Confidence that is still there in the morning.
Performance treatment is ordinary healthcare here: a clinician-prescribed formula, a discreet path from visit to delivery, and nothing to explain to anyone.
Completing a visit does not guarantee a prescription. A licensed provider reviews your health information and decides whether treatment is appropriate for you.

Fast when you want it. Patient when you don’t.
Four ingredients, one rapid-absorb liquid.
Each ingredient earns its place. Here is what every one of them does.
PT-141 (bremelanotide)
- Mechanism
- Works through the nervous system rather than blood flow, acting on the pathways where desire starts.
- Benefit
- Heightened desire that begins in the brain, not just the body.
L-Citrulline + Sildenafil
- Mechanism
- L-Citrulline amplifies the body’s own nitric-oxide production while sildenafil opens blood flow where it counts.
- Benefit
- Peak physical readiness when the moment arrives.
Tadalafil
- Mechanism
- A longer-acting agent that stays active in the background for up to 36 hours.
- Benefit
- A wide window, so the evening does not run on a timer.
QUAD™ 4-in-1 Performance Formula
Compounded (not FDA approved)Rapid-absorb sublingual liquid · Works in as little as 15 minutes; responsive window up to 36 hours
From $114/month
Plans at $114 and $179 per month, set with your provider. Clinician-prescribed, if appropriate.
- PT-141: heightens desire via the nervous system
- L-Citrulline: nitric-oxide amplification
- Sildenafil: peak strength
- Tadalafil: active up to 36 hours
Discreet at every step.
- The visit happens online, in a private portal, on your schedule
- Plain packaging with nothing on the label but your address
- Questions go to your care team, not a pharmacy counter
Safety, stated plainly
Do not combine QUAD™ with nitrates. Before anything is prescribed, your provider screens your medications and health history for interactions, and heart conditions get particular attention. That screening is the visit working as intended.
Prescriptions are issued only after an online consultation with an independent licensed provider. Compounded medications are dispensed by state-licensed pharmacies but are not FDA approved.
Bring your best evening with you.
A few private questions, a provider’s review, and a plan if it is right for you.
Completing a visit does not guarantee a prescription. A licensed provider reviews your health information and decides whether treatment is appropriate for you.