No video visit
Sexual health by state
Sexual health, prescribed online in West Virginia
- Visit type
- One video visit to start
- Licensing
- West Virginia Board of Medicine
- Updated
- Licensed by
- West Virginia Board of Medicine
- Telehealth
- One video visit to start
- Generic Viagra®
- Available
- Generic Cialis®
- Available
- Insurance
- Not needed, cash-pay
- Shipping
- 2–3 business days
West Virginia 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. West Virginia requires one live video visit to establish care; everything after that is online. 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 Charleston, Huntington, Morgantown, and everywhere else in West Virginia.
Is online 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
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.
West Virginia 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 West Virginia 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 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 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 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 and tadalafil 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; the combination tablet is 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).
More Pallas guides for West Virginia: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 West Virginia reviews it — after the one live video visit West Virginia requires — 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.
Yes — West Virginia requires one live video visit to establish the provider-patient relationship. After that first visit, ongoing care continues by secure message.
Sildenafil and tadalafil through Pallas in West Virginia 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 West Virginia 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 West Virginia ZIP code.
Yes. Sildenafil and tadalafil 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 prescribe sildenafil and tadalafil online 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..
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 Charleston, Huntington, Morgantown, and everywhere else in West Virginia — typically within 2–3 business days.
Cities in West Virginia
Pallas serves all of West Virginia online for ED treatment. Partner pharmacies ship to Charleston, Huntington, Morgantown, Parkersburg, Wheeling, Weirton, Fairmont, Martinsburg, Beckley, Clarksburg, South Charleston, St. Albans and every ZIP code in West Virginia.
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.