OnyxMD EPIQ Chews 2026: Daily Compounded Chewable for Men - Ingredients, Eligibility, Pricing, and Telehealth Process Explained

NEW YORK, February 5, 2026 (Newswire.com) - Disclaimer: This article is for informational purposes only and does not constitute medical advice. Concerns about men's health, circulation, or reproductive function should be evaluated by qualified healthcare professionals. Always consult a qualified healthcare professional before starting any prescription treatment. This article contains affiliate links. If you purchase through these links, a commission may be earned at no additional cost to you. This compensation does not influence the accuracy or integrity of the information presented.

EPIQ CHEWS by OnyxMD: 2026 Review, Ingredients, Safety & Pricing

If you've been searching for answers about OnyxMD EPIQ Chews - whether it actually works, whether it's legitimate, and whether it's the right fit for your situation - you're not alone. Many men search for information about this product after seeing it discussed online, and the questions are always the same. Is this real? Is it safe? Is it something worth discussing with a licensed clinician?

This overview is designed to give you the most accurate, transparent, and thorough breakdown available so you can make an informed decision on your own terms. No hype. No pressure. Just the facts about what EPIQ Chews is, how it works, what it contains, who it may be right for, and what the research actually says about the ingredients inside.

View the current EPIQ Chews offer (official OnyxMD page)

Before we get into the details, there are a few important things to understand about how this product works and where it comes from - because this isn't a supplement you can grab off a shelf. It's a compounded prescription medication, and that distinction matters more than most people realize.

What Is OnyxMD EPIQ Chews? Understanding What You Are Actually Getting

EPIQ Chews is a daily chewable compounded prescription medication designed for men seeking consistent support for circulation, blood flow, and reproductive health concerns. According to OnyxMD's EPIQ Chews page, the product is positioned as a daily compounded chew containing Tadalafil (5mg) and Vardenafil, and the page also discusses Vitamin D3 and K2 as part of the formula. However, product descriptions can vary across brand materials and pharmacy fulfillment, so confirm the prescription label and ask the clinician during your evaluation.

This isn't a dietary supplement. This isn't something you can buy over the counter. EPIQ Chews is a prescription product that requires an online medical consultation with a licensed healthcare provider before it can be prescribed and dispensed.

EPIQ Chews is a compounded prescription medication prepared by a licensed pharmacy based on an individual prescription. Compounded medications are not FDA-approved as finished products. The active ingredients are FDA-approved drugs for specific indications, but the compounded combination product is not FDA-approved as a finished product. That's an important distinction. The active ingredients - Tadalafil and Vardenafil - are well-studied compounds with substantial published research behind them. However, the specific combination product as formulated by OnyxMD hasn't been independently evaluated by the FDA as a finished product. As with compounded prescriptions generally, compounded medications are not FDA-approved as finished products, and the FDA does not review them for safety or effectiveness in the same manner as FDA-approved drugs. This is something every potential user should understand before proceeding.

How Does OnyxMD Actually Work? The Three Entities You Need to Know

One of the most common misconceptions about telehealth platforms like OnyxMD is that the company itself prescribes medication. That's not how it works, and understanding the structure protects you as a patient.

OnyxMD (operated by Curated Care LLC) functions as the telehealth platform that facilitates the connection between patients and healthcare providers. According to the platform's terms of use, OnyxMD itself is not a healthcare provider. The platform provides the technology infrastructure, customer service, and coordination that enables the telehealth experience.

Licensed Medical Providers through Beluga Health, P.A. are independent healthcare professionals based in Houston, TX who review patient information and determine whether prescriptions are appropriate. According to the company, Beluga Health operates in 47 states, excluding Alaska, Mississippi, and New Jersey. These providers make clinical decisions based on the health information patients provide. The platform cannot guarantee that any individual will receive a prescription, as that determination rests entirely with the evaluating clinician.

Partner Pharmacies - Strive Pharmacy LLC (Gilbert, AZ, License #99-9817) and EPIQ Scripts LLC (Richardson, TX) fulfill prescriptions written by the medical providers. These are licensed US pharmacies that compound and dispense medications according to the prescriptions they receive.

