Program review · QUAD™

QUAD™ Program Review

★★★★★ 4.7/5 editorial rating · how we rate

MEDVi's compounded 4-in-1 sublingual liquid, bundled consultation, 24/7 medical support, and an unusually buyer-friendly qualification policy.

Last reviewed: 2026-07-10 · MyVitalMatch editorial team · editorial standards

How we rate: editorial ratings reflect our review of each program's published pricing, formats, bundled services, transparency, policies, and certification status, not clinical outcomes, which we cannot measure. Facts below are as published by the program on 2026-07-10; the program's site is authoritative and pricing can change. We may earn a commission through our links; commissions never change an assessment (methodology · disclosure).

At a glance

TreatmentCompounded multi-ingredient sublingual liquid

ActivesSildenafil, tadalafil, vardenafil, apomorphine

Published pricingFrom $114–179/mo subscription*

BundledConsultation, rush shipping, 24/7 support, cancel anytime

Provider reviewUS-licensed; program reports ~24h turnaround

CertificationLegitScript certified (verifiable at legitscript.com)

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MEDVi built this program around a sublingual liquid combining four active ingredients, sildenafil, tadalafil, vardenafil, and apomorphine, prescribed only after a US-licensed provider reviews your health information. MEDVi is the same telehealth operator behind established GLP-1 programs, with a Delaware business address, listed phone support, and its LegitScript certification linked directly in its site footer.

How it works

The flow is standard for legitimate telehealth, compressed well: a ~3-minute private intake, provider review the program reports at around 24 hours, then discreet home delivery with rush shipping included. Prescriptions are issued only if the provider determines treatment is appropriate, and MEDVi publishes a “don't qualify, don't pay” policy, which removes the risk of paying for an evaluation that ends in a decline.

The formula, in plain terms

The program's premise is coverage across four mechanisms: the program describes vardenafil for fast onset (reporting effects in as little as 10–15 minutes for many men), sildenafil for strength, tadalafil for an extended response window (up to ~36 hours), and apomorphine acting on arousal pathways rather than blood flow. These are the program's reported characteristics, not our measurements, individual response varies, and a provider calibrates whether this formulation suits you at all. The sublingual format absorbs under the tongue, which the program notes avoids the food-timing issues that can blunt swallowed tablets.

Pricing

Published pricing starts at $114/month (from a $179 list, with bundle savings), which includes the consultation, shipping, and 24/7 medical support, no separate visit fees. That positions QUAD firmly in the premium tier: several times the cost of generic tablets, in exchange for the multi-ingredient formulation and bundled service. Exact current pricing appears on MEDVi's site before enrollment.

Who MEDVi's program fits best

The clearest fit: men who've tried single-ingredient tablets with inconsistent results and want a provider to consider a different approach, men who prefer a dissolvable format, and men who value bundled support (the 24/7 medical line is genuinely uncommon at this price point). It's a harder sell for first-timers, generics are the usual, far cheaper starting point, and QUAD's own providers can advise on exactly that.

Pros and cons

What we like

Four-mechanism formulation a provider can consider when single-ingredient tablets underdelivered
“Don't qualify, don't pay” policy removes evaluation risk
Consultation, rush shipping, and 24/7 medical support bundled, no hidden visit fees
Fast published review turnaround (~24h) and cancel-anytime terms
LegitScript certification linked and verifiable; established multi-vertical telehealth operator

What to weigh

Premium tier versus generic tablets, best value for men ready to move past single-ingredient options
Base formulation details are discussed with your provider rather than published upfront

About compounded medications: compounded drugs are not FDA-approved, and the FDA does not verify their safety or effectiveness. A licensed provider decides whether any treatment is appropriate for you.

Common questions

Do I need a prescription?

Yes, and the program handles it. A US-licensed provider reviews your intake and issues a prescription only if treatment is appropriate for you.

How fast does it work?

The program reports onset in as little as 10–15 minutes for many men due to sublingual absorption. Individual results vary, treat that as the program's claim, not a promise.

What if I don't qualify?

MEDVi publishes a don't-qualify-don't-pay policy: if the provider determines the program isn't right for you, you're not charged for treatment. Zero risk to find out.

How quickly can I get started?

The private online visit takes about 3 minutes, and MEDVi reports provider review within roughly 24 hours, with free rush shipping once prescribed.

Our verdict

MEDVi earns its 4.7 on service completeness: the bundled consultation, 24/7 medical support, rush shipping, cancel-anytime terms, and the don't-qualify-don't-pay policy make this the most buyer-protective package we've reviewed in the category. For men whose single-ingredient experience disappointed, it's the strongest program to put in front of a provider, and the online visit costs nothing if you don't qualify.

See if I qualify → Compare all programs

Safety first: ED medications can interact with nitrates and certain heart medications, and ED can signal underlying conditions such as cardiovascular disease. Every program we list requires review by a licensed provider, and talking to your own doctor is always a good idea.