Get evaluated and prescribed by a Washington-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 Washington residents across the Pacific Northwest.
We treat Washington 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 Washington'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.
Seattle patients — from Capitol Hill to Ballard to West Seattle — fill at Bartell Drugs, Safeway, QFC, Walgreens, or CVS. Bartell is locally-owned and common throughout the metro. King County has some of the fastest e-prescription turnaround in the country. For Seattle patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any King 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 Seattle ED visit →
Spokane and the Inland Northwest use Safeway, Walgreens, Rosauers, or Yoke's Fresh Market pharmacy. Our Washington-licensed providers treat Eastern Washington the same as the I-5 corridor. For Spokane patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Spokane 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 Spokane ED visit →
Tacoma, Lakewood, and the South Sound region — including Joint Base Lewis-McChord — fill at Safeway, Walgreens, Fred Meyer, or Costco. Military and civilian patients get the same flat-fee service. For Tacoma patients, we prescribe generic sildenafil or tadalafil as appropriate — typically $15-30/mo at any Pierce 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 Tacoma 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 Washington 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.
Washington grants ARNPs full independent practice authority including Schedule II-V prescribing. Bidwell Health's providers hold active Washington 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 Washington, including Bartell Drugs (Seattle area), QFC/Fred Meyer (Kroger), CVS, Walgreens, Safeway, Costco, and Walmart. 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 Washington — 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. Washington 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 Washington 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 Washington provider will decline and recommend in-person evaluation.
$45 flat. Generic sildenafil and tadalafil typically run $15–40 per month at Washington pharmacies (Bartell Drugs, CVS, Walgreens, Walmart, Fred Meyer, Costco, and Amazon Pharmacy) with GoodRx. No subscription — pay per visit.
Yes — our clinicians hold active Washington nurse-practitioner licensure with autonomous-practice privileges. ED medications (sildenafil, tadalafil) are non-controlled prescription drugs that NPs with prescriptive authority can prescribe in Washington. Licensure is publicly verifiable through the Washington State Department of Health (Nursing Care Quality Assurance Commission).
Bidwell Health also handles these visits for Washington residents: