This article explains how renewals, pharmacy fulfillment, and communication with your clinician work while you’re on the Blood Flow Protocol.
Usage & Treatment Structure
Your clinician will determine:
Which medication is appropriate (tadalafil, sildenafil, vardenafil, or a combination)
Whether daily or as-needed use is best for your symptoms and goals
How long to stay on a given approach before reassessment
The protocol is personalized. You should not change how you take your medication without first consulting your clinician.
Check-Ins and Clinical Monitoring
Follow-up reviews help ensure your treatment remains safe and effective. Your clinician may ask about:
How the medication is working during sexual activity
Any side effects you notice
Variability in firmness or duration
Lifestyle factors that may influence results
These check-ins allow your clinician to make adjustments if needed.
Renewals and Refills
A renewal may require:
A brief symptom check-in
Confirmation of your overall health status
Updates on your experience with the medication
Your clinician’s medical judgment on safety
If required information is missing, your clinician may request additional details before approving a refill.
Pharmacy Fulfillment
Once your clinician approves your renewal:
The prescription is sent to a partner pharmacy
The medication is prepared according to your clinician’s orders
Shipping timelines vary based on carrier and location
If the pharmacy needs additional information to complete your order, Support can help coordinate.
Shipping & Tracking
Most orders ship from a pharmacy hub. When your medication is fulfilled:
You’ll receive an email with tracking information
Shipping times vary by destination and carrier
Delivery issues can be resolved by contacting Support
If you update your shipping address, ensure it is reflected in your account before your next refill.
State Availability
The Blood Flow Protocol is offered in states where Maximus clinicians are licensed to provide care. If you move or change your address, availability may change. Your patient portal shows which protocols are currently available in your state.
Messaging Your Clinician
Use your patient portal to reach out if you have:
Questions about your response to medication
Side effects or unexpected symptoms
Changes in health or new medications
Questions about switching between options (tadalafil, sildenafil, vardenafil)
Urgent or severe symptoms should always be addressed through emergency medical care rather than portal messaging.