Getting BlueChew is an online-only process that takes most people about 15 to 20 minutes to start. You complete a health questionnaire on their website or app, get reviewed by a licensed medical provider, and if approved, receive chewable erectile dysfunction tablets shipped to your door in discreet packaging. There’s no in-person doctor visit required.
The Sign-Up and Prescription Process
The process begins on BlueChew’s website or mobile app, where you create an account and fill out an online health form. You’ll answer questions about your medical history, current medications, and symptoms. You also need to verify your identity by uploading a photo of a government-issued ID, like a driver’s license.
After you submit the form, a medical provider licensed in your state reviews your information. This isn’t necessarily a doctor; it could be a nurse practitioner or physician assistant. They’ll message you with follow-up questions and may set up a brief online or video visit. If the provider determines ED medication is appropriate for you, they’ll write a prescription and help select the right option. If they decide the medication isn’t safe for your situation (for example, if you take certain heart medications), they won’t prescribe it.
Choosing a Medication
BlueChew offers three active ingredients, all in chewable tablet form. These are generic versions of well-known brand-name ED drugs:
- Sildenafil (generic Viagra): available in 30 mg and 45 mg tablets. It works within about 30 to 60 minutes and lasts roughly 4 to 6 hours.
- Tadalafil (generic Cialis): available in 6 mg and 9 mg tablets. It has a longer window of effectiveness, typically lasting up to 36 hours.
- Vardenafil (generic Levitra): available only in an 8 mg tablet. Similar onset and duration to sildenafil.
Your prescribing provider will recommend a specific medication and dosage based on your health profile. The chewable format means they dissolve in your mouth rather than requiring water, which some people find more convenient than traditional pills.
What It Costs
BlueChew operates on a monthly subscription model. The online consultation itself is included in your plan cost, so there’s no separate fee to see the provider. Insurance does not cover BlueChew, including Medicare. However, you can pay with an HSA or FSA debit card, which lets you use pre-tax medical dollars toward the cost.
Pricing varies depending on which medication you choose and how many tablets per month you want. Plans are tiered by tablet count, starting with smaller quantities for occasional use and scaling up. You can adjust your plan, skip months, or cancel through your account.
Shipping and Privacy
Every order ships in a plain, unmarked mailer with no logos, brand names, or references to medication on the outside. The return address doesn’t mention BlueChew either. It looks like any generic online order, so there’s nothing on the package that reveals what’s inside.
Where BlueChew Is Available
BlueChew ships to 49 U.S. states, Washington D.C., Puerto Rico, Guam, and the U.S. Virgin Islands. The only state where it’s currently unavailable is North Dakota. It does not ship internationally.
Because the service relies on state-licensed providers writing prescriptions, you need to be located in an eligible state at the time of your consultation. If you move or travel to North Dakota, you won’t be able to use the service from there.
What to Know About FDA Status
The active ingredients in BlueChew (sildenafil, tadalafil, and vardenafil) are the same compounds found in FDA-approved medications like Viagra, Cialis, and Levitra. However, BlueChew’s chewable tablets themselves are compounded drug products, meaning they’re mixed into a different form by a compounding pharmacy. Compounded drugs are not FDA-approved. In September 2025, the FDA issued a warning letter to BlueChew’s parent company regarding this distinction.
This doesn’t mean the ingredients are unfamiliar or untested. Sildenafil and tadalafil have decades of clinical use behind them. But the specific chewable formulation hasn’t gone through the FDA’s standard approval process for manufactured drugs, which is worth knowing as you weigh your options. Traditional FDA-approved generics of these same medications are available through other telehealth platforms or a local pharmacy with a standard prescription.