Frequently Asked Questions

Frequently Asked Questions

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Men’s health can encompass a wide variety of topics including social, emotional, mental, physical, and sexual wellness.  NuCara Men’s Health aims to improve the awareness, education, support, and treatment of men’s sexual wellbeing by providing services in these areas:


  1. Education from qualified healthcare professionals on topics such as men’s health, sexual function and pleasure, related to erectile dysfunction, Peyronie’s Disease, as well others.
  2. Medications, both compounded and commercially available, for the treatment of erectile dysfunction by prescription from your doctor.
  3. Devices, such as vacuum pumps, traction devices, and toys to provide therapy and enhancement of sexual function and pleasure.

Ask your primary care physician for an evaluation, they can prescribe medications for ED including:

  1. Oral PDE-5 inhibitors such as Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil), Staxyn (vardenafil), and Stendra (avanafil).
  2. Penile suppository such as Muse (alprostadil)
  3. Penile intracavernosal injections such as Edex/Caverject (alprostadil)
  4. Compounded penile intracavernosal injections such as BiMix (papaverine/phentolamine), and TriMix (papaverine/phentolamine/alprostadil)


**Always inform your healthcare providers other medications you may take or medical conditions you may have as this can determine which products are safe for you to use.

They can call NuCara Pharmacy any time during business hours to discuss treatment options with a pharmacist.

You can think of it like getting a vaccination. There may be an initial sting or feeling of pressure, but in most cases this quickly goes away after the injection. Be sure to apply pressure to the area after injection to help stop bleeding.

At NuCara we carry a product called the Autoject 2 EI that is an easy to use auto-injection device that can ease giving an injection and help with needle phobia. Please contact NuCara to further discuss or click here to purchase.

Yes, proper technique of penile injections have been shown to be safe.  Your pharmacist will instruct you in the proper use to prevent complications such as scarring, bruising, infection, and adverse effects such as an erection lasting too long (also known as priapism).

This depends on your insurance carrier but many prescription insurance companies now cover commercially available products for ED or may cover them after prior authorization review between your doctor and the insurance company.  A good place to start is to contact your insurance provider or check their formulary page.


NuCara Pharmacy is a non-provider with commercial insurance plans for compounded medications. This means that compounded medications will not be covered prior to receiving the compounded medication and will be an out-of-pocket expense in most cases.  You may be able to submit for manual reimbursement through your insurance provider depending on your plan.


With that said, most ED compounded medications are not covered by prescription insurance plans but we offer these products for a reasonable price. Please contact us to inquire more on pricing.

These compounded medications must be stored in the freezer when not in use.  When ready to use, simply set them on a counter at room temperature for about 5 minutes, and allow to completely thaw before preparing the medication for use.  Return it to the freezer immediately after use. This will help prevent or minimize stability and sterility issues.

These compounded medications should be returned to the freezer immediately after use to ensure sterility and potency.  This compounded sterile product should not be used if left at room temperature for more than 24 hours or when left in the refrigerator for more than 3 days.


The best way to avoid shortening the product’s discard date is to ALWAYS return the vial of medication to the freezer after preparing your dose. Ask your pharmacist if you are at all unsure.

Compounded intracavernosal injection medications (i.e., Trimix, BiMix) require the use of syringes and alcohol pads.  At Nucara, we have kits available for purchase with your medication consisting of 10 syringes and 20 alcohol pads.  Two alcohol pads are used with each use of the medication, one to clean the vial containing the medication and one to clean to injection site.


*Alcohol should be allowed to fully dry before preparing or administering medication, this will ensure proper sanitization and reduce stinging with the injection.

The medication’s discard date is determined by state and federal rules and regulations and will depend on the medication. These details will be discussed with you during the pharmacist counsel at the first fill of your compounded medication.

Yes, you can travel with these medications as long as you follow TSA policy on traveling with prescription medications as described on the TSA website: and the medication is properly stored during travel.


Unused syringes can be placed in a checked bag, or a carry-on bag if accompanied by the injectable medication and must be declared to security officers at checkpoints for inspection, the medication should also be in a container that has been labeled by your pharmacy (although this is not strictly required it will greatly speed up the checking process).


TriMix should be kept frozen (-13°F to 14°F) for the duration of the journey by using an appropriate container along with enough dry ice to keep the product frozen for the entire duration. The vial of Trimix should NOT have direct contact with the dry ice.  The FAA limit of dry ice is 5.5 pounds, and must be properly packaged and labeled. (Individual airlines may have their own policies regarding the use of dry ice and should be checked with prior to travel.)

Yes, currently NuCara can ship this medication within the state of Iowa or Texas. Due to the freezer storage requirements of this medication and the product requiring dry ice, this typically costs an additional $20 to $30.

No, these are not prescription items and can be purchased from us anytime without a prescription.

No, these are not prescription products and are not covered by insurance.

No, a prescription medication is for single-patient use only and should only be used by the person it is prescribed for after evaluation by a medical professional.  Improper use of a ED medication can lead to harm (including death). Sharing of injectable medications may also lead to sterility issues resulting in unwanted infection by bacteria, fungi, and viruses.