AV ROCKET™

Starting at $99.99/month

As low as with 6-month plan

Tadalafil 20 mg + Sildenafil 70 mg (Compounded Rx)

AV Rocket is our high-impact, on-demand option that pairs the staying power of tadalafil with the fast kick of sildenafil—built for men who want decisive performance without over-planning.

Who it’s for

You want strong rigidity and a broader timing window.
Single-agent pills haven’t delivered the reliability you want.
You prefer a clinician-directed plan that adjusts to your results.

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The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

The FDA does not review or approve any compounded medications for safety or effectiveness. Off-label use must be prescribed and supervised by a licensed provider.

Why customers choose AV Rocket

Fast + long window in one dose

Tadalafil supports an extended readiness window; sildenafil helps you rise to the moment.

Designed for tougher cases

A dual-PDE5 approach considered in men who did not get enough from a single agent

Simple experience

Private intake, clinician guidance, discreet shipping, easy monthly refills.

What’s inside (per dose)

Tadalafil 20 mg

You want strong rigidity and a broader timing window.
Sildenafil 70 mg

Fast onset support when timing matters

How it works

Erections depend on a natural “relax & fill” signal (NO → cGMP) that lets blood flow into the corpora cavernosa. PDE5 inhibitors preserve that signal. Tadalafil maintains a longer window of responsiveness; sildenafil adds a rapid on-demand effect. Under clinician supervision, combining a long-acting PDE5 with a short-acting PDE5 can support firmness and timing in select men.

What to expect

Use on days you plan intimacy—per your plan
Do not add any other ED med unless instructed
Fast, discreet monthly delivery

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Safety highlights

Do not use with nitrates or riociguat
Tell your clinician about alpha-blockers or strong CYP3A inhibitors
Seek care for chest pain, fainting, sudden vision/hearing loss, or erection > 4 hours

Prescription only if appropriate. Compounded medication; not an FDA-approved finished drug.

What Customers Are Saying About AV Rocket

Amazing company and amazing way to save money compared to going through a doctor.

Great Experience, All questions were answered and so much knowledge was presented.

I was paying over double at my doctor’s office for the same treatment. Ascend Vitality handled everything online, no hassle, and their team actually explained things clearly. Huge cost savings, and my results have been amazing.

Wasn’t sure about this at first but after being recommended i decided to try them out. arrived very fast, not only is it super convenient im saving money by going through ascend. results have been great so far and i’ve never felt better

Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.

You have questions?  Get answers

Frequently Asked Question

What is Ascend Vitality?

Ascend Vitality is a telehealth company that provides personalized medical care directly to your door. Our licensed providers work with you to help you reach your health and body goals, offering tailored treatments and ongoing support.

How does Ascend Vitality work?

Your path to treatment at Ascend Vitality begins with a simple online process. First, you’ll complete our comprehensive intake form where you’ll share information about your symptoms, medical history, and current health status. This information helps us understand your needs and ensures safe, appropriate care.

After submitting your intake form, a licensed healthcare provider will carefully review your information and develop a personalized treatment plan. Depending on your state’s requirements, your care will proceed in one of two ways:

For residents in states requiring face-to-face consultation, you’ll be prompted to schedule a video or audio visit with your provider. You’ll see available appointment times and can choose one that best fits your schedule. During this consultation, you’ll discuss your symptoms and treatment options directly with your provider.

For residents in states without video or audio visit requirements, your provider will review your information and send a detailed treatment recommendation directly to your secure message inbox through the Ascend Vitality platform. You can then review their recommendations and ask any questions you may have.

Who are the providers at Ascend Vitality?

Ascend Vitality works partner pharmacies and a private doctor network to write prescriptions and fulfill orders. You can find more information about our partner pharmacies by scrolling to our footer and visiting the ‘Partner Pharmacies’ link under the Contact section.

Does Ascend Vitality require insurance?

Not at all! Ascend Vitality doesn’t require insurance. We offer transparent pricing on treatments and your medical visit, ongoing shipments, and provider messaging are all included in one low price.

What states is Ascend Vitality available in?

Ascend Vitality is available in all U.S. states and Washington, D.C., excluding Louisiana, Mississippi, Kansas, New Mexico, and West Virginia.

Disclaimer: Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.

AV ROCKET™