Take the guesswork out of erectile dysfunction (ED) medication costs.

Your ED injectable prescription will change with your needs, but your price will remain $165 for each 5 ml with a 30-day BUD.*

*Per dose needs vary widely, but a 5 ml supply typically provides 10-30 doses.
Trimix ED Medication | Valor Compounding Pharmacy California

Valor Compounding Pharmacy's ED Injectables

Commercially available, brand-name, ED injectables can cost up to $50-$100 per dose (a single injection), and only some insurance plans cover them. Valor’s custom compounding brings that cost down to approximately $5-$15 per dose, while also enabling you and your doctor to find the precise, customized balance of drugs that works for you.

Oral prescription treatments for ED are effective for some men, while others find success with medications that are injected directly into the penis when an erection is desired. This is the most direct route and highly effective. Valor specializes in sterile injectable prescriptions for ED, compounding custom formulation of two or more ingredients – alprostadil, papervine, and phentolamine. Each of these play a unique role in treating ED using two (“bimix”) or three (“trimix”) ingredients.

As you and your physician work to find the right treatment for you, Valor is ready to adjust your prescription, while keeping your costs low and consistent.

What is Erectile Dysfunction?

Erectile dysfunction, or ED, is characterized by an inability to sustain or produce an erection for the enjoyment of sexual activity.

Nearly 20 million men in the United States have erectile dysfuction. Despite being a common condition, it is not normal at any age. Often, ED is a symptom of an underlying medical condition, not a condition in and of itself.

The most common barrier to treatment is embarrassment. Only 10% of men seek treatment, and half of them discontinue treatment, once started, because they feel awkward discussing their sexual health with a health professional.

What causes Erectile Dysfunction?

Age is the most common contributing factor to ED, with at least 50% of men over the age of 50 experiencing some loss of function. However, age, in itself is typically not the core issue.

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

Common physical causes of erectile dysfunction include:

  • Heart problems, such as high blood pressure and atherosclerosis (hardening of the arteries)
  • Diabetes (between 35% and 50% of men with diabetes get ED)
  • Some medications for blood pressure, anxiety, and depression
  • Nerve disorders, like Parkinson’s disease and multiple sclerosis
  • Hormone problems (such as low testosterone)
  • High cholesterol
  • Mood problems such as stress, anxiety, and depression
  • Smoking and drinking alcohol
  • Obesity
  • Certain types of prostate and bladder surgery
  • Sleep disorders
  • Treatments for prostate cancer or enlarged prostate
  • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
  • Peyronie’s disease — development of scar tissue inside the penis

How do I use Erectile Dysfunction injections?

These step-by-step instructions detail how to properly use your penile injection at home without a doctor:

  • Tear open an alcohol swab and wipe the rubber top of the bottle to sterilize it.
  • Peel open the syringe and remove the protective cover from the needle. It is important that you do NOT contaminate the needle with anything but the rubber bottle cap.
  • Push the needle through the rubber stopper, then flip the ampule (the glass container of medication) upside down. Pull on the plunger until you withdraw 1.0 cc of the medicine.
  • As you continue to hold the ampule upside down, inject whatever air remains in the syringe into the ampule.
  • Withdraw the fluid until there are no more air bubbles in the syringe and the correct amount of medication is in the syringe.
  • Pull the needle out of the ampule and lay the syringe on the edge of a flat surface. Make sure the needle hangs over the edge to keep it from touching anything.
  • Grasp the head of the penis between the index finger and thumb and gently pull the penis away from your body until the skin is taut.
  • When choosing an injection site, avoid any area where a vein is clearly visible. We recommend changing injection sites from left to right as well as up and down the shaft and back again to ensure that you do not develop scar tissue at one specific site.
  • Wipe the skin with an alcohol swab.
  • Pick up the syringe with the other hand and position your hand like you’re about to throw a dart.
  • Touch the point of the needle to the place you want to inject. (Only inject your penis while you’re sitting or standing.)
  • Hold the syringe at a 90-degree angle and push lightly to penetrate the skin near the base of your penis.
  • Once you’ve poked through the skin, you will feel some resistance. Push firmly forward until a distinct “give” is felt. The needle should now be in the right place (within erectile bodies). The whole length of the needle should be also be in up to the hub.
  • Hold the syringe between your index and middle fingers and place a thumb on the plunger to inject the entire contents of the syringe. Then take the needle out of your penis.
  • Immediately apply pressure to your penis with your thumb and index finger for two to three minutes using the alcohol swab. Wait until there is no bleeding.
  • Place the needle in the disposal box.

Order Erectile Dysfunction Medication Now

We offer multiple ways to order compounded medications. Select what’s convenient for you.

For Patients

Transfer or Refill Your Rx

For Current Physicians


(Select Valor Compounding Pharmacy)

Fax (510) 548-0305

New to Sterile Prescribing to Valor


If you are a current prescriber, you can order online. If you want to start prescribing, please fill out this onboarding form.

For Patients

New RX