What factors did you consider when determining your E.D. telemedicine website service rankings?
There were 7 main factors we used to determine our famous rankings:
1. Quality of pills - This is based on the pills’ source and location of the manufacturing facility. All generics are NOT the same, despite what some companies claim.
2. Head of Medical Staff - How qualified is the doctor in charge of your health — extremely important.
3. Price for Value - The cost of the pills and the online application visit are evaluated. Most companies don’t charge you for the online visit — but some still do. As a result, their ranking suffers. The goal is to get the best pills that are right for you at the best price. So price and cost were evaluated.
4. ID Verification Process - How difficult is it to complete your online order? Some companies make you upload THREE or even FOUR different forms of identification, while a few companies have such sophisticated technology where you don’t need to upload ANY picture ID — their software can identify you based on a few questions.
5. Advertising - The honesty and transparency of the marketing message often is a window into other areas of the company. If they lie in their ads, what else are they lying about?
6. Laboratory Tests - We sent pills to an analytical laboratory to determine how much Sildenafil or Tadalafil are in the pills and if they match the claims. Extremely important and revealing.
7. Order Form Completion Time - Some telemedicine platforms go overboard and ask you so many questions that it can take 45 minutes to complete your online visit. Others are super short. This is a reflection of medical sophistication and it’s our final factor. We also factor in the response time until you are contacted by the medical staff letting you know if your order has been approved or not.
Why did you test the pills at a chemical laboratory? Is that really necessary?
You would be very surprised at how dishonest many of the companies selling E.D. medications online are. Over 87% of them lie. Plus, the manufacturers of these products are also known to lie. Make sure you see in our scam section on the little trick manufacturers in China use when sending products to the US. Since there is so much fraud and corruption, we sent pills to one of America’s most respected and trusted labs to test of the ingredients. Remember, just because a pill says 50 mg of Sildenafil doesn’t guarantee that is contains 50 mg of Sildenafil. So we sent them the lab because LAB TESTS DON’T LIE! The results in many cases were shocking.
What is the difference between Sildenafil 20 mg pills from one company or another? Isn’t Sildenafil just Sildenafil?
You would think so, but nothing could be further from the truth. The difference in quality and purity and contaminants can vary wildly. We have been absolutely shocked to see the level of contaminants in some of the 20 mg Sildenafil pills — especially the ones coming China and India. We have seen lab tests where the label claims to be 20 mg of Sildenafil and the lab test showed it only has 2 or 3 mg of Sildenafil. Some tests from the fake companies showed zero Sildenafil. It’s kind of like saying a car is a car — but as you know, there is a big difference between a Rolls Royce and a 1968 AMC Pacer — one car is amazing and one is crap. Same with pills — the key is to test — and we did it for you!
What is the difference between brand-name Viagra and Generic Viagra?
The price and the logo on the pill are pretty much the only differences if the generic is made by Pfizer. They are both made by the same company. They are both made in the exact same factory, on the exact same machine, and both use the exact same ingredients. The only difference is that the original “branded” Viagra gets the Pfizer logo stamped on it, while the Generic Viagra does not. That’s it. And the “branded” Viagra costs about $70 a pill right now and the generic Viagra costs about $10 a pill right now. But generic Viagra not made by Pfizer is far less potent and effective.
BlueChew Sildenafil chewable tablets used to be 25 mg and now they are 30 mg? Why would they change?
These guys are weasels. Their ads are completely fraudulent — they have actors pretending to be customers — such an illegal scam. The switch from 25 mg to 30 mg is an attempt to stay out of jail. 25 MG of Sildenafil is an FDA approved dosage amount and for them to sell 25 mg of Sildenafil as a new product is unbelievably illegal — so they adjusted the mg levels. Some legal eagles still say what they are doing is a total violation of FDA law and expect them to be shut down. Their product is a joke and any medical doctor — again, a medical doctor — who puts out a video of men claiming to be customers taking prescription medications but are really paid actors — is a disgrace to the medical profession. Please don’t put your health in the hands of a person like that. The FDA should be shutting them down.
I heard the Tadalafil and Sildenafil that comes from China is manufactured in the city of Wuhan, the place where the Corona virus started. Is that really true?
Yes. There are dozens of Sildenafil and Tadalafil manufacturers in the city of Wuhan. Check out the section in this guide about this fact. This is just another reason to get your pills from a source you can identify and trust.
