
Two ED medications plus oxytocin, in one fast-dissolving film.
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
The 3-in-1 Performance Film is a compounded prescription drug that contains sildenafil, tadalafil and oxytocin and is used to treat erectile dysfunction (ED). Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Do not take it more than once in any 24-hour period or within 24 hours of taking any other ED medication. See Important Safety Information.
A dissolving film that combines sildenafil, tadalafil and oxytocin to treat erectile dysfunction.
It combines two PDE5 inhibitors with oxytocin in a single thin film that dissolves in the mouth.
$133 per month. No membership fee.
Complete a secure online visit, and a licensed provider reviews your health history.
Place the film in your mouth as directed and let it dissolve fully.
Sexual arousal is still needed for it to work.
Your card is authorized at checkout, but you are only charged if a provider approves your treatment.
Complete a short online visit with a few health questions
Hear from your provider
Most orders arrive within a few business days of approval, with tracking sent when your order ships
Begin treatment, with your care team a message away
Your provider confirms which option is appropriate for you.
| Treatment | What it is | Price |
|---|---|---|
| 3-in-1 Performance Film Featured | Sildenafil + tadalafil + oxytocin · dissolving film | $133/moBilled monthly · ships monthly |
| Desire + Performance Tablet | Tadalafil + oxytocin + PT-141 · dissolving tablet | $133/moBilled monthly · ships monthly |
| Arousal Spray | Oxytocin · nasal spray | Starting at $126/moBilled $378 every 3 months · 3-month plan · ships every 3 months (or $140 monthly) |
| Desire Strip | PT-141 (bremelanotide) 2 mg · dissolving strip | Starting at $129.60/moBilled $388.80 every 3 months · 3-month plan · ships every 3 months (or $144 monthly) |
Place the film on or under your tongue and allow it to dissolve completely, before sexual activity as directed by your provider. Do not chew it or swallow it whole. Do not take more than one film in 24 hours.
No. Use it no more than once in 24 hours.
No. Don't use it within 24 hours of any other medicine containing sildenafil or tadalafil.
Avoid heavy drinking, which raises the risk of dizziness and low blood pressure.
Yes. Complete a short online visit to see if this treatment is right for you. A licensed provider reviews your answers and decides whether it's appropriate to prescribe.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate.
The studies discussed here may involve different formulations, doses, delivery methods, or patient populations from the treatment offered. They do not establish the safety or effectiveness of this specific compounded product. Compounded medications are not FDA-approved; FDA does not review their safety, effectiveness, or quality before marketing.
What was studied. A systematic review of 87 studies of oral erectile dysfunction treatments.
What researchers found. Sildenafil and tadalafil are established treatments for erectile dysfunction. Your clinician selects the medication and dosing schedule based on your health history, preferences, and treatment response.
How it relates to this treatment. Studies of standard oral tablets do not establish that compounded combinations (troches, films or dissolving tablets) work, work faster, or outperform single-ingredient therapy.
“Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,” 2025. PMID: 40915356.
What was studied. A randomized trial of intranasal oxytocin in women, and a study of 29 couples.
What researchers found. Intranasal oxytocin has been investigated for sexual experiences and partner interactions, but findings are mixed. In the 2015 trial, both oxytocin and placebo groups improved, without a statistically significant difference.
How it relates to this treatment. Research has not established a reliable improvement in sexual desire or function, and these studies did not test dissolving strips or combination products.
“Effect of long-term intranasal oxytocin on sexual dysfunction in premenopausal and postmenopausal women: a randomized trial,” 2015. PMID: 26151620. Also: “Differential effects of intranasal oxytocin on sexual experiences and partner interactions in couples,” 2014. PMID: 24503174.
The 3-in-1 Performance Film is a compounded prescription drug that contains sildenafil, tadalafil and oxytocin and is used to treat erectile dysfunction (ED). Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo FDA safety, effectiveness, or manufacturing review. Do not take it more than once in any 24-hour period or within 24 hours of taking any other ED medication.
We serve patients in 46 states. We do not currently provide services in Alaska, Mississippi, New Jersey or Texas. Availability can vary by product, depending on whether the dispensing pharmacy is licensed to ship to your state.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate. Your card is authorized at checkout, but you are only charged if a provider approves your treatment.