This three-entity structure is common across telehealth platforms and ensures appropriate separation between the technology platform, clinical decision-making, and medication dispensing. It's designed to protect patients by ensuring that medical decisions are made by licensed providers - not by the company selling the service.

What Is Inside EPIQ Chews? A Research-Based Ingredient Breakdown

The formula contains four primary components. Let's walk through what each one does based on published research - keeping in mind that this is ingredient-level research, and EPIQ Chews as a finished compounded product has not been independently clinically studied.

Tadalafil (5mg Daily Dose)

Tadalafil is one of the most extensively researched PDE-5 inhibitors in published medical literature. It's FDA-approved primarily for specific clinical indications, and clinicians commonly prescribe it for broader men's health applications where clinical evidence supports its use.

What the research shows at the ingredient level: Published studies, including Porst et al. in European Urology (2013), have examined the rationale for daily low-dose PDE-5 inhibitor therapy. Research in this area suggests that daily dosing may support consistent endothelial function and circulatory health compared to as-needed dosing protocols. Separately, Pilatz et al. in World Journal of Urology (2019) conducted a systematic review examining the relationship between daily Tadalafil use and testosterone levels.

The daily dosing approach at 5mg is what differentiates EPIQ Chews from traditional as-needed protocols. Rather than taking a higher dose before a specific moment, the daily approach is designed to maintain consistent levels in the body. This is the same dosing framework that has been studied in peer-reviewed clinical research - though again, the specific compounded combination product has not been independently studied.

This is not a replacement for prescribed medical treatment. Consult your physician before beginning any new prescription regimen.

Vardenafil

Vardenafil is another well-studied PDE-5 inhibitor with a distinct pharmacological profile from Tadalafil. According to published research, including Hellstrom et al. in the International Journal of Impotence Research (2003), Vardenafil has been studied for its onset characteristics and tolerability profile.

The dual-agent rationale: The combination of two PDE-5 inhibitors in a single formulation is based on the principle of complementary pharmacokinetic profiles. According to Tsertsvadze et al. in BJU International (2009), combination approaches involving PDE-5 inhibitors and other agents have been examined in clinical literature. OnyxMD states that combining Tadalafil's longer duration with Vardenafil's faster onset provides broader coverage than either agent alone. This represents the brand's clinical positioning - individual responses to any medication vary, and only a licensed clinician can determine whether this combination approach is appropriate for your specific health situation.

Vitamin D3

Vitamin D3 is one of the most widely researched vitamins in men's health literature. Pilz et al. in Hormone and Metabolic Research (2011) published a study examining the effect of Vitamin D supplementation on testosterone levels in men. The research found that in Vitamin D-deficient men, supplementation was associated with changes in testosterone levels.

Important context: The phrase "most men over 35 are Vitamin D deficient" appears in OnyxMD's marketing materials. While Vitamin D deficiency is indeed common - particularly in men who spend limited time outdoors, live in northern climates, or have certain health conditions - the specific prevalence claim should be verified against current epidemiological data. According to the National Institutes of Health, Vitamin D inadequacy affects a significant portion of the adult population, though exact percentages vary by study population and definition of deficiency.

That doesn't mean Vitamin D supplementation will produce the same results in men who already have adequate Vitamin D levels. Individual responses vary based on baseline status, dosage, and other health factors.

Vitamin K2

Vitamin K2 plays a role in calcium metabolism - specifically in directing calcium toward bones and away from soft tissues like arteries. Maas et al. in the Journal of Nutrition (2015) examined the relationship between Vitamin K2 supplementation and both arterial and bone health markers.

The synergistic rationale with D3: According to the brand, Vitamin D3 and K2 work together because D3 promotes calcium absorption while K2 helps ensure that absorbed calcium is deposited in bones rather than accumulating in arterial walls. This synergistic relationship between D3 and K2 is discussed in published nutritional research, though the specific doses and formulation in EPIQ Chews have not been independently studied as a combination product.

