Erectile dysfunction (ED) is defined as the consistent inability to maintain an erection firm enough for sexual intercourse.

It’s the most common sexual problem men in the United States experience. It’s thought to affect as many as one-third of men and more than half of men over the age of 40.

A variety of medications are available to target ED:

Generic nameBrand names
sildenafilViagra, Revatio
tadalafilCialis, Adcirca
vardenafilLevitra, Staxyn

BlueChew is a monthly subscription-based service that provides men with sildenafil or tadalafil tablets. These tablets arrive by mail and don’t require an in-person visit to a doctor or pharmacy.

In this article, we’ll examine how BlueChew’s subscription service works, its pros and cons, and how it compares in terms of price to other ED medications.

BlueChew is an online subscription-based service that delivers medication for ED to men in the United States. According to the BlueChew website, the company targets men who:

  • can’t tolerate commercially available pills
  • don’t want to visit a doctor in person
  • want to have more confidence in bed

The company offers chewable tablets of sildenafil or tadalafil

The company sells chewable tablets of either sildenafil or tadalafil. Sildenafil is the active ingredient in Viagra and Revatio. Tadalafil is the active ingredient in Cialis and Adcirca.

Both of these drugs are approved by the Food and Drug Administration (FDA) to treat ED.

Here’s more about them:

  • Sildenafil. BlueChew sells sildenafil in 30- or 45-milligram (mg) tablets. It usually works in 30 to 60 minutes but can be taken up to 4 hours before sexual activity.
  • Tadalafil. BlueChew sells tadalafil in 6- or 9-mg tablets. It usually works in about 30 to 60 minutes. It can be taken 24 hours or longer before sexual activity.

The tablets come by mail each month in discreet packaging

Once you create an account with BlueChew, you can set up an online consultation with a licensed doctor who can then write you a prescription for either sildenafil or tadalafil.

You’ll then be sent BlueChew by mail each month in discreet packaging.

Monthly subscription rates

BlueChew offers monthly subscriptions based on your needs. Their cheapest plans include either six tablets of sildenafil (30 mg) or four tablets of tadalafil (6 mg) for $20.

Their most expensive monthly subscriptions are $120. They include either 34 sildenafil tablets (45 mg) or 28 tadalafil tablets (9 mg).

Because BlueChew is a prescription-based business, you can’t return your medications or get a refund.

Instead, BlueChew encourages customers to let the BlueChew medical team know your current subscription isn’t working for you. They can review your information and see whether another treatment may work.

Cost comparison

The price of BlueChew’s subscriptions is relatively cheap compared to brand-name ED medications.

A 2019 study found that the median price of Viagra had increased by 190 percent between the years 2012 and 2017 from $127 to $370 for a 30-tablet supply. The price of Cialis increased from $127 to $365 in the same time frame.

Generic sildenafil and tadalafil are often sold much cheaper than the brand-name versions.

Insurance coverage for ED medications

Most insurance plans, including Medicare, don’t usually cover the cost of medications for ED. Some Medicare Part C and Part D plans may cover the cost of some versions of generic ED medications.

Consider these pros and cons of BlueChew.

BlueChew sells two types of ED medications, sildenafil or tadalafil. These medications have comparable levels of effectiveness and safety for treating ED.

However, a 2017 study comparing tadalafil with sildenafil for the treatment of ED found that tadalafil produced more favorable psychological outcomes.

Researchers cited that men who took tadalafil “felt less time pressure and a reduced sense of urgency and had to do less planning before and during sexual encounters compared with those taking sildenafil.”

Sildenafil is the active ingredient found in Viagra or Revatio. Since 2016, sildenafil has been FDA approved to be sold under its generic name.

BlueChew’s sildenafil subscription comes in 30- and 45-mg tablets. Viagra comes in three strengths: 25 mg, 50 mg and 100 mg.

BlueChew comes in chewable tablets that you can take before sexual activity. Both types of medications BlueChew offers fall into a category of drugs called phosphodiesterase (PDE-5) inhibitors.

PDE-5 is an enzyme found in the smooth muscles of the penis that causes blood vessels to constrict. PDE-5 inhibitors block this enzyme from working and cause vasodilation, meaning they relax your blood vessels.

These medications make it easier to get an erection since you have increased blood flow to your penis. However, they don’t cause an erection unless you’re sexually aroused.

The primary active ingredients in BlueChew, sildenafil and tadalafil, are both FDA approved for treating ED. The tablets are made by compounding the active ingredients into a chewable tablet form, which isn’t currently FDA approved.

PDE-5 inhibitors lower your blood pressure throughout your body. They can be dangerous if you have certain underlying health conditions. Avoid PDE-5 inhibitors if you’ve had:

Potential side effects of sildenafil

Sildenafil may cause side effects in some people, although most people experience no side effects or only minor ones.

According to the NHS, common side effects occur in more than 1 in 100 people who take sildenafil. The more serious side effects occur in fewer than 1 in 1,000 people.

Common side effectsRare (and more serious) side effects
headacheschest pain or shortness of breath
upset stomach (nausea or indigestion)prolonged and painful erections
flushed face (reddening or warming of the face)vision problems (blurred or color-tinged vision, or sudden vision loss in one or both eyes)
trouble sleepinghearing problems (sudden hearing loss, ringing in your ears, or dizziness)
feverlow blood pressure (symptoms may include dizziness, confusion, fainting)
sore throatserious skin reactions (may include peeling and swelling of the skin, and blistering of the mouth, genitals, and around the eyes)
runny noseallergic reaction

Potential side effects of tadalafil

Tadalafil may cause side effects in some people. Like sildenafil, common side effects occur in more than 1 in 100 people, and more serious side effects occur in fewer than 1 in 1,000 people, according to the NHS.

Common side effectsRare (and more serious) side effects
headacheschest pain
nauseaan erection lasting more than 4 hours
flushed faceproblems with eyesight or hearing
stuffy noseswollen face
muscle achesswelling around the eyes
allergic reaction

ED is the most common sexual problem men experience. BlueChew is a monthly subscription-based service that provides chewable tablets to target ED.

BlueChew sells sildenafil and tadalafil tablets, which are the active ingredients in Viagra and Cialis, respectively. The service includes an online consultation with a doctor who can recommend the dose and type of medication you should take.