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4.2out of 5

Erectile Dysfunction review

HealthRX ED Review

HealthRX's TEMPO 4-in-1 is a sublingual ED solution combining Apomorphine, Sildenafil, Tadalafil and Vardenafil in a 1 mL dose. Subscriptions run $109/mo down to $88/mo on the 12-month cadence, with the provider visit, unlimited follow-ups and free overnight shipping included.

4-in-1 SublingualVisit SiteUpdated January 18, 2026

HealthRX ED at a glance

Our rating4.2 / 5
Best For4-in-1 formula with pricing upfront
FormulaApomorphine, sildenafil, tadalafil, vardenafil
Dose1 mL sublingual
Subscription$109/mo, down to $88/mo on 12 months
One-Time$122–$1,171
IncludedProvider visit, unlimited follow-ups, overnight shipping

What is HealthRX ED?

HealthRX’s ED treatment, TEMPO 4-in-1, is a sublingual solution combining apomorphine, sildenafil, tadalafil and vardenafil in a single 1 mL dose. It is the most ingredient-dense formula in our ranking.
HealthRX publishes pricing upfront for both subscription and one-time purchases. Subscriptions run from $109 a month down to $88 a month on a 12-month cadence, and one-time purchases range from $122 to $1,171.
The provider visit, unlimited follow-ups and free overnight shipping are all included. HealthRX is LegitScript certified and compounds through a licensed 503A pharmacy.
One quirk: your strength is set only after a required post-purchase intake, so you pay before your dose is confirmed. HealthRX ranks ninth in our ED treatment comparison.
The formula is compounded and not FDA-reviewed for safety or effectiveness. The FDA’s page on 503A compounding explains how pharmacies like HealthRX’s operate.
Bundling the provider visit and unlimited follow-ups into the price is useful with a four-ingredient formula, since finding the right strength may take some adjustment. You can raise questions without worrying about extra visit fees.

Pros

  • Four actives in one 1 mL sublingual dose
  • Pricing published upfront for both purchase types
  • Provider visit and follow-ups bundled into the price
  • LegitScript-certified platform compounding through a licensed 503A pharmacy

Cons

  • Compounded formula — not FDA-reviewed for safety or effectiveness
  • Strength is only set after a required post-purchase intake, so you pay before the dose is confirmed
HealthRX EDSubscription: $109/mo → $88/mo (12 months)
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How HealthRX ED works

  1. Choose a plan. Select a subscription or one-time purchase with published pricing.
  2. Post-purchase intake. Complete the required intake after checkout.
  3. Provider visit. A provider sets your strength; the visit is included.
  4. Overnight shipping. Your 1 mL doses ship free overnight, with unlimited follow-ups.

Safety and what to know

PDE5 inhibitors such as sildenafil, tadalafil and vardenafil must never be combined with nitrate medicines (including nitroglycerin and “poppers”), because together they can cause a dangerous drop in blood pressure. The NIH’s NIDDK lists this interaction among the key cautions for ED medication. Common side effects include headache, flushing, a stuffy nose and indigestion; an erection lasting more than four hours needs emergency care.
TEMPO combines three PDE5 inhibitors with apomorphine — a combination that is not FDA-approved. Apomorphine can cause nausea and dizziness. Disclose every medication and heart condition in your intake.
Because strength is set after purchase, ask what happens if the provider decides the formula is not suitable for you.
Because TEMPO contains several active ingredients, start with the strength your provider sets and do not adjust it yourself. Use the unlimited follow-ups to report side effects or a weak response.

HealthRX ED pricing

Subscription$109/mo → $88/mo (12 months)
One-Time$122–$1,171
Provider VisitIncluded
ShippingFree overnight
HealthRX is unusually transparent about pricing. The 12-month cadence brings the monthly cost down to $88; check the refund policy given that you pay before your dose is confirmed.

Who HealthRX ED is for

A good fit if

  • Want a 4-in-1 formula
  • Want pricing published upfront
  • Value unlimited follow-ups
  • Want fast overnight shipping

Look elsewhere if

  • Want to know the dose before paying
  • Prefer fewer active ingredients
  • Take nitrates

How HealthRX ED compares

FeelGood QUAD uses the same four actives in a sublingual liquid from $114 a month, and MEDVi swaps vardenafil and apomorphine for PT-141 and L-citrulline. HealthRX stands out for published pricing and bundled follow-ups.

HealthRX ED FAQ

What is in HealthRX TEMPO?
Apomorphine, sildenafil, tadalafil and vardenafil in a single 1 mL sublingual dose.
How much is HealthRX TEMPO?
Subscriptions cost $109 per month down to $88 per month on a 12-month cadence. One-time purchases range from $122 to $1,171.
What is included?
The provider visit, unlimited follow-ups and free overnight shipping.
When is my dose set?
Strength is set after a required post-purchase intake, so you pay before your dose is confirmed.
Is HealthRX LegitScript certified?
Yes. HealthRX is LegitScript certified and compounds through a licensed 503A pharmacy.
Is TEMPO FDA-approved?
No. It is a compounded formula, not FDA-reviewed for safety or effectiveness.
Which HealthRX plan is cheapest?
The 12-month subscription cadence brings TEMPO down to $88 per month. One-time purchases cost more per month but avoid a subscription commitment.
How does HealthRX compare with FeelGood QUAD?
Both combine apomorphine, sildenafil, tadalafil and vardenafil. HealthRX publishes subscription and one-time pricing and includes unlimited follow-ups and overnight shipping; FeelGood QUAD starts at $114 a month as a sublingual liquid with roughly 10-minute onset.
Where does HealthRX rank?
HealthRX ranks ninth in our ED comparison and carries our 4-in-1 Sublingual badge.

Our verdict: 4.2 / 5

HealthRX TEMPO offers a powerful 4-in-1 sublingual formula with refreshingly transparent pricing and bundled follow-ups. Paying before your dose is set is a drawback, but the value on a 12-month plan is strong.
HealthRX EDSubscription: $109/mo → $88/mo (12 months)
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Affiliate links used. Not medical advice — consult a licensed healthcare provider before starting any treatment.