Sildenafil is the generic version of Viagra, a widely used medication for treating erectile dysfunction (ED). As a non-branded alternative to Viagra, sildenafil provides the same proven effectiveness at a significantly lower cost than brand-name Viagra. Both medications contain the same active ingredient, sildenafil citrate, which works by increasing blood flow to help men achieve and maintain an erection. Because it contains the identical active compound, generic sildenafil delivers the same results as Viagra while offering a more affordable ED treatment option.

Tadalafil is the generic version of Cialis®, a medication commonly used to treat erectile dysfunction (ED). As the non-branded alternative to Cialis®, tadalafil offers the same effectiveness at a lower cost than the brand-name medication.

Both Cialis® and generic tadalafil contain the same active ingredient, tadalafil, which works by increasing blood flow to help achieve and maintain an erection. Unlike some other ED medications, tadalafil can be taken either as needed before sexual activity or as a daily low-dose treatment, depending on your healthcare provider’s recommendation.

Sildenafil is an as-needed erectile dysfunction (ED) medication that you take before sexual activity to help you achieve and maintain an erection. For the best results, follow these helpful tips:

• Try it on your own first: Test sildenafil before using it with a partner so you can see how your body responds and understand how it works for you.

• Take it about 60 minutes before sex: Sildenafil typically starts working within an hour and can remain effective for up to 4–6 hours.

• Take it on a near-empty stomach: Sildenafil works best when taken without a heavy meal. Avoid fatty foods and excessive alcohol beforehand, as they can delay or reduce its effectiveness.

• Sexual arousal is required: Sildenafil supports erections by improving blood flow, but it won’t cause an automatic erection without sexual stimulation. Foreplay or arousal is necessary for the medication to work effectively.

What is the generic version of Viagra?

The generic version of Viagra® is sildenafil, a non-branded medication used to treat erectile dysfunction (ED). Generic sildenafil is typically much more affordable than brand-name Viagra®, while delivering the same effectiveness and clinical results. Both medications contain the same active ingredient, sildenafil citrate, which helps improve blood flow to support erections.

Sildenafil citrate belongs to a class of medications called PDE-5 inhibitors, which work by relaxing blood vessels and increasing blood flow to the penis during sexual stimulation. Both Viagra® and generic sildenafil are commonly available in 25 mg, 50 mg, and 100 mg tablets. Although the manufacturer and the appearance of the pills may differ, the active ingredient and how it works in the body are the same.

What is sildenafil?

Sildenafil citrate is the chemical name of the active ingredient found in Viagra®. When sildenafil is sold in 25 mg, 50 mg, or 100 mg doses, it may be available as either brand-name Viagra® or generic sildenafil. Both versions work the same way to help men treat erectile dysfunction.

Who is sildenafil for?

Sildenafil is FDA-approved to treat erectile dysfunction (ED) in men aged 18 and older. However, it may not be suitable for everyone. Men with certain medical conditions or those taking specific medications may not be able to use sildenafil safely. A licensed healthcare provider should evaluate your health history to determine whether sildenafil is a safe and appropriate ED treatment option.

Are there benefits to using sildenafil instead of Viagra?

For most people, the primary difference between sildenafil and Viagra® is the price. Generic sildenafil can cost up to 95% less than brand-name Viagra®, while providing the same active ingredient, effectiveness, and duration of action. Because of this, many people choose generic sildenafil as a more affordable erectile dysfunction treatment without sacrificing results.

What is tadalafil?
Tadalafil is the generic version of Cialis®, a medication used to treat erectile dysfunction (ED). As a non-branded alternative to Cialis®, tadalafil offers the same effectiveness while typically costing less than the brand-name medication.

Both Cialis® and generic tadalafil contain the same active ingredient, tadalafil, which helps increase blood flow to the penis. Depending on the prescribed dose, tadalafil can be taken as needed before sexual activity or as a daily medication to help treat erectile dysfunction.