OnyxMD materials vary on whether K2 is included across all product descriptions; confirm the prescription label and ask the clinician during your evaluation.

These individual findings do not mean EPIQ Chews replaces prescribed treatment for any health condition. Always consult your physician before making changes to your health regimen.

Who May EPIQ Chews Be Appropriate For? A Self-Assessment Framework

Rather than relying on individual testimonials - which represent self-selected experiences that may not be typical - here's a framework to help you evaluate whether EPIQ Chews is something to discuss with a licensed clinician.

EPIQ Chews May Align With Men Who:

Prefer a daily protocol over as-needed timing: If the idea of planning around a single dose before a specific moment creates stress or feels impractical for your lifestyle, a daily approach may be worth discussing with a clinician. The daily format is designed to maintain consistent support rather than requiring advance planning.

Are interested in a multi-ingredient approach: Some men prefer a single daily protocol that combines prescription compounds with nutritional support rather than managing multiple separate products. According to the OnyxMD product page, the formula includes D3 and K2 alongside the prescription compounds - confirm the exact formulation on your prescription label. If simplifying your daily routine matters to you, this format may appeal.

Want the convenience of a telehealth consultation: If visiting a doctor's office in person feels inconvenient or uncomfortable for this category of health concern, the online assessment model may lower that barrier. According to the company, the health assessment is designed to be completed in a few minutes, and eligibility is determined by the evaluating clinician.

Value discretion in ordering and delivery: According to OnyxMD, all orders ship in discreet, unmarked packaging with no indication of contents. If privacy matters to you, this is worth noting.

Other Options May Be Preferable For Men Who:

Have complex health histories requiring in-person evaluation: Telehealth consultations are conducted based on health questionnaires. If you have significant cardiovascular conditions, are taking nitrates for chest pain, or have severe liver problems, an in-person evaluation with a physician who can review your full medical history may be more appropriate. The OnyxMD product page explicitly states that men currently using nitrates or with severe heart or liver conditions should not take this product.

Prefer FDA-approved finished products over compounded medications: If using only FDA-approved finished drug products is important to you, compounded medications - including EPIQ Chews - may not be the right choice. FDA-approved alternatives exist and can be discussed with your healthcare provider.

Are located in Alaska, Mississippi, or New Jersey: According to the company, OnyxMD's telehealth services are not currently available in these three states.

Are under 18 years of age: This product and service are intended for adults only. According to the terms of service, users must be at least 18 years of age.

Questions to Ask Yourself Before Proceeding

Before choosing any prescription product in this category, consider:

Have I discussed my health concerns with a qualified healthcare provider? Am I currently taking any medications that could interact with PDE-5 inhibitors, particularly nitrates? Do I have any cardiovascular conditions that require evaluation before starting this type of treatment? Am I comfortable with a compounded medication, or do I prefer FDA-approved finished products?

Your answers help determine which approach and which specific product characteristics matter most for your specific situation. Only a licensed clinician can decide whether EPIQ Chews is appropriate for your individual case.

How the Process Works: From Online Assessment to Delivery

According to the OnyxMD product page, the process follows three steps:

Step 1: Online Health Assessment. You complete a detailed health questionnaire covering your medical history, current medications, and health concerns. According to the company, this takes approximately 5 minutes. A licensed physician through Beluga Health, P.A. reviews your information and determines whether treatment is appropriate.

Step 2: Prescription and Fulfillment. If approved by the evaluating clinician, your prescription is sent to one of the partner pharmacies (Strive Pharmacy LLC or EPIQ Scripts LLC) for compounding and fulfillment. According to the company, medications ship in discreet packaging with fast delivery and no pharmacy visits are required.

Step 3: Daily Use. According to the product instructions, you take one chew daily for consistent support.

Important: Not everyone who completes the assessment will be approved. The evaluating clinician makes an independent medical determination based on your health profile. That's how it should work - it means the medical decision is being made by a licensed provider, not by an algorithm or a sales team.

This is not a replacement for prescribed medical treatment. Do not change, adjust, or discontinue any medications without your physician's guidance and approval.

