No video visit
Sexual health by state
Sexual health, prescribed online in Missouri
- Visit type
- No video visit required
- Licensing
- Missouri State Board of Registration for the Healing Arts
- Updated
- Licensed by
- Missouri State Board of Registration for the Healing Arts
- Telehealth
- No video visit required
- Generic Viagra®
- Available
- Generic Cialis®
- Available
- Insurance
- Not needed, cash-pay
- Shipping
- 2–3 business days
Missouri men can be prescribed tablets to help them get and keep an erection — sildenafil or tadalafil, as needed or as a low daily dose — through a short online intake reviewed by a US-licensed clinician, when it’s clinically appropriate. Care is 100% online and asynchronous in Missouri — no video visit is required. Plans are from $27 a month on a 3-month supply ($57 for six tablets monthly), charged once a clinician prescribes and renewing on the same schedule until you cancel, and ship free and discreet from a US-licensed pharmacy to Kansas City, St. Louis, Springfield, and everywhere else in Missouri.
Is online treatment available in Missouri?
Yes. Pallas serves Missouri and all 50 states plus Washington, D.C.. Every clinician who treats Missouri patients holds an active license from the Missouri State Board of Registration for the Healing Arts, and partner pharmacies ship to every Missouri ZIP code. Missouri allows asynchronous care, so no video visit is required.
What Pallas prescribes
Sildenafil and tadalafil are PDE5 inhibitors, the class of medicine most often prescribed to help men get and keep an erection. They work by relaxing smooth muscle and increasing blood flow to the penis in response to sexual stimulation — they don't cause an erection on their own, and they don't affect desire.
Pallas offers prescription sildenafil and tadalafil tablets — taken as needed, or tadalafil as a low dose every day — and a compounded tablet with both, filled by US-licensed pharmacies as a monthly or 3-month supply. Which medication, regimen and strength, if any, is a clinical decision made from your history.
Each medication, safety, and the full FAQ are on the sexual health program page.
Elimination half-life — a property of the molecule, not a promise about any preparation. Which form and dose is right for you is your clinician’s call.
Sildenafil: about 4 hours; Tadalafil: about 17.5 hours.
Missouri pricing at a glance
A monthly or 3-month bottle, starting at $57 for six tablets; bigger bottles cost less per tablet. One price covers your clinician, check-ins and care-team messaging, and free, discreet shipping to any Missouri address in 2–3 business days. Nothing is charged until a clinician prescribes, and you can cancel anytime.
Generic
- Sildenafil (Generic for Viagra®)From $42/mo
- Tadalafil (Generic for Cialis®)From $42/mo
- Daily tadalafil (Generic for Cialis®)From $27/mo
Compounded
- Tadalafil + sildenafil (compounded)From $52/mo
Before a clinician prescribes
Nitrates and riociguat are contraindicated with every PDE5 inhibitor: together they can drop blood pressure dangerously. Alpha-blockers and blood-pressure medicines add to that effect, and chest pain with exertion, fainting or a recent heart event calls for an in-person evaluation. The intake asks about each.
An erection lasting more than four hours is a medical emergency (priapism): seek care immediately. Trouble getting or keeping an erection can also be an early sign of heart disease, diabetes or low testosterone, so keep your primary care provider informed. The intake asks you to acknowledge this before you finish.
How it works in Missouri
Complete the online intake
About five minutes — the five-question erectile function index clinicians use (the IIEF-5), your heart and blood-pressure history, and every medication you take. Nothing is charged at checkout.
A clinician licensed in Missouri reviews it
By secure message in most cases — no video visit required unless your history calls for one. The clinician decides which form and dose, if any, is appropriate.
If prescribed, it ships
You're charged only once a clinician prescribes, and a US-licensed pharmacy ships your first fill free and discreet to your Missouri address (2–3 business days); it renews on the schedule of the supply you choose, monthly or every 3 months (the daily tablet also every 6 months), until you cancel. Not prescribed? Nothing is charged.
Telehealth rules for sexual health care in Missouri
Prescribing for a resident of Missouri requires a clinician licensed there, and every Pallas clinician who treats Missouri patients holds an active license from the Missouri State Board of Registration for the Healing Arts. Sildenafil and tadalafil are not controlled substances, so the controlled-substance telemedicine rules don't apply; Missouri allows the provider-patient relationship to be established through asynchronous telehealth, so your review and follow-up can happen by secure message. Your prescription is filled by a US-licensed pharmacy; the combination tablet is compounded per-patient under FDCA §503A.
