Premier Clinical Network

ED - Oral Tablets (Rx)

Sildenafil tablets (generic Viagra® option)

Overview

Prescription PDE5 inhibitor option. A licensed clinician reviews cardiovascular risk, contraindications (especially nitrates), and medication interactions and determines whether treatment is appropriate and how to dose.

Potential benefits (not guaranteed)

  • May support erectile function in appropriate patients when medically indicated (not guaranteed)
  • May be used as-needed or daily depending on medication and clinician guidance
  • Multiple formulation options may help match patient preference and tolerability

Potential risks and side effects (not complete)

  • Common: headache, flushing, nasal congestion, indigestion, dizziness
  • Low blood pressure risk, especially with certain medications or alcohol; caution with alphablockers
  • Contraindicated with nitrates and recreational ‘poppers’
  • Rare: vision or hearing changes; priapism (erection lasting >4 hours)

Pricing statement

Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Medication cost varies by pharmacy and whether brand or generic is used.

Tadalafil tablets (generic Cialis® option)

Overview

Prescription PDE5 inhibitor option. A licensed clinician reviews cardiovascular risk, contraindications (especially nitrates), and medication interactions and determines whether treatment is appropriate and how to dose.

Potential benefits (not guaranteed)

  •  May support erectile function in appropriate patients when medically indicated (not
    guaranteed)
  • May be used as-needed or daily depending on medication and clinician guidance
  • Multiple formulation options may help match patient preference and tolerability

Potential risks and side effects (not complete)

  • Common: headache, flushing, nasal congestion, indigestion, dizziness
  • Low blood pressure risk, especially with certain medications or alcohol; caution with alpha
    blockers
  • Contraindicated with nitrates and recreational ‘poppers’
  • Rare: vision or hearing changes; priapism (erection lasting >4 hours)

Pricing statement

Medication management: $100 every 60 days. Medication is billed separately by the dispensing
pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed.
Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary.
Medication cost varies by pharmacy and whether brand or generic is used.

Vardenafil tablets (generic Levitra® option)

Overview

Prescription PDE5 inhibitor option. A licensed clinician reviews cardiovascular risk, contraindications (especially nitrates), and medication interactions and determines whether treatment is appropriate and how to dose.

Potential benefits (not guaranteed)

  • May support erectile function in appropriate patients when medically indicated (not
    guaranteed)guaranteed)
  • May be used as-needed or daily depending on medication and clinician guidance
  • Multiple formulation options may help match patient preference and tolerability

Potential risks and side effects (not complete)

  • Common: headache, flushing, nasal congestion, indigestion, dizziness
  • Low blood pressure risk, especially with certain medications or alcohol; caution with alpha
    blockers
  • Contraindicated with nitrates and recreational ‘poppers’
  • Rare: vision or hearing changes; priapism (erection lasting >4 hours)

Pricing statement

Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Medication cost varies by pharmacy and whether brand or generic is used.

Avanafil tablets (Stendra® option)

Overview

Prescription PDE5 inhibitor option. A licensed clinician reviews cardiovascular risk, contraindications (especially nitrates), and medication interactions and determines whether treatment is appropriate and how to dose.

Potential benefits (not guaranteed)

  • May support erectile function in appropriate patients when medically indicated (not guaranteed)
  • May be used as-needed or daily depending on medication and clinician guidance
  • Multiple formulation options may help match patient preference and tolerability

Potential risks and side effects (not complete)

  • Common: headache, flushing, nasal congestion, indigestion, dizziness
  • Low blood pressure risk, especially with certain medications or alcohol; caution with alpha blockers
  • Contraindicated with nitrates and recreational ‘poppers’
  • Rare: vision or hearing changes; priapism (erection lasting >4 hours)

Pricing statement

Medication management: $100 every 60 days. Medication is billed separately by the dispensing pharmacy/manufacturer pharmacy. Prescription required; prescription is not guaranteed. Treatment must be medically necessary. Use only as prescribed. Dosage may vary. Results vary. Medication cost varies by pharmacy and whether brand or generic is used.

Billing and Pricing Disclosure

Medication management fee: $100 every 60 days.

Medication cost is billed separately by the dispensing pharmacy/manufacturer pharmacy and may change.

Prescription required; prescription is not guaranteed. All treatment must be medically necessary after clinician review.

Global Disclaimers

  • Prescription required; prescription is not guaranteed.
  • Use only as prescribed. Dosage may vary.
  • Results vary. Treatment must be medically necessary.
  • Telehealth is not emergency care. If you have an emergency, call 911 or go to the nearest ER.
  • If compounded medication is prescribed: compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality.
  • Medication cost is billed separately by the dispensing pharmacy/manufacturer pharmacy.

ED safety box

Important: Do not use erectile dysfunction medications with nitrates (for chest pain) or recreational ‘poppers.’ Tell your clinician about all medications, supplements, and medical conditions.

Seek urgent care for chest pain, severe dizziness/fainting, sudden vision/hearing changes, severe allergic reaction, or an erection lasting longer than 4 hours (priapism).

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