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!

Tri State Medical Group Pharmacies.png

If you don't wish 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

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
  • Credit Card Number
  • Credit Card Expiration Date