Limited time offer
Use code AV15 at checkout for 15% off & Free expedited shipping
Use code AV15 at checkout for 15% off & Free expedited shipping
Clinician-prescribed ED treatments designed for how you live. Choose fast on-demand power, daily readiness, or both—delivered discreetly with simple monthly refills.
Clinician-guided ED options, from familiar generics to multi-active AV formulas — prescribed online and delivered discreetly.
AV FORMULAS
3 options · from $99.99/mo
Tadalafil 20 mg + Sildenafil 70 mg. Strong same-day performance with weekend-length coverage, two PDE5s paired under clinician direction.
starting price
Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU + Vitamin K2 1 mg. A set-it-and-forget-it daily plan, with D3 and K2 for supportive vascular health.
starting price
Tadalafil 5 mg + NMN 50 mg. Daily tadalafil for steady readiness, with NMN to support the NAD+ pathway and cellular energy.
starting price
GENERIC OPTIONS
2 options · from $49.00/mo
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
starting price
Tadalafil 20 mg. A longer-window option for less clock-watching and more natural timing.
starting price
Ascend Vitality connects patients with licensed providers who may prescribe medication through state-licensed pharmacies. Prescription medication is only available if prescribed after an online consultation with a healthcare provider. Physicians may prescribe compounded medications as needed to meet patient requirements or drug shortages. The FDA does not review or approve any compounded medications for safety or effectiveness. Results may vary. Plans are offered as a subscription service which you can cancel at any time. Actual product packaging may appear differently than shown.
Most programs stall between intake, review and shipping. We run the whole path end to end — and keep going after your first delivery.
01 — GOALS
Complete a quick, secure intake.
02 — CLINICIAN
A licensed provider reviews your history and questionnaire to confirm eligibility.
03 — PHARMACY
If prescribed, a 30-day supply of enclomiphene citrate capsules (12.5 mg or 25 mg daily) arrives in unmarked packaging with clear dosing instructions and unlimited provider messaging for titration.
04 — SUPPORT
Manage refills, message your care team, and track progress in your portal.
Five reasons people choose us — what changes day to day, and what you never have to chase.
Smaller portions feel natural; “food noise” fades so sticking with it is easier.
Up-front pricing, refill control, no surprise fees.
Personalized options that help drive meaningful, sustainable loss when paired with healthy habits.
Smart intake → clinician review → discreet delivery.
HIPAA-compliant systems, U.S. pharmacy fulfillment.
Every accreditation below is actively maintained and independently audited — not marketing claims.
Independently audited
Renewed every year
Publicly verifiable
Independently verified
Audited & renewed annually
American Peptide Association
Certified peptide provider
HSA / FSA Eligible
Use pre-tax dollars at checkout
ASOP Global
Alliance for Safe Online Pharmacies
American Telemedicine Association
Member — clinical telehealth standards
LegitScript Certified
Verified legitimacy · monitored
American Telemedicine Association
Member — clinical telehealth standards
LegitScript Certified
Verified legitimacy · monitored
HSA / FSA Eligible
Use pre-tax dollars at checkout
ASOP Global
Alliance for Safe Online Pharmacies
American Peptide Association
Certified peptide provider
Independently verified
Audited & renewed annually
Audited annually · HIPAA-compliant platform · Board-certified clinicians
Every number below is what each program advertises publicly — the entry price first, then what that price actually covers.
| Program | Advertised Price | What That Price Actually Covers |
|---|---|---|
| Ascend Vitality | $199/mo with 6-month plan | Medication, clinician care and shipping in one price. No separate membership fee. |
| RO Body | $45 first month, then $145/mo | Membership only — medication cost not included. Cash-pay GLP-1s start $349/mo. |
| Hims | From $199/mo | GLP-1 plans advertised at that rate with 6-month prepay. Non-GLP-1 oral kits from $69/mo on a 10-month prepay. |
| Fridays | One transparent monthly price | Site lists an all-in monthly pricing structure, with coaching included. |
| Eden | $139 first month, then $239/mo | Advertised on select GLP-1 plans. |
| Rugiet | From $99/mo noted in a support article | Promotes non-GLP-1 oral combos for weight rather than GLP-1 injections. |
Not on your bill
Costs and conditions other programs add on top.
Monthly membership fee
Lab work billed separately
Consultation or visit fees
Shipping charges
Long-term commitments
HSA and FSA cards are accepted on eligible treatments — checkout is powered by Stripe, so your benefits card works just like a regular payment card.
Enter your benefits card just like any Visa or Mastercard — payments are processed securely through Stripe.
We automatically email a fully coded receipt with your provider details, accepted by every major benefits administrator.
Most patients save hundreds per year by using pre-tax funds on eligible weight-loss, wellness, and prescription care.
Use pre-tax dollars on eligible treatments at checkout.
Powered by Stripe
Eligibility depends on your specific HSA/FSA plan and the treatment prescribed. We recommend confirming with your benefits administrator. Payments are processed by Stripe; Ascend Vitality never stores your card details.
These apply to every product we prescribe
Emergency room or emergency services. Don’t message your care team first.
Nitrates or riociguat.
Nitrates include nitroglycerin and similar heart medicines. Riociguat treats pulmonary hypertension.
Alpha-blockers, strong CYP3A inhibitors, and any heart, liver or kidney conditions.
If you’re unsure what you take, list everything and we’ll check.
Compounded medications are prepared for patient-specific needs and are not FDA-approved finished drugs. Use only as directed by your clinician. These apply to every product we prescribe.
Straight answers on how Ascend Vitality works, what’s included, and what to expect after checkout.
