Jeff, unless you are going to an ED specialist, it is probably unlikely that the doc will have Trimix, and maybe not even Bimix for trial. The Caverject has a long shelf life, the Bimix has less so, but still good, and the Trimix has the shortest shelf life, so most doc's don't keep it in supply, plus it has to be specially prepared in a special pharmacy. They usually want to start off with alprostadil (Caverject) in some form. That's the one that usually gives the pain and aching, if it is going to affect the user. Normally, Trimix and Bimix are ordered from Compounding Pharmacy. I'll post a link to the list of the ones our guys use at the end. The Caverject Impluse system is off the market still, I think, it was due back this summer sometime, but it costs around $40 a shot, the powder form of the same, reconstituted with sterile water is available, and costs me $34 per 1ml vial and the packaging says to use one dose and throw away the remainder. Either way, it's expensive.
Most docs have a set formula to start off with for the initial try, and then adjust from there. No matter what happens the first time, make sure you discuss the use of Trimix and Bimix with your doc, and see if you can come away with a prescription for one or both. The Trimix costs $94, including cold pack shipping, and Bimix costs $57 for a 5 ml. bottle. You know the standard formulas for them, don't you? Bimix is 30mg papaverine/1mg phentolmine per ml, Trimix is the same with the addition of either 10mcg or 20mcg of alprostadil. The average dose of Trimix seems to be around .08 to .1ml and Bimix .2ml to .4ml.(that's .1ml to 10 units on an insulin syringe.) There's some special techniques for guys whose veinous valve function hasn't recovered yet, if you need to know them, just ask. I think I may have shared it with you earlier.
Compounding Pharmacies: https://www.healingwell.com/community/default.aspx?f=35&m=1017774