1. BetterMe Rx
BetterMe Rx's QMAX 4-in-1 sublingual ED liquid combines Sildenafil, Tadalafil, Vardenafil, and Apomorphine. Packs from $124 (5 doses) to $449 (60 doses), with ~15-minute onset and a 36-hour window.
- Packs from $124 (5 doses) to $449 (60 doses over 3 months)
- Lowest cost per dose in the 4-in-1 category at volume — $7.48
- 4-in-1 formula: Sildenafil (40mg) + Tadalafil (4mg) + Vardenafil (7.5mg) + Apomorphine (2mg)
- Pricing
- $124–$449 · from $7.48 per dose
- Best for
- Men who use ED treatment often enough to reach the 20-dose tier, where QMAX is the best-priced complete 4-in-1 in the category
Pros
- Complete 4-pathway formula covering desire, onset, firmness, and duration
- Sublingual absorption skips digestion — not blunted by a heavy meal
- LegitScript-certified telehealth brand with FDA-registered pharmacy partners
Cons
- Requires a prescription and clinician approval
- Compounded medication — the combined formula is not individually FDA-approved