View the current EPIQ Chews offer (official OnyxMD page)

EPIQ Chews Pricing and What You Should Know Before Ordering

According to the OnyxMD product page, EPIQ Chews pricing starts as low as approximately $2.63 per day with the 3-month shipping option. The product page may reference introductory pricing or promotional offers. Pricing and promotions can change, so confirm current totals and terms directly on the official OnyxMD page before ordering.

Pricing context you should understand:

According to the company's terms of service, these services may not be covered by traditional insurance plans, but coverage policies vary. Always confirm benefits directly with your insurer. Some HSA/FSA plans may reimburse qualifying expenses - check your specific plan rules.

Regarding refunds and returns: Refund and return rules can vary by service type and by what stage an order is in. For patient safety and pharmacy-law reasons, prescription medications (including compounded prescriptions) often have strict return restrictions once dispensed. Before ordering, review OnyxMD's current Refund Policy and Terms, and contact support if you have a question about eligibility or timing. Some pages may reference promotional offers; always confirm the current terms directly on OnyxMD's Refund Policy and Terms pages before ordering.

According to the company, subscriptions can be cancelled at any time with no cancellation fees. Pricing and promotions can change; confirm current terms directly on the brand page. For the most current rules, review OnyxMD's Refund Policy page before ordering.

Safety Considerations: What Every Potential User Needs to Know

EPIQ Chews contains prescription-strength active ingredients. They are generally well tolerated when used as directed under medical supervision, but you should understand what to expect. The following points are a high-level overview, not a complete list of risks or precautions.

Potential side effects per published literature and the OnyxMD product page:

According to the company and consistent with published research on PDE-5 inhibitors, common side effects may include mild headache, flushing, upset stomach, abnormal vision, and nasal congestion. The company states these typically diminish as your body adjusts, particularly because EPIQ Chews uses lower daily doses compared to as-needed medications.

Critical contraindications:

The OnyxMD product page explicitly states: Do not take EPIQ Chews if you are currently using nitrates for chest pain or have severe heart or liver problems. Seek immediate medical help if you experience a prolonged response lasting more than 4 hours. Consult your doctor before use if you have cardiovascular conditions.

Drug interactions:

PDE-5 inhibitors can interact with several medication classes, including nitrates, alpha-blockers, certain blood pressure medications, and some antifungal or antibiotic medications. Disclose your complete medication list during your telehealth consultation. The evaluating clinician will determine whether interactions are a concern for your specific regimen.

This safety overview is not exhaustive and does not replace the Patient Drug Education or official prescribing information. Always review the full safety information that comes with your prescription and consult your prescriber or pharmacist with any questions.

This is not a replacement for prescribed medical treatment for any health condition. Always consult your physician if you have health concerns, take other medications, or have any questions before starting.

OnyxMD's Other Products: How EPIQ Chews Fits Within the Product Line

OnyxMD offers three products, each designed for a different use case. Understanding where EPIQ Chews fits helps you have a more informed conversation with the evaluating clinician.

EPIQ Chews (Daily Protocol): Designed for daily use. According to the OnyxMD product page, the formula includes Tadalafil 5mg and Vardenafil, and the page also discusses Vitamin D3 and K2. Confirm the exact formulation on your prescription label. According to the brand, this is the foundational daily option for men who want consistent, ongoing support without timing individual doses.

Red Pill (As-Needed, Higher Dose): Contains Tadalafil 20mg plus Pycnogenol 70mg. According to the company, this is designed for specific occasions rather than daily use, with a 36-hour effectiveness window. Pricing starts at approximately $5.39 per dose with the 3-month option, per the company's product page.

Mach 1 (Maximum Strength, As-Needed): Contains Tadalafil 20mg and Sildenafil 70mg. According to the company, this is positioned as the strongest option for men who have not responded adequately to single-agent therapy. Pricing starts at approximately $10.94 per dose with the 3-month option, per the company's product page.

All three products are compounded prescription medications that require clinician evaluation. The clinician - not the platform - determines which product is appropriate based on your health profile.

