FDA-registered U.S. compounding pharmacy
Online access to U.S.-licensed clinicians
100% online & shipped to you
JI
PL
RA
KM
Read real reviews →
Other pills only move blood.
4-MAX does both.
Get approved
It kicks in fast and holds steady. The usual pills start slower and fade.
4-MAX
Viagra
Levitra
Cialis
Illustrative, not to scale. Not from a head-to-head study.
Need something stronger?
Max strength 4-MAX. For men who need more than the standard dose.
Max strength
Same 4-in-1 shot
$114
Get Ultra
*Based on how each medicine works. Results vary from man to man. Prescription required.
Photo slot · 2400 × 1300
Daily
One small dose a day keeps you ready. No planning around sex.
Ready any time*
Small dose a day
Tadalafil 5 mg
Long-acting. Keeps blood flow ready all day, every day.
Vardenafil 5 mg
A second ED medicine for extra support when the moment comes.
Vitamin K2 Add dose
Help support healthy blood vessels and heart.
Vitamin D3 Add dose
Help support healthy blood vessels and heart.
Always ready ✺ No planning ✺ Daily ✺ Always ready ✺ No planning ✺ Daily ✺ Always ready ✺ No planning ✺ Daily ✺
Harder ✺ Ready ✺ Steady ✺ Harder ✺ Ready ✺ Steady ✺ Harder ✺ Ready ✺ Steady ✺ Harder ✺ Ready ✺ Steady ✺
*With daily use as prescribed. Results vary.
More nitric oxide, stronger blood flow. The strongest single dose we offer.
Get Surge
Prescription required.
Sildenafil works fast. Tadalafil lasts long. The Hero puts both in one tablet.
Get approved
Fast
Kicks in fast*
Long
Lasts long*
The reliable all-rounder. One tablet. $114
*Based on how each medicine works. Results vary. Prescription required.
Your clinician helps you pick the right one.
Prescription required. A U.S.-licensed clinician decides if a treatment is right for you. Compounded medications are not FDA-approved.
Step 1
Answer a few health questions on your phone. About 5 minutes.
Only pay if approved
●
JD
Hi John
1 prescription
Your meds have shipped
4-MAX
Approved
Packed
Shipped
Delivered
Your clinician
Approved. Your 4-MAX is on the way.
Steps 2 + 3
A U.S.-licensed clinician reviews it. If approved, it ships free in a plain box.
Start now
HeroMD connects you with independent U.S.-licensed clinicians who may prescribe if right for you.
Real reviews from our Trustpilot page. Results vary from man to man.
“I am 69 and diabetic. The product worked for me ! Takes a little longer than 15 minutes… but less than 30. Effective in creating and retaining erections ! Wife and myself very happy with results.”
J
Jim
Oct 19, 2026 · Trustpilot
“I Had given up. ED was ruining my life. Product from HeroMD completely revered that. They are an excellent company to deal with. Excellent customer service. Fast and responsive.”
PL
Peter Lane
Oct 18, 2026 · Trustpilot
“My wife and I are extremely happy with the results so far. This has been a total game changer for us. I get results in less than 20 minutes and the effects last for a couple of days. We are very happy to recommend this product to anyone looking to spice up their life. In addition, I had the opportunity to work with Pauline concerning some questions I had and she was fantastic, resolved my questions in a matter of minutes.”
RA
Rolando Avila
Oct 7, 2026 · Trustpilot
“Great customer service. Product is good. You do have to be somewhat healthy. It’s not a miracle drug but does work efficiently.”
KM
Kenneth Myricks
Oct 12, 2026 · Trustpilot
“Very good product. Works well and customer service is great!”
S
ShawnEcker
Oct 22, 2026 · Trustpilot
“I was treated with total professionalism and dignity when I reached out to Hero MD. Ryan, in customer service contacted me immediately after I sent my email asking for help. He kept me informed, and again was so prompt in his response. In this age, when customer service is lacking, I was so glad to be able to report a good experience. Five stars for sure!!”
KK
Kurt Kiser
Oct 5, 2026 · Trustpilot
Something else? Email info@heromd.us or call 1 (888) 988-7029, Mon to Fri, 9am to 5pm CST.
Do I need a prescription?
−
Yes. You fill out a short online intake. A U.S.-licensed clinician reviews it. If it’s right for you, they write the prescription. If you don’t qualify, you don’t pay.
How fast does 4-MAX work? How long does it last?
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Which of the 5 is right for me?
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Is shipping discreet?
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What if it doesn't work for me?
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Don’t qualify? You don’t pay. Free, discreet shipping.
See if I qualify
No hidden fees. If you do not qualify, you do not pay.
Free, discreet shipping in unmarked packaging.
Cancel anytime. No long-term commitment.
U.S.-licensed clinicians and pharmacies only.