A troche is a small, dissolvable lozenge placed in the mouth to dissolve rather than swallowed with water. This one is a compounded preparation combining more than one active ingredient, prepared by a US-licensed pharmacy on your clinician's prescription.

No. Compounded medications — including combination troches — are not FDA-approved. They are prepared by US-licensed compounding pharmacies on a valid prescription, and their exact composition may vary by pharmacy.

Intake link coming soonCompoundedCombination formulaPrescription required

Your treatment at a glance

Mount Rushmore Troche

A compounded troche that dissolves in the mouth.

Status: Unavailable
Clinical review: Required before treatment
Next step: Check back soon

Verify Approval for www.getpillarhealth.com

US-licensed

Clinician review

Prescription

When appropriate

Pillar

Rx Review

Licensed clinician guided

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Prescription required.

Product images are for illustration only. Packaging may vary.

Availability

Mount Rushmore Troche

A compounded dissolvable troche that combines oxytocin, tadalafil, and sildenafil — prescription only.

$99.00

Unavailable

Mount Rushmore Troche is temporarily unavailable.

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Program Highlights

Clinician review — no video visit required
Dosing determined by your clinician
Unlimited messaging with your clinical team

Medications and treatments are subject to a valid prescription issued by a licensed healthcare provider.

The Program

What's included

Every treatment on Pillar comes with the same clinician-led care — no matter which program you start.

Secure health questionnaire
Share your health history and goals online — it takes about 5 minutes.
Licensed clinician review
A US-licensed clinician personally reviews your answers, usually within 24 hours.
Prescription, if appropriate
Treatment is prescribed only if it's right for you — never automatic or guaranteed.
Pharmacy fulfillment
If prescribed, your medication is prepared by the dispensing pharmacy.
Ongoing care & support
Follow-ups and answers between visits are part of the program — message your care team anytime.

Program terms are provided by the care partner and dispensing pharmacy.

Everything you need,
nothing you don't.

About this treatment

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

What is a compounded medication?

A compounded medication is a patient-specific preparation made by a US-licensed compounding pharmacy at the direction of your clinician. It contains the same active ingredient as its branded counterpart, formulated to your exact prescribed dose.

Transferring from another provider?

Already in treatment elsewhere? Our intake lets you upload proof of your current prescription or a recent photo of your medication, so our clinicians can transition you to the appropriate dose without losing progress.

Pricing details

Transparent, flat pricing — the price you see is what you pay, locked in for life. No membership fees, no hidden consult fees, and shipping is always free. Your price stays the same across every dose in your plan.

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.