PepScribe
A PepScribe-branded Fem Max compounded sublingual troche bottle, angled against a soft studio backdrop.
A sexual health option for women

Fem Max, women's sexual health, prescribed properly.

Starting from

$129/mo
Take the free assessment

Free online visit. You only pay when prescribed.

Fem Max is a dissolvable troche compounded for women, combining tadalafil, oxytocin, and PT-141 in a single lozenge taken before intimacy. Women's sexual health is under-served, and this is a clinician-led option: a US-licensed clinician reviews your history and prescribes it only when appropriate. Compounded in the USA by licensed 503A pharmacies. No hidden overseas supply chain.

  • Clinician-led, US-licensed
  • Made for women
  • Single dissolvable troche
  • Compounded in the USA by licensed 503A pharmacies

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.

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What it is

A compounded troche made for women

Fem Max is a compounded troche, a small lozenge that dissolves between the cheek and gum, prepared for women. It combines tadalafil, oxytocin, and PT-141 in a single formulation taken before intimacy. Women's sexual health has historically had far fewer options than men's, and a compounded troche is one way a clinician can offer a tailored approach.

Because it is a combination compounded to a specific formula, it is prescribed only by a US-licensed clinician after a review of your history and current medications, and it is compounded in the USA by a licensed 503A pharmacy under your prescription. Compounded medications are not FDA-approved drugs, and a combination like this is not appropriate for everyone.

How it fits

One troche, a clinician's decision, a safety review

01

A single troche

You place one troche between your cheek and gum and let it dissolve before intimacy, rather than combining separate products. Your clinician sets the formula and how to use it.

02

Three ingredients, one decision

Tadalafil, oxytocin, and PT-141 each play a role a clinician may consider in women's sexual health. Combining them into a compounded troche is a clinical decision, not a fixed product you select yourself.

03

Reviewed for safety

Your clinician screens your history and current medications, including any nitrates or blood-pressure medications, before prescribing. If it is not a safe fit for you, it is not prescribed.

Sourcing and safety

Prescribed by a clinician, compounded in the USA.

From who writes the prescription to where the troche is compounded, the chain behind your medication is transparent by design.

A clinician of record

A US-licensed clinician reviews your history and current medications, discusses the option, and is your prescriber of record. Nothing is dispensed without a clinical decision.

Compounded in the USA

Your Fem Max troche is compounded in the USA by a licensed 503A pharmacy under your prescription. No hidden overseas supply chain.

Reviewed for interactions

Because it contains tadalafil, your clinician screens for nitrates and blood-pressure medications so a prescription fits your health rather than working against it.

A confident Black American woman in her early fifties in her garden, poised and radiant.

Who it's for

For women who want a real, prescribed option, not an afterthought.

Fem Max is considered for women whose history and current medications a clinician has reviewed and for whom a combination troche is appropriate. Eligibility is a clinical decision made by your prescriber.

  • Lower desire or arousal that you want evaluated as part of your health
  • You want a discreet lozenge taken before intimacy rather than several products
  • You are willing to complete a clinical review of your history and medications
  • You want a prescribed, US-compounded option rather than something sourced off a shelf

A clinician reviews your history and current medications and prescribes only when it is appropriate. This combination is not right for everyone, and if it is not appropriate you are never charged for a medication you were not prescribed.

A PepScribe-branded Fem Max compounded sublingual troche bottle on a warm walnut nightstand beside a lamp, a book and a glass of water.

What you receive

A clinician-prescribed troche, delivered discreetly

Your online visit is free. You only pay if a clinician prescribes, and one price then covers the medication, the clinical care, and discreet shipping.

  • A free, private online visit with a US-licensed clinician
  • A Fem Max troche compounded for you when appropriate
  • Compounded in the USA by a licensed 503A pharmacy
  • A safety review of your history and current medications
  • Discreet shipping and packaging
  • An ongoing line to your care team for questions

Starting from

$129/mo
Take the free assessment

Free online visit. You only pay when prescribed.

  • Cancel anytime
  • No insurance needed
  • Discreet shipping
  • HSA/FSA eligible

Compounded medications are not FDA-approved drugs. Fem Max combines tadalafil, oxytocin, and PT-141 and is prescribed only by a licensed clinician after review of your history. It can interact with nitrates and certain blood-pressure medications; your clinician screens for this before prescribing. This combination is not appropriate for everyone.

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.

Fem Max questions

Things people ask before they sign up.

If something is not here, reach out, we'd rather answer it plainly than have you guess.

What is in Fem Max?

It is a compounded troche for women combining tadalafil, oxytocin, and PT-141, prepared by a licensed 503A pharmacy to a formula your clinician prescribes. Compounded medications are not FDA-approved drugs.

How is it taken?

You place one troche between your cheek and gum and let it dissolve before intimacy. Your clinician explains exactly how and how often to use it.

Is women's sexual health taken seriously here?

Yes. Women's sexual health has historically had fewer options than men's, and Fem Max is one clinician-led option among them. A US-licensed clinician reviews your history and prescribes only when it fits, the same standard applied across our care.

Is it FDA-approved?

No. It is a compounded combination and is not an FDA-approved drug. It is prescribed by a US-licensed clinician and compounded in the USA by a licensed 503A pharmacy under your individual prescription.

How much does it cost?

The online visit is free. If a clinician prescribes, pricing starts at $129/month after approval, covering the medication, clinician care, and discreet shipping. You only pay if you're prescribed.

Women's sexual health, handled properly.

Take the free assessment. A US-licensed clinician reviews your history and prescribes Fem Max only when it is appropriate. The online visit is free, and you only pay if you're prescribed.