Select any item for more information.
Your treatment at a glance
Mount Rushmore Troche
A compounded troche that dissolves in the mouth.
Pillar
Rx Review
Licensed clinician guided
Start treatment
Mount Rushmore Troche
$49.00/month
Billed monthly.
Bundled treatment plan: clinician review, your medication if prescribed, and ongoing care. No fees beyond the monthly price. Plan terms
Customer feedback
“I’d never heard of a troche before. Having someone explain the medication and how to use it helped me feel more prepared.”
Program Highlights
- Clinician review — no video visit required
- Dosing determined by your clinician
- Unlimited messaging with your clinical team
What's included
Every treatment on Pillar comes with the same clinician-led care — no matter which program you start.
Everything you need,
nothing you don't.
What is Mount Rushmore Troche?
The Mount Rushmore Troche is a compounded, dissolvable troche that combines oxytocin, tadalafil, and sildenafil in a single preparation that dissolves in the mouth rather than being swallowed with water. It is prepared by a US-licensed compounding pharmacy only after a clinician reviews your intake and determines treatment is appropriate. Because it is compounded, it is not FDA-approved and its exact composition may vary by pharmacy. Submit your intake through the link on this page to get started.
Included in your program
- Clinician review — no video visit required
- Dosing determined by your clinician
- Unlimited messaging with your clinical team
Who's eligible?
- Adults 18+ in eligible US states
- Not for use with nitrate medications
Care that meets you where you are.
Explore clinician-reviewed treatment information and complete a secure health questionnaire.
Start treatment · $49.00Customer feedback
“I’d never heard of a troche before. Having someone explain the medication and how to use it helped me feel more prepared.”
Why treat ED with Pillar?
Clinician-prescribed treatment that's discreet, flexible, and on your schedule.
On your schedule
Daily and as-needed options available — your clinician recommends the approach that fits your life.
Pharmacy fulfillment details
The dispensing pharmacy provides current packaging and fulfillment details.
Clinician review in 24 hours
A US-licensed clinician reviews your intake within 24 hours — no video visit required.
Payment and program terms
Current pricing, payment, renewal, and cancellation terms are provided before you agree to treatment.
Judgment-free care
Message your clinical team anytime. ED is common, treatable, and nothing to be embarrassed about.
Reviews · 4.8 stars
Stories from our programs.
How it works
Simple Questionnaire
Choose the plan that fits your needs, then complete a free medical intake and health history form for review by a licensed provider.
Provider Evaluation
Our licensed medical provider will review your medical history and determine if the medication is right for you and your needs.
Prescription & Delivery
If approved by your provider, your prescription is filled by the pharmacy and ships straight to your door.
Important safety information
Common side effects, who Mount Rushmore Troche is not for, and what to tell your clinician. A summary of key warnings, not complete prescribing information.
Explore related programs
Common questions,
answered.
Open any question to read the complete answer.
Details
A compounded dissolvable troche that combines oxytocin, tadalafil, and sildenafil — prescription only.
Mount Rushmore Troche: Billed monthly.
- Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Prescription required.
- Every monthly plan renews each month until you cancel. To cancel, click Cancel in your account. No refunds once your medication ships. Plan terms
- The dispensing pharmacy provides medication fulfillment details.
- Product images are for illustration only. Packaging may vary.
Customer feedback
“I’d never heard of a troche before. Having someone explain the medication and how to use it helped me feel more prepared.”
Subject to clinician review