Why would any guy buy the original brand Viagra or brand Cialis if the generics are the same and cost significantly less?
They aren’t! Sales of brand Cialis and Viagra are dropping like the ball at New York’s Time Square at midnight on New Year’s Eve. Brand Viagra used to cost $90 — $120 a pill. (Yes, some guys were paying over $120 a pill). You can get it now for around $70 a pill. That’s for one pill. But you can get Generic Viagra, made by Pfizer, at the same factory, on the same machine, using the same active ingredient and pay around $10 a pill! Same with Cialis — the pricing on the generics is the best thing to happen to men since the bikini — but ONLY if the generic is of a high quality.
What is the difference between Viagra and Cialis?
There are several differences. Viagra (or Sildenafil) is more of an “on-demand” pill. You take it and it works in about 30-60 minutes. Viagra has a half-life of 4 hours. This means that the active amount of Viagra in your bloodstream will reduce by approximately half with every four hours. But it is usually out of your system in 3 to 4 hours. Viagra is not as effective if you have had a big meal. So if you take your date out to dinner and you eat a big steak and then pop your Viagra after dinner, it will not work as well as if you take it on an empty stomach. It works best when you take it on an empty stomach.
With Cialis, you take it, and it works within about 60 minutes — then it stays in your system for 48 hours. That’s why it has the nickname “The Weekend Pill”, because it can last all weekend. Another plus with Cialis is that food does not affect its potency. So you can take it, go out to dinner and stuff yourself, and you can still get a boner. Some men think Viagra is stronger than Cialis — but it’s all a personal preference. Both are great. These are the main differences between the two.
What do you think of companies that offer “pill splitters” or “pill cutters”? Why would they offer these — and is it a good idea to cut up Viagra and Cialis?
Well, it used to be a good idea to cut up Viagra when it was $120 a pill! You could get a 100 mg Viagra for $120, so if you cut it in half, you could get twice the bang for your buck! Same with Cialis. Viagra was a “scored” tablet, so it was easy to cut. But now there is no need to cut pills in half because the good generics are so cheap. The key is to find a top-quality pill at a cheap price, and you will be a happy camper until the end of time!
The book Bottle of Lies seems like it is hard to believe. Is it really true that over 80% of generic pills sold in the US come from China or India?
Yes, it is true that more than 80% of generic pills come from these two countries. The real problem, and what makes Katherine Eban’s book Bottle of Lies: The Inside Story of the Generic Drug Boom, so important, is not that over 80% of the generic medications sold in America come from China or India. The real story is how the companies that use these two countries to supply these generic medications lie and cheat about the quality of the pills they ship to America.
The book shows that the greedy pill companies, out to squeeze every dime they can at the expense of the American consumer, falsifies records, lies about ingredients, fills pills with worthless and often dangerous fillers. This includes blue paint in the case of Generic Viagra — all to make extra cash. So, YES — the book tells the truth and has done a great service to the American consumer. Hopefully, changes will be made with how generic drugs are supplied and monitored. 80% of all these kind of pills from two unchecked countries is a recipe for disaster.
What is the Pfizer Company and why are they mentioned so much in this guide?
Pfizer is the company that invented Viagra. They also now manufacture “Generic Viagra” as well as Sildenafil through one of their subdivision companies. If it weren’t for Pfizer, there would be no ED pills! All men should thank Pfizer — ha ha.
Is Viagra made in China or India?
No. The real, genuine Viagra and Generic Viagra and their Sildenafil pills are made at their world-class manufacturing facility in France. All three pills are made using the same ingredients and in the same factory. Nothing from Pfizer comes from China or India.
Who is Eli Lilly? It sounds like he is the guy who invented Cialis — is that right?
Ha ha — Eli Lilly is a major pharmaceutical company. They invented Cialis, which is the brand name for the ingredient Tadalafil. They still manufacture Cialis, Daily Cialis, and they have selected an approved generic Tadalafil supplier — which is the active ingredient in Cialis and Daily Cialis.
My buddy takes Daily Cialis for his prostate. Is Cialis good for your prostate? Is Viagra good for your prostate?
Daily Cialis has been approved by the FDA to treat BPH (also known as Benign Prostatic Hyperplasia, which is the same as an enlarged prostate)... The daily dosage is normally 5 mg of Daily Cialis and then if you think you are going to get lucky that night, most urologists say just take another 10 mg or 20 mg of Cialis and you will be good to go! Viagra has not been approved for anything other than getting an erection — so it does not do anything to improve prostate health.
