Get evaluated and prescribed by a Montana-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 Montana residents across the Northern Rockies.
We treat Montana 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 Montana'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.
Billings patients fill at Albertsons Pharmacy, Walgreens, CVS, or Costco. Montana's rural geography means our online service eliminates driving hours that in-person urgent care would require for patients outside town. For Billings patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Yellowstone 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 Billings ED visit →
Missoula residents use Albertsons, Walgreens, or Super 1 Foods pharmacy. The University of Montana community often leans on our service for quick access during semesters. For Missoula patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Missoula 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 Missoula ED visit →
Great Falls patients fill at Albertsons, Walmart, or Smith's Food & Drug. Our providers are Montana-licensed and can treat patients across the Hi-Line and central Montana. For Great Falls patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Cascade 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 Great Falls 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 Montana 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.
Montana is a full-practice authority state for APRNs. Bidwell Health's providers hold active Montana 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 Montana, including Costco, Walmart, CVS, Walgreens, Albertsons, and Safeway in Billings, Missoula, and Bozeman, plus Amazon Pharmacy for rural delivery. 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 Montana — 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. Montana 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 Montana 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 Montana provider will decline and recommend in-person evaluation.
$45 flat. Generic sildenafil and tadalafil typically run $15–40 per month at Montana pharmacies (Albertsons, Safeway, Walmart, Rosauers, and many local independents) with GoodRx. No subscription — pay per visit.
Yes — our clinicians hold active Montana nurse-practitioner licensure with autonomous-practice privileges. ED medications (sildenafil, tadalafil) are non-controlled prescription drugs that NPs with prescriptive authority can prescribe in Montana. Licensure is publicly verifiable through the Montana Board of Nursing.
Bidwell Health also handles these visits for Montana residents: