Licensed physicians in all 50 states · Free, discreet shipping · Compounded in a US-licensed pharmacy

Sexual health · Men & women

Confidence, quietly handled.

Prescription options for erections, stamina and arousal, reviewed by a licensed physician and shipped discreetly.

  • Licensed physician review in under 24 hours
  • Formulas prepared to order in a US-licensed pharmacy
  • Free, discreet shipping and unlimited messaging
Start my visitFrom $22/mo · Verra+ $18/mo · pay over time
Patients like it here SAMPLE

What you'll pay

Online visit $99 · video $149. The visit fee is non-refundable and credited toward your first order within 30 days. Medication is billed separately. Shipping is included.

verraRx# 0094233

Sexual health

Dual-action chew

Strength
Sildenafil 45 mg / Tadalafil 6 mg
Directions
Dissolve 1 troche 30 minutes before activity. Max 1 per day.
Qty
6 troches
Prescriber
Verra network MD · Sexual health
COMPOUNDED TO ORDER · BUD 90 DAYS

5 min

online visit

Discreet

plain packaging

As-needed

or daily

  • $99 visit, credited to your first order
  • Licensed physicians in all 50 states
  • Verra+ members save 20%
  • Free, discreet shipping
  • Pay over time on eligible plans
  • Cancel anytime

Find your treatment

Start with your goals. Explore care options, then let a licensed clinician decide what fits your health.

Find my treatment

Sexual health treatments

Compare options.

TreatmentFormBest forFromDetails
SildenafilAs-needed tabletAs-needed tablet$22/moSildenafil 50 mg
Daily TadalafilDaily tabletDaily tablet$30/moTadalafil 5 mg
Dual-action chewChewable trocheChewable troche$39/moSildenafil 45 mg / Tadalafil 6 mg
Climax control sprayTopical sprayTopical spray$35/moLidocaine 10% topical
Arousal cream for womenTopical creamTopical cream$59/moSildenafil 2% / Arginine / Aminophylline

Conditions we help with.

Erectile dysfunction

Trouble getting or keeping an erection.

See treatment →

Premature ejaculation

Finishing sooner than you'd like.

See treatment →

Low arousal

Reduced sensation or arousal in women.

See treatment →

How it works.

  1. 01

    Tell us about you

    Answer a few health questions online. About five minutes.

  2. 02

    Meet your physician

    A licensed physician in your state reviews within 24 hours.

  3. 03

    We prepare it

    Your medication is compounded or dispensed to order.

  4. 04

    It ships to you

    Free, discreet shipping. Message your care team anytime.

Care shaped around you

A plan starts with your health, not a product.

Your clinician weighs your goals, health history and current medicines. A different treatment or an in-person visit may be the safer choice. A prescription is never guaranteed.

Our approach to safe care

What to expect.

  1. Day 1

    Complete your visit and get a physician review.

  2. Week 1

    Your medication arrives. Start as directed.

  3. Month 1

    Check in with your physician and adjust if needed.

  4. Month 3+

    Many people notice changes. Results vary.

Typical experience. Individual results vary.

From patients.

SAMPLE REVIEWS · REPLACE WITH VERIFIED PATIENTS

SAMPLE
“Five minutes online and it showed up in a plain box. Easy.”
Patient, sexual health · Sexual health
SAMPLE
“My physician answered every question without making it awkward.”
Patient, sexual health · Sexual health
“The visit took five minutes and the physician actually read my answers. Clear instructions, no awkwardness.”
Patient, 41 · Sexual health · Sample
“Price was exactly what the site said. It arrived in a plain box two days after approval.”
Patient, 36 · Sexual health · Sample
“I messaged a question on a Sunday and had a thoughtful answer the next morning.”
Patient, 52 · Sexual health · Sample

Ingredients your physician may prescribe.

Sildenafil

Used in Sildenafil

Uses and safety

Tadalafil

Used in Daily Tadalafil

Uses and safety

Lidocaine

Used in Climax control spray

Uses and safety

Arginine

Used in Arousal cream for women

Aminophylline

Used in Arousal cream for women

Is it right for me?

Likely a good fit if you have

  • Occasional or frequent trouble with erections
  • A wish to last longer
  • Stable heart health

Talk to your physician first if you have

  • Taking nitrates or alpha-blockers
  • Recent heart attack or stroke
  • Very low blood pressure

Your physician makes the final call based on your health history and answers.

