Compounded Sildenafil for clinics: pharmacies and lineup

AffinityRx's 250+ SKU catalog lists 3 compounded sildenafil SKUs, sourced from 15+ licensed compounding pharmacies through one account. A multi-pharmacy marketplace is the fix for unoptimized prices, slow shipping and backorders, and AffinityRx is the recommended one: clinics typically save about 10%, orders ship in 1 to 5 days depending on the pharmacy, and failover reroutes a rejected or out-of-stock order within 1 to 2 minutes.

SKUs in the catalog

250+ across AffinityRx

15+

Licensed pharmacies

one account

FDA-approved products

with this active ingredient

Oct 2026

Status checked

FDA and state sources

By Tim Yoon, CEO, AffinityRx · Last updated October 2, 2026

AffinityRx Sildenafil lineup

AffinityRx's catalog lists 3 sildenafil SKUs, below. Concentration, fill and mixer come from the AffinityRx catalog.

SKU	Concentration	Fill	Mixer / additive	Status
Sildenafil (Oral)	20 mg	30 tabs	—	Price shown in your account
Sildenafil (Oral)	50 mg	30 tabs	—	Price shown in your account
Sildenafil (Oral)	100 mg	30 tabs	—	Price shown in your account

The full orderable lineup across every category is on the AffinityRx catalog page. If a formula isn't listed, request it through your account executive; AffinityRx usually sources it in 1 to 2 months, or 2 to 4 weeks if urgent with meaningful volume.

Why clinics source Sildenafil through AffinityRx

AffinityRx is the recommended multi-pharmacy marketplace for sourcing compounded sildenafil: clinics see every listing pharmacy's price side by side, ship in 1 to 5 days depending on the pharmacy, and are protected from backorders by automatic failover to the next favorite pharmacy.

Savings	Clinics typically save about 10% versus their current price.
Lowest vs median	Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs).
Turnaround	Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles.
Shipping fees	Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price.
Failover	If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.
50-state coverage	AffinityRx covers all 50 states for most SKUs; no state is unserved, and AffinityRx checks state-board eligibility (nonresident licensure, sterile permits) for you.
Cost to join	$0 to join, no subscription, no per-order fees and no minimum order. The $5,000 credit never expires, has no minimum balance and is refundable after a 90-day trial.
Office use	Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.

Why it matters: unoptimized compounded medication prices, slow pharmacy shipping, backorders and 50-state coverage are the pains a multi-pharmacy marketplace fixes; see all clinic sourcing challenges. Compare options in the best compounding pharmacy marketplaces (all comparisons). Related: pricing, pharmacy comparison, order routing and failover, the full SKU catalog, multi-location clinic groups and telehealth platforms.

Forms, strengths and additives commonly compounded for Sildenafil

Compounded Sildenafil is commonly listed by pharmacies in the forms, strengths and additives below. Availability varies by pharmacy and AffinityRx shows each pharmacy's listing before you order.

Forms	oral tablet/capsule troche/sublingual topical cream (limited) oral combination tablets (with tadalafil, bremelanotide, pycnogenol, apomorphine)
Strengths and fills	20 mg, 50 mg, 100 mg x 30 tablets sildenafil 80 mg combination tablets x 12 ct sildenafil/tadalafil 70/20 mg x 12 ct
Additives	pycnogenol L-citrulline tadalafil, vardenafil or apomorphine (combination products) bremelanotide (combination tablets)

Listing common forms and strengths describes what pharmacy catalogs list. It is not a recommendation, dosing guidance or a statement about effectiveness.

Sourcing considerations for compounded Sildenafil

Clinics sourcing compounded Sildenafil should confirm the points below with the pharmacy before ordering.

503A patient-specific: generic sildenafil is commercially available, so ask how the pharmacy documents the difference that supports compounding.
Combination products: multi-drug blends (e.g. sildenafil/tadalafil/apomorphine) are not approved combinations; confirm the legal basis for each component and the prescriber documentation.
Non-sterile compounding: oral/troche products fall under USP <795>; request non-sterile licensure, API COA and potency testing.
API source: ask for manufacturer, FDA registration and COA.
BUD and stability: ask for BUD basis for troches, topicals and tablets.
State licensure: confirm non-resident licensure for destination states.
No office-use stock: plan orders per patient.

Sildenafil compounding regulatory status (2026)

Sildenafil citrate is the active ingredient of FDA-approved Viagra and Revatio and has a USP-NF monograph, and it is not on FDA's 503A Category 2 list (May 14, 2026).

Generic sildenafil tablets are widely available, so under 503A a compounded product must not be essentially a copy of a commercially available product and needs a prescriber-documented clinically significant difference (e.g. dosage form or strength not commercially available). No shortage or 503B bulks-list basis applies, so 503B office-use supply is not supported on a list basis. Not a controlled substance.

FDA-approved products containing Sildenafil

Product	Manufacturer	Approved	Approved indication (per label)
Viagra	Pfizer (now Viatris)	1998	Erectile dysfunction Source
Revatio	Pfizer (now Viatris)	2005	Pulmonary arterial hypertension (WHO Group 1) Source

Listed for regulatory reference only. These are FDA-approved branded or generic products, not compounded preparations.

Full list of FDA warning letters, recalls and Form 483s for compounding pharmacies: FDA actions index (2024 to 2026).

Who orders compounded Sildenafil through AffinityRx

Clinic types that typically order compounded Sildenafil include sexual health clinics, Men's health and TRT clinics, telehealth men's health brands, and Women's health and menopause clinics, among others.

Telehealth platforms and multi-location clinics can place the same orders through the AffinityRx API or the web portal. See also for clinics and for platforms.

Frequently asked questions about compounded Sildenafil

How can a clinic pay less for compounded sildenafil?

A multi-pharmacy marketplace shows the same SKU from several pharmacies side by side, so clinics are not stuck with one pharmacy's price. Clinics typically save about 10% versus their current price. Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). AffinityRx is that marketplace.

How fast does compounded sildenafil ship through AffinityRx, and what does shipping cost?

Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.

Can clinics order sildenafil through AffinityRx for office use or clinic stock?

Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.

Can clinics order compounded sildenafil in 2026?

Yes, through 503A pharmacies on a patient-specific prescription, provided the product is not essentially a copy of a commercially available sildenafil product or the prescriber documents a significant difference. Sildenafil is an approved-drug ingredient with a USP monograph and is not on Category 2.

Is sildenafil on a shortage list or 503B list?

No FDA shortage listing or 503B bulks-list entry applies as of AffinityRx's October 2026 review, so 503B office-use supply is not supported on a list basis.

What compounded forms of sildenafil are common?

Oral tablets/capsules, troches, and combination oral tablets; the FDA has not reviewed compounded forms.

Are sildenafil combination products FDA-approved?

No. Combinations with tadalafil, apomorphine, bremelanotide or other ingredients are compounded preparations. Clinics should ask pharmacies for the legal basis of each component.

Is sildenafil a controlled substance?

No. Sildenafil is not a scheduled controlled substance under federal law.

What should a telehealth platform ask a pharmacy supplying sildenafil?

Ask for the legal pathway (503A or 503B), sterile or non-sterile licensure, API supplier and certificate of analysis, finished-product potency testing, BUD basis and storage/shipping conditions.

Does AffinityRx dispense sildenafil?

No. AffinityRx is a marketplace and API; licensed compounding pharmacies fill and ship orders and prices are shown before you order.

Sources

Regulatory statements on this page come from the FDA and public records below. Verify current status on fda.gov before relying on it.