Discreet, Clinician-Guided Sexual Health Care
Prescription options for performance, confidence, and reliability — reviewed by licensed providers and delivered privately to your door. Explore all clinician-guided programs or review transparent pricing.
Treatment is prescribed only when clinically appropriate. Patients must be 21+. Available nationwide in all 50 states.
Important: All prescribing decisions are made solely by independent licensed medical providers. A valid patient-provider relationship must be established before any prescription is issued. Open Water Rx does not manufacture or dispense medications. Results are not guaranteed. Read full consent →
What We Support
Built for Confidence and Reliability
Private, clinician-reviewed care designed around what actually matters to you.
Performance
Support stronger, more reliable performance when it matters.
Confidence
Feel more in control, prepared, and at ease.
Convenience
No in-person visits, no waiting rooms, no awkward conversations.
Discretion
Delivered privately to your door in plain, unmarked packaging.
Transparent Pricing
See every cost before you commit. No surprises, ever.
Program pricing is shown clearly before checkout. Semaglutide $169/mo, tirzepatide $219/mo, oral semaglutide $259/mo — flat pricing with no membership or provider fees. Longevity and men's health programs have their own transparent pricing. No insurance required, no hidden fees.
Full cost disclosed before you begin
Every program displays its complete price upfront. Weight-loss programs: semaglutide $169/mo, tirzepatide $219/mo. No hidden fees, no surprise charges after checkout. What you see is what you pay.
No insurance required, and that's a feature
By not accepting insurance, we eliminate prior authorization delays, coverage disputes, and surprise out-of-network bills. One clear price covers your full care cycle. Because Open Water Rx does not bill insurance, your care is not submitted to an insurer by Open Water Rx.
All-inclusive, every month
Your program price covers provider review, prescription if clinically appropriate, pharmacy preparation, discreet shipping, and ongoing follow-up care. Optional add-on services are always clearly priced and never required.
Program Options
Clinician-Reviewed Options
All options are reviewed and prescribed only when clinically appropriate by an independent licensed provider.
Quattro Sublingual
Quattro Sublingual is a compounded four-ingredient liquid shot held in the mouth, offering a convenient, discreet alternative to conventional ED tablets. Available in 5-, 10-, 15-, and 20-shot packs.
- Liquid shot — no injection
- Multiple pack sizes
- Clinician-reviewed dosing
- Discreet delivery if prescribed
Sildenafil
Oral sildenafil tablets in 50 mg and 100 mg strengths for on-demand performance, selected by your provider.
- 50 mg & 100 mg strengths
- 6, 12, or 18 tablets
- Clinician-reviewed for appropriateness
- Full supply ships together in one discreet delivery
Tadalafil
Oral tadalafil 20 mg tablets for longer-lasting coverage, selected by your provider based on your individual profile.
- 20 mg tablets
- 6, 12, or 18 tablets
- Longer-acting profile
- Provider-selected for your profile
Final treatment decisions are made by an independent licensed provider. Patients must be 21+. Available nationwide in all 50 states.
Buying Guide
Compare Your Options
A side-by-side look at the current formulations, strengths, supply terms, and starting totals.
| Option | Quattro Sublingual | Sildenafil | Tadalafil |
|---|---|---|---|
| Form | Sublingual liquid shot — held in the mouth, not an injection | Oral tablet | Oral tablet |
| Strength(s) | 5-, 10-, 15-, or 20-pack | 50 mg or 100 mg | 20 mg |
| Quantity | 5–20 shots per pack | 6, 12, or 18 tablets | 6, 12, or 18 tablets |
| Supply terms | 1, 3, or 12 months | 1, 3, or 12 months | 1, 3, or 12 months |
| Starting total (1-month supply) | $69 | $39 | $39 |
| Next step | Provider review | Provider review | Provider review |
Prices shown are one-time totals for the full supply term — not per-month or recurring charges. Complete 1-, 3-, and 12-month totals for every strength and pack size are listed in the Pricing section below.
Which options are currently available?
Quattro Sublingual (a compounded four-ingredient sublingual liquid shot — not an injection — in 5-, 10-, 15-, or 20-shot packs), sildenafil (50 mg or 100 mg oral tablets in 6, 12, or 18 counts), and tadalafil (20 mg oral tablets in 6, 12, or 18 counts). Your licensed provider selects the formulation that best fits your profile.
How is pricing structured?
Each option is offered in 1-, 3-, or 12-month supply terms. The price shown is the total charge for that entire supply term, not a recurring monthly fee. Sildenafil and tadalafil start at $39 total for a 1-month supply; Quattro Sublingual starts at $69 per 5-pack. No hidden fees are added before payment.
How does provider review work?
You complete a secure online intake, then an independent licensed provider reviews your health profile to determine whether treatment is clinically appropriate. Not all patients qualify, and completing an intake does not guarantee a prescription. Review typically completes within 24 to 72 hours.
