ED treatment, prescribed online in West Virginia
West Virginia 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. West Virginia requires one live video visit to establish care; everything after that is online. 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 Charleston, Huntington, Morgantown, and everywhere else in West Virginia.
- Licensed by
- West Virginia Board of Medicine
- Visit type
- One live video visit to start
- Shipping
- 2–3 business days, free and discreet
- Starting price
- $60 for six doses
Is online ED treatment available in West Virginia?
Yes. Pallas serves West Virginia and all 50 states plus Washington, D.C.. Every clinician who treats West Virginia patients holds an active license from the West Virginia Board of Medicine, and partner pharmacies ship to every West Virginia ZIP code. West Virginia requires one live video visit to start care.
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.
West Virginia 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 West Virginia 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 West Virginia
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.
One live video visit, as West Virginia requires
You book it after the intake. The clinician decides which form and dose, if any, is appropriate, and everything after that first visit is by secure message.
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 West Virginia address (2–3 business days); it renews every 4 weeks until you cancel. Not prescribed? Nothing is charged.
Telehealth rules for ED treatment in West Virginia
Prescribing for a resident of West Virginia requires a clinician licensed there, and every Pallas clinician who treats West Virginia patients holds an active license from the West Virginia Board of Medicine. Sildenafil, tadalafil and vardenafil are not controlled substances, so the controlled-substance telemedicine rules don't apply; West Virginia does require one live video visit to establish the provider-patient relationship before a first prescription, and ongoing care continues 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 West Virginia: Prescriptive authority requires a written collaborative agreement with a West Virginia-licensed physician verified with the Board of Nursing; the agreement may be dropped only on separate board approval after three years of documented collaborative practice with granted prescriptive authority (W. Va. Code §30-7-15a; §30-7-15b; verified 2026-09-07).
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 West Virginia reviews it — after the one live video visit West Virginia requires — 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.
Yes — West Virginia requires one live video visit to establish the provider-patient relationship. After that first visit, ongoing care continues by secure message.
ED treatment through Pallas in West Virginia 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 West Virginia 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 West Virginia ZIP code.
Yes. Sildenafil, tadalafil and vardenafil are prescription medicines, and West Virginia allows a clinician licensed by the West Virginia Board of Medicine to prescribe them through telehealth when it's clinically appropriate for you — after the one live video visit West Virginia requires. What isn't legal, in West Virginia 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 West Virginia residents, and not every one serves every state. Before choosing, verify that its clinicians are licensed in West Virginia, 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 West Virginia 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 Charleston, Huntington, Morgantown, and everywhere else in West Virginia — 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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