ED Treatment for DC Men
FDA-approved sildenafil and tadalafil. DC-licensed clinician. Cash-pay, individualized care.
Erectile dysfunction is a clinical condition — not a lifestyle inconvenience. At Moxie Wellness, your ED evaluation goes beyond a checkbox form. Dr. Howard conducts a comprehensive telehealth assessment that examines cardiovascular health, hormonal status, medication interactions, and psychological factors — because ED is frequently a signal of underlying metabolic or vascular health that deserves proper clinical attention. Treatment is individualized, evidence-based, and calibrated to your physiology — not a one-size-fits-all prescription. This is boutique men’s health with the clinical rigor of a Johns Hopkins-trained provider.
How it works
- Complete the intake — 10-minute online questionnaire.
- Synchronous video visit — DC defines telehealth as interactive audio + video for new patient encounters.
- Prescription to your pharmacy — Cost Plus Drugs or any pharmacy you choose.
Pharmacy pricing for reference (paid directly to your pharmacy, not Moxie)
Generic medications: same active ingredient, dramatically lower cost.
| Medication | Active ingredient | Cost Plus Drugs (30 tabs) |
|---|---|---|
| Generic sildenafil 50 mg | sildenafil citrate | ~$9.40 |
| Generic sildenafil 100 mg | sildenafil citrate | ~$15 |
| Generic tadalafil 10 mg | tadalafil | ~$10.70 |
| Generic tadalafil 5 mg (daily) | tadalafil | ~$10 |
What Moxie charges
Final pricing confirmed at booking based on visit complexity.
DC § 31-3863 telehealth note
DC § 31-3863 requires DC-regulated health plans to cover telehealth visits at parity with in-person care. Moxie Wellness is a cash-pay practice — coverage questions should be directed to your insurer.
What we don’t do
- No mark-ups on medication.
- No compounded combinations. No chewables, no stacked formulas.
- No long-term commitments.
- No upsells. No supplements or “T-boosters.”
Do not take sildenafil, tadalafil, or any PDE5 inhibitor if you take nitrates for chest pain (including nitroglycerin) or guanylate cyclase stimulators (e.g., riociguat). The combination can cause a serious, life-threatening drop in blood pressure.
Seek immediate medical attention for: an erection lasting longer than 4 hours (priapism); sudden vision loss; sudden hearing loss; chest pain, irregular heartbeat, or signs of allergic reaction.
Common side effects include headache, flushing, indigestion, nasal congestion, dizziness, and back pain.
Who qualifies
PDE5 inhibitors are appropriate for most men with erectile dysfunction. A DC-licensed clinician will review your medical history and confirm appropriateness.
- Currently take nitrates for chest pain
- Currently take riociguat or other guanylate cyclase stimulators
- Have had a recent heart attack or stroke (within the last 2 weeks)
Your clinician
Natalie Howard, DNP, MSN, MBA — Johns Hopkins University personally reviews every chart and signs every prescription. DC Nurse Practitioner license #NP1062040.
You must be physically located in DC
You must be physically located in the District of Columbia at the time of your telehealth visit and at the time the prescription is issued.
Ready to start?
Clinical depth, individualized care. Book your consultation today.