Sexual Health
Sildenafil
A licensed provider approves before anything ships.
Sildenafil is a PDE5 inhibitor — a compounded 50 mg tablet prescribed by a licensed provider and filled by a US compounding pharmacy. $29.99, refunded in full if you're not approved.
Compounded by a US-licensed partner pharmacy. Compounded medications are not FDA-approved and are not the same as brand-name medications.
$29.99/mo
Plus a 3% service fee and any state tax at checkout.
3-month minimum: cancel before month 3 and it's $35 for each month left. No fee after that.
LegitScript certifiedUS-licensed providersLicensed US pharmacies
$55.89 a month with the 3% service fee and $25 shipping. Plus any state tax.
- Sildenafil, 50 mg
- $29.99
- Service fee
- $0.90
- Shipping on this item alone
- $25
- Total, before state tax
- $55.89
Shipping is free on orders of $199.99 or more. Checkout shows the final total.
- If a provider says it's not right for you, you pay nothing.
What you pay each month
- Sildenafil, 50 mg
- $29.99
- Service fee
- $0.90
- Shipping on this item alone
- $25
- Total, before state tax
- $55.89
Shipping is free on orders of $199.99 or more. Checkout shows the final total.
- 3-month minimum: cancel before month 3 and it's $35 for each month left. No fee after that.
- If a provider says it's not right for you, you pay nothing.
How this works
- Prescribed for youA US-licensed provider reviews your history before anything is filled, and decides whether it's right for you.
- Filled for your prescriptionFilled for your prescription by a licensed US pharmacy (a 503A compounding pharmacy or a 503B outsourcing facility) and shipped to you.
- LegitScript certifiedIndependently checked for safe, legal telehealth practice. See our certification
- Not approved? You pay nothingIf the provider doesn't approve it, it's refunded in full automatically.
What “not FDA-approved” means: compounded medicines are made by a licensed pharmacy and filled for an individual prescription. The FDA doesn't review compounded medicines for safety, effectiveness or quality before they're dispensed, the way it reviews approved drugs. Your provider decides whether one is right for you.
What you should know
What it is
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Sildenafil is a prescription medication that helps with erections by improving blood flow. (It belongs to a class of medicines called PDE5 inhibitors.) This 50 mg tablet, 15 per pack, is prescribed only if your licensed provider decides it's right for you after reviewing your intake. At Optimize, nothing ships until a licensed provider confirms this therapy is appropriate for you, and you're refunded in full if they don't. Packaging is discreet and delivery is monthly.
Who it's for
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Performance isn't as reliable as it used to be. You'd rather work with a licensed provider than an anonymous website. You want transparent pricing without a clinic upsell. You want discreet shipping from a licensed US pharmacy.
Is this Viagra?
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No. This is a compounded sildenafil tablet from a licensed US pharmacy. Compounded drugs are not FDA-approved and are not the same as brand-name medications. Your provider selects the dose for you.
Is the packaging discreet?
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Yes. Your therapy ships in plain, discreet packaging from a licensed US pharmacy.
What you should know
What it is
+−
Sildenafil is a prescription medication that helps with erections by improving blood flow. (It belongs to a class of medicines called PDE5 inhibitors.) This 50 mg tablet, 15 per pack, is prescribed only if your licensed provider decides it's right for you after reviewing your intake. At Optimize, nothing ships until a licensed provider confirms this therapy is appropriate for you, and you're refunded in full if they don't. Packaging is discreet and delivery is monthly.
Who it's for
+−
Performance isn't as reliable as it used to be. You'd rather work with a licensed provider than an anonymous website. You want transparent pricing without a clinic upsell. You want discreet shipping from a licensed US pharmacy.
Is this Viagra?
+−
No. This is a compounded sildenafil tablet from a licensed US pharmacy. Compounded drugs are not FDA-approved and are not the same as brand-name medications. Your provider selects the dose for you.
Is the packaging discreet?
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Yes. Your therapy ships in plain, discreet packaging from a licensed US pharmacy.
How do therapy plans work?
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Your therapy is billed monthly at the plan price. 3-month minimum: cancel before month 3 and it's $35 for each month left. No fee after that. No fee before your first shipment is delivered, or if your provider stops your therapy. After that you can cancel anytime online.
When am I charged, and what if I'm not approved?
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For most therapies, at checkout. Your order is held while a licensed provider reviews your intake (plus a short video visit if your state requires one). If they don't approve, it's refunded in full, automatically. If your provider already approved you for another therapy and that approval covers this one, nothing is held. GLP-1 therapies start with a short quiz: pre-qualify and it works the same way. If the quiz sends you to provider review, your card is saved at $0 and charged only when a provider approves. If they don't, nothing is charged.
Do I need a membership to order a therapy?
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No. Shop therapies need only a short online intake and, where your state requires it, a brief video visit with a licensed provider. No membership and no blood work. The membership is for people who want quarterly labs, four provider visits a year, and a wellness consultant who stays with them.
Is Optimize legitimate?
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Yes. Optimize Health & Performance is LegitScript certified. Care is delivered by independent licensed providers in the states where they practice, every prescription is authorized by a licensed provider, and therapies ship from licensed US pharmacies.
What's the catch? Are there other fees?
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Here's every one. A 3% service fee on each payment (it's a service fee, not a card surcharge), state tax where it applies, and $25 shipping on product orders under $199.99. Bundle specials include the fee and ship free; first-month intro offers add the fee and pay shipping like any other order. Medications and blood panels beyond the four included are priced separately, and you see every price before you pay.
Often paired with Sildenafil.
Labs + Provider + Person = Your plan
Membership from $89.92/mo
4 Labcorp lab panels, 4 provider visits and a wellness consultant every year, on the annual plan. $149.99 month to month.
Sexual Health
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Start a membership, order one therapy, or talk to a person first. Atlas, our AI assistant, answers chat first, and a person on the team joins when you ask, Monday to Saturday, 9 AM to 6 PM Central.