Sildenafil
Peak strength
Same active as Viagra. Increases blood flow for firm, reliable erections. The most-studied ED medication in the world.
1 in 4 men under 40 experience it. It’s more common than you think, and more treatable than you’ve heard.
Trusted by 20,000+ patients across the US
Our approach
VAST is a compounded gummy that combines five active ingredients in a single daily dose. Each works through a different pathway, so instead of picking one medication and hoping it fits, your physician tailors the formula to what your body responds to best.
The formula
Five proven ED medications, each working through a different pathway.
Peak strength
Same active as Viagra. Increases blood flow for firm, reliable erections. The most-studied ED medication in the world.
Extended window
Same active as Cialis. Keeps you responsive for up to 36 hours, so intimacy doesn’t need a timer.
Fast onset
Same drug class as the other two (PDE5), but the fastest-acting of the three. A backup pathway if sildenafil alone isn’t enough.
Bremelanotide
Activates melanocortin receptors in the brain to support desire and central arousal signaling — a pathway PDE5 inhibitors don’t address.
Intimacy signaling
Supports the neurochemical side of intimacy and connection, helping the emotional component of sexual response alongside physical pathways.
Calculator
The IIEF (International Index of Erectile Function) is the gold-standard clinical score for ED. Sildenafil typically improves scores by 8–10 points within 30–60 minutes.
/25
Potential score:
/25
achievable in 5 months
What to expect
The timeline shows how effect typically builds after taking your gummy — often within the first 15 minutes:
Physician-prescribed VAST gummies combine five FDA-approved actives in one daily dose — discreet, no pills to swallow.
The mechanism
No water to hunt down, no chalky tablet to choke past, nothing in your bag that reads as medicine if it ever falls out. VAST trades the clinical ritual of pill-taking for something closer to a daily habit you’d actually look forward to — same five active ingredients, entirely different experience.
No water to hunt for, no chalky tablet catching in your throat. Chew it like you would any gummy, and you’re done.
Sitting in a bag or a desk drawer, it reads as a gummy vitamin, not a prescription — because that’s exactly what it feels like to take.
Tadalafil keeps the system primed for up to 36 hours — you’re ready when you are, not when the pill says so.
VAST vs. single-pill ED meds
Most ED medications work through one mechanism. VAST combines five which means your doctor can tune the formula to what actually works for you.
Plans
Choose a one-time pack or subscribe monthly. Same five-in-one formula, same physician support.
VAST
5 Gummies · 1 Month Supply
$179 / month
Five active ingredients + physician consultation + monthly check-ins + free discreet shipping
Get startedVAST
10 Gummies · 2 Month Supply
$220 / 2 months ($110/mo)
Five active ingredients + physician consultation + monthly check-ins + free discreet shipping
Get startedVAST
Monthly Subscription · Auto-delivery
$89 / month
Monthly gummy supply + physician consultation + ongoing check-ins + dose adjustments + free discreet shipping · Cancel anytime
Subscribe
Physician recommendation
Dr. Marcus Hansen Urology, Men’s Health“Most men I speak with waited years before seeking help — not because nothing worked, but because the process felt awkward. Care this personal shouldn’t require a waiting room. I review your profile privately and tailor the formula to how your body responds, discreetly and without judgment.”
How we work together: Your consultation comes first. We review your health history together, identify which pathways matter most for you, and calibrate your formula and dose from there. At your first check-in, we see what’s working and adjust — that’s where real individualization happens.
Pricing
No consultation fees. No shipping fees. No surprise charges. If you don’t qualify, you don’t pay.
5 Gummies · 1 Month Supply
$179 / month
10 Gummies · 2 Month Supply
$220 / 2 months
Monthly Subscription · Auto-delivery
$89 / month
Risk-free: if you don’t qualify, you don’t pay.
FAQ
It’s not a mystery—it’s vascular science. PDE5 inhibitors work with your body’s natural blood flow response, helping it function the way it’s meant to.
Every active ingredient in VAST is FDA-approved. Your compounded prescription is reviewed by a licensed US physician and filled by a licensed US pharmacy.
Many patients notice effects within 15–30 minutes. Sildenafil typically improves IIEF scores by 8–10 points within 30–60 minutes.
Yes. You complete a short online questionnaire, and a licensed physician reviews your profile before any medication is prescribed.
Plans start at $179/month for 5 gummies (1-month supply), $220 for 10 gummies (2-month supply), or $89/month for a monthly subscription. Each includes physician consultation, ongoing check-ins, dose adjustments, and free discreet shipping.
Yes. There are no long-term contracts. Cancel your subscription at any time with no cancellation fees.
Your physician reviews your full health profile before prescribing. Share all medications and conditions during intake so your provider can recommend the safest option.
More questions? View all FAQs or contact support.
Ready to start?
Join 20,000+ Nelu patients. Complete your 5-minute questionnaire and get matched with a licensed physician today.
Get started From $179/moFree physician consultation · Discreet delivery · Cancel anytime