How long does tadalafil last?
One of the key advantages of tadalafil compared to other ED medications is its long duration of action. Tadalafil can remain effective for up to 36 hours.

This does not mean you will have a continuous erection for 36 hours. Instead, the medication improves your ability to achieve an erection during that window of time. Sexual arousal is still required for tadalafil to work.

What does tadalafil do?
Tadalafil works by increasing blood flow to the penis, which helps men achieve stronger and longer-lasting erections. It belongs to a class of medications called PDE5 inhibitors, which relax blood vessels and improve circulation during sexual stimulation.

Because erectile dysfunction often occurs when blood flow to the penis is insufficient or blood vessels do not stay open long enough, tadalafil helps support healthy erectile function. However, like other PDE5 inhibitors, tadalafil will not cause an automatic erection—sexual arousal is required.

What is tadalafil used for?
Tadalafil is primarily prescribed to treat erectile dysfunction (ED). It is available in four dosage strengths: 2.5 mg, 5 mg, 10 mg, and 20 mg.
• 10 mg and 20 mg are typically prescribed for as-needed use before sexual activity.
• 2.5 mg and 5 mg may be prescribed as daily ED treatment, allowing for more spontaneous sexual activity.

Lower doses of tadalafil (2.5 mg and 5 mg) are also FDA-approved to treat urinary symptoms caused by benign prostatic hyperplasia (BPH), with or without erectile dysfunction.

How long does tadalafil take to work?
Tadalafil generally begins working within 30 minutes to 2 hours after taking a dose. If you are using tadalafil as needed, it’s recommended to take it at least 30 minutes before sexual activity.

For daily tadalafil, the medication should be taken at the same time each day to maintain consistent levels in the body. You should not take more than one dose within a 24-hour period unless directed by a healthcare provider.

Does TelMDFirst offer a 100% money-back guarantee? Yes.

We stand behind every TelMDFirst visit. If a licensed medical provider is unable to help you, you’ll receive a full refund—no hassle.

Care should feel simple and safe—and that’s exactly what we deliver. Licensed medical providers are available 24/7, so help is always within reach.

When medically appropriate, prescriptions can be sent to your local pharmacy in as fast as 15 minutes.

Get care with confidence, backed by our 100% money-back guarantee.

With TelMDFirst, you can often connect with a licensed, board-certified medical provider in as fast as 15 minutes.

Visits are available 24/7/365 via secure video, phone, or online messaging, so you can get care anytime, anywhere—without long waits.

Availability may vary based on demand, but many members are seen within minutes.

What are the most common conditions you treat?

Our licensed medical providers are trained to evaluate and treat thousands of non-emergency medical conditions through virtual visits. Below are some of the most common conditions treated on TelMDFirst, along with examples of commonly prescribed, non-controlled medications when medically appropriate.

Cold, Flu & Infections
• Cold, flu (influenza), COVID-related care
• Sinus infections, sore throat, strep throat
• Ear infections, bronchitis, upper respiratory infections
Common medications may include: amoxicillin, azithromycin, doxycycline, oseltamivir, Paxlovid (when eligible)

Skin, Hair & Dermatology
• Acne, rashes, eczema, psoriasis
• Pink eye, cold sores, shingles
• Hair loss, dandruff, fungal infections
Common medications may include: tretinoin, clindamycin, ketoconazole, fluconazole, acyclovir, valacyclovir, minoxidil

Allergies & Asthma
• Seasonal allergies, hives
• Asthma-related concerns
Common medications may include: cetirizine, loratadine, fluticasone, albuterol inhalers

Women’s & Men’s Health
• Birth control, emergency contraception
• Vaginal yeast infections, UTIs
• Erectile dysfunction, premature ejaculation
Common medications may include: oral contraceptives, levonorgestrel, nitrofurantoin, fluconazole, sildenafil, tadalafil

Sexual Health & STD Care
• Chlamydia, gonorrhea, herpes, HPV
• HIV prevention (PrEP / PEP)
• STD consultations and treatment
Common medications may include: doxycycline, azithromycin, cefixime, valacyclovir, Truvada, Descovy (when appropriate)

