Tadalafil, Sildenafil & TRT
Sildenafil from $39/mo, Tadalafil from $49/mo on quarterly billing, and TRT from $109/mo—transparent cash-pay pricing.
Get compounded Tadalafil and Sildenafil troches (active ingredients in Cialis and Viagra) or start TRT with testosterone cypionate, cream, or enclomiphene—after provider review for Michigan patients.
ED Medications
Tadalafil, Sildenafil & Dual Combination
Compounded sublingual troches with transparent monthly pricing and clear $/dose math. Provider review required.
All-in price includes
- Physician review
- Compounded sublingual troches
- Discreet packaging
- Michigan shipping or pickup
Sildenafil
Fast-Acting Troche
Rapid-onset sublingual troche for on-demand use. Dissolves under the tongue for faster absorption than swallowed pills.
$39/mo all-in
About $3.90/dose on billed every 3 months · 10 troches / 30 days
Monthly plan $69/mo ($6.90/dose)
Tadalafil
Extended-Duration Troche
Long-window sublingual troche for continuous readiness—up to 36 hours of support without timing pressure.
$49/mo all-in
About $1.63/dose on billed every 3 months · 30 troches / 30 days
Monthly plan $79/mo ($2.63/dose)
Sildenafil + Tadalafil
Dual-Action Combination
Dual-action troche combining fast Sildenafil onset with extended Tadalafil duration in one compounded lozenge.
$49/mo all-in
About $4.90/dose on billed annually · 10 troches / 30 days
Monthly plan $89/mo ($8.90/dose)
Licensed pharmacy
Commercially available tablets
Standard Sildenafil and Tadalafil tablets start at $10 and are filled by Clear Choice Pharmacy.
Sildenafil
Generic for Viagra
Commercially available generic tablets, filled by Clear Choice Pharmacy.
$10 starting
Shop at Clear Choice PharmacyTadalafil
Generic for Cialis
Commercially available generic tablets, filled by Clear Choice Pharmacy.
$10 starting
Shop at Clear Choice PharmacyHow our ED troches compare
National telehealth brands often price generic tablets from ~$2/dose or compounded combo mints around $6–$12/dose. Our sublingual troches are a compounded, food-resistant format with physician review included—from about $39/mo Sildenafil and $49/mo Tadalafil on quarterly billing (~$3.90/dose and ~$1.63/dose). Monthly plans are also available. Prefer commercially available generic tablets? Those are filled by Clear Choice Pharmacy.
Need a commercially available tablet instead of a compounded troche? Continue to Clear Choice Pharmacy.
Prescription required. Payment authorized as a hold and captured only upon provider approval.
TRT · Testosterone Replacement Therapy
Physician-Supervised Testosterone Therapy
All-in cash-pay programs from $109/mo on quarterly billing—medication, supplies, and Michigan shipping or pickup included.
All-in price includes
- Physician review
- Medication & supplies
- Transparent cash-pay billing
- Michigan shipping or pickup
Testosterone Cypionate
Injectable TRT
Physician-supervised testosterone replacement with weekly self-injection. Includes syringes, alcohol pads, and step-by-step guidance.
$109/mo all-in
$129 monthly · $109 quarterly
Labs may be ordered separately when clinically required—ask during intake.
Testosterone Cream
Topical TRT
Daily topical testosterone for patients who prefer a needle-free option. Compounded for consistent absorption.
$129/mo all-in
$149 monthly · $129 quarterly
Labs may be ordered separately when clinically required—ask during intake.
Enclomiphene
Oral testosterone support
Oral therapy that stimulates your body’s natural testosterone production—often chosen by men who want to preserve fertility.
$99/mo all-in
$119 monthly · $99 quarterly
Labs may be ordered separately when clinically required—ask during intake.
How our TRT pricing compares
Online TRT platforms commonly charge $99–$300/mo. Budget ads near $99 often exclude labs or use thinner monitoring. Our injectable program starts at $109/mo quarterly ($129 monthly) with medication, supplies, and shipping included for Michigan patients after physician review.
Unlike nutrient-only hormone balance injections, our TRT programs deliver physician-supervised testosterone therapy with pharmacy fulfillment—designed for men seeking personalized wellness strategies and help maintaining hormone balance with upfront pricing.
Our pharmacy compounded
ED troches and TRT prepared by licensed pharmacists
Faster Than Pills
Sublingual ED troches bypass the digestive tract
Private & Discreet
Confidential checkout and direct delivery
Transparent Pricing
OptiMedsRx cash-pay model—no hidden fees
How It Works
From purchase to compounded care at your door
Review Your HomeKit
Explore ED troche or TRT kit details, optional add-ons, and pricing — then start your secure intake.
Physician Approval
Dr. Dourra reviews your intake and approves a customized protocol.
Our pharmacy fulfillment
After approval, our pharmacy compounds your medication and ships discreetly.
Tadalafil, Sildenafil & TRT FAQs
ED medications, Cialis/Viagra comparisons, and testosterone therapy
Learn
Men's Health Guides
Educational articles on Tadalafil, Sildenafil, Cialis/Viagra comparisons, and testosterone replacement therapy.
Compounded medications are prepared pursuant to a patient-specific prescription. Provider clinical evaluation is required. Individual results may vary. Testosterone is a controlled substance requiring physician supervision.
Ready to Get Started?
Buy ED troches or testosterone replacement therapy with transparent pricing and discreet fulfillment.