This article covers the prescription, refill, and shipping process for the Blood Flow Protocol. For information on what the medications do and how they work, see Blood Flow Protocol: Patient Guide.
Starting the protocol
If your clinician determines the Blood Flow Protocol is appropriate, they review the treatment plan with you through your Maximus portal. This typically includes:
The medication that best fits your health profile (tadalafil, sildenafil, vardenafil, or a customized formulation)
Medication instructions and dosing schedule
Safety guidance
Treatment expectations
Follow-up recommendations
Prescription fulfillment
Once your clinician issues the prescription, it's sent to a licensed pharmacy partner. The pharmacy prepares the medication and ships it to the address listed in your Maximus account.
For typical fulfillment timelines and tracking, see Prescription Fulfillment & Shipping.
Ongoing treatment management
During treatment, your clinician may monitor your progress through:
Follow-up questionnaires
Secure messaging in your patient portal
Periodic treatment reviews
These check-ins help ensure the protocol remains safe and effective.
Renewals and refills
Refills follow the standard Maximus renewal process — see Prescriptions, Refills, and Renewals for the general workflow. If your clinician has prescribed a specific refill cadence (daily protocol vs. as-needed), they'll confirm timing through your portal.
Messaging your clinician
You can message your clinician through your patient portal for non-urgent questions about symptoms or side effects, treatment progress, refill timing, or medication questions.
For account or scheduling issues, contact Maximus support.
For urgent or severe symptoms, seek emergency medical care and refer to the When to seek urgent care section in the Patient Guide.