North American Airlines

What North American Airlines does

Shinbashi First Clinic (新橋ファーストクリニック) is a private, male-only outpatient medical clinic located in Shimbashi, Minato-ku, Tokyo, specializing in the diagnosis and pharmacological treatment of erectile dysfunction (ED) and premature ejaculation (PE). The clinic serves adult male patients experiencing psychogenic, organic, drug-induced, or mixed sexual dysfunction, and operates on a strict self-pay (自由診療) basis — no Japanese national health insurance is accepted, and all staff (physicians, pharmacists, reception) are male to reduce patient embarrassment. Free medical consultations are a deliberate loss-leader: revenue is generated entirely from in-clinic dispensing of prescription medications, priced per tablet.

The clinical product set is a curated formulary of PDE5 inhibitors and an SSRI: branded and generic Sildenafil (Viagra and Japanese generics "DK", "Teva", "Towa"), branded and generic Tadalafil (Cialis and generics "TCK", "Sawi"), Vardenafil (Levitra — discontinued in October 2022 after Bayer ceased global production — and its generic "Sawi"), and Dapoxetine (Priligy and generic Pozzet) for PE. Per-tablet unit pricing ranges from 380 JPY (Sildenafil DK 25mg) to 3,000 JPY (Priligy 60mg), with no minimum purchase quantity. The clinic introduced online/telemedicine consultations in April 2020 in response to COVID-19, with prescriptions mailed to patients; booking runs through a third-party platform (first-clinic.jp) and a LINE official account.

The go-to-market is direct-to-consumer, driven by an SEO-optimized content site (flynaa.com) carrying educational content, ED self-check tools, drug comparison tables, side-effect guides, manga-format patient testimonials, and per-drug landing pages. Marketing is essentially content marketing and organic search targeting Japanese-language queries around ED and PE. Distribution is single-channel: one physical clinic plus mail-delivery telemedicine, serving the Kanto region and — via the online channel — anywhere in Japan. The clinic competes in a fragmented Japanese men's health segment against other ED-specialist clinics (e.g., Ebisu, Ueno, Ikebukuro-based peers) and the larger gray-market of personal drug importation, which the website explicitly addresses as a content topic.

Name

North American Airlines

Legal name

新橋ファーストクリニック

Website

https://flynaa.com

Company type

Private

Operating status

Operating

Headcount range

101–250 employees

Short description

Shinbashi First Clinic is a private, male-only Tokyo clinic that prescribes and dispenses per-tablet ED medications (Sildenafil, Tadalafil, Dapoxetine) and offers telemedicine, operating entirely on a self-pay model with free consultations.

Ownership category

akta.pro rank

Product category

Men's Sexual Health Specialty Clinic

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians (6211)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Male Reproductive & Sexual Medicine (Andrology) (HLAKAOAD)

Keywords

• Erectile dysfunction treatment
• Premature ejaculation medication
• Male sexual health clinic
• PDE5 inhibitor prescription
• Telemedicine consultation

Headquarters

HQ city

Tokyo

HQ country

Japan

HQ region

Asia

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Infrastructure, Technology or R&D

Revenue model

1. ED/PE Medication Dispensing: Revenue generated from prescribing and dispensing erectile dysfunction medications (Viagra, Levitra, Cialis and generics) and premature ejaculation medication (Priligy/Dapoxetine). All services are self-pay (free medical examination/re-examination/consultation fees). Medications are dispensed in-clinic.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

The clinic provides direct prescription and dispensing of erectile dysfunction medications (Viagra/Sildenafil, Levitra/Vardenafil, Cialis/Tadalafil and their generics) and premature ejaculation medication (Priligy/Dapoxetine and generics) to adult male patients in Japan. All consultations, prescriptions, and dispensing are handled by male staff in a single-location specialty clinic in Shimbashi, Tokyo, with telemedicine (online consultation) and mailed prescription delivery introduced during the COVID-19 pandemic. Services are self-pay (no health insurance), with free consultation, re-examination, and prescription fees; revenue is generated from medication unit sales.

Product overview

新橋ファーストクリニック (Shinbashi First Clinic) is a male-only medical clinic specializing in ED (erectile dysfunction) and premature ejaculation treatment located in Shinbashi, Tokyo. The clinic offers prescription medications including branded ED drugs (バイアグラ/Viagra with sildenafil, レビトラ/Levitra with vardenafil, シアリス/Cialis with tadalafil), premature ejaculation treatment (プリリジー/Priligy with dapoxetine), and their generic equivalents. The clinic also provides online medical consultations (遠隔診療) and 1-tablet prescription options. All consultations and prescriptions are handled by male staff to ensure patient privacy.

Differentiator

Problem solved

Functional benefit

Products and services

• Viagra (Sildenafil) - 25mg/50mg tablets Branded erectile dysfunction treatment containing sildenafil citrate, originally developed by Pfizer. The first oral ED treatment and the most prescribed ED drug in Japan; for adult male patients with erectile dysfunction.
• Levitra (Vardenafil) - 5mg/10mg/20mg tablets Branded ED treatment containing vardenafil, known for rapid onset of action. Production was discontinued worldwide by Bayer in October 2022; prescribed for adult male patients with erectile dysfunction during availability.
• Cialis (Tadalafil) - 5mg/10mg/20mg tablets Branded ED treatment containing tadalafil, known for longest duration of effect (24–36 hours). Developed by Eli Lilly and sold by Nippon Shinyaku in Japan; for adult male patients seeking flexibility in timing of dosing.
• Priligy (Dapoxetine) - 30mg/60mg tablets World's first oral premature ejaculation treatment medication containing dapoxetine (SSRI class). Prescribed as 30mg or 60mg tablets for adult male patients with premature ejaculation.
• Sildenafil Tablets VI 'DK' - Generic Viagra Generic version of Viagra containing sildenafil citrate. Manufactured by Taisho Pharmaceutical and distributed by Hokkaido Daichi Pharma; offered as a lower-cost alternative for adult male ED patients.
• Tadalafil Tablets CI 'TCK' - Generic Cialis Generic version of Cialis containing tadalafil. Manufactured by Tatsumi Chemical and distributed by various pharmaceutical distributors; offered as a lower-cost alternative for adult male ED patients.
• Sildenafil Tablets VI 'Teva' - Generic Viagra (Teva) Generic Viagra in round pink tablets manufactured by Teva Pharma, featuring anti-counterfeiting measures including micro-text printing and double-seal packaging. Offered as an authenticated lower-cost alternative for adult male ED patients.
• Sildenafil OD Tablets 'Towa' - Orally Disintegrating Generic Viagra Orally disintegrating generic version of Viagra that dissolves in saliva without water, manufactured by Towa Pharmaceutical. Available in lemon and coffee flavors; for adult male patients preferring tablet-free swallowing.
• Pozzet - Generic Priligy (Dapoxetine) 30mg/60mg