Digestive & Metabolic Conditions
• GERD, heartburn, nausea, diarrhea
• Type 2 diabetes, cholesterol, weight management
Common medications may include: omeprazole, famotidine, ondansetron, metformin, atorvastatin

Pain & Musculoskeletal
• Back pain, joint pain, muscle strains
• Migraines, tension headaches
Common medications may include: naproxen, ibuprofen, cyclobenzaprine, sumatriptan (non-controlled medications only)

Mental Health
• Anxiety, depression, insomnia
Common medications may include: sertraline, escitalopram, fluoxetine, trazodone
(non-controlled medications only)

Prescriptions & Medical Notes
• Prescription refills
• Doctor’s notes and return-to-work documentation

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This is not a complete list. Medications are prescribed only when medically appropriate and at the sole discretion of the licensed medical provider. Availability may vary by state and individual medical history.

If you don’t see your condition listed, you can still start a visit—a provider will review your concern and guide you on next steps.

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TelMDFirst offers the best prices for virtual doctor visits, with flexible options to fit your needs—all backed by our 100% money-back guarantee 💰

Choose the option that works for you:
• One-Time Visit: $79.95
• Monthly Plan: $29.95
• Annual Plan: $189.95 (covers an entire household)

No hidden fees. No long waits.

Get evaluated by a licensed medical provider and receive a prescription sent to your local pharmacy in as fast as 15 minutes.

Start your visit online in minutes:
👉 https://telmdfirst.com/visit/

For full pricing details and plan comparisons, visit our pricing page here.

Who provides care through TelMDFirst?

TelMDFirst connects you with experienced, U.S.-licensed medical providers who deliver care through our platform—anytime you need it.

All providers are board-certified, credentialed using NCQA and URAC standards, and licensed to practice in your state. On average, providers have 15+ years of clinical experience, so you can feel confident you’re in capable hands.

Every provider completes specialized telehealth training to ensure high-quality communication, accurate evaluations, and appropriate treatment through text, phone, or video visits.

Medical care and prescribing decisions are made independently by the licensed providers delivering your visit—so you always receive care that’s based on your individual needs.

Learn more about our independent provider groups.

👉 Start your visit online now or call 888-851-5333.

Getting care with TelMDFirst is fast, simple, and convenient. You can connect with licensed medical providers nationwide, who may send prescriptions to your local pharmacy—often within 60 minutes when medically appropriate.

You can start your visit online or by calling 888-851-5333. After completing a brief medical intake form, a licensed medical provider reviews your information and determines the appropriate next steps, including treatment recommendations or prescriptions when appropriate.

Licensed medical providers are available 24 hours a day, 7 days a week, and you can connect using your phone, text, or computer.

Simple. Convenient. On Your Schedule.

1. Create your secure account in about 5 minutes.
Getting started is quick and secure.

2. See a provider right away or schedule for later.
Many visits begin within minutes, or you can choose a time that works best for you.

3. Connect how you prefer—text, phone, or video.
Your provider will review your symptoms, discuss treatment options, and, when appropriate, send a prescription to a nearby pharmacy.

Our Promise: Your satisfaction matters. If you’re not satisfied with your TelMDFirst experience, we’ll work with you to make it right.

Yes. The TelMDFirst Annual Plan covers your entire household for one low annual price of $189.95.

Your family can access licensed medical providers 24 hours a day, 7 days a week, 365 days a year, giving you peace of mind whenever care is needed.

Life is unpredictable—but with TelMDFirst, help is always within reach.

TelMDFirst is a digital healthcare platform that helps individuals and families access affordable, high-quality virtual medical care.

By leveraging nationwide scale, TelMDFirst gives members access to telemedicine pricing and options typically available only to large employers, helping reduce out-of-pocket healthcare costs.

