Quad Mix: 4 ED Medications in One Dose
Quad Rx from Rx.com combines apomorphine, sildenafil, tadalafil and vardenafil in liquid drops that absorb under your tongue. Prescribed online by independent U.S.-licensed providers and shipped to your door.
- Free provider consultation
- Free express shipping
- Billed only if prescribed
Complete Stack
1 solution, 4 powerful ingredients. Three trusted ED medicines plus one that works on arousal, in a single sublingual dose.
Engineered for your body.
Absorbs under the tongue
Quad Rx is a liquid you hold under your tongue, where it absorbs through the tissue there instead of being swallowed like a pill.
- No pill to swallow
- Discreet, easy to carry
- Dosed by your provider
Up to 36 hours of coverage
Tadalafil, the long-acting ingredient in Cialis, can stay active for up to 36 hours, while sildenafil and vardenafil cover the shorter window.
- Short- and long-acting ingredients together
- Less planning around timing
- One dose instead of several pills
Desire and blood flow
Most ED pills only improve blood flow. Quad Rx adds apomorphine, which works in the brain on the pathways involved in arousal.
- Three PDE5 inhibitors for blood flow
- Apomorphine for arousal
- Two mechanisms in one dose
Your best performance. Delivered.
Choose your plan, complete a short online visit, and if an independent provider approves treatment, Quad Rx ships free by express delivery in plain packaging.
Get StartedWhat 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.
You may also see it called Quad Rx, Quad ED drops, Quad liquid, Quad for men or 4-in-1 ED medicine. They all describe the same idea: several ED medications combined in one fast-absorbing sublingual dose instead of a single pill.
Rx.com's Quad Rx delivers that 4-in-1 formula as a compounded prescription liquid that dissolves under your tongue. Three of its ingredients are the PDE5 inhibitors behind Viagra, Cialis and Levitra, which improve blood flow. The fourth, apomorphine, works in the brain on the pathways involved in arousal.
Because it is prescription only, every order includes an online health evaluation reviewed by an independent U.S.-licensed provider. If treatment is clinically appropriate, a U.S.-licensed pharmacy fills the prescription and ships it to you.
Why settle for an incomplete formula?
A single ED pill covers one window. Quad Rx layers short- and long-acting ingredients, so the formula covers more of the weekend than any one of them alone.
Four ingredients, four jobs
Each active ingredient in Quad Rx plays a specific role.
Apomorphine
The arousal ingredient
Unlike the other three, apomorphine works in the brain on dopamine pathways that help start an erection, rather than on blood flow alone.
Sildenafil
The active ingredient in Viagra
The most widely prescribed ED medication in the world, a PDE5 inhibitor that typically lasts about 4 to 6 hours.
Tadalafil
The active ingredient in Cialis
The long-lasting one. Tadalafil can stay active for up to 36 hours.
Vardenafil
The active ingredient in Levitra
A PDE5 inhibitor closely related to sildenafil that is effective at a low dose and typically lasts about 4 to 5 hours.
The power of 4 meds. In 1 dose.
Quad Rx by Rx.com
- Billed monthly, no commitment
- Same price on every renewal
- Only billed if a prescription is approved
- No insurance needed, Klarna available
3 steps to total confidence
Choose your plan
Pick your pack size, billed monthly. You're only billed if a prescription is approved.
Provider approval
Answer a short online health questionnaire. An independent U.S.-licensed provider reviews it and prescribes only if treatment is right for you.
Fast, discreet delivery
A U.S.-licensed pharmacy fills your prescription and it ships free by express delivery, usually in 1 to 5 business days.
MEDVi Quad vs. Quad Rx
Both are compounded 4-in-1 sublingual ED treatments sold online with the name "Quad", so they are easy to confuse. They are separate products from separate companies, and their formulas are not the same.
| Quad Rx (Rx.com) | MEDVi Quad | |
|---|---|---|
| Form | Sublingual liquid drops | Sublingual liquid drops |
| Ingredients | Apomorphine, sildenafil, tadalafil, vardenafil | Sildenafil, tadalafil, apomorphine, L-citrulline* |
| Prescription ED drugs | 4 | 3, plus L-citrulline (an amino acid)* |
| Vardenafil (Levitra) | Yes | No* |
| Online provider visit | Yes, included | Yes |
| Compounded, not FDA-approved | Yes | Yes |
| Ordered through | Rx.com | MEDVi |
The key difference is the fourth ingredient. Quad Rx uses vardenafil, the prescription PDE5 inhibitor in Levitra, where MEDVi's formula uses L-citrulline, an amino acid also sold as a supplement. Quad Rx also includes free express shipping, the same price on every renewal, and you are only billed if a prescription is approved.
*MEDVi details are from MEDVi's published materials as of September 2026; MEDVi has changed its Quad formula more than once in 2026, so check its site for the current version. MEDVi is a trademark of its owner. Rx.com is not affiliated with MEDVi.
Get Quad Rx from Rx.comQuad Mix FAQs
What is Quad Mix?
What is in Quad Rx?
Are Quad ED drops the same thing?
What is the Quad Rx dosage and how do I take it?
Does Quad Rx work?
Is Quad Rx legit?
Is this the same as MEDVi Quad?
How long does it last?
How much does Quad Rx cost?
Do I need a prescription?
Is Quad Rx FDA-approved?
Is Quad Rx safe? Who should not take it?
Does insurance cover it?
Your best performance is one click away.
Choose your plan, complete a short online visit, and an independent provider will decide whether Quad Rx is right for you. If no prescription is approved, you aren't billed.
Get Started From $114/month, consultation and shipping includedImportant safety information
Quad Rx contains sildenafil, tadalafil and vardenafil, which must never be combined with nitrates (such as nitroglycerin) used for chest pain, or with riociguat. The combination can cause a life-threatening drop in blood pressure.
Tell the provider about any heart conditions, blood pressure problems, or medications you take during the online visit. Common side effects include headache, flushing, nasal congestion, dizziness and nausea. Seek immediate medical care for an erection lasting more than 4 hours.
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Compounded medication: Quad Rx is a compounded medication. It is not FDA-approved. Medications are only issued when clinically appropriate after provider evaluation. Rx.com does not manufacture compounded medications.
Medical services: All medical services, including clinical evaluations, treatment planning and prescribing decisions, are provided exclusively by licensed independent medical providers. Rx.com provides the technology platform and administrative coordination services, does not employ healthcare providers, and does not practice medicine. This page is for informational purposes and is not a substitute for professional medical advice.