Founding offer · Join by July 31, 2026 and lock $5/mo off for life: $64 Essentials, $94 Comprehensive
ED & sexual health

Be at your best, with sexual health care that just works.

For anyone who wants straightforward ED care and refills handled, without booking and paying for a visit every single time.

Essentials membership · $69/mo  ·  one simple membership, no markup

The real math

A few dollars a month. Not a few hundred.

Generic ED medication is cheap when nobody marks it up. Here's a real monthly example.

Tadalafil 5mg, daily: itemized

Membership plus medication, at cost.

Membership · EssentialsVisits, refills, and messaging included$69/mo
Tadalafil 5mg ×30At a low-cost pharmacy, you pay them directly~$11/mo  $307
About what you'll spend~$80/mo
Two ways to take it

As-needed, or daily. Your provider confirms the fit.

As-needed

Sildenafil

~$12/mo · taken when you want it

Take it ahead of time; works for a window of a few hours. The classic on-demand option: simple and inexpensive.

Daily

Tadalafil

~$11/mo · low-dose, every day

A small daily dose keeps you ready without planning around a clock. Many people prefer the spontaneity.

When pills aren't enough

A proven next step, when tablets fall short.

Some men don't respond to pills, and some can't take them at all. Injectable therapy is the established option when that happens — and it works directly.

Injectable therapy

It works in minutes, on its own.

A very fine needle delivers medication right where it's needed, so there's no waiting on a pill to kick in and no depending on arousal. If you're on nitrates for your heart, where pills are off the table, this is the path that still works. It's the same approach urologists have relied on for decades.

You're set up before you're ever on your own.

Your provider sets your starting dose and a titration plan — what a good response looks like, and how to step up if you need to — and guides you through it. It's compounded, so it's billed at our cost, like everything else. No markup.

BimixTrimixCompoundedBilled at cost
The science

These are vasodilators. Bimix combines papaverine and phentolamine; Trimix adds alprostadil (prostaglandin E1). They relax the smooth muscle inside the penis and open blood flow directly, which is why an erection typically follows within about 5–10 minutes and doesn't depend on arousal the way pills do. Major urology guidelines treat injection therapy as a first-choice option once oral PDE5 inhibitors have failed or aren't appropriate, and it's widely used for penile rehabilitation after prostate surgery. Because it acts locally, it tends to avoid the whole-body effects pills can cause.

Source: Penile injection therapy, Memorial Sloan Kettering → Source: Trimix injection, University of Utah Health →
Your membership

Essentials: $69/mo

Get back to feeling like yourself: as-needed or daily options, refills handled by your provider, and generic medication that usually runs just a few dollars a month.

🔒

Low-key by default. visits happen online, and your card statement simply reads "Mica Peak Health."

Your numbers

The real math. Nothing marked up.

Sildenafil 20mg ×30 you pay the pharmacy $12 at Cost Plus · $184 usual cash price
Tadalafil 5mg ×30 you pay the pharmacy $11 at Cost Plus · $307 usual cash price
Bimix / Trimix (injectable) compounded, billed at our cost set with your clinician
Compounded medications are not FDA-approved and are prescribed only when a licensed clinician determines a compounded formulation is appropriate for an individual patient.

Refills are handled. You're not paying for a visit every single time.

Your provider manages refills inside membership: no per-refill fee, and nothing auto-ships without a prescription decision. You're seen when your care actually needs it.

Questions

Answered straight.

How do refills work?
Your provider manages them inside membership: no per-refill fee, and nothing auto-ships without a prescription decision.
As-needed or daily?
Both exist (sildenafil as-needed, low-dose tadalafil daily); your provider confirms the fit at your visit.
Side effects?
Headache, flushing, congestion are the common ones; your provider screens for the meds and conditions that don't mix (like nitrates) before anything is prescribed.
What if pills don't work, or I can't take them?
Injectable therapy is the usual next step, and it's very effective. A tiny needle delivers medication directly, so it works even when tablets don't, and even when nitrates rule pills out. Your provider sets your starting dose, gives you a titration plan, and guides your first injection, so you're never figuring it out alone.
Anything I should know about the injectable option?
Two things we cover before you start. An erection that lasts more than four hours is a medical emergency, so you'll have a clear plan if it ever happens. And because it's compounded, it isn't FDA-approved. We're straight with you about both.

Start your sexual health care today.

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It's free to look · medication billed at cost only if approved