Compounded Medicine

Sexual health for men.
Sildenafil. Tadalafil. Done right.

Compounded at a state-licensed 503A compounding pharmacy, prescribed by board-certified providers in Royal Oak, and shipped in packaging that says nothing about what’s inside.

From$90/mo

$50 one-time consultation · no insurance, no subscription trap

Start Free AssessmentSee what’s included
  • LegitScript certified
  • Discreet shipping
  • Board-certified providers
Smooth unmarked tablets on a polished brass tray against deep wine velvet — discreet, premium compounded medicine for sexual health

Supply Chain

Compounded at a licensed 503A pharmacy.

State-licensed and quality-tested. Same active ingredient as the brand-name medicine.

FDA Compliant
HIPAA Certified
Board-Certified Providers
503A Pharmacy
BBB Accredited
Telemedicine Certified
LegitScript Verified
Royal Oak, MI
FDA Compliant
HIPAA Certified
Board-Certified Providers
503A Pharmacy
BBB Accredited
Telemedicine Certified
LegitScript Verified
Royal Oak, MI

HIPAA

Compliant

503A

Licensed Pharmacy

BBB

Accredited Business

256-BIT

SSL Encrypted

ROYAL OAK

Michigan Office

Two paths, same discretion

Pick your protocol. Your provider personalizes the dose.

Both are FDA-approved PDE5 inhibitors, compounded by a licensed pharmacy and delivered discreetly. Your provider chooses the right option based on your goals and medical history.

Sildenafil — editorial still-life

Sildenafil

PDE5 inhibitor, as-needed for when the moment calls for it

A generic Viagra equivalent that works in 30-60 minutes and lasts 4-6 hours. Best for planned moments. Your provider chooses the right dose for your medical history and goals.

from $90/mo

compounded · 4-week supply

Members save 10%

Best for: Men who want flexibility, take it when you need it

Start Consultation
What it is
A PDE5 inhibitor that increases blood flow by relaxing smooth muscle. Compounded by a licensed pharmacy. Onset 30-60 min, duration 4-6 hours.
Timeline
Effective on first use for most patients. Provider may adjust dose at 4-week check-in based on response and tolerance.
What to expect
Take 30-60 minutes before intimacy on an empty stomach. Effect lasts 4-6 hours. Not a daily medication.
Safety: PDE5 inhibitors are contraindicated with nitrates and certain alpha-blockers. Your provider reviews all your medications before prescribing. Common mild side effects: headache, facial flushing, nasal congestion. Generally well-tolerated.
Tadalafil — editorial still-life

Tadalafil

PDE5 inhibitor, daily readiness, no clock-watching

A generic Cialis equivalent. Either taken as-needed (lasting up to 36 hours) or daily at a low dose for continuous readiness. Patients often prefer the daily option for its spontaneity.

from $100/mo

compounded · 4-week supply

Members save 10%

Best for: Men who want spontaneity, daily low-dose works in the background

Start Consultation
What it is
A long-acting PDE5 inhibitor. Compounded by a licensed pharmacy. Two dosing strategies: as-needed (10-20 mg) or daily (2.5-5 mg).
Timeline
Daily protocol reaches steady state in 4-5 days. As-needed works in 1-2 hours and lasts up to 36 hours.
What to expect
Daily option is taken at the same time each day. As-needed is taken 1-2 hours before intimacy. No food restriction.
Safety: PDE5 inhibitors are contraindicated with nitrates and certain alpha-blockers. Your provider reviews all your medications before prescribing. Common mild side effects: headache, mild back pain, indigestion. Generally well-tolerated.

Not sure which is right for you? Every plan starts with a $50 consultation. Your provider reviews your goals, medical history, and current medications, then recommends the right protocol, solo or both.

Which treatment is right for you?

Two FDA-approved approaches, each personalized by a board-certified provider to fit your life.

Sildenafil

(Generic Viagra)

An as-needed option that works in 30-60 minutes and lasts 4-6 hours. Your provider personalizes the dosage to your needs and medical history.

Onset Time

30-60 mins

Duration

4-6 hours

Frequency

As Needed

Price

Starting at $90/mo

Dosage-based pricing (25mg-100mg)

Side-by-side comparison.

SildenafilvsTadalafil
Works in 30-60 minutesWorks in 1-2 hours
Lasts 4-6 hoursLasts up to 36 hours
Take as neededTake daily at low dose
Best for planned momentsBest for spontaneity
Starting at $90/moStarting at $100/mo
No timing neededAlways available
Compare

How NuHealth compares.

All-in pricing. No hidden fees. No insurance needed.

NuHealthRetail PharmacyOnline-Only Providers
Sildenafil priceStarting at $90/mo$70+/pill$30-50/mo + consult
Tadalafil priceStarting at $100/mo$50+/pill$50-80/mo + consult
Consultation fee$50 one-time$150-300Free (with subscription)
In-person optionRoyal Oak, MIYes (office visit)No, virtual only
ShippingFree, discreetN/A (pickup)Free (with plan)
Includes everything?Meds + consults + shippingMeds onlyVaries by plan
Dosage-based pricing25mg-100mg (Sildenafil)
10mg-20mg (Tadalafil)		Standard dosagesStandard dosages

How it works.

From consultation to confidence in days, not months.

A telehealth consultation from home, the discreet, comfortable setting for a confidential sexual health visit
1

$50 Consultation

20-minute confidential telehealth call with a board-certified provider.

2

Review & Decide

Discuss options, get recommendations, ask any questions you have.

3

Prescription Sent

If appropriate, your prescription is submitted the same day.

