Frequently Asked Questions

Common General Questions

What is 4Romeo?
4Romeo offers online telemedicine and a variety of customized treatment plans for men’s health. Committed to providing quality professional care and genuine prescription medication, 4Romeo currently offers low-cost medications for Erectile Dysfunction (ED). Nonprescription vitamins and supplements are also available.

To begin treatment, each 4Romeo member creates a personal profile and completes a medical questionnaire which is then thoroughly reviewed by one of our affiliated licensed providers for approval.

Why choose 4Romeo?
4Romeo provides you with a quick and easy online medical consultation and a customized treatment plan that is safe and appropriate for you ALL from the comfort of your own home! There is no in-person doctor visit required and your medication always gets delivered to your door in discreet packaging. Our members also receive complementary gifts with each shipment! We use only FDA-approved medications and NEVER compound or alter medications to ensure all 4Romeo members receive top quality products from reliable manufacturers. All medications are dispensed in a child-proof bottle from a licensed pharmacy in the USA.

Where is 4Romeo available?
4Romeo is currently available for anyone in the United States except for residents of AR, GA, HI, ID, LA, ME, MN, MT, NM, RI, SC, WY. Residents of Puerto Rico and Canada are not eligible.

Is telemedicine safe?
As long as you provide the most honest and accurate answers on your medical questionnaire, telemedicine is safe and effective for the management of ED. All 4Romeo affiliated providers are licensed in the appropriate state(s) and comply with all telemedicine state laws. Prescriptions are only written if the provider deems that it is both safe and appropriate for you to initiate treatment.

We provide all our members with drug information to help them understand how to safely take the medication and/or learn about common side effects. In addition, 4Romeo members are provided with a toll-free number on the label of each medication bottle and have direct access to our licensed pharmacists in case there are any questions regarding the medication at any time.

Is a prescription required to use 4Romeo?
Yes, all treatment plans are based on prescription-only medications that require a medical consultation. However, the best part of joining 4Romeo is that you do not need to provide your own prescription! After completing your short medical questionnaire online, a 4Romeo affiliated provider will review your medical responses and, if deemed safe and appropriate, will write a prescription for your preferred medication. To ensure the safety of our members, our 4Romeo affiliated providers require follow-up consultations every so often.
4Romeo’s supplements and vitamins do not require a prescription.

How long will it take for medical responses to be reviewed?
4Romeo affiliated providers typically review your medical questionnaire responses within 3 to 5 days of completing your profile.
Please note that during the current COVID-19 pandemic, providers may need to attend to their primary duties which may cause a slight delay. If it has been longer than 5 business days, please email our team at and they will be able to provide you with a status update.

When will my order arrive at my front door?
All orders are shipped via USPS mail and should arrive within 3-7 days of processing. For convenience, tracking information is emailed to 4Romeo members on every order. Orders are shipped Monday through Friday only.

Is personal information kept private?
4Romeo servers are HIPPA compliant ensuring that all medical information is kept private and secure. To protect our members’ privacy all orders are shipped in discreet packaging and never have the 4Romeo name on the outside of the package.

Please review our Privacy Policy for further information.

Billing and Shipping Questions

How often are refill orders sent? 
Automatic refills are processed every 7 weeks.

Can prescriptions be refilled early?
Yes, however for the safety and well-being of our members, refills can only be processed early once every 30 days. Please keep in mind that these are prescription medications and have the potential to cause negative side effects!
To renew your treatment plan early, log into your 4Romeo account and select “Renew Now” under ‘Treatment Plans’. 

Are 4Romeo treatment plans covered by insurance?
No, 4Romeo treatment plans are not covered by insurance. We currently accept VISA, Mastercard, American Express and Discover.

Can 4Romeo treatment plans be charged to a health savings or flexible spending account?
Because each HSA/FSA is different, we suggest that you contact your HSA/FSA provider for advice on what is covered before trying to purchase 4Romeo products with your card.

Can 4Romeo automatic refill orders be stopped? 
Yes, 4Romeo automatic refills can be stopped at any time, without penalty. All treatment plans include automatic refills every 7 weeks. To stop refills, please log into your 4Romeo account and click ‘Suspend’ under ‘Treatment Plans’ on your account dashboard. You can resume treatment at any time by clicking ‘Reactivate’.

Is there a way to change or update the payment method on file? 
Yes, to change or update the payment method please log into your 4Romeo account and click “Add Payment Method” under ‘Payment Methods’ on your account dashboard. If your billing address has changed, please update it under ‘My Address’.

 Is there a way to change the shipping or billing address?
Yes, to update your shipping or billing address please log into your 4Romeo account and click ‘Edit’ under ‘My Address’ on your account dashboard. If you are changing the shipping address on an order that’s already being processed, please contact us at within 24 hours

Are returns and refunds available?
Prescription-only medications cannot be returned. 4Romeo members are notified via email when their renewal order is being processed and have 24 hours to make any adjustments before it is shipped from the pharmacy. Once shipped, refunds will not be available.
Full refunds are also available whenever a 4Romeo affiliated provider deems it is not safe and/or appropriate to approve a treatment plan.

General Medical Questions

What happens if the ED treatment plan does not work?
Everyone responds differently to medication and, while ED medications work for most men, sometimes they do not work for certain individuals. This can be due to a simple lack of response from the body or, more concerning, other underlying health issues that require further medical evaluation. If you do not achieve the desired effects from your ED treatment plan and would like to try a different medication, please let us know and we can request for a 4Romeo affiliated provider to review your medical profile and, if appropriate, switch you to a different treatment plan.

Can sildenafil and tadalafil be taken together?
No, you should NEVER take sildenafil and tadalafil at the same time as this has the potential to cause life-threating side effects such as severely low blood pressure. Do not take sildenafil within 36 hours of taking tadalafil. Tadalafil can be taken if it has been at least 4 hours since sildenafil was taken.

Is it safe to consume alcohol with sildenafil or tadalafil?
Although low to moderate alcohol consumption is relatively safe while taking ED medications, it can also be the direct cause of the erectile dysfunction and should be kept to a minimum! Consuming large amounts of alcohol while taking tadalafil will increase the risk of experiencing negative side effects and is not recommended.
If you drink more than 2 beers (12 oz each), 2 glasses of wine (6 oz each), or 2 shots of liquor (1 oz each) per day, we advise that you contact your primary care provider before starting treatment.

What are the side effects that require medical attention right away?
Even though it may be rare, some people may have bad and sometimes deadly side effects when taking a drug. Call your primary care doctor or get medical help right away if you have any of the following signs or symptoms:

  • Chest pain or pressure.
  • Fast or abnormal heartbeat.
  • Dizziness or passing out.
  • Very upset stomach or throwing up.
  • Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on   one side of the face, or blurred eyesight.
  • Change in eyesight.
  • Loss of eyesight.
  • Ringing in the ears, hearing loss, or any other changes in hearing.
  • Trouble breathing that is new or worse.
  • Swelling in the arms or legs.
  • Fever.
  • Any unexplained bruising or bleeding.
  • Painful erection or an erection that lasts for longer than 4 hours. This may happen even when you are not having sex. If this is not treated right away, it may lead to lasting sex problems and you may not be able to have sex.

What are the signs of an allergic reaction?
Signs of an allergic reaction include: a rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.

Please seek medical attention right away if you experience any of symptoms listed above.

If you think there has been an overdose, call your poison control center (800-222-1222) or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Do not share your drugs with others and do not take anyone else’s drugs.