Get evaluated and prescribed by a Iowa-licensed provider — without the waiting room, the $180 urgent-care visit, or the insurance headache. Bidwell Health is a flat $45, same-day service available to Iowa residents across the Midwest corn belt.
We treat Iowa residents in every ZIP code — urban, suburban, and rural. Your pharmacy is any licensed pharmacy in the state, so you fill the prescription wherever is closest.
Below: how our ED service works in Iowa's biggest metros. Our licensed providers can prescribe across the state, but patients in these cities are our most frequent users — here's the local context.
Des Moines, West Des Moines, and Ankeny patients use Hy-Vee, Walgreens, CVS, or Costco pharmacy. Hy-Vee is particularly strong in Iowa and often has the fastest same-day turnaround. For Des Moines patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Polk County pharmacy with or without insurance. The visit itself is $45 flat; the meds are separate and yours to fill wherever's cheapest. Start a Des Moines ED visit →
Cedar Rapids and Marion patients fill at Hy-Vee, Walgreens, or Target Pharmacy. Iowa allows full practice authority for qualified APRNs — our providers can treat you independently. For Cedar Rapids patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Linn County pharmacy with or without insurance. The visit itself is $45 flat; the meds are separate and yours to fill wherever's cheapest. Start a Cedar Rapids ED visit →
Davenport, Bettendorf, and the broader Quad Cities area have Hy-Vee, Walgreens, and CVS coverage. We prescribe to any Iowa pharmacy regardless of chain. For Davenport patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Quad Cities pharmacy with or without insurance. The visit itself is $45 flat; the meds are separate and yours to fill wherever's cheapest. Start a Davenport ED visit →
ED affects roughly 30 million men in the US. Telehealth has become the dominant channel for ED treatment because the clinical evaluation is primarily history-based. Fill out an intake, get reviewed by a licensed provider, pick up your Rx the same day.
Our ed intake is designed for Iowa patients experiencing:
If your symptoms suggest something more serious, or if our intake identifies a contraindication, we'll let you know and refund your visit — no questions asked.
Sildenafil (generic Viagra) 50 mg, Tadalafil (generic Cialis) 10 mg as-needed, or low-dose daily Tadalafil — selected based on your medical history and preference.
Your provider will select the right medication based on your history, allergies, current medications, and (where relevant) pregnancy status.
Iowa is a full-practice authority state — ARNPs evaluate, diagnose, and prescribe independently. Bidwell Health's providers hold active Iowa licensure — verifiable through the state Board of Nursing's online lookup. All patient information is encrypted end-to-end and handled under HIPAA-compliant infrastructure (Supabase + Resend + Twilio, all with signed Business Associate Agreements). Your medical record is never sold, shared, or used for advertising.
We send prescriptions to any licensed pharmacy in Iowa, including Hy-Vee (based in Iowa), CVS, Walgreens, Walmart, and Costco locations in the Des Moines and Cedar Rapids metros. Pick whichever is most convenient — we don't steer you to a particular one.
Between primary care providers? We also offer 90-day bridge refills for chronic medications in Iowa — SSRIs, blood pressure meds, thyroid, inhalers, and more. Same $45 flat fee, one medication per visit. No controlled substances.
$45 flat for the visit. That includes the provider's clinical review, your prescription, and any follow-up messaging. No subscriptions, no insurance, no co-pays, no hidden fees. If we're not able to treat your case, you're refunded automatically.
Yes. Iowa residents can complete an online intake. A licensed provider evaluates cardiovascular history, nitrate use, and contraindications, and if clinically appropriate, prescribes PDE5 inhibitors (sildenafil or tadalafil) to a Iowa pharmacy.
Sildenafil (generic Viagra) and tadalafil (generic Cialis). We do not prescribe controlled substances or injectable therapies. Alprostadil, testosterone, and other specialty treatments require in-person workup.
If you take nitrates (including recreational amyl or butyl nitrites), have unstable cardiovascular disease, recent MI or stroke, severe hepatic or renal impairment, or uncontrolled blood pressure, our Iowa provider will decline and recommend in-person evaluation.
$45 flat. Generic sildenafil and tadalafil typically run $15–40 per month at Iowa pharmacies (Hy-Vee, CVS, Walgreens, Walmart, and Target (CVS inside)) with GoodRx. No subscription — pay per visit.
Yes — our clinicians hold active Iowa nurse-practitioner licensure with autonomous-practice privileges. ED medications (sildenafil, tadalafil) are non-controlled prescription drugs that NPs with prescriptive authority can prescribe in Iowa. Licensure is publicly verifiable through the Iowa Board of Nursing.
Bidwell Health also handles these visits for Iowa residents: