If approved, the provider will issue a prescription. The most common symptoms of erectile dysfunction include difficulty achieving or maintaining an erection and reduced sexual desire. A phone or video consultation is sometimes required for legal purposes. Your primary care doctor should always know what medications you’re taking, including ED pills prescribed by another provider. Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors.Viagra is sold under the generic name sildenafil, which is also only available with a prescription. Many medical clinics now offer remote health services where you can . Viagra alternatives range from medical options like Cialis and Levitra to natural methods like acupuncture and even therapy. We break them all down here. . According to price-comparison site , generic Revatio will cost you as little as $ per pill, depending on where you fill your prescription. That’s .