Compare ED programs

The quick answer

Four picks cover most situations; the full table below has every detail.

★ Best overall · Editor's pick

★★★★★ 4.9/5

QMAX™ · the only 4-in-1 with every dosage published, month-to-month, no lock-in.

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Best support & protection

★★★★★ 4.8/5

QUAD™ · 24/7 medical line and a don't-qualify-don't-pay policy.

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Best chew format

★★★★★ 4.8/5

Hard Chews Now · 3-in-1 prescription chew, real-human phone support, pause or cancel anytime.

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Best value

★★★★★ 4.6/5

DirectMax · triple-ingredient, HSA/FSA accepted, 100% refundable, no hidden fees.

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	★ Editor's pick QMAX™ ★★★★★ 4.9/5 editorial	QUAD™ ★★★★★ 4.8/5 editorial	Hard Chews Now ★★★★★ 4.8/5 editorial	Omzo ★★★★★ 4.7/5 editorial	OnyxMD Ignite ★★★★★ 4.7/5 editorial	DirectMax ★★★★★ 4.6/5 editorial	Surge MAX ★★★★★ 4.4/5 editorial	Standard generic route
Format	4-in-1 sublingual drop	4-in-1 sublingual liquid	3-in-1 fast-dissolving chew	Clinician-guided ED, libido and performance care	Triple-action prescription tablet	Triple-ingredient sublingual tablet	3-in-1 sublingual chew	Standard swallowed tablets
Active ingredients	4, dosages published ✓ transparency	4 (sildenafil, tadalafil, apomorphine, L-citrulline)	3 (sildenafil, tadalafil, apomorphine)	Personalized by provider	3, doses published (sildenafil 70mg, tadalafil 20mg, apomorphine 4mg) ✓ transparency	3 (sildenafil, tadalafil, apomorphine)	3 (sildenafil, tadalafil, apomorphine)	1 (sildenafil or tadalafil)
Published pricing	Reported ~$124 to $449 by plan*	From $114 to $179/mo*	Shown at checkout, frequent promotions*	Shown pre-enrollment*	From $9.72/dose, from $99/mo*	$52.68 to $64.68 per 6 doses (about $8.78 to $10.78 each), before promos*	Premium tier, shown pre-enrollment*	Often a few dollars per dose
What's bundled	Provider review and shipping included, no consult fee	Consultation, rush shipping, 24/7 medical line	Free consultation, human phone support, discreet delivery	Provider review, medication, 24/7 support, free expedited delivery	Free online visit, free consultation, free shipping	No hidden fees, HSA/FSA accepted, 100% refundable	Free consultation, free 2-day shipping, 24/7 concierge	Varies by provider
Billing and policy	Month-to-month, no lock-in	Don't qualify, don't pay	Pause or cancel anytime	Money-back guarantee (per Omzo)	Cancel anytime; not in AK, MS, NJ	Clinician review, approval not guaranteed	Free consultation; plans may auto-renew	Varies by provider
Provider review	✓ required, US-licensed providers	✓ required, ~24h review	✓ required, US-licensed providers	✓ required, licensed clinicians	✓ required, US-licensed physicians	✓ required, licensed clinicians	✓ required, US-licensed physicians	✓ required (prescription)
Certification	✓ certified	✓ certified	✓ certified (operator: Empire Health)	✓ certified	✓ certified	✓ certified	✓ certified	FDA-approved medications
Tends to fit	Men who want exact dosages and no lock-in	Men who want bundled support and buyer protection	Men wanting a 3-in-1 in a chew, with a person to talk to	Men wanting ED, libido and performance addressed together	Men wanting a triple-action formula with doses and price published	Cost-focused men who still want a multi-ingredient option	Men wanting a fast multi-ingredient sublingual with bundled support	First-timers, or men for whom one ingredient works
	See if I qualify Full review →	See if I qualify Full review →	See if I qualify Full review →	See if I qualify Full review →	See if I qualify Full review →	See if I qualify Full review →	See if I qualify Full review →	Learn about generics →

*Pricing and policies as published by each program, re-checked in October 2026 and subject to change, the program's site is authoritative. Onset/duration figures are the programs' own reported claims, not our measurements; individual results vary. Sponsored links, we may earn a commission (disclosure). Editorial ratings: methodology.