Share your health history
Complete a secure online intake covering medications, allergies, heart health, and relevant conditions. It takes a few minutes, from your phone.
Prescription ED care · 100% online
Confidence, prescribed.
ED help without the awkward appointment. Every plan starts with a real medical conversation, not a checkout button: a private online intake, a licensed clinician who reviews it, and sublingual drops that ship if prescribed.
Prescription required. Provider approval is not guaranteed. Never take sildenafil or tadalafil with nitrates.
100% online intakeLicensed clinician reviewNo insurance requiredShips from a licensed U.S. pharmacy
Provider review requiredEvery plan starts with a licensed clinician
Start where you are
Which sounds most like you?
Your answer does not decide treatment. A licensed clinician does. It simply gives the intake somewhere to begin.
I'm tired of planning around a pill
Timing the whole night around a tablet gets old.
Start the intake ↗I've tried the pills. Not sold.Viagra or Cialis worked sometimes, not when it counted.
Start the intake ↗Getting there, or staying there, is inconsistentSome nights fine, some nights not, and no clear pattern.
Start the intake ↗I want a real clinician to look at thisNot a checkout page. A licensed provider who reads your history.
Start the intake ↗The format
Drops under the tongue. Not a tablet. Not a chalky chewable.
HRDR is prescribed as a sublingual liquid: measured with a dropper and held under the tongue, not swallowed. No pill, no chewable residue. A bottle that fits in a pocket, with a strength set by your clinician.
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Sublingual liquid, held under the tongue rather than swallowed.
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Strength and instructions set by your clinician, prepared per prescription by a licensed pharmacy.
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A format preference, not a promise. The compounded formula is not FDA approved, and a clinician reviews risks with you first.
What is in it
Sildenafil and tadalafil. The two ED actives men already know.
HRDR’s compounded formula is built on sildenafil and tadalafil, the active ingredients in FDA-approved ED medications, plus oxytocin. Three actives, disclosed in full. No apomorphine, no “max boost” extras. The compounded combination itself is not FDA approved, and it is prescribed only if a licensed clinician finds it appropriate for you.
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Every ingredient named before you pay.
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Risks, interactions, and your full health history reviewed first.
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Prescribed only if a licensed clinician finds it appropriate.
How care should work
Three steps. One clinical standard.
No prescription is issued before the required medical evaluation.
A licensed clinician reviews
A clinician licensed in your state completes the required review, asks follow-up questions if needed, and decides whether treatment is appropriate.
If prescribed, it ships to you
A disclosed, state-licensed pharmacy fills the prescription, ships it to your door, and provides the required instructions.
No mystery subscription
What you will pay, before you pay.
Men leave other ED brands over surprise renewals and cancellations that take a phone call. HRDR shows every charge in the secure checkout before you consent, and only after a clinician has reviewed your case.
Read the refund policyTerms shown before consent
The medical review, any medication cost, and the renewal schedule are stated in the secure checkout before you agree.
Cash-pay. No insurance required.
Nothing is billed to insurance and no insurance information is needed to start.
Not prescribed, not charged for medication
If a clinician decides treatment is not appropriate, you are not charged for medication.
Cancel before renewal, confirmed in writing
Cancel in the patient portal. It never requires a harder method than enrollment.
No mystery troche. Know what is in it, and who reviewed it.
+ Know the medical group+ Know the clinician+ Know the pharmacy+ Know every ingredient
Named, not anonymous
Most ED sites say “U.S. doctors.” We say who.
HRDR is designed to make the clinical path visible. You should know who reviews your care, who fills a prescription, what it costs, and how to get help, before you share anything.
Medical groupArora Health & Aesthetics, LLC
Led by Dr. Sean Arora, NPI #1841729449. Independent licensed clinicians review every intake.
Our medical teamDispensing pharmacyThe Pharmacy Hub
Miami, FL · (888) 958-1382. State-licensed compounding pharmacy, disclosed before any medication charge.
Pharmacy informationImportant treatment information
Never combine this treatment with nitrates.
Sildenafil and tadalafil must never be taken with nitrate medications; the combination can cause a dangerous drop in blood pressure. Compounded drugs are not FDA approved, and a provider should discuss potential risks and alternatives with you.
Review safety informationQuestions, answered plainly
What to know before you begin.
How much does it cost?+
Every charge is disclosed in the secure checkout before you pay, including the medical review and any medication. HRDR is cash-pay; no insurance is required or billed. If a clinician decides treatment is not appropriate, you are not charged for medication.
What is in the compounded formula?+
If prescribed, the formula is a compounded sublingual blend of sildenafil, tadalafil, and oxytocin. Sildenafil and tadalafil are the active ingredients in FDA-approved ED medications; this compounded combination itself is not FDA approved. The specific formulation and strength are determined by your clinician.
Why drops instead of a tablet or chewable?+
A sublingual liquid is held under the tongue rather than swallowed. Some men prefer it to tablets or chewables. It is a format preference, not a promise: the format does not change whether treatment is appropriate for you, and your clinician decides that.
Is treatment guaranteed?+
No. A licensed clinician reviews your history and decides if treatment is appropriate. Not everyone qualifies, and response to treatment varies from person to person.
Is the compounded formula FDA approved?+
No. Compounded drugs are not FDA approved. FDA does not review their safety, effectiveness, or quality before marketing.
Can I purchase without a prescription?+
No. Prescription treatment requires a medical evaluation and a patient specific prescription from a licensed clinician.
Who provides the medical care?+
Care is provided by independent licensed clinicians affiliated with Arora Health & Aesthetics, LLC (300 Lenora Street, Seattle, WA 98121), led by Dr. Sean Arora, NPI #1841729449. See Our Medical Team page for details.
Which pharmacy fills my prescription?+
Prescriptions are filled by The Pharmacy Hub, 15600 NW 15th Ave, Suite C, Miami, FL 33169, phone (888) 958-1382. It states that it is licensed by state boards of pharmacy nationwide and supports fulfillment in all 50 states. Medications and fulfillment options may vary by state.
Is this service available in my state?+
Yes. HRDR currently serves patients physically located in all 50 U.S. states. We do not currently serve the District of Columbia, U.S. territories, or locations outside the United States. The exhaustive list is published at gethrdr.com/states-we-serve and in the website footer. The secure intake checks your location before any medical questions.
Start with the right question
Could prescription ED treatment be appropriate for you?
A medical evaluation can help you understand the options and risks. Prescription required. Not everyone qualifies.
Check eligibility