Read the below reviews, have ordered for years from Kwikmed.com. They are a licensed pharmacy in Utah held to higher standards than say a Walgreens. All the medications have worked for myself, ordered the trial pack and found Levitra worked the best for me. Spoke with the pharmacist once and she advised that not all ED meds are going to work for everyone. Some take a few times of using before getting the full effect. I order regularly and use their Dr for my order. It is only Texas and Oregon you have to use your Dr, because of state laws there I guess. Worth a try, like anything do research!