Quick answer: You fill out a health questionnaire (sometimes plus a video visit), a licensed clinician reviews it and issues a prescription if appropriate, and medication ships in discreet packaging — typically within a few days. No pharmacy counter, no in-person visit required for most providers.
Step 1: The Intake Questionnaire
Every legitimate provider starts here — a health questionnaire covering your medical history, current medications, and ED symptoms. This isn't a formality; it's how the reviewing clinician screens for contraindications like nitrate use, which can be dangerous combined with ED medication. Expect this to take 5–15 minutes depending on the provider.
Step 2: Clinician Review
A licensed clinician — a physician or nurse practitioner — reviews your intake and determines whether treatment is appropriate. Some providers require a video visit; most don't for straightforward cases, relying on the written questionnaire instead. This review is the single most important safety step in the entire process, and it's what separates a legitimate provider from a site that just sells medication without any real evaluation.
Step 3: Prescription and Payment
If approved, you'll see your treatment options and pricing before completing payment — on this page, that ranges from MyDrHank's per-dose pricing with no subscription to Rodeo's flat $69/month. Read what you're agreeing to, especially around subscription terms and cancellation, before confirming.
Step 4: Discreet Shipping
Medication ships in plain, unmarked packaging — nothing on the outside indicates what's inside or what condition it treats. Most providers also use generic billing descriptors on your card statement rather than anything referencing the medication or condition directly. Delivery timelines vary by provider, typically a few days.
What to Have Ready Before You Start
- A list of your current medications, including anything for blood pressure — this matters for safety screening.
- Your relevant medical history, including any heart conditions.
- A general sense of what you're looking for: plain generic, compounded combination, or a specific format like a fast-dissolving chew.
MyDrHank
Generic sildenafil, generic tadalafil, and a compounded dissolvable combination formula. From $1.66–$2.08 per dose, no subscription.
View MyDrHankPaid LinkThe process is more straightforward than most first-timers expect — an honest questionnaire, a real clinician review, and discreet delivery. The steps that matter most for safety are being honest on the intake form and confirming a real clinician is actually reviewing your case before you commit.