Safety and side effects

Risks depend on the medicine, dose and your health. Tell your clinician about allergies, medicines, supplements, pregnancy and past reactions. Do not share a prescription or change a dose on your own. Call 911 for trouble breathing, chest pain or another emergency.

Sildenafil: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Daily Tadalafil: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Dual-action chew: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Climax control spray: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

Arousal cream for women: safety and side effects

Read the treatment details and discuss which warnings apply to your prescription.

What you'll pay

Online visit

Non-refundable. Credited toward your first order within 30 days.

$99
Video visit

Your clinician may require a video visit for some treatments.

$149
Treatment

Prices and supply periods are shown for each option. Medication is separate from the visit.

From $22
Discreet shipping
Included

Optional Verra+: $29/month or $249/year, billed separately. With the member discount, treatment starts at $18. Compare membership costs.

A visit does not guarantee a prescription. Check the treatment page for monthly or one-time pricing.

Plan before you start

Medication and comparison guides

All medication guides · Compare treatments

Questions, answered.

Sildenafil or tadalafil?

Sildenafil works for about 4–6 hours; tadalafil can last up to 36 hours or be taken daily. Your physician helps you choose.

Is packaging discreet?

Yes. Orders ship in plain packaging with no product names outside.

How much do Verra sexual health treatments cost?

The current medication price is shown on each sexual health treatment page. Medication is charged only after a physician approves. Plans include monthly, a 3-month plan with 15% off billed monthly, or a 6-month plan with 25% off billed monthly. A separate visit fee may apply.

Am I eligible for sexual health treatment through Verra?

Eligibility depends on your symptoms, health history, and current medicines. A licensed physician in your state decides whether sexual health treatment is appropriate. An online request does not guarantee a prescription. Some symptoms or health conditions may need a video visit, testing, or an in-person exam before treatment.

How do the sexual health treatments on this page work?

These sexual health treatments address different concerns. Sildenafil and tadalafil support blood flow for erections when you are sexually stimulated. Other products may target sensation or local arousal, depending on their ingredients. Results vary. A licensed physician in your state chooses an option based on your symptoms and health history.

How fast can sexual health treatments start working?

Timing depends on the medicine and its form. Sildenafil often starts working in about 30 to 60 minutes. Daily Tadalafil builds to steady levels over several days. Spray, cream, and chew timing depends on their ingredients. Results vary. Follow your prescription instructions, and do not take extra to speed things up.

What side effects can sexual health treatments cause?

Side effects depend on the treatment. Sildenafil and tadalafil can cause headache, flushing, indigestion, or dizziness. Sprays and creams can cause irritation or numbness, depending on their ingredients. Seek urgent care for chest pain, sudden vision or hearing loss, or an erection lasting more than four hours.

Who should not use these sexual health treatments?

Sildenafil and tadalafil must not be used with nitrates, including nitroglycerin, or recreational nitrites called poppers. They also must not be used with riociguat. Other limits depend on your health and the product's ingredients. A licensed physician in your state must review your medicines and health history before prescribing.

How are compounded sexual health medicines different from brand-name medicines?

Compounded sexual health medications are prepared by a licensed pharmacy for one patient and are not FDA-approved. They do not go through FDA review for safety, effectiveness, and quality before sale. Ask which products are compounded and why a particular formula is being considered for your needs.

What results should I expect from sexual health treatment?

Results vary. Treatment may help with erections, climax timing, or arousal, depending on the medicine and the cause of your symptoms. No product guarantees a certain experience. A licensed physician in your state can explain realistic goals and when to follow up if treatment does not help.

What happens if I stop using my sexual health treatment?

When you stop treatment, its effects generally wear off, and your original symptoms may return. Results vary. Sildenafil and tadalafil usually do not need a gradual dose reduction, but other ingredients may need different guidance. Ask your physician before stopping a daily medicine or an unfamiliar combination product.

Can I combine sexual health treatments from this page?

Do not combine sexual health treatments unless your prescribing physician approves the exact products and doses. Sildenafil, Daily Tadalafil, and Dual-action chew may have overlapping ingredients or effects. Sprays and creams can also interact or transfer to a partner. Share every medicine, supplement, and topical product you use.

