Sildenafil prescriptions · Generic Viagra

Can I get a sildenafil prescription online?

Yes. Eligible adults can request a $45 online ED visit for sildenafil, the medicine in generic Viagra. A licensed clinician reviews your health history and medicines and prescribes only if appropriate; medication is paid separately at your chosen pharmacy.

No required subscription · No scheduled video visit
Medication costs vary by pharmacy and are paid separately.

Last updated:
Clinically reviewed by Bidwell Cranage, APRN, FNP-C ·

Before you start

For eligible adults 18 and older who are physically in a supported state during the visit. Online ED care is not for chest pain or emergencies. Read the safety limits and check your state.

A prescription visit, with your pharmacy choice

You do not have to buy medication from Bidwell Health. The online visit is for clinical assessment and a treatment decision. If sildenafil is appropriate, the prescription goes to the pharmacy you select. The pharmacy confirms the medication price and fills it. This is an ED service; a sildenafil prescription for another condition needs care appropriate to that condition.

How to request sildenafil online

  1. Start your ED visit.

    Share your symptoms, health history, medicines and allergies. Add any past ED treatment, your medication preference and the pharmacy you want to use.

  2. A licensed clinician reviews it.

    Your clinician assesses whether online treatment is appropriate and may message you for more information. Visits are reviewed 7 days a week, including weekends; timing varies.

  3. Fill an approved prescription.

    If treatment is appropriate, the prescription is sent to your chosen pharmacy. Confirm the price and pickup or delivery arrangements with that pharmacy.

What does it cost?

$45Online clinician visit

No required subscription. Bidwell does not bill insurance. The fee pays for the clinical visit, and a prescription is never guaranteed.

The medication is a separate pharmacy purchase. Ask for a quote for your prescribed strength and quantity. Prices can differ between pharmacies and may change; delivery can add shipping costs. You can check Cost Plus Drugs’ current catalog or ask a local pharmacy. Any insurance or discount-card use at the pharmacy is separate from Bidwell’s visit fee.

What does the clinician review?

The clinician reviews cardiovascular history and symptoms, blood-pressure concerns, current medicines, kidney or liver problems and prior ED treatment. Depending on the findings, examination or testing may be needed before treatment. Paying for a visit does not guarantee sildenafil.

What to know about sildenafil

Sildenafil is usually an as-needed ED medicine. Its label recommends about one hour before sex, with a permitted window of 30 minutes to four hours before. A high-fat meal can delay absorption; sexual stimulation is still needed.

The clinician chooses the dose and directions for you. For a comparison, read sildenafil versus tadalafil; for pharmacy examples, see the dated ED cost guide.

For medication details, see the sildenafil prescription guide. This answer page explains the visit and pharmacy process.

Who may not be eligible?

Bidwell’s online ED service does not treat people using nitrates, people with a heart attack, stroke or cardiac arrest in the past six months, or people with low blood pressure or uncontrolled high blood pressure. These are practice eligibility limits; an in-person clinician can assess other care options. Do not combine sildenafil with nitrates, recreational nitrites (“poppers”) or guanylate cyclase stimulators such as riociguat. Alpha blockers, other blood-pressure medicines, heart symptoms and kidney or liver conditions need review. Do not stop heart medicine or combine ED medicines to make an online treatment plan fit.

When is urgent help needed?

Call 911 for chest pain, collapse, severe trouble breathing or swelling of the tongue or throat. If chest pain follows an ED medicine, stop sexual activity, tell responders what you took and when, and do not take your own nitroglycerin. An erection lasting more than four hours needs an emergency department immediately, even without pain. Stop the medicine and seek immediate medical attention for sudden vision or hearing decrease or loss.

Where can I use this online ED service?

You must be physically in one of these 11 states during the visit, with care from a clinician licensed in that state. Your home address alone does not determine eligibility. Each link explains the existing ED service for that state.

Questions about sildenafil prescriptions online

Is sildenafil the generic version of Viagra?

Viagra is a brand name for sildenafil used for ED. FDA-approved generic medicines must meet FDA requirements for strength, quality and performance compared with their brand-name counterparts. Bidwell’s ED intake offers generic sildenafil, not a promise of a brand-name Viagra product. Use the specific strength and directions your clinician prescribes.

Can I get sildenafil or Viagra without a prescription?

No. Sildenafil for ED requires a prescription in the United States. You can request an online clinical assessment, but there is no automatic approval. A current prescription with an authorized refill may be filled through your pharmacy; ask the pharmacy before starting a new visit solely to use an existing refill.

Do I need an in-person appointment or video visit for sildenafil?

Eligible patients can use Bidwell’s online ED visit without a scheduled video call. The clinician reviews your health information and may ask follow-up questions. If your symptoms or medical history need an examination or testing, you may need in-person care before treatment.

What does the $45 sildenafil visit cover?

The $45 pays for the online clinical visit and treatment decision. Medication is charged separately by your pharmacy, and a prescription is issued only when appropriate. There is no required subscription and Bidwell does not bill insurance. Pharmacy prices, insurance coverage and discount arrangements are separate from the visit fee.

Can I fill sildenafil at my own pharmacy?

Yes. If the clinician prescribes sildenafil, you choose the local or online pharmacy, including Cost Plus Drugs. Give its correct details during the visit. Ask that pharmacy for the price of the exact prescribed product, strength and quantity, and check stock, shipping and any account requirements. Bidwell does not guarantee the pharmacy price or delivery time.

How quickly can I get a sildenafil prescription online?

Visits are reviewed 7 days a week, including weekends; timing varies. Follow-up questions may be needed, and the clinician must decide that prescribing is appropriate. The pharmacy controls pickup or delivery timing after receiving a prescription. A same-day prescription or fill is not guaranteed.

Can I request a dose if I have used sildenafil before?

Tell the clinician which product and dose you used, how well it worked, any side effects, and what has changed in your health or medicines. A prior prescription is useful information, not automatic approval for the same dose. The clinician decides the new prescription; do not increase the dose or combine ED medicines on your own.

How long does sildenafil last, and does food matter?

Sildenafil is usually used as needed. A high-fat meal can delay absorption, and sexual stimulation is still needed. Follow your prescription directions rather than taking extra tablets if the effect seems delayed. For more detail, read how long sildenafil lasts; duration varies and is not a guarantee.

Ready to request an ED visit?

Tell a clinician about your symptoms, medicines and treatment preferences. A prescription is issued only when clinically appropriate.

Start ED Visit · $45

Medication is paid separately at your chosen pharmacy.

Sources for this page

The medication information on this page is based on the linked prescribing information and clinical references. Your own prescription instructions may differ after individual review.

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