If you ask a Pharmacist they may have some other Over the Counter Alternative that does the same. I have never come across any at the Pharmacy but the Online Stuff is cheap to buy. Certanly better than paying over $100 for 8 Tablets of Viagra that you need a Prescription to get unless your Doctor is handing out Samples as they do cometimes. They may not have Samples of Viagra but they have Cialis or Levitra which is basically the same thing.