What happens during a Verra sexual health visit, and what is the fee?

A Verra sexual health visit lets a licensed physician in your state review your concerns and health history. An online visit costs $99; a video visit costs $149. The visit fee is non-refundable but credited toward your first medication order within 30 days. Online visits are included for members.

Do I need a video visit for sexual health treatment, or can I use an online visit?

You may be able to complete a sexual health visit online, but some states or medications require video. A licensed physician in your state decides whether treatment is appropriate. An online visit costs $99, and a video visit costs $149. Online visits are included for members.

How is my sexual health medication shipped?

After a physician approves your sexual health prescription, the pharmacy can prepare it for shipment to you. Timing depends on prescription review, pharmacy preparation, and delivery. Expedited shipping is $20. Check the available shipping options and estimated timing before ordering; faster shipping does not speed up the physician's review.

How do refills work for Verra sexual health prescriptions?

Refills depend on your prescription, remaining refills, and any review the physician requires. A medication plan does not guarantee ongoing prescriptions. Check your order details for the refill and billing schedule, and contact Verra before you run out. Report changes in your health or medicines before requesting more treatment.

How can I cancel my Verra sexual health medication plan?

Contact Verra to request cancellation of your sexual health medication plan and confirm when it takes effect. Check your plan terms for any commitment and order cutoff. Do not assume canceling a medication plan also cancels membership. Visit fees are non-refundable, and already processed orders may have different cancellation rules.

Can I use insurance or an HSA/FSA for sexual health care at Verra?

Verra does not bill insurance for sexual health care. HSA or FSA cards may be usable for eligible expenses, but coverage rules vary by plan. Check with your plan administrator before paying. Do not assume every visit, medication, membership charge, or shipping expense qualifies for HSA or FSA use.

In which states can I access Verra sexual health care?

Verra is available in all 50 states and Washington, DC. Some states or medications require a video visit rather than an online-only visit. A licensed physician in your state decides whether sexual health treatment is appropriate. Service availability does not guarantee that every product can be prescribed for every patient.

How can I learn how Verra handles my sexual health information?

Review Verra's privacy notice and contact Verra with questions about how sexual health information is collected, used, or shared. Your physician needs accurate health details to review treatment safely. Before submitting information, ask about account access, messages, pharmacy sharing, and any privacy choices that matter to you.

What sexual health savings are included with Verra+?

Verra+ costs $29 monthly or $249 annually and offers 20% off medications. Online visits are included for members, and member video visits cost $49. Check the current sexual health medication price and membership terms before enrolling. Membership does not guarantee a prescription or make medication charges part of the membership fee.

Can I finance a Verra sexual health medication order?

Financing may be available for qualifying sexual health orders that meet $100, with payment terms of 3, 6, 12, 24 months. Check the current financing offer for eligibility and full terms before choosing it. Financing does not guarantee a prescription. Medication is charged only after a licensed physician approves treatment.

People also ask

Often paired with.

Sexual health treatment online, explained

Sexual health care at Verra starts with a short online visit and a licensed physician in your state. We offer 5 sexual health options, including Sildenafil, Daily Tadalafil, Dual-action chew, Climax control spray, each prescribed only when it's appropriate for you.

Unlike a traditional clinic, there's no waiting room and no surprise bill. You'll see prices up front, get a physician response within 24 hours, and receive your medication with free, discreet shipping. Your visit fee is credited toward your first order.

Many sexual health treatments are compounded, which means a licensed pharmacy prepares them for you, often combining ingredients or setting a specific strength. Compounded medications are not FDA-approved. Your physician will explain the options, what the evidence shows and what to expect.

Questions along the way? Message your care team any time. Your physician can adjust your dose, switch forms or pause treatment. Results vary from person to person, and we'll be honest about what's realistic.

Popular sexual health searches

Care in your state

A clinician licensed in your state reviews your visit. Eligibility depends on your history and the treatment.

Your visit pays for itself.

Five minutes online. A physician reviews it within 24 hours, and your $99 visit fee is credited in full toward your first order.

Start my visit

Sexual health

From $22 · visit credited

Start visit

Verra letters

Plain-English health guides, about once a month.

New treatments, honest answers and notes on member pricing. Unsubscribe anytime.