More in the box.
Less per dose.

The number is how many actives are in the dose, and each active does a different job. CHROMA 3X, the 3-in-1 dissolving tablet, pairs sildenafil for a fast start with tadalafil for a long window, plus citrulline for blood flow. The 3-in-1 sublinguals (CHROMA X Max and CHROMA X Max Peak) hold tadalafil, oxytocin and PT-141 in one tablet, and evidence for that mix is limited. CHROMA 4X, the 4-in-1 dissolving tablet, carries three PDE5 inhibitors plus apomorphine for arousal, the most complete oral option we carry. A generic pill gives you one active and one chance. Which one fits is your provider's decision. All are compounded and not FDA-approved.

None of them is swallowed whole. The CHROMA X Max tablets are sublingual: you let them dissolve under the tongue and the actives are absorbed straight into the bloodstream, skipping the stomach. Tadalafil in the formula keeps you ready for up to 36 hours. CHROMA 3X and CHROMA 4X are tablets that dissolve in your mouth. The pharmacy's written instructions ship with your order.

CHROMA X Max is our 3-in-1 sublingual, in two strengths. CHROMA X Max is the entry strength. CHROMA X Max Peak is the same three actives at full strength. Your provider sets the strength for you.

Trimix. It is injected directly and does not rely on the pathway pills use, which is why it works for men whose pills have stopped working, including after diabetes or prostate surgery. It still has its own contraindications, so tell your provider exactly why the pills are off the table.

Trimix is a compounded injectable combining papaverine, phentolamine, and alprostadil, administered by intracavernosal injection. It is typically prescribed when oral PDE5 inhibitors have not worked adequately or are contraindicated, comes with the pharmacy's written instructions, and carries a priapism risk that your provider reviews with you.

It is a self-injection into the erectile tissue of the penis. Your provider sets the dose, and the pharmacy's written instructions ship with your order. Message your provider with any questions. The three actives (alprostadil, papaverine, phentolamine) relax the muscle and open the vessels directly, so an erection comes on in about 5 to 20 minutes, with or without stimulation, and typically lasts around an hour. An erection lasting more than four hours is an emergency: seek care immediately.

Euphoria is applied where it matters and increases blood flow to the tissue, which brings sensation and natural lubrication back within minutes, for up to two hours. No pill, no hormone. It is built on alprostadil, the vasodilator used in prescription ED injections, with papaverine and arginine. Compounded, not FDA-approved.

PDE5 inhibitors (sildenafil, tadalafil, vardenafil) must never be combined with nitrates. The interaction can cause a dangerous drop in blood pressure. Cardiovascular conditions require careful provider review, and the assessment includes hard-stop safety screening for nitrate use and cardiac history. For men who cannot take PDE5 inhibitors, your provider reviews what is safe for you, which can include injection therapy. Seek emergency care for any erection lasting longer than four hours.

No. ED prescriptions are issued through telehealth: you submit a health assessment and your provider evaluates it. Where state law or clinical judgment requires it, your provider initiates a live phone or video visit. You are notified before any additional step.

Prescriptions are routed to a licensed pharmacy in the fulfillment network based on your medication and state. The patient does not choose the pharmacy. Compounded medications are prepared by state-licensed 503A compounding pharmacies. Zepbound®, Foundayo™ and Wegovy® prescriptions go to Lilly (LillyDirect®) or Novo Nordisk (NovoCare® Pharmacy), who ship them to you. CHROMA23® is not a pharmacy and does not dispense medication. Once your order ships, the pharmacy that filled it is named on the package and its customer line is shown on your dashboard under Help; the pharmacies are also listed in the Prescription Policy.

CHROMA23® is cash-pay only and does not accept, bill, or process health insurance. Zepbound®, Wegovy® and Foundayo™ are paid directly to Lilly or Novo at their own price; CHROMA23® charges for the provider visit. FSA and HSA cards are accepted at checkout. Whether a charge qualifies is decided by your plan administrator, so an itemized receipt for each payment is available on Orders & Billing.

Five rules. (1) If your provider does not approve treatment before a prescription is issued, your payment for the order is refunded except a $23 case review fee. Before paying you confirm that none of the listed exclusion conditions apply to you; if the decline is because one of them does apply, the $46 provider visit fee is not refunded instead. Medication is always refunded. (2) A 3-month or 6-month compounded tirzepatide plan ends that day if you cancel it, if you choose to end it when a check-in is still not done 7 days after it is due, or if your provider stops treatment. Each month whose prescription has been sent to the pharmacy counts as used and still ships; those months are charged at the monthly price, or at the 3-month price once 3 have been sent, and the rest is refunded with its tax, with no case review fee. On any other prepaid plan, or a monthly compounded tirzepatide plan: if your provider declines a follow-up check-in, the medication for months not yet shipped is refunded, less the $23 case review fee, and the plan ends with no further charges; if a check-in is still not done 7 days after it is due, you choose: complete it and continue, or end the plan and have the renewal charge refunded (inside a prepaid term, the medication for months not yet shipped). (3) Prescription medications cannot be returned and are not refundable once dispensed and shipped, a pharmacy-regulation constraint, but are replaced free of charge for wrong medication or strength, pharmacy dispensing errors, shipping damage, or a verified cold-chain temperature excursion. (4) Other plans cancel anytime with no future billing and no prorated refunds for the current period. (5) Disputing a valid charge with your bank instead of contacting support results in a permanent block from CHROMA23®, and the order, delivery and attestation records are sent to the card network. See the Refund & Cancellation Policy for full terms.