HealthRX
TEMPO 4-in-1 sublingual ED. From $88/mo on the annual plan.
Overview
HealthRX sells TEMPO 4-in-1 the way a pharmacy would rather than the way a telehealth funnel usually does: the four actives, the per-month unit, both purchase types and every price tier are published on the product page before you click anything. The formula stacks three PDE5 inhibitors — sildenafil, tadalafil and vardenafil — with apomorphine, a dopamine agonist that works on arousal rather than blood flow, in a 1 mL sublingual dose. Subscriptions start at $109/mo and fall to $88/mo on the annual cadence, with the provider visit, unlimited follow-ups and free overnight shipping folded into the price.
TEMPO 4-in-1 is a compounded sublingual solution from HealthRX.com, a marketplace platform that connects patients with independently licensed clinicians and fills prescriptions through a licensed 503A compounding pharmacy. Each vial is a single 1 mL dose, labelled Rx-only and "use as directed", and it is dispensed under the Sexual Health category alongside a prescription arousal cream, an oxytocin nasal spray and standalone sildenafil and tadalafil. HealthRX deliberately does not publish fixed strengths for TEMPO: the reviewing provider confirms the strength and dose after your required post-purchase intake, which is also why the product page carries the "Strength set by your provider" note next to the checkout button.
Pros
- Four actives in one 1 mL sublingual dose — three PDE5 inhibitors plus apomorphine for the arousal pathway
- Published pricing on both purchase types before you reach checkout, subscribe or one-time
- Provider visit, unlimited follow-ups and free overnight shipping bundled into the plan price
- LegitScript-certified platform compounding through a licensed 503A pharmacy
Cons
- Compounded formula — not FDA-reviewed for safety or effectiveness
- Strength is only set after a required post-purchase intake, so you pay before the dose is confirmed
- HealthRX does not publish an onset time or duration window for TEMPO
Features
- 4-in-1 formula: Apomorphine + Sildenafil + Tadalafil + Vardenafil
- Subscription from $109/mo monthly down to $88/mo on the 12-month cadence
- One-time supplies also sold: $122 for one month up to $1,171 for twelve
- Provider visit, unlimited follow-ups and supplies included in the price
- Free discreet overnight shipping to all 50 states, no insurance required
- Full medication refund if the reviewing clinician declines your request
How HealthRX works
You choose a purchase type (subscribe for 10% off today and on every refill, or one-time) and a cadence, then pay at checkout. After payment you complete the required pharmacist intake, and an independent US-licensed clinician reviews the request — approval is never automatic. If they approve, the pharmacy compounds your strength and ships free, discreetly and overnight, to any of the 50 states. If they decline, you get a full refund for the medication. Follow-ups are unlimited and included, so dose changes do not carry a new consultation fee, and you can pause, change or cancel from your account at any time.
Who HealthRX is for
TEMPO suits men who have already tried a single-ingredient PDE5 tablet and want broader coverage — particularly the addition of apomorphine, which targets the desire and arousal side rather than circulation. It also suits price-sensitive buyers who dislike quote-on-consultation pricing: every tier is published, and the annual subscription at $88/mo is among the cheaper monthly commitments in the 4-in-1 category. It is a poor fit if you want to be approved before you are charged, if you need a published onset time to plan around, or if you specifically want an FDA-approved branded tablet from your local pharmacy.
HealthRX pricing
HealthRX publishes two price ladders. Subscriptions: $109/mo billed monthly, $296 every 3 months ($99/mo, 9% off), $559 every 6 months ($93/mo, 15% off), and $1,053 every 12 months ($88/mo, 19% off). One-time supplies: $122 for 1 month, $329 for 3 months ($110/mo, 10% off), $622 for 6 months ($104/mo, 15% off), and $1,171 for 12 months ($98/mo, 20% off). The subscription is roughly 10% cheaper than the equivalent one-time supply at every length, which is exactly what the "save 10% today and on every refill" line describes. Medication and supplies, the provider visit with unlimited follow-ups, and free expedited shipping are included on every plan; there is no separate consultation or pharmacy fee, and no insurance is involved.
Our verdict
TEMPO earns its place on price transparency and formula breadth. Four actives in a 1 mL sublingual dose is as complete as this category gets, the annual cadence at $88/mo undercuts most 4-in-1 subscriptions, and bundling unlimited follow-ups means a dose adjustment costs nothing. Two caveats keep it out of the top tier: you pay before a clinician has approved you (softened, but not removed, by the full medication refund if they decline), and HealthRX publishes no onset or duration figures for TEMPO, so you cannot plan around it the way you can with a provider that states a 15-minute onset. For a man who wants the widest formula at a published price and is comfortable with compounded medication, it is a strong mid-table pick.
HealthRX FAQ
What is in HealthRX TEMPO 4-in-1?
TEMPO 4-in-1 is a compounded sublingual solution containing apomorphine, sildenafil, tadalafil and vardenafil. Sildenafil, tadalafil and vardenafil are PDE5 inhibitors that work on blood flow; apomorphine is a dopamine agonist that acts on the brain's arousal pathway instead. It ships as 1 mL single-dose vials labelled "sublingual solution — 1 dose, use as directed". HealthRX does not publish fixed strengths, because your reviewing provider sets the strength and dose after your intake.
How much does HealthRX TEMPO cost?
On a subscription, TEMPO is $109/mo billed monthly, $296 every 3 months ($99/mo, save 9%), $559 every 6 months ($93/mo, save 15%), or $1,053 every 12 months ($88/mo, save 19%). Subscribing takes 10% off today and on every refill, and auto-renews at the cadence you choose. One-time orders are $122 for a 1-month supply, $329 for 3 months ($110/mo), $622 for 6 months ($104/mo) or $1,171 for 12 months ($98/mo). Every plan includes the medication and supplies, the provider visit with unlimited follow-ups, and free expedited shipping.
Do I pay before I know whether I am approved?
Yes. HealthRX charges at checkout and you then complete a required pharmacist intake, which an independent US-licensed clinician reviews. Payment does not guarantee a prescription — but if the clinician decides the treatment is not right for you, HealthRX refunds the medication in full.
Is HealthRX TEMPO FDA-approved?
No. TEMPO is compounded by a licensed 503A pharmacy under Section 503A of the Federal Food, Drug, and Cosmetic Act, against a patient-specific prescription. Compounded medications are not reviewed by the FDA for safety or effectiveness. HealthRX operates as a marketplace platform and holds LegitScript certification (Cert 50087439); the clinical decision sits with the independent provider.
Can I cancel a HealthRX subscription?
Yes. Subscriptions auto-renew at your selected cadence, and you can pause, change or cancel at any time from your account. If you would rather not auto-renew at all, HealthRX sells the same supplies as one-time purchases at a slightly higher per-month price.
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