ED treatment, prescribed online in Texas
Texas men can be prescribed treatment for erectile dysfunction — sildenafil, tadalafil or vardenafil as dissolvable tablets, troches or a daily tablet — through a short online intake reviewed by a US-licensed clinician, when it’s clinically appropriate. Care is 100% online and asynchronous in Texas — no video visit is required. Plans are from $60 for six doses every 4 weeks, charged once a clinician prescribes and renewing until you cancel, and ship free and discreet from a US-licensed pharmacy to Houston, San Antonio, Dallas, and everywhere else in Texas.
- Licensed by
- Texas Medical Board
- Visit type
- Secure message — no video visit
- Shipping
- 2–3 business days, free and discreet
- Starting price
- $60 for six doses
Is online ED treatment available in Texas?
Yes. Pallas serves Texas and all 50 states plus Washington, D.C.. Every clinician who treats Texas patients holds an active license from the Texas Medical Board, and partner pharmacies ship to every Texas ZIP code. Texas allows asynchronous care, so no video visit is required.
What Pallas prescribes for ED
Sildenafil, tadalafil and vardenafil are PDE5 inhibitors, the class of medicine most often prescribed for erectile dysfunction. 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, tadalafil and vardenafil preparations — dissolvable tablets, a troche, a low-dose daily tablet — filled by US-licensed pharmacies, and, when oral options aren't suitable, an injection prescribed with instructions from your clinician. Which form and dose, if any, is a clinical decision made from your history.
Each medication, safety, and the full FAQ are on the ED treatment 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; Vardenafil: 4 to 5 hours; Tadalafil: about 17.5 hours.
Texas pricing at a glance
One price per fill, every 4 weeks, clinician care included. Larger fills cost less per dose.
Sildenafil + pycnogenol
orally dissolving tablet, taken as needed
sildenafil with pycnogenol, a French maritime pine bark extract
$60 · 6 doses
Tadalafil + pycnogenol
orally dissolving tablet, taken as needed
tadalafil with pycnogenol, a French maritime pine bark extract
$60 · 6 doses
Tadalafil + sildenafil
orally dissolving tablet, taken as needed
both molecules in one tablet
$96 · 6 doses
Tadalafil daily
5 mg tablet, taken once a day
a low daily dose of tadalafil
$115 · 30 tablets
Tadalafil + caffeine + L-citrulline
orally dissolving tablet, taken once a day
tadalafil with caffeine and the amino acid L-citrulline
$115 · 30 tablets
Vardenafil troche
troche that dissolves in the mouth, taken as needed
vardenafil in a lozenge that dissolves between cheek and gum
$149 · 10 troches
Trimix injection
injection, when oral options aren't suitable; your clinician decides
alprostadil, papaverine and phentolamine, with injection instructions from your clinician
$199 · 5 mL vial
- US-licensed clinician review — prescribed only when clinically appropriate
- Check-ins and care-team messaging in the Pallas app or patient portal
- Free, discreet shipping to any Texas address (2–3 business days)
- Nothing is charged unless a clinician prescribes
- Cancel anytime, self-serve
Before a clinician prescribes
The intake asks about these before anything is prescribed. Answer them fully — they are the reason ED medication is prescription-only.
Nitrates and riociguat
Nitrates — nitroglycerin in any form, isosorbide mononitrate or dinitrate — and riociguat are a contraindication on every PDE5 inhibitor's label: together they can drop blood pressure to dangerous levels. The intake asks about each of them by name.
Alpha-blockers and blood-pressure medicines
Medicines like tamsulosin or doxazosin add to the blood-pressure effect. A clinician weighs the combination and may choose a different form or dose.
Heart symptoms
Chest pain with exertion or during sex, unexplained fainting, or a recent heart event call for an in-person evaluation before any ED medication is prescribed.
An erection that won't go down
An erection lasting more than four hours is a medical emergency (priapism). Seek care immediately.
ED can be a signal
Erectile dysfunction can be an early sign of heart disease, diabetes or low testosterone. Alongside treatment, keep your primary care provider informed — the intake asks you to acknowledge this before you finish.
How it works in Texas
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 Texas 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 Texas address (2–3 business days); it renews every 4 weeks until you cancel. Not prescribed? Nothing is charged.
Telehealth rules for ED treatment in Texas
Prescribing for a resident of Texas requires a clinician licensed there, and every Pallas clinician who treats Texas patients holds an active license from the Texas Medical Board. Sildenafil, tadalafil and vardenafil are not controlled substances, so the controlled-substance telemedicine rules don't apply; Texas 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, and some forms are compounded per-patient under FDCA §503A.
Nurse practitioner prescribing in Texas: Prescriptive Authority Agreement with a delegating Texas physician (Tex. Occ. Code §157.0512; verified 2026-09-14).
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 Texas reviews it — by secure message in most cases, with no video visit required — and, when clinically appropriate, prescribes sildenafil, tadalafil or vardenafil in the form and dose 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. Texas 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.
ED treatment through Pallas in Texas starts at $60 for six doses of a sildenafil or tadalafil dissolvable tablet; the tadalafil / sildenafil combination starts at $96 for six, a vardenafil troche is $149 for ten, a 5 mg daily tadalafil tablet is $115 for 30, and a compounded injection is $199. Larger supplies cost less per dose. The price includes your US-licensed clinician, check-ins and care-team messaging, and free shipping to any Texas address; each fill renews every 4 weeks until you cancel, is charged only once a clinician prescribes, is cash-pay and not billed to insurance, and costs the same in every Texas ZIP code.
Yes. Sildenafil, tadalafil and vardenafil are prescription medicines, and Texas allows a clinician licensed by the Texas Medical Board 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 Texas 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 offer ED treatment to Texas residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in Texas, 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 Texas and all 50 states plus Washington, D.C., and is LegitScript Healthcare Merchant Certified.
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.
No. Some of the forms Pallas offers — the dissolvable tablets, the troche, the injection — are compounded per-patient by state-licensed pharmacies, and compounded ED preparations are not FDA-approved. Which forms are compounded is the filling pharmacy's call per prescription. 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 Houston, San Antonio, Dallas, and everywhere else in Texas — typically within 2–3 business days.
See if ED treatment is appropriate for you
The online intake takes about five minutes. A US-licensed clinician reviews your answers and history and, when appropriate, prescribes — if not, nothing is charged.
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