Surfbound Health is a consumer brand operated by Open Water Rx LLC — the two sites share the same operator. The provider-review links above open Surfbound Health's men's health intake and are not independent product reviews or ratings.
Pricing
Simple, Transparent Pricing
No hidden fees. All pricing disclosed before any payment is required. Formulation selected by your provider.
Quattro Sublingual
Sublingual — not an injection
Quattro Sublingual 5-Pack
Sublingual — not an injection
Quattro Sublingual 10-Pack
Sublingual — not an injection
Quattro Sublingual 15-Pack
Sublingual — not an injection
Quattro Sublingual 20-Pack
Sublingual — not an injection
Sildenafil
Oral tablets · 50 mg & 100 mg
Sildenafil 50 mg — 6 Tablets
Oral tablets · 50 mg · 6-count
Sildenafil 50 mg — 12 Tablets
Oral tablets · 50 mg · 12-count
Sildenafil 50 mg — 18 Tablets
Oral tablets · 50 mg · 18-count
Sildenafil 100 mg — 6 Tablets
Oral tablets · 100 mg · 6-count
Sildenafil 100 mg — 12 Tablets
Oral tablets · 100 mg · 12-count
Sildenafil 100 mg — 18 Tablets
Oral tablets · 100 mg · 18-count
Tadalafil
Oral tablets · 20 mg
Tadalafil 20 mg — 6 Tablets
Oral tablets · 20 mg · 6-count
Tadalafil 20 mg — 12 Tablets
Oral tablets · 20 mg · 12-count
Tadalafil 20 mg — 18 Tablets
Oral tablets · 20 mg · 18-count
Pricing varies based on formulation and provider recommendation.
Final treatment decisions are made by an independent licensed provider. Clear, upfront pricing. Your total is determined by the medication, quantity, and supply term you select. Licensed-provider review is included, with no separate membership fee. Nothing is charged unless treatment is approved.
Privacy First
Private from Start to Finish
Getting care for sexual health shouldn't require an awkward waiting room or a conversation you're not ready to have in person. Open Water Rx makes it straightforward.
Secure online intake
HIPAA-compliant platform. Your health information is encrypted and never sold.
No waiting rooms
Complete your evaluation from home, on any device, at any time.
Discreet packaging
Plain, unmarked packaging. No indication of contents on the outside.
No insurance required
Clear, upfront pricing. No prior authorizations, no insurance battles.
Ongoing support if needed
Async provider access and sync visits when needed or required by your state.
Simple Process
How It Works
Everything is handled online. No waiting rooms. No in-person visits in most cases.
Complete your private intake
Answer a brief, secure health questionnaire covering your history, current medications, and goals. Available 24/7. No appointment needed.
Provider reviews your information
An independent licensed medical provider reviews your evaluation and determines whether treatment is clinically appropriate. Not all patients qualify.
If appropriate, treatment is prescribed and shipped
If a prescription is issued, medication ships from a licensed pharmacy partner in plain, discreet packaging. Available nationwide in all 50 states.
FAQ
Common Questions
No. Treatment is only prescribed when an independent licensed provider determines it is clinically appropriate for your individual health profile. Not all patients qualify. Completing an intake does not guarantee a prescription.
Options may include Quattro Sublingual (a sublingual liquid shot — not an injection), compounded sildenafil tablets (50 mg and 100 mg), and tadalafil 20 mg tablets, depending on what your licensed provider determines is most appropriate for your profile.
Onset time varies by formulation. Sildenafil is typically fast-acting, while tadalafil provides longer-lasting coverage. Quattro Sublingual is a liquid shot held in the mouth. Your provider will explain what to expect based on the specific formulation prescribed.
Completely. Your consultation is conducted through a secure, HIPAA-compliant platform. Medication ships in plain, unmarked packaging with no indication of contents on the outside. Billing descriptors are also discreet.
No. Open Water Rx does not require insurance. Pricing is clear and disclosed upfront before any payment is required. No prior authorizations, no insurance battles.
Prescription options primarily work by enhancing blood flow and supporting vascular response. PDE5 inhibitors like sildenafil and tadalafil relax blood vessels and increase blood flow. Combination therapies pair complementary mechanisms for enhanced consistency. Your provider selects the formulation based on your health profile, history, and goals.
Yes. Your consultation occurs through an encrypted, HIPAA-compliant platform with no waiting rooms. Medication ships in plain, unmarked packaging with discreet billing. The clinical standards match traditional in-person visits — only the delivery method differs.
You complete a secure online intake covering your medical history, medications, and goals. An independent licensed provider personally reviews your case within 24 to 72 hours, evaluating drug interactions, cardiovascular safety, and clinical appropriateness. Ongoing support is available through secure messaging.
