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Prescription ED Treatment

Quad Mix: 4 ED Medications in One Dose

QUAD by MEDVi combines sildenafil, tadalafil, vardenafil and apomorphine in a fast-absorbing liquid that dissolves under your tongue. Prescribed online by U.S.-licensed doctors and shipped to your door.

  • Works in about 10 to 15 minutes
  • Lasts up to 36 hours
  • Prescribed online, no in-person visit
  • Discreet, unmarked packaging

Limited-time pricing

QUAD by MEDVi

$114 / month

36% off retail. If you don't qualify, you don't pay.

  • Online doctor consultation included
  • Free rush shipping
  • 24/7 support, cancel anytime
  • No insurance needed
See If You Qualify 3-minute health quiz. No commitment.
U.S.-licensed doctors Licensed U.S. pharmacy Doctor review within 24 hours Plain, unmarked packaging

What is Quad Mix?

Quad Mix is an erectile dysfunction treatment built on a simple idea: instead of relying on a single active ingredient, combine four that work in different ways, so more men get a strong, reliable result.

QUAD by MEDVi delivers that 4-in-1 formula as a compounded prescription liquid that dissolves under your tongue. It absorbs directly into your bloodstream instead of passing through your stomach and liver, so it starts working faster than a swallowed pill and isn't thrown off by a heavy meal.

Because it is prescription only, every order starts with an online health evaluation reviewed by a U.S.-licensed doctor. If the doctor approves treatment, a licensed pharmacy fills the prescription and ships it in plain packaging.

Four ingredients, four jobs

Each active ingredient in the QUAD formula plays a specific role.

1

Sildenafil

The active ingredient in Viagra

The most widely prescribed ED medication in the world, included for peak strength and reliability.

2

Tadalafil

The active ingredient in Cialis

The long-lasting one. Tadalafil can stay active for up to 36 hours, so a single dose can cover a whole weekend.

3

Vardenafil

The active ingredient in Levitra

Known for rapid onset. Combined with sublingual absorption, it is a big part of the 10 to 15 minute start time.

4

Apomorphine

The desire ingredient

Unlike the other three, apomorphine works in the brain on dopamine receptors, supporting arousal and desire, not just blood flow.

Check Your Eligibility Free online visit. You only pay if a doctor approves treatment.

Why men choose Quad over single-ingredient pills

  • Four mechanisms in one dose instead of betting on one
  • Sublingual absorption bypasses the stomach and liver
  • Not affected by food or a big dinner
  • Addresses desire as well as blood flow
  • Prescribed online with free, discreet delivery
  • One flat monthly price with the doctor visit included

How it works

1

3-minute online visit

Answer a short health questionnaire from your phone. No appointment, no waiting room, no awkward conversation.

2

Doctor review

A U.S.-licensed doctor reviews your answers within about 24 hours and writes a prescription if treatment is right for you.

3

Discreet delivery

Your medication ships free with rush delivery in plain, unmarked packaging. Refills continue monthly and you can cancel anytime.

Important safety information

QUAD contains sildenafil, tadalafil and vardenafil, which must never be combined with nitrates (such as nitroglycerin) used for chest pain. The combination can cause a life-threatening drop in blood pressure.

Tell the doctor about any heart conditions, blood pressure problems, or medications you take during the online visit. Common side effects of this medication class include headache, flushing, nasal congestion and upset stomach. Seek immediate medical care for an erection lasting more than 4 hours.

Quad Mix FAQs

What is Quad Mix?
Quad Mix refers to an erectile dysfunction treatment that combines four active medications in a single dose. QUAD by MEDVi is a compounded sublingual (under the tongue) liquid that combines sildenafil, tadalafil, vardenafil and apomorphine. It is prescription only and is prescribed after an online health evaluation by a U.S.-licensed doctor.
How fast does QUAD work?
Because the liquid absorbs under the tongue instead of passing through the stomach and liver, MEDVi reports onset in roughly 10 to 15 minutes for most men. Absorption is also not affected by food the way swallowed ED pills can be.
How long does it last?
The formula includes tadalafil, the long-acting ingredient in Cialis, which can remain active for up to 36 hours. Many men find a single dose covers a full weekend.
How much does Quad Mix cost?
QUAD by MEDVi starts at about $114 per month. The price includes the doctor consultation, the medication, free rush shipping and 24/7 support. There are no surprise visit fees, and if the doctor determines you do not qualify, you do not pay.
Do I need a prescription?
Yes. QUAD is a prescription medication. You complete a short online health intake, a U.S.-licensed doctor reviews it within about 24 hours, and if you are approved the prescription is filled and shipped to you in plain, unmarked packaging.
Who should not take Quad Mix?
Men who take nitrates for chest pain (such as nitroglycerin) should never take sildenafil, tadalafil or vardenafil, because the combination can cause a dangerous drop in blood pressure. Men with serious heart conditions, uncontrolled blood pressure or a history of priapism need a doctor's guidance first. The online evaluation screens for these issues, so answer it honestly.
Does insurance cover it?
No insurance is needed and none is billed. QUAD is a cash-pay telehealth product with one flat monthly price, which also means nothing appears on insurance records.

Ready to try the 4-in-1 approach?

Take the 3-minute quiz to see if QUAD is right for you. If a doctor determines you don't qualify, you pay nothing.

See If You Qualify From $114/month, consultation and shipping included

Medical disclaimer: Rx.com does not provide medical advice or prescribe medication. QUAD is available only with a prescription from a licensed physician after a health evaluation. Product details, timing claims and pricing are provided by MEDVi and may change. This page is for informational purposes and is not a substitute for professional medical advice.

Affiliate disclosure: Rx.com may earn a commission if you start treatment through links on this page, at no additional cost to you.

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