Through partnerships with established telemedicine provider groups, TelMDFirst connects members to licensed medical providers for convenient online doctor visits—anytime, anywhere.

Join millions of people who have registered to access fast, affordable virtual doctor visits through TelMDFirst.

Telemedicine allows you to consult with a licensed, board-certified medical provider using secure video, phone, or online messaging—anytime, anywhere, 24/7/365.

Through telemedicine, patients can receive care for many non-emergency medical conditions without visiting an urgent care clinic or waiting days for an in-person appointment.

TelMDFirst partners with established telemedicine provider networks to offer a convenient, affordable alternative to urgent care. Licensed medical providers can evaluate your symptoms, recommend treatment options, and—when medically appropriate—send an electronic prescription to your local pharmacy.

Yes. Protecting your personal health information is a top priority.

TelMDFirst uses HIPAA-compliant systems and safeguards designed to protect your data. Our platform, website, and communications use secure, encrypted technology to help keep your information private and secure.

In addition, the licensed medical providers and telemedicine partners delivering care through TelMDFirst are required to follow HIPAA privacy and security standards.

Your information is handled with care, confidentiality, and respect—every step of the way.

Yes. With TelMDFirst, you can often speak with a licensed medical provider and receive a doctor’s note in as fast as 15 minutes, when medically appropriate.

Doctor’s notes are provided at the discretion of the licensed provider and may be used for work, school, or personal documentation. Acceptance of doctor’s notes may vary by employer or institution.

Yes. Your privacy is extremely important to us.

TelMDFirst follows HIPAA privacy and security requirements designed to protect your personal health information. We use appropriate administrative, technical, and physical safeguards to help keep your information private and secure.

HIPAA regulations also give you important rights over your health information, including the right to access your records and request corrections when appropriate.

Your information is handled with care, confidentiality, and respect.

No. TelMDFirst is not an insurance product, and we do not bill or work directly with insurance providers.

TelMDFirst offers affordable virtual urgent care services with no insurance required, so you always know the price upfront.

You can use TelMDFirst whether you’re uninsured, underinsured, or simply prefer to pay out of pocket for fast, convenient care—with no copays, no claims, and no surprise bills.

Yes. TelMDFirst offers virtual healthcare benefit solutions designed to help employers lower healthcare costs while giving employees fast, convenient access to care.

Through our platform, employers can offer employees 24/7 access to licensed medical providers at affordable, predictable rates—often similar to pricing typically available only to large corporations.

TelMDFirst is an easy-to-implement benefit that improves access to care, reduces unnecessary urgent care visits, and supports employee satisfaction.

Learn more by visiting our employee benefits page or call 888-215-2154.

No. Telemedicine is designed to treat many non-emergency medical conditions and can often serve as a convenient alternative to an in-person doctor’s office or urgent care visit for common concerns such as the flu or pink eye.

However, telemedicine is not intended to replace your primary care physician and should not be used for life-threatening emergencies.

If you are experiencing a medical emergency, do not use telemedicine. Call 911 immediately or go to the nearest emergency room.

TelMDFirst online doctor services are available 24 hours a day, 7 days a week, 365 days a year—including nights, weekends, and holidays.

You can use telemedicine anytime you have a non-emergency medical condition, are unable to see your primary care provider, or simply prefer a convenient, cost-effective alternative to the emergency room, urgent care center, or clinic.

Yes. Telemedicine with TelMDFirst can be accessed by phone call, text message, or online, including on a mobile phone or landline.

No app, video, or computer is required. If you prefer, you can speak with a licensed medical provider by phone, making care simple and accessible wherever you are.

Yes. You may request a specific medication during your visit.

However, all prescribing decisions are made at the sole discretion of the licensed medical provider, based on medical appropriateness, your health history, and applicable laws.

No. TelMDFirst does not require an app, video call, or computer.

You can connect with a licensed medical provider by phone call, text message, or online, including from a mobile phone or landline.