View the current EPIQ Chews offer (official OnyxMD page)

Realistic Expectations: What the Available Information Supports

Any honest overview needs to set realistic expectations. Here's what the research and available information tell us - and what they don't.

What the ingredient research supports: Published studies on daily low-dose PDE-5 inhibitor therapy suggest potential benefits for circulatory health and endothelial function when taken consistently under medical supervision. According to the OnyxMD product page, the formula also includes Vitamin D3 and K2 - ingredients supported by published research related to bone health and nutritional status, particularly in men with existing deficiencies. Confirm your prescription label for the exact formulation. These findings come from ingredient-level studies, not from trials of the specific EPIQ Chews compounded formulation.

What you should not expect: No compounded medication is guaranteed to produce specific results for every individual. Factors including age, baseline health, existing conditions, other medications, lifestyle, and genetic factors all influence individual responses. The OnyxMD product page itself states that results may vary and that testimonials represent individual experiences that may not be typical.

What the statistics on the product page mean: The OnyxMD product page lists figures including "87% report improved confidence," "92% continue after 3 months," and "15k+ men trust EPIQ daily." These statistics are presented on the company's marketing materials. According to the company's own disclaimers, individual results may vary and experiences presented are individual results that may not be typical. Independent verification of these specific figures is not available to us as third-party reviewers.

The bottom line on expectations: If you are in generally good health, have discussed your situation with a clinician, and understand that individual responses vary, EPIQ Chews may be worth exploring as a conversation with a licensed provider. If you are expecting guaranteed outcomes or a replacement for comprehensive medical care, recalibrate those expectations before ordering. Only a licensed clinician can assess whether this treatment is appropriate for your specific case.

How to Evaluate Whether EPIQ Chews Fits Your Situation in 2026

What the available information supports:

OnyxMD has built a structured telehealth platform with clear separation between the technology company, the prescribing clinicians, and the dispensing pharmacies. The ingredients in EPIQ Chews - particularly Tadalafil and Vardenafil - are backed by substantial published research as individual compounds. The daily chewable format offers a convenience advantage over traditional as-needed dosing for men who want consistent support. According to the product page, the inclusion of D3 and K2 adds a nutritional component that aligns with published research related to bone health and nutritional status - confirm the exact formulation on your prescription label. According to the company, the platform states it is HIPAA compliant, uses SSL encryption, works with FDA-registered pharmacies, and manufactures in the USA.

Considerations to weigh before proceeding:

EPIQ Chews is a compounded medication - not FDA-approved as a finished product. The specific combination has not been independently studied in clinical trials. Some marketing claims on the product page use more aggressive language than what the research strictly supports. The satisfaction guarantee terms in promotional materials may differ from the official terms of service, which is worth verifying before ordering. And telehealth consultations, while convenient, don't replace the depth of an in-person evaluation for men with complex health histories.

Important note on regulatory context:

The compounded prescription medication and telehealth industry has been under increased regulatory scrutiny in recent years. Consumers should review the most current information about any platform's compliance, quality, and regulatory standing before proceeding with treatment. If you see a LegitScript seal or certification claim on an OnyxMD webpage, you can verify the website's status using LegitScript's public Website Certification Status lookup.

If you have been considering a daily protocol for men's health and want to explore whether this approach fits your specific situation, the online assessment is the first step. The evaluating clinician will determine whether EPIQ Chews - or any of OnyxMD's products - is appropriate for you. That clinical decision is exactly where it should be: in the hands of a licensed medical provider, not a marketing page.

View the current EPIQ Chews offer (official OnyxMD page)

Contact Information

For questions before or during the ordering process, according to the company, OnyxMD offers customer support:

Phone: +1 (206) 814-5447

Email: [email protected]

Address: 1309 Coffeen Avenue, Sheridan, WY 82801

According to the FAQ page, email support is currently available, with live chat support listed as coming soon.

View the current EPIQ Chews offer (official OnyxMD page)

Frequently Asked Questions About OnyxMD EPIQ Chews

Is OnyxMD a legitimate company?