Nurse practitioner prescribing in Missouri: Prescriptive authority is delegated by a physician through a written collaborative practice arrangement and may not be exercised outside it; a collaborating physician may hold arrangements with no more than six full-time equivalent advanced practice nurses, physician assistants, or assistant physicians (RSMo §334.104; 20 CSR 2150-5.100; verified 2026-11-02).
More Pallas guides for Missouri:GLP-1 weight lossSermorelinSexual health in every state
Frequently asked questions
Complete a short online intake — the five-question erectile function index clinicians use (the IIEF-5), your heart and blood-pressure history, and every medication you take. A clinician licensed in Missouri reviews it — by secure message in most cases, with no video visit required — and, when clinically appropriate, prescribes sildenafil or tadalafil in the regimen and strength they judge right for you. Nothing is charged unless a clinician prescribes, and your prescription ships free and discreet from a US-licensed pharmacy.
No. Missouri allows asynchronous telehealth care, so most patients complete the entire process — intake, clinician review, and follow-up — by secure message, with no video call required. A clinician may request a call if they need more information.
Sildenafil and tadalafil through Pallas in Missouri starts at $57 for six tablets of sildenafil or tadalafil a month, or $126 for 18 tablets every 3 months — $42 a month; the compounded tadalafil / sildenafil tablet starts at $72 for six, and a 5 mg daily tadalafil tablet is $57 a month or $27 a month on a 6-month supply. Bigger bottles cost less per tablet. The price includes your US-licensed clinician, check-ins and care-team messaging, and free shipping to any Missouri address; each supply renews on its own schedule — monthly or every 3 months (the daily tablet also every 6 months) — until you cancel, is charged only once a clinician prescribes, is cash-pay and not billed to insurance, and costs the same in every Missouri ZIP code.
Yes. Sildenafil and tadalafil are prescription medicines, and Missouri allows a clinician licensed by the Missouri State Board of Registration for the Healing Arts to prescribe them through telehealth when it's clinically appropriate for you — by secure message in most cases, with no video visit required. What isn't legal, in Missouri or anywhere in the US, is buying them without a prescription: a site that sells "sildenafil" with no clinician and no licensed pharmacy is selling unapproved, unverified product, whatever the checkout page looks like.
Several telehealth services prescribe sildenafil and tadalafil online to Missouri residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in Missouri, that prescriptions are filled by US-licensed pharmacies, and that it holds LegitScript Healthcare Merchant Certification — you can check any platform in LegitScript's public database. Pallas serves Missouri and all 50 states plus Washington, D.C..
Men taking nitrates in any form — nitroglycerin, isosorbide mononitrate or dinitrate — or riociguat: that combination is a contraindication on every PDE5 inhibitor's label because it can cause a dangerous drop in blood pressure. Beyond it, a clinician weighs alpha-blockers and blood-pressure medicines, recent heart events or chest pain with exertion, severe liver or kidney disease, retinitis pigmentosa or a prior episode of sudden vision loss, sickle cell disease, bleeding disorders, and conditions like Peyronie's disease. Those are screening questions, not automatic answers — the clinician decides, and if treatment isn't right for you, you're told plainly and nothing is charged.
Sildenafil and tadalafil tablets are filled by US-licensed pharmacies; which preparation your pharmacy dispenses is decided per prescription. The tadalafil + sildenafil combination tablet is compounded per-patient by a state-licensed pharmacy, and compounded preparations are not FDA-approved. That is why every prescription starts with a US-licensed clinician who reviews your health history and prescribes only when clinically appropriate.
Once a clinician prescribes, a US-licensed partner pharmacy fills your prescription and ships it free and discreet, with tracking, to Kansas City, St. Louis, Springfield, and everywhere else in Missouri — typically within 2–3 business days.
More states
Cities in Missouri
Pallas serves all of Missouri online for ED treatment. Partner pharmacies ship to Kansas City, St. Louis, Springfield, Columbia, Independence, Lee's Summit, O'Fallon, St. Joseph and every ZIP code in Missouri.
Trademarks
Viagra® is a registered trademark of Viatris Specialty LLC and Cialis® is a registered trademark of Eli Lilly and Company. Neither trademark owner is affiliated with, a sponsor of, or an endorser of Pallas. Pallas dispenses generic sildenafil and tadalafil tablets through US-licensed pharmacies.