Sildenafil typically begins working within 15 to 60 minutes. Tadalafil provides longer-lasting coverage. Quattro Sublingual is a compounded liquid shot held in the mouth for a convenient, discreet sublingual option. Your provider will explain onset time, duration, and any food or alcohol interactions specific to your formulation.
No. Compounded medications are prepared by licensed compounding pharmacies when an individual clinical need is determined by your provider. All prescribing decisions are made solely by independent licensed medical providers.
Understanding Men's Health
A Patient's Guide to Telehealth Sexual Health Care
Sexual health concerns affect millions of men across the United States, yet many avoid seeking treatment due to embarrassment, inconvenience, or concerns about privacy. Telehealth platforms like Open Water Rx have transformed access to clinician-guided care by removing these barriers while maintaining the same clinical standards as traditional in-person visits. Every patient receives an independent licensed provider review, personalized treatment recommendations, and ongoing support — all through a secure, HIPAA-compliant digital platform.
Understanding your options is the first step toward feeling confident and in control. This guide covers how prescription treatments work, what to expect from telehealth care, and why privacy matters in men's health treatment.
How Prescription Treatments Support Performance
Prescription options for men's sexual health primarily work by enhancing blood flow, supporting vascular response, and improving the body's natural mechanisms for achieving and maintaining performance. Sildenafil and tadalafil belong to a class of medications called PDE5 inhibitors, which work by relaxing blood vessels and increasing blood flow to specific tissues. These medications do not automatically cause performance — they support the body's natural response when stimulation occurs.
Quattro Sublingual is a compounded four-ingredient liquid shot held in the mouth — it is not an injection. Your licensed provider selects the specific formulation, dosage, and delivery method based on your individual health profile, medical history, current medications, and personal preferences. This individualized approach ensures the treatment plan aligns with your specific needs rather than applying a generic solution.
Sildenafil is typically fast-acting and may begin working within 15 to 60 minutes, while tadalafil provides longer-lasting coverage. Quattro Sublingual is a liquid shot held in the mouth rather than being injected. Your provider will explain the expected onset time, duration, and any food or alcohol interactions specific to your prescribed formulation.
Why Privacy and Discretion Matter in Men's Health
Research consistently shows that privacy concerns are one of the top barriers preventing men from seeking sexual health care. Many men worry about running into acquaintances at a clinic, explaining their visit to employers for time off, or having insurance statements reveal sensitive information to family members who share their health plan. These concerns are completely valid and have historically caused millions of men to delay or avoid necessary care.
Telehealth care eliminates these concerns entirely. Your consultation occurs through an encrypted, HIPAA-compliant platform accessible only to you and your licensed medical provider. There are no waiting rooms, no reception desks, and no chance of being seen by someone you know. Medication ships in plain, unmarked packaging with no indication of contents. Billing descriptors are discreet and do not reveal the nature of your treatment. Even the return address on your package gives no indication of the contents inside.
This level of discretion does not compromise clinical quality. Your provider conducts the same thorough health evaluation they would in an office setting, reviews your complete medical history, checks for drug interactions, and follows the same prescribing protocols. The difference is simply the delivery method — care comes to you rather than requiring you to come to care.
What to Expect from Your Telehealth Consultation
Comprehensive Health Evaluation
The online intake covers your medical history, current medications, allergies, cardiovascular health, and specific goals. Your provider uses this information to determine clinical appropriateness and select the optimal formulation. The evaluation takes approximately 5 minutes and is available 24/7.
Independent Provider Review
A licensed medical provider personally reviews your complete case — not an algorithm or automated system. They evaluate drug interactions, contraindications, cardiovascular safety, and whether prescription treatment is appropriate for your individual profile. This review typically completes within 24 to 72 hours.
Ongoing Support and Follow-up
Your care continues beyond the initial prescription. Secure provider messaging allows you to ask questions, report concerns, or request dosing adjustments without scheduling a separate appointment. Follow-up reviews occur at clinically appropriate intervals to ensure your treatment remains safe and effective.
Important Safety Information
Prescription treatments for men's sexual health are not appropriate for everyone. Contraindications include use of nitrates for chest pain, severe cardiovascular disease, uncontrolled high or low blood pressure, certain eye conditions including retinitis pigmentosa, and allergies to active ingredients. Your provider will review all potential risks and interactions before prescribing.
They are prepared by independent, licensed compounding pharmacies when an individual clinical need is determined by your licensed provider. All prescribing decisions are made solely by independent licensed medical providers. Open Water Rx does not manufacture or dispense medications. Patients must be 21 or older. Available nationwide in all 50 states.
Start Your Men's Health Visit
Start your consultation and see what options may be appropriate for you. Provider review required to begin.
Compounded medications are not FDA-approved finished drug products. All prescribing decisions are made by independent licensed providers. A valid patient-provider relationship must be established before any prescription is issued. Open Water Rx does not manufacture or dispense medications. Results are not guaranteed.
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