4

Discreet Delivery

Medication arrives in unmarked packaging within 2-5 business days.

All-In Pricing

Starting at $90 Sildenafil / $100 Tadalafil

Plus $50 consultation fee (one-time). Includes medication, consultation, and shipping. No hidden fees.

Start Consultation

The science.

FDA-approved, clinically proven, extensively researched.

How PDE5 Inhibitors Work

Sildenafil and Tadalafil are phosphodiesterase-5 (PDE5) inhibitors. They relax smooth muscle tissue in blood vessels, increasing blood flow to the penis. This natural physiological response enables normal sexual function.

Clinical Evidence

FDA-approved since 1998 (Sildenafil) and 2003 (Tadalafil). Millions of successful treatments worldwide. Extensive peer-reviewed research demonstrating efficacy and safety profiles across diverse patient populations.

Why NuHealth.

A couple in their forties at home on the couch, the quiet, connected calm that comes with discreet, supported sexual health care

Board-Certified Providers

Licensed physicians with experience in sexual health, not just algorithms.

HIPAA Compliant

Your health data is encrypted, private, and never shared without your consent.

Same-Day Prescriptions

No waiting weeks for an appointment. Get prescribed and shipped the same day.

Discreet Packaging

Unmarked boxes. No visible labeling. Your privacy is our priority.

Local Presence

Prefer face-to-face?

NuHealth offers something no online-only platform can: a real office with licensed providers you can meet in person. For a topic this personal, some patients prefer that.

Royal Oak, Michigan
(248) 677-3232
Mon–Fri 10am–5pm · Telehealth 7 days, 10am–5pm
Book In-Person Visit
A couple walking a neighborhood sidewalk at golden hour, the everyday rhythm of life in the Royal Oak service area

Service Areas

Royal OakTroyBirminghamBerkleySouthfieldDetroitFerndale+ All of Michigan (telehealth)

Only NuHealth offers both in-person and telehealth sexual health consultations in Metro Detroit. Every online-only provider is virtual-only.

What patients say

Real care, in our patients’ words.

Verified Google reviews from our Royal Oak, MI clinic.

5.0 · 71 reviews on GoogleView all →
VC

Vanessa Casey

a month ago

Dr. Kris and Team at Nu Health go above and beyond! They have helped me and answered all my questions while working with me. The telehealth visits are a great addition to top notch care.

Verified Google review
MT

Marsella T

2 months ago

As a nurse, I'm very particular about where I go for wellness services, and Nu Health truly exceeded my expectations. The staff is incredibly kind, professional, and knowledgeable. Their telehealth visits are seamless and very well organized.

Verified Google review
AF

Amber F

6 months ago

The PA on call was very kind and listened to all my concerns. He answered all my questions. I felt very comfortable speaking with him. I would absolutely recommend going here.

Verified Google review
VC

Vanessa Casey

a month ago

Dr. Kris and Team at Nu Health go above and beyond! They have helped me and answered all my questions while working with me. The telehealth visits are a great addition to top notch care.

Verified Google review
MT

Marsella T

2 months ago

As a nurse, I'm very particular about where I go for wellness services, and Nu Health truly exceeded my expectations. The staff is incredibly kind, professional, and knowledgeable. Their telehealth visits are seamless and very well organized.

Verified Google review
AF

Amber F

6 months ago

The PA on call was very kind and listened to all my concerns. He answered all my questions. I felt very comfortable speaking with him. I would absolutely recommend going here.

Verified Google review

Reviews snapshot 2026-05-28. Refreshed periodically from Google.

Frequently Asked Questions

Sildenafil (generic Viagra) works within 30-60 minutes and lasts 4-6 hours. Best for planned moments. Tadalafil (generic Cialis) takes 1-2 hours to peak but lasts up to 36 hours. It can also be taken daily at a low dose for continuous readiness, no timing needed. Both are PDE5 inhibitors that work by increasing blood flow. Your NuHealth provider will recommend the best option based on your lifestyle and preferences.
Start with a 20-minute telehealth consultation for a $50 fee (one-time), entirely from your phone or computer. Your board-certified provider reviews your medical history, discusses your goals, and determines the right medication and dose. If clinically appropriate, your prescription is submitted the same day. Medication arrives in discreet, unmarked packaging within 2-5 business days.
The most common side effects are mild: headache, facial flushing, nasal congestion, and occasional indigestion. These typically diminish with continued use. PDE5 inhibitors are contraindicated if you take nitrates for chest pain or certain alpha-blockers. Your NuHealth provider will review all your medications for safety before prescribing. Serious side effects are rare.
Absolutely. NuHealth is fully HIPAA-compliant. All consultations are conducted via private telehealth. Medication is shipped in completely unmarked, discreet packaging with no indication of contents. Your health records are encrypted and stored securely. We never share your information with anyone without your explicit consent.
Compounded Sildenafil starts at $90/month (25mg-100mg dosage range) and Tadalafil starts at $100/month (10mg-20mg dosage range). The consultation fee is $50, which is a one-time charge. Your monthly medication includes the medication, provider consultation, and discreet shipping. No insurance required. No hidden fees. No subscription trap. Compounded prescriptions through NuHealth typically cost significantly less than brand-name Viagra® or Cialis® at retail pharmacies (brand-name per-pill pricing varies by pharmacy, location, and dosage; comparison based on retail averages as of 2026).

Ready to take the first step?

A $50 consultation with a licensed provider (one-time fee). If treatment is right for you, your prescription ships the same day, discreetly.

Start a Private Consultation

Or join NuHealth+ from $99/mo and save 10% on this program.

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