One visit. Five ways to treat it.
One private intake — a US-licensed clinician matches you to the right option and prescribes it if treatment is appropriate.
Your clinician can prescribe:
Tadalafil & sildenafil tablets
Tadalafil & sildenafil drops
Mount Rushmore troche
Prescription medications require an evaluation by a licensed clinician. Individual results vary.
Review times are typical, not guaranteed. Whether treatment is appropriate — and which option, dose, and schedule — is determined by a licensed clinician after your evaluation.
Pick your goal — then read reviews from real Pillar patients
How would you like to enhance your sex life?
Pick what matters most. A US-licensed clinician reviews your health history and recommends the treatment that fits.
“Honest and discreet from start to finish. The clinician walked me through the options instead of just handing me a pill.”
Kelsey H.
ED treatment · 7 weeks on program
Reviews are from real Pillar patients. Read all reviews
Five options. One clinician-guided decision.
Tablets, drops, or a combination troche — your clinician recommends the fit.
Compounded medications are not FDA-approved and are prescribed only after evaluation by a licensed medical provider. These medications are not appropriate for everyone, and the exact composition of a compounded medication may vary by pharmacy. Use only as directed by your prescribing provider.
Product images are for illustration only. Packaging may vary.
Which format fits your life?
Your clinician weighs your health history and preferences, then recommends a format and formula.
Tablets
Well-studied tadalafil and sildenafil tablets, taken as directed.
Drops
Compounded liquid — measure drops instead of swallowing a tablet.
Combination troche
Mount Rushmore — more than one active ingredient, dissolved in the mouth.
Option, dose, and schedule are determined by your prescribing clinician based on your individual evaluation and health history.
Product images are for illustration only. Packaging may vary.
How we compare
Most ED telehealth apps bill by the dose — the total climbs with every use and every strength increase. Pillar's flat monthly price already covers your care and medication, at every prescribed dose.
What the advertised price covers
Pillar
Competitor
Flat monthly price
Pillar
Competitor
Same price at every dose strength
Pillar
Competitor
Price locked in for life
Pillar
Competitor
Clinician follow-ups included in the price
Pillar
Competitor
| Compare | Pillar HealthCare + medication included | CompetitorLeading ED telehealth apps |
|---|---|---|
| What the advertised price covers | Care + medicationClinician evaluation, your prescription if appropriate, and ongoing support — one flat monthly price | Medication, billed per doseDose count and strength set the monthly total |
| Flat monthly price | $99/monthEvery treatment, every prescribed dose | Climbs with useDose plans run $48–$120/month; daily options $40–$89/month at starter doses |
| Same price at every dose strength | Yes | Rises with strengthPublished generic rates run $4–$10 per dose by strength |
| Price locked in for life | Yes | Not published |
| Clinician follow-ups included in the price | Yes | Varies by plan |
Competitor figures reflect published pricing from leading ED telehealth providers as of September 2026; their plans and prices may change. Pillar price shown is our current program price.
How these treatments work
Tadalafil and sildenafil are PDE5 inhibitors: they relax blood-vessel walls and improve blood flow, making an erection physically easier to achieve with arousal.
Improved blood flow
PDE5 inhibitors ease vessel constriction, supporting stronger blood flow with arousal.
Arousal still required
These treatments support the physical response — they don't replace desire or stimulation.
A format to fit you
Tablets, drops, or troche — your clinician matches the format to you.
How to get treatment
100% online — from intake to a prescription dispensed by a licensed pharmacy.
Complete a private intake
About 5 minutes on your health, medications, and goals — no video visit required.
A clinician reviews
A US-licensed clinician reviews, usually within 24 hours.
Prescription, if appropriate
If appropriate, your clinician prescribes the option, dose, and schedule that fit.
Discreet delivery
If prescribed, medication is dispensed and shipped in plain packaging by a licensed US pharmacy through the approved external treatment platform, which manages any ongoing fulfillment.
Medications and treatments are subject to a valid prescription issued by a licensed healthcare provider.
ED is common — and treatable
You're not the only one, and you don't have to plan your life around it.
30M+
US men experience some degree of ED*
5
clinician-prescribed options, one private visit
48
states plus D.C. where treatment is available
*Estimated prevalence of erectile dysfunction among US men (National Institutes of Health).
Frequently Asked Questions
Learn before a treatment decision
Read source-backed guides about prescription review, medication information, and preparing for a visit.
Ready when you are
Start your private online visit today — a clinician takes it from there.
Five clinician-prescribed options · one private visit · discreet delivery from the dispensing pharmacy
Medications and treatments are subject to a valid prescription issued by a licensed healthcare provider. Tadalafil, sildenafil, and the compounded formulas offered here are prescription medications; a clinician will determine whether treatment is appropriate based on your intake.
Do not use tadalafil or sildenafil — or the compounded formulas that contain them — with nitrate medications. Tell your clinician about heart conditions, blood-pressure issues, and all medications during intake.
Compounded medications are not FDA-approved and are prepared by a US-licensed pharmacy after a clinician prescribes; their exact composition may vary by pharmacy.
Medication, dose, and schedule are determined by your prescribing clinician. Individual results vary and no specific outcome is guaranteed.
Product images are for illustration only. Packaging may vary.