The Spark
Triggers Desire
Don’t just get ready. Crave it.
Free 3-minute online visit · If you don’t qualify, you don’t pay
Ready in 15 Minutes.
Strong for Up to 36 Hours.
The complete 4-in-1 formula that switches on your desire and your body — only when you want it. Fast-acting, doctor-prescribed, and delivered in discreet packaging.
Prescription-only · Compounded in U.S. pharmacies
See if you qualifyQuatro Stack
The complete formula
One dose. Four proven ingredients.
The Strength
Harder & Faster
On in 15 minutes. Full strength when it counts.
Complete Stack
1 Solution 4 powerful ingredients
APOMORPHINEIgnites Desire
VARDENAFILRapid Onset
TADALAFILLasts 36 Hours
SILDENAFILPeak Strength
Quatro4-IN-1 PERFORMANCE
01
Melts in Seconds. Works in About 15.
Quatro® is a fast-melting liquid that dissolves under your tongue. It skips your stomach and liver entirely — so the medicine reaches your bloodstream while a swallowed pill would still be waiting on digestion. And because it never touches your stomach, a big dinner has zero say in how your night goes.
- Big dinner? Food can’t block it.
- Feel it working in about 15 minutes.
- Quiet, total control.
Absorbs in Seconds
02
Ready Tonight. And Tomorrow.
One dose doesn’t clock out after a few hours. With Tadalafil onboard, you stay responsive for up to 36 hours.
- Never watch the clock again.
- Lasts the whole weekend.
- Round two is always an option. So is round three.
36-Hour Coverage
03
Primed. Not Forced.
Quatro doesn’t switch you on by itself. It keeps your body primed to respond — and nothing happens until you’re aroused. It works with your body, not against it.
- No automatic response — you’re always in control.
- Fires on your cue, not on a timer.
- Feels natural, because it is.
On-Demand Response
Why Settle for a Quarter of the Formula?
See what the other three pills are missing
THE ULTIMATE STACK
Three Old Ways vs. The Quatro Way
Four active ingredients in one formula: Sildenafil, Tadalafil, and Vardenafil — you may recognize them as the active ingredients found in Viagra®, Cialis®, and Levitra® — plus Apomorphine to drive desire. Quatro is a compounded formula, not a generic or FDA-approved equivalent of those medicines.
| Quatro®4-in-1 | Sildenafilmain ingredient of Viagra® | Tadalafilmain ingredient of Cialis® | Vardenafilmain ingredient of Levitra® | |
|---|---|---|---|---|
| Ready in ~15 minutesSublingual — skips digestion | ||||
| Peak strengthSildenafil | ||||
| Up to 36-hour windowTadalafil | ||||
| Ignites desireApomorphine | ||||
| Big dinner? No problemFood can’t block absorption |
Comparison based on the characteristics of each active ingredient taken on its own. Viagra®, Cialis®, and Levitra® are registered trademarks of their respective owners; Quatro is a compounded medication and is not a generic or FDA-approved equivalent of these products.
Pharmacy-grade power. None of the pharmacy markup.
The Power of 4 Ingredients. In 1 Dose.
Get all four active ingredients in one advanced compounded formula — with a single prescription. We cut out the middleman and ship it straight to your door. No lines. No waiting rooms. Just results.
Quatro
®4-IN-1 PERFORMANCE
◆
APOMORPHINEIgnites Desire
◆
VARDENAFILRapid Onset
◆
SILDENAFILPeak Strength
◆
TADALAFILLasts 36 Hours
How It Works
3 Steps to Full Control
Step 1
Online Visit
Answer a short health questionnaire — private, secure, and done in about 3 minutes.
Step 2
Doctor Approval
A U.S.-licensed physician personally reviews your health information — and where your state requires it, connects with you for a brief phone or video consultation. If Quatro is right for you, your prescription is issued.
Step 3
Fast Discreet Delivery
Your medication ships free in plain, unmarked packaging. Nobody knows what’s inside but you.
In the District of Columbia, Kansas, Louisiana, Mississippi, New Mexico, Rhode Island, and West Virginia, a live phone or video consultation with a licensed provider is required before a prescription can be issued.
Straight Answers to Real Questions
How is this different from Hims or Roman?
Those services prescribe one ingredient at a time. Quatro combines the fast onset of Vardenafil, the strength of Sildenafil, the 36-hour window of Tadalafil, and Apomorphine for desire — in one prescription, at a fraction of what four separate scripts would cost.
Will I be erect for 36 hours straight?
No — and that’s the point. Quatro only responds when you’re aroused. The 36-hour window simply means your body stays ready to respond, whenever the moment happens.
How do I take Quatro?
Place the drop under your tongue and let it dissolve. It absorbs directly into your bloodstream and typically starts working within 10–15 minutes.
Why does it cost $114?
Because one formula does the work of four separate single-ingredient treatments. One compounded formula means one prescription and one price — consultation, prescription, and shipping included. Quatro is also HSA/FSA-eligible for most plans.
Is Quatro FDA-approved?
No — and no compounded medication is. Quatro is a compounded formula prepared for your specific prescription by licensed U.S. pharmacies, and compounded medications are not reviewed or approved by the FDA. What you can count on: each of Quatro’s four active ingredients is the active ingredient of an FDA-approved medication, your prescription is issued by a U.S.-licensed physician after reviewing your health history, and every order is filled by state-licensed, NABP-accredited, LegitScript-approved pharmacies.
Your Best Performance Is 3 Minutes Away.
Your private evaluation takes 3 minutes. A licensed doctor reviews your answers within 24 hours — in some states, a brief phone or video consultation is also required. If you don’t qualify, you pay nothing.
Get StartedTelehealth availability
Available across the U.S.
Our telehealth services are available to patients located in all 50 U.S. states and the District of Columbia. All consultations are conducted by licensed U.S. healthcare providers, and all prescriptions are dispensed by licensed U.S. pharmacies. Treatment is only provided where clinically appropriate and permitted by applicable state and federal law. Availability of specific medications may vary by state based on state regulations and provider licensure.
Asynchronous (online questionnaire) care is available in the following 44 states: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WY. A live (synchronous) consultation with a provider is required before treatment in these 7 jurisdictions: District of Columbia (DC), Kansas (KS), Louisiana (LA), Mississippi (MS), New Mexico (NM), Rhode Island (RI), West Virginia (WV).
Medical provider partners
We are partnered with DrTelx, an independent telehealth medical group whose providers are licensed in the states where celiMD offers care. We work exclusively with licensed U.S. pharmacies that meet rigorous regulatory and quality standards. Our pharmacy partners include EPIQ Scripts, Foothills Pharmacy, and Emerald Compounding Pharmacy. Every pharmacy in our network is licensed in the states where it dispenses, accredited by the National Association of Boards of Pharmacy (NABP), board-certified, and LegitScript-approved. All prescriptions are filled and shipped by these licensed U.S. pharmacies in compliance with applicable state and federal law.