Is telemedicine safe? Is it legal in all 50 states?
Yes, it is extremely safe and represents the future of medicine for many medical conditions. It’s kind of like Amazon for healthcare. Why drive to a doctor’s office, pay a big fee for a visit, then drive to a pharmacy to get your prescription? You can do it all over the Internet from your home at any time of day. It’s obviously not appropriate for serious medical conditions where an in-person doctor’s evaluation is absolutely necessary. But for E.D. pills it makes sense. It is legal in all 50 states, though laws vary slightly from state to state. As you would imagine, the percentage of men who are now getting their E.D. meds online instead of in person is skyrocketing. It’s so simple and easy. It’s not only cost-effective, it also saves you a bunch of time!
If generic Sildenafil manufactured by the Pfizer companies is of higher quality than the generic Sildenafil manufactured by other companies, like the ones in China and India, then why don’t all of these telemedicine companies just sell the pills made by Pfizer? Why even bother with the other companies if the pills are not as good? What am I missing?
Pfizer won’t sell to just anyone. It is no accident they chose to team up with the number-one urologist in America — Dr. Dudley Danoff, head of the Medical Team at ScoreBlue.com. And they teamed up with GetRoman.com because of their enormous marketing power. The other companies of course want to do business with Pfizer, but they didn’t make the cut or get the deal. Then with the other companies, it comes down to — money, money, money! The other brands are much cheaper and many of these companies are just interested in the bottom line. If they can get the pills cheaply they think it means they will make more money. However, often just the opposite is true. Since the pills don’t work at all, the customer has a bad experience with the pills not working the way he hoped and then the customer goes looking for better pills elsewhere. Just like any other business. You don’t mind spending a few extra bucks at your favorite restaurant because the food is so much better than at some cheap joint with questionable ingredients and sanitary practices. Of course, there are exceptions where cheap is still fantastic! But the answer is always money — some companies are out to pinch pennies and pinch their customers in the process.
Why is ScoreBlue.com the only company that can take phone orders?
Well, they are not the only company that can take phone orders. HealthyMale.com also offers the service. But practically no other company does — and certainly none of the major companies you see advertised offer this service. ScoreBlue.com stated that they realize many men are not “Internet or technologically” sophisticated and some guys prefer to talk with a real person. They just want to place a call, talk to a friendly person, get a few questions answered, and hang up. Should be as easy as ordering a pizza, calling your bookie to place a bet, or calling one of your buddies. So ScoreBlue.com and HealthyMale.com and a few others have invested in a sophisticated technology system that makes it possible.
How come your book doesn’t really mention Levitra/Vardenafil? Isn’t that also an E.D. medication that works?
Yes, Levitra, also known as Vardenafil does work. But it is not very popular. Only a tiny percentage of men prefer it, so we decided to focus on the big dogs — Viagra Cialis. — Sildenafil and Tadalafil.
How long does it typically take to go through the online questionnaire on a telemedicine website?
Most take under 10 minutes, and a few take under five minutes. The only real questions that matter are your blood pressure and whether or not you are taking nitrates. Those are the two key questions. If you are taking nitrates, you cannot take any E.D. medication. If your blood pressure is extremely high or extremely low, then you can’t take E.D. medications either.
I heard that they ask what your blood pressure is on these questionnaires. How can I find out my blood pressure without going to the doctor for a visit since that would run me about $180?
Most major drugstores have blood pressure machines you can use. Most are free. Rite Aid and CVS, for example, have machines — you go in, it takes a few minutes, and it’s absolutely free. There are others places you can get it done free as well. So check with your local chain drugstores to find out if there is one near you.
Look, I just want to get a boner. I don’t care about the pills from China or some doctor doing advertising fraud or any of this crap — I just want to know who has the best pills at the best price. Just cut to the chase and give me a name of where I go or whom I call.
ScoreBlue.com or call them at 1-800-700-4197. They are the best — I hope I cut to the chase quick enough for you.
You take some real shots at BlueChew. Did you test them in a lab? Did they pass the lab test? And if you didn’t test them, why not?
Yes, we did test over 40 different BlueChew tablets in and FDA-approved lab. And BlueChew was outside the zone allowed by the FDA. The FDA issued a report saying their compounding pharmacy failed tests. AND the FDA is trying to shut BlueChew down. They know it's a totally illegal scam.