According to OnyxMD's published materials, OnyxMD is operated by Curated Care LLC and lists 1309 Coffeen Avenue, Sheridan, WY 82801 as its address. The platform partners with Beluga Health, P.A. for telehealth services and uses licensed pharmacies (Strive Pharmacy LLC and EPIQ Scripts LLC) for prescription fulfillment. If you see a LegitScript seal or certification claim on an OnyxMD webpage, you can verify the website's status using LegitScript's public Website Certification Status lookup. As with any telehealth platform, review current terms and verify licensing before proceeding.

Is EPIQ Chews FDA-approved?

EPIQ Chews is a compounded prescription medication. Compounded medications are not FDA-approved as finished products. They are prepared using active ingredients sourced from FDA-registered facilities under the direction of a prescribing clinician. The individual active ingredients (Tadalafil, Vardenafil) are FDA-approved compounds for specific clinical indications, but the combination product as formulated is not FDA-approved as a finished product.

What states can I order from?

According to OnyxMD, telehealth services are available in 47 states. The company does not currently provide services in Alaska, Mississippi, and New Jersey. Service availability may change - verify on the official product page before ordering.

Can I cancel my subscription?

According to the company's FAQ, subscriptions can be cancelled or paused at any time with no cancellation fees. Verify current subscription and cancellation terms on the official product page before ordering.

How is EPIQ Chews different from taking Viagra or Cialis?

According to OnyxMD, EPIQ Chews is designed for daily use rather than as-needed dosing. The company states this means the active compounds stay in your system continuously, removing the need to plan around individual doses. Additionally, the OnyxMD product page describes EPIQ Chews as combining two PDE-5 inhibitors along with Vitamins D3 and K2, whereas traditional options typically contain a single active ingredient. Confirm the exact formulation on your prescription label. Only a licensed clinician can advise which approach is appropriate for your health profile.

What are the potential side effects?

According to the OnyxMD product page and consistent with published research on PDE-5 inhibitors, common side effects may include mild headache, flushing, nasal congestion, upset stomach, and abnormal vision. The company states these typically diminish as the body adjusts to daily dosing. Do not take if using nitrates for chest pain or with severe heart or liver conditions. Always review the complete safety information provided with your prescription.

Disclaimers

Content and Medical Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. The descriptions of potential benefits are not guarantees and are not a substitute for an individualized medical evaluation. EPIQ Chews is a compounded prescription medication that requires evaluation by a licensed clinician. The information provided here does not replace the professional judgment of your healthcare provider.

Compounded Medication Notice: EPIQ Chews is a compounded prescription medication prepared by a licensed pharmacy based on an individual prescription. Compounded medications are not FDA-approved as finished products. They are prepared using active ingredients sourced from FDA-registered facilities under the direction of a prescribing clinician.

Results May Vary: Individual results will vary based on factors including age, baseline health condition, lifestyle factors, consistency of use, genetic factors, current medications, and other individual variables. While some customers report improvements, results are not guaranteed. People who write reviews are self-selected - satisfied customers are more likely to post feedback than those with neutral or negative experiences.

FTC Affiliate Disclosure: This article contains affiliate links. If you purchase through these links, a commission may be earned at no additional cost to you. This compensation does not influence the accuracy, neutrality, or integrity of the information presented. All descriptions are based on published research and publicly available information.

Pricing Disclaimer: All prices, discounts, and promotional offers mentioned were accurate at the time of publication (February 2026) but are subject to change without notice. Always verify current pricing and terms on the official OnyxMD product page before making your purchase.

Publisher Responsibility Disclaimer: The publisher of this article has made every effort to ensure accuracy at the time of publication. We do not accept responsibility for errors, omissions, or outcomes resulting from the use of the information provided. Readers are encouraged to verify all details directly with OnyxMD and their healthcare provider before making decisions.

Insurance Coverage Note: Many direct-to-consumer prescription products may not be covered by traditional insurance plans, but coverage policies vary. Always confirm benefits directly with your insurer. Some HSA/FSA plans may reimburse qualifying expenses; check your specific plan rules.

SOURCE: OnyxMD

Source: OnyxMD