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Apex 4-in-1Rx · triple

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Apex 4-in-1

Desire, onset, strength, duration — one dose.

All orders come with continued patient care: clients can access their portal and communicate with their doctor throughout the course of their treatment. Your physician prescribes the dosage. If you're currently on a GLP-1 — or have been — you can upload your previous prescription in your client portal and your doctor will know which dose is right for you. The Kove difference: we never charge more as your dose increases.

Starting at

$75

Intake first · physician-reviewed · ships in 24–48h

CLIA-certified labs·
Board-certified physicians, all 50 states·
FDA-approved 503A pharmacies·
HSA / FSA eligible · HIPAA-locked, never sold·
CLIA-certified labs·
Board-certified physicians, all 50 states·
FDA-approved 503A pharmacies·
HSA / FSA eligible · HIPAA-locked, never sold·
CLIA-certified labs·
Board-certified physicians, all 50 states·
FDA-approved 503A pharmacies·
HSA / FSA eligible · HIPAA-locked, never sold·
Apex 4-in-1

About

The protocol.

Four proven agents compounded into a single fast-acting dose: apomorphine for central arousal, sildenafil for reliable response, tadalafil for a long window, and vardenafil for potency. Prescribed by U.S. licensed physicians and compounded by a 503A pharmacy.

  • Apomorphine — primes the brain's arousal pathways
  • Sildenafil — strong, reliable response
  • Tadalafil — extends the window
  • Vardenafil — added potency at a low dose
  • Onset reported in 10–15 minutes

Be informed

Possible side effects.

Every prescription has trade-offs. Your physician reviews these with you before approving treatment.

HeadacheFlushingNasal congestionIndigestionDizzinessVisual changes (rare)Prolonged erection (rare — seek care)

Questions

We're here to help.

  • Four proven agents compounded into a single fast-acting dose: apomorphine for central arousal, sildenafil for reliable response, tadalafil for a long window, and vardenafil for potency. Prescribed by U.S. licensed physicians and compounded by a 503A pharmacy.

  • Discreetly, in unbranded packaging, with cold-chain shipping when required. Most orders ship within 24–48 hours of physician approval.

  • Yes. Cancel anytime from your portal. Unused months on multi-month plans are refundable per our policy.