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How to Get Quattro: Consult, Approval, Pharmacy and Delivery

Quattro is prescription-only and sold through Vea Health's telehealth practice. Here is what happens between the first question and the package at your door.

By Men's Health Insider editorial teamUpdated October 9, 2026

The short version

Quattro is available only by prescription through Vea Health.¹
The process starts with an online health questionnaire, reviewed by a licensed clinician.¹
You are not charged unless the clinician approves the prescription.
A state-licensed 503A compounding pharmacy prepares single-use sublingual doses.¹

Quattro is not sold over the counter, and there is no pharmacy shelf to pick it up from. It is a compounded prescription from Vea Health, a telehealth practice, and every order goes through a clinician first.¹ Here is how that works.

Step 1: The health questionnaire

The process starts online with a questionnaire covering health history, current medications, blood pressure and heart health. Those questions are not a formality. They are how a clinician screens for the issues that make PDE5 inhibitors unsafe, including nitrate use and certain heart conditions.² Answer them completely: an incomplete medication list is the most common way an unsafe combination slips through any ED prescription.

Step 2: Clinician review

A licensed clinician reviews the questionnaire, may follow up with questions, and decides whether Quattro is appropriate and at what dose.¹ The clinician can also decline. The American Urological Association recommends that ED care include a medical evaluation, partly because ED can be an early sign of cardiovascular disease,³ so a clinician who asks more questions is doing the job properly.

Step 3: Payment, and when it is actually charged

A payment method is collected at checkout, but a charge only goes through if a clinician approves the prescription. Until then it is a pre-authorization hold, which is released if the prescription is not approved. The checkout price covers the clinician consultation. Vea Health does not take insurance, which is typical for compounded ED treatments, but HSA and FSA cards are accepted. Current pricing is listed on the Quattro page.¹

Step 4: The pharmacy

Once approved, the prescription goes to a state-licensed 503A compounding pharmacy, which prepares it for that individual patient.¹ 503A is the section of federal law that covers pharmacies compounding patient-specific prescriptions. These pharmacies are licensed and inspected by state boards of pharmacy, but the compounded drugs they make are not FDA-approved.⁴

Step 5: Delivery and the doses

Quattro ships as single-use sublingual doses, meant to dissolve under the tongue.¹ The prescribing clinician sets the dose and gives directions for use; follow those rather than any general guidance online, because the dose of each ingredient is individual to the prescription.

Before you start

Have a full list of your medications and supplements ready, including anything taken only occasionally.
Know your recent blood pressure if you can.
Mention any chest pain, fainting, or heart, liver or kidney conditions.
Read the Quattro side effects and safety guide so you know what to ask.

Ready to start?

The Quattro intake is an online questionnaire reviewed by a licensed clinician. You are not charged unless a clinician approves the prescription.

See if Quattro is right for you →

Sponsored. Quattro is compounded by a state-licensed 503A pharmacy for an individual patient. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety or effectiveness. Prescription required; subject to clinician approval.

Important safety information. PDE5 inhibitors (sildenafil, tadalafil, vardenafil) must not be taken with nitrates in any form, including nitroglycerin, or with guanylate cyclase stimulators such as riociguat, and need caution with alpha-blockers.² The most common side effects are headache and flushing.² An erection lasting more than four hours needs emergency care, and sudden loss of vision or hearing means stopping and getting medical help right away.⁵ Apomorphine commonly causes nausea.⁶ Only a licensed clinician who knows your health history and medications should decide whether any of these are safe for you.

Frequently asked questions

Do I need a prescription for Quattro?

Yes. Quattro is prescription-only. A licensed clinician reviews an online health questionnaire and must approve it before anything is dispensed.

When am I charged for Quattro?

Only if a clinician approves the prescription. Until then the payment is a pre-authorization hold, which is released if the prescription is not approved.

Does insurance cover Quattro?

No. Vea Health does not accept insurance for Quattro, but HSA and FSA cards are accepted.

Who makes Quattro?

Quattro is prepared for each patient by a state-licensed 503A compounding pharmacy working with Vea Health.

Keep reading

Sources

Vea Health. Quattro. Accessed October 9, 2026.
Pfizer. VIAGRA (sildenafil citrate) prescribing information. DailyMed, U.S. National Library of Medicine.
American Urological Association. Erectile Dysfunction (ED) Guideline.
U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers.
Eli Lilly. CIALIS (tadalafil) prescribing information. DailyMed, U.S. National Library of Medicine.
Dula E, et al. Double-blind, crossover comparison of 3 mg apomorphine SL with placebo and with 4 mg apomorphine SL in male erectile dysfunction. Eur Urol. 2001. PubMed 11464037.

Advertising disclosure. Men's Health Insider is published in partnership with Vea Health, which makes Quattro, the product covered on this page. We may earn compensation when readers buy through links here. Nothing on this site is medical advice; a licensed clinician should decide what is right for you.