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Are you taking Viagra or Cialis for ED? Now you can get Sildenafil, the active ingredient in Viagra in a 20mg tablet for less than $2 per pill. That’s a savings of more than $30 per dose!

Tri-State Medical Group Pharmacies are independently owned and located in West Virginia and Ohio. We want to help you with this low-cost ED option.

Don’t let the cost of ED treatment keep you down!

If you don’t want to order online, you can:

  • Print our Sildenafil Intake Form by clicking HERE.
  • Call or visit any Tri-State Medical Group location.
  • Fax your completed form to the TSMG pharmacy of your choice.
  • Or scan/email your completed intake form to ED@tristatemedicalgroup.com

Your Information:

  • Pharmacy to be utilized for proper filling for RX (Follansbee Pharmacy, Value Leader Pharmacy, Tri-State Pharmacy)
  • Your First and Last Name
  • Your Address (Street, City, ZIP)
  • Your Birth date
  • Your Phone Number(s) (Home, Cell)

Your Doctor's Information:

  • First and Last Name of Doctor
  • Doctor’s Office Phone Number
  • Doctor’s Office Fax Number
  • Doctor’s Office Address (Street, City, ZIP)

Your Billing Information:

  • Indicate one: MasterCard, Visa, Discover, American Express
  • Card Number
  • Credit Card Expiration Date