Yes. TelMDFirst offers pediatric telemedicine for children, providing fast and convenient access to licensed medical providers for many non-emergency pediatric conditions.

Parents can use TelMDFirst for virtual doctor visits for children 24/7, without the need for an app or in-person clinic visit. When medically appropriate, providers can evaluate symptoms, offer treatment recommendations, and send prescriptions to your local pharmacy.

If an in-person exam is required, the provider will guide you on next steps to ensure your child receives appropriate care.

No. TelMDFirst does not prescribe federally controlled substances.

If a medication is classified as a controlled substance, our licensed medical providers are unable to prescribe it through telemedicine.

That said, a licensed provider may be able to recommend alternative treatment options or discuss next steps when appropriate.

If you’d like to explore your options, you can start a visit at TelMDFirst.com/visit.

Please know that we’re committed to providing high-quality care. If a provider is unable to help you, your visit is covered by our 100% money-back guarantee.

Yes. TelMDFirst is available nationwide, 24 hours a day, 7 days a week, and can be used while traveling or away from home.

Licensed medical providers are available across the U.S. and are authorized to provide care based on the state where you are physically located at the time of your visit.

Simply start your visit and your location will be verified automatically to match you with an appropriately licensed provider.

TelMDFirst can send your prescription to any pharmacy, nationwide in minutes.

Common pharmacies include:

• CVS

• Walgreens

• Walmart

• Rite Aid

• Costco

• Kroger

• Publix

• Target Pharmacy

• Local independent pharmacies

• Cost Plus Drugs

Prescriptions are sent electronically to the pharmacy of your choice.

TelMDFirst is available nationwide, with licensed medical providers available 24/7 across the United States.

Provider availability is determined by state licensure requirements at the time of your visit. To confirm coverage, simply start a visit and enter your location—our system will automatically connect you with a provider licensed in your state.

After your visit:
• The provider may send a prescription to your local pharmacy (when appropriate)
• You may receive medical instructions or follow-up guidance
• Doctor’s notes or documentation may be provided if applicable

If you have questions after your visit, support is available to assist you.

Yes. You can cancel or change your plan at any time.

There are no long-term commitments, and pricing is always transparent with no hidden fees. For pricing details visit our pricing page here.

You’re able to cancel your subscription online by filling out this website form here: https://telmdfirst.com/subscription/
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You can also call 888-851-5333.
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Yes. Antibiotics may be prescribed when medically appropriate, based on the provider’s evaluation and clinical judgment.

Not all conditions require antibiotics, and prescribing decisions are made by the licensed medical provider in accordance with medical guidelines and state regulations.

Yes. TelMDFirst is a trusted telemedicine platform with a 4.5-star rating on Trustpilot and over 1,000 verified reviews.

We partner with licensed medical providers and use secure, HIPAA-compliant systems to protect your information and deliver care safely.

TelMDFirst makes virtual doctor visits affordable by operating at high volume and nationwide scale, allowing us to connect patients with licensed, board-certified medical providers at a lower cost—with plans starting at just $29.95 and no hidden fees.

We believe everyone deserves fast, convenient, and affordable access to a doctor, without long waits, surprise charges, or expensive office visits.

Through our platform, patients can connect with or without insurance to experienced medical providers, saving time, avoiding urgent care visits, and reducing out-of-pocket costs.

The result: high-quality virtual care at a price that makes sense.

TelMDFirst offers a faster, more affordable alternative to urgent care for many non-emergency conditions.

With TelMDFirst, you can:
• Avoid long wait times
• Skip travel to a clinic
• Get care 24/7, including nights and holidays
• Pay a clear, upfront price

Telemedicine is not intended for emergencies, but it’s ideal for many common medical concerns.

Prescriptions can be sent to your local pharmacy in as fast as 15 minutes, nationwide.

After completing your visit, a licensed medical provider will review your information and determine whether a prescription is appropriate. Timing may vary based on pharmacy hours, medical condition, provider review, and state regulations, but many patients receive prescriptions within minutes.