I see Dr. Dudley Danoff is rated as America’s number one urologist. What makes him America’s number one urologist? Did he win a contest or something?
Many people know him because of his many legendary patients — Frank Sinatra, Johnny Carson, Bill Maher, Ray Charles, Johnny Mathis, Gregory Peck, Larry King, The King of Thailand, and so many other famous men it would make your head spin. He isn’t allowed to name all of them because of client confidentially. But it is his skills and credentials that have made him number one. The most famous urology practice in America is the Tower Urology Group at the world-renowned Cedars-Sinai Medical Center in Beverly Hills, California.
Dr. Danoff is the president of Tower Urology. He started it over 40 years ago. He has seen over 200,000 patients in his remarkable career. That is not a misprint — over 200,000 patients. He went to Princeton, Yale Medical School and is a Diplomate of The American Board of Surgeons. He has appeared as an expert witness in court more than any other urologist in history because of his expertise. He also wrote the highly respected book on male sexual health, The Ultimate Guide to Male Sexual Health.
Are Viagra and Cialis aphrodisiacs?
No. They are not aphrodisiac or sexual cure-alls. They will not work in the absence of desire. So, no need to worry that you will be walking around with a boner all day if you take Viagra. LOL
I live in North Dakota and I tried to buy for a few different telemedicine sites, and they said their service is not available here in North Dakota. Do any of these companies offer their services in North Dakota?
Yes. Many of these companies are not in every single state, including North Dakota. Because of the laws there and the small population, it is one of the states that is near the bottom of the list for most telemedicine companies. But KwikMed.com or HealthyMale.com are both available in North Dakota. Both of these companies are highly respected and have been in business the longest. Their prices are much higher than most of the other companies — but either will still give you a good deal and they can get you what you are looking for.
I see some 20 mg Sildenafil pills for only $2 a pill. How can that be a bad deal?
It depends on the quality of the pills. Remember, most of the super cheap Sildenafil pills we tested had hardly ANY Sildenafil in them. So you might have to take 10 or 20 of these bogus cheap pills to get the same 20 mg of real Sildenafil you would get in one 20 mg pill from an honest company. So if you pay $2 for a bogus pill with only 3 mg of Sildenafil and you have to take 7 pills at $2 a pill to get 20 mg of Sildenafil, then the “cheap” pill really ends up costing you $14 a pill!
Why do they need to know my blood pressure in order to determine if I can get Viagra or Cialis?
Because if you have very high or very low blood pressure, you should not take any E.D. medications because is can be a serious health risk.
What is the normal dosage of Viagra?
Viagra and Generic Viagra comes in three different strengths: 25 mg, 50 mg, and 100 mg. Most men are prescribed the 50 mg pill. This is the standard prescription with about 75% of men getting prescribed the 50 mg strength. If you’re one of the guys where the 50 mg doesn’t work because your E.D. might be a little more severe, then you are advised to take the 100 mg dosage. The doctor will most likely tell you to just double up the 50 mg and take two of them and see if that works. Men who have very mild E.D. usually just take 25 mg. Most likely you’ll end up taking the 50 mg pill or three of the 20 mg Sildenafil pills.
Since Cialis lasts 48 hours and food doesn’t weaken its effectiveness, and Viagra only last like 5 — 6 hours and loses its strength if taken after food...why would anyone take Viagra? Doesn’t Cialis seem like the smarter choice?
You make a great case for Cialis. But there is one other factor you didn’t mention — Viagra is stronger. Yes, you can take more Cialis — but Viagra is stronger. Either choice is a home run, though. It’s just a matter of personal preference — like the old deodorant TV commercial where six guys choose the spray and six guys choose the stick or “roll-on.” It’s just whatever works best for you. Cialis is sensational, no doubt. Daily Cialis also helps treat BPH. But Viagra is still the best-selling men’s pill of all time for a reason — it’s strong and works great, too.
How is it possible to get Generic Viagra delivered to my home without going to see my doctor in his office? Is this 100% legal?
It is 100% legal and approved by the FDA and state medical boards in all 50 states and Washington D.C. There are some excellent companies offering these services with world-class doctors and millions of dollars behind them to ensure quality control, safety, and the customer experience.
Who offers these services?
There are a growing number of online “telemedicine” tech companies that offer these services. As you are discovering from this guide — some a good, some are bad, and some are very dangerous.
Will my insurance pay for these pills?
No. Insurance doesn’t cover this. But it is so cheap that price is not an issue. The prices have dropped like a lead balloon across the board.
If I order every month, will I have to go through a doctor’s visit every month?
No. Once you are approved for a prescription, it is good for one year.
How long is the doctor’s prescription valid?
One year.
How does a monthly “subscription” work? Is it pills shipped every month to you until you cancel?
You can get a shipment of pills sent to you each month. You determine how many pills you want. Some guys get 5 pills a month or 10 or 20. It depends on how active you are. The great thing about this service and why it is so popular is that you just order one time, and you are covered for an entire year. You get billed each month — not all at once. Or you can choose to get the pills shipped quarterly — every 3 months. This gets you a decent price discount too. Auto-ship, as they call it, is fantastic.
How much does an online doctors visit or evaluation cost?
Anywhere from $0 to $65 depending upon the service. All of the top services do not charge you for your visit — it’s free! Pretty darn good deal! For example, all of the Top 5 rated services do not charge you one penny for your medical evaluation.
Can my wife, girlfriend, or acquaintance place the order for me?
No. It has to be done by you — the person seeking the medication.
What is Sildenafil?
This is the chemical compound that is in Viagra. Viagra IS Sildenafil. Sildenafil is the "active" ingredient in Viagra.
What is Tadalifil?
This is the "active" ingredient that is in Cialis. Cialis IS Tadalifil.
How do I know if the doctor online that evaluates my application or intake form is a good doctor?
Many of the services tell you the doctor or prescribers name and credentials. Top companies utilize very competent doctors and licensed medical professionals. The shady companies use no doctors or fake doctors.
How does an online prescription work from start to finish? Please walk me through it.
You go online and answer a series of questions about your health history to determine if you can be prescribed E.D. medication. A doctor will review your answers to these questions and then you will receive either an email, text or a phone call letting you know if you have been approved or denied. Most men are approved. Sometimes, depending upon the company and the state you live in, you will receive a one-minute phone call from the doctor who reviews your file. He might ask you a few more questions — friendly stuff. Then once you are approved, your credit card is charged and the pills are sent out to your home or office or wherever you requested. It’s really a revolutionary development — you should give it a shot — you won’t be disappointed.
Should I get my blood pressure taken before I start to fill out the questionnaire?
That would be smart. Knowing your blood pressure is required. It is the only question that all the legitimate services ask you, and you need to know that number. You can take your blood pressure at home, or now many drug stores like Rite Aid, CVS, and Walgreens often have blood pressure machines in the stores that you can use for free. Or if you had a recent doctor’s visit, you may should know what your blood pressure was.
Why is so much of the counterfeit Viagra made in China?
Because China does not respect or enforce US trademark law in China. So anyone can make Viagra in China. As a result, hundreds if not thousands of little manufacturers crank out cheap and often dangerous Sildenafil and Tadalafil powder and pills that they ship all over the world. This is how you end up with over 12,000 websites selling fake Viagra and fake Cialis. The same is also true in India where US trademark law is not enforced As a result there is a ton of knock-off pills being made in India. The money is too great. That's why organized and unorganized crime is also a big problem in the fake Viagra game.
If I don’t want to get a package every month, can I just order like 100 pills at once?
Yes. Some services have a limit on the number you can order upfront — but you can usually order a 6-month supply if that is what you prefer to do. The “auto-shipment” option is the most popular because you place one order and that’s it — it lasts a whole year. You never have to order again, plus there is a price break for doing this.
Can I just submit a prescription from my regular urologist and have one of these websites mail the pills to me without having to go through their online questionnaire?
No, you cannot do this. However, if you already have a prescription and want to get pills shipped to you, just contact Marley Drugs on their website at Marleydrug.com. They will have you fax or email them your E.D. prescription or have your doctor’s office do it. Then they can send you the pills in the mail discreetly at a low price. Good company in North Carolina.
What happens if 100 mg of Sildenafil/Viagra does not work for me?
You are probably not using it correctly. Take it on an empty stomach. Eating a large meal, especially a meal that’s high in fat, can delay the absorption of Viagra and make it less effective. If Viagra doesn’t seem to work for you, try taking it two to three hours after your last meal. Wait for Viagra to kick in. It works for over 98% of men.