Compare ED programs

The quick answer

Three 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

★★★★★ 4.7/5

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

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Best value

★★★★★ 4.6/5

DirectMax · lowest per-dose in the catalog, no membership fee.

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	QUAD™ ★★★★★ 4.7/5 editorial	★ Editor's pick QMAX™ ★★★★★ 4.9/5 editorial	Custom formulas ★★★★★ 4.4/5 editorial	DirectMax ★★★★★ 4.6/5 editorial	Omzo ★★★★★ 4.7/5 editorial	Standard generic route (context, not a listing)
Treatment type	Compounded multi-ingredient sublingual liquid	Compounded multi-ingredient sublingual drop	Custom-compounded dissolving tablets, daily or on-demand	Compounded triple-ingredient sublingual tablet	Clinician-guided ED, libido & performance care	Single-ingredient FDA-approved tablets (generic sildenafil/tadalafil)
Active ingredients	4 (sildenafil, tadalafil, vardenafil, apomorphine)	4, with base dosages publicly disclosed ✓ transparency	1
Onset (program-reported)	As little as 10–15 min, individual results vary	~10 min for many men, individual results vary	Typically 30–60 min; food can slow it
Published pricing	From $114–179/mo subscription*	Monthly plans; promos vary*	~$119–179/mo by formula*	From ~$8.78/dose*	Shown pre-enrollment*	Often a few $ per dose via telehealth
What's bundled	Consultation, rush shipping, 24/7 medical support, cancel anytime	Provider review, discreet shipping, month-to-month flexibility	Free consultation, free shipping, 24/7 medical support	No membership, consultation, or hidden fees	Provider review, medication, shipping, ongoing support	Varies by provider
Qualification policy	Don't qualify, don't pay (as published)	Provider review before any charge for treatment	Free consultation; charged only if prescribed and ordered	Clinician review before prescription; approval not guaranteed	Clinician review before prescription; approval not guaranteed	Provider review required
Provider review	✓ required. US-licensed, ~24h review	✓ required. US-licensed providers	✓ required
Prepared by	Licensed US compounding pharmacies	FDA-registered US pharmacies (as published)	PCAB-accredited US compounding pharmacy (as published)	US 503A compounding pharmacies (as published)	US only, all 50 states (as published)	Standard manufacturers
LegitScript	✓ certified	Independent licensed providers	✓ certified	✓ certified	✓ certified	Depends on provider, verify
Tends to fit	Men whose single-ingredient results were inconsistent; want bundled support	Same profile; men who value dosage transparency and no lock-in	Men who want a daily always-ready plan or a physician-tailored formula	Cost-focused men who still want a real multi-ingredient sublingual	Men wanting ED, libido & performance addressed together	First-timers; budget-priority; provider-guided starting point
	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 more

*Pricing and policies as published by each program at review time (2026-07-10) 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.