited 24/7 clinician support	Liquid; personalized dosing
Rugiet Ready	Unlimited doctor follow-ups	Daily and as-needed catalog options

These offers contain different medicines and quantities. Larger-order prices appear in each card’s All treatments & prices dropdown.

How ED Treatment Typically Works

ED means having trouble getting or keeping an erection firm enough for sex. It can have different causes, so a clinician starts by asking about your health, symptoms and medicines. Prescription ED drugs often work by improving blood flow. Depending on what’s going on, the conversation may also cover other treatments or counseling.³

Online, you’ll usually answer health questions or speak with a clinician by video, phone or messaging. They may need more information, an exam or tests before deciding what to recommend. If they prescribe medication, a pharmacy fills the order. The questionnaire gets things started; it doesn’t make the prescription decision for them.¹·⁴

Tell the clinician about all your medicines and supplements. ED medications can interact with other drugs; taking sildenafil with nitrates, for example, can be dangerous. This is one reason the health questions matter.⁶

The Two Ingredients You’ll See Most

Behind many of the product names in this article are sildenafil and tadalafil. Both belong to a group of medicines called PDE5 inhibitors. They help increase blood flow to support an erection when you’re sexually aroused. They don’t create an erection on their own.³·⁶

Sildenafil is the ingredient in Viagra. In the provider cards, you’ll see it on its own and paired with other ingredients.

Tadalafil is the ingredient in Cialis. Depending on the prescription, it can be taken as needed or on a daily schedule. You’ll also see it in several combination treatments here.⁷

Several products include both ingredients, but that isn’t true of every option on this list. Check the contents of the treatment you’re considering, then ask the clinician why that formula and routine make sense for you.

What These Providers Are Selling

The ingredient is only part of the answer. You also need to know which product you’d get and how you’d take it.

Approved pills and generics: FDA-approved oral products containing sildenafil, tadalafil and vardenafil are available. Approval applies to the finished medicine, not every new product made with the same ingredient. An approved generic pill and a compounded combination are different products.⁹·⁶·⁷·⁸

Compounded combinations: These may be prepared for a patient’s medical needs, but compounded medicines aren’t FDA-approved. The FDA doesn’t review their safety, effectiveness or quality before they’re marketed. Ask for the exact formula your clinician would prescribe.¹⁰

Different ways to take them: The cards include pills you swallow, tablets that dissolve under your tongue and liquids placed under your tongue. Sublingual just means “under the tongue”; a troche is a dissolving tablet or lozenge. You’ll also see daily and as-needed plans. A different format or a longer ingredient list doesn’t automatically mean better results, so discuss the specific product and directions with your clinician.

Does Insurance Cover ED Treatment?

Check the visit and the medication separately. Your plan might cover one but leave you paying for the other. Ask whether the exact prescription is covered, which pharmacy you can use and what you’d pay. Some plans have quantity limits or require approval before covering a drug.¹³·¹⁴

Medicare Part D has a specific rule: its basic benefit excludes drugs when they’re used for sexual or erectile dysfunction. Other insurance plans have their own rules, so check yours rather than assuming the answer is the same.¹⁵

If you’re paying yourself, compare the full order cost, not just the advertised monthly rate. HSA or FSA eligibility is a separate question from insurance coverage; we cover it in the FAQ.

Questions to Ask Before You Choose

Your clinician helps decide which treatment is suitable. These questions will help you choose the provider and plan you want to discuss:

How would I take it? Ask about a swallowed pill, dissolving tablet or liquid, and whether the proposed treatment is daily or as needed.
How much supply do I need? Compare the number of uses with the total order price. A three-month plan may lower the cost per use while requiring a bigger payment.
What will the next order cost? Check when an introductory price ends and whether consultation and shipping are included.
Who can I talk to afterward? Find out how to reach a clinician with treatment questions. Unlimited follow-ups and 24/7 access aren’t necessarily the same service.
What happens if I pause or cancel? Check the deadline before renewal and the terms of any refund or guarantee.

If you order medication online, the FDA recommends a state-licensed pharmacy that requires a prescription and gives you access to a licensed pharmacist.⁵

Frequently Asked Questions

Do I need a prescription for online ED treatment?

Yes. Prescription ED medication requires a prescription from a licensed health professional. An online assessment can start the process, but a clinician decides whether to prescribe treatment. A legitimate online pharmacy should require that prescription.⁵

Does a 36-hour window mean a continuous erection?

No. The tadalafil tablet label describes a period when the medicine may help you respond to sexual stimulation. It doesn’t mean you have an erection for 36 hours. Don’t assume that same window applies to every combination containing tadalafil.⁷

What’s the difference between daily and as-needed treatment?

A daily prescription follows a regular schedule. An as-needed treatment is taken according to its directions before sexual activity. Approved tadalafil tablets have both types of regimen; ask your clinician which routine and prescription make sense for you.⁷

Can I add another ED medicine or supplement?

Talk to your prescriber first. Tell them about every medicine and supplement you take, even if you bought it without a prescription. Don’t combine ED treatments or change your dose on your own.¹·⁷

What if my treatment doesn’t work as expected?

Tell your prescribing clinician what happened, including any side effects. ED can have different causes, and your clinician can discuss whether to adjust the plan or explore another treatment.³

Can I use an HSA or FSA?

Prescribed medication can generally qualify as a medical expense, but check with your account administrator about the exact purchase and any documentation you’ll need. Using an HSA or FSA is separate from whether your health insurer covers the treatment.¹⁶

When should I seek urgent help?

Get emergency medical help for an erection lasting more than four hours. If you have chest pain, dizziness or nausea during sexual activity, stop and get medical help promptly.⁷

Sources

NIDDK: Diagnosis of Erectile Dysfunction
NIDDK: Treatment for Erectile Dysfunction
HHS: The Basics of Telehealth (2024)
FDA: BeSafeRx FAQs
FDA-approved Viagra labeling (2017)
Tadalafil tablet labeling (2021)
FDA-approved Levitra labeling (2017)
FDA: Drug approval guidance
FDA: Compounding questions and answers
Medicare: How Drug Plans Work
Medicare: Drug Plan Rules
CMS: Medicare Prescription Drug Benefit Manual, Chapter 6
IRS: Publication 502 (2025)
BlueChew Gold: product reference; supplied offers dated September 20, 2026
Keeps ED: supplied product and offer materials, September 20, 2026
MEDVi QUAD: product, formula and timing information, September 20, 2026
Rugiet Ready: product reference; supplied offers dated September 20, 2026
HeyFeels Quattro: supplied product, formula, service and plan materials, September 21, 2026

This page is here to inform, not to give medical advice. HealthGeek is a publisher, not a healthcare provider. We don’t diagnose, prescribe or treat. A licensed clinician determines whether prescription treatment is appropriate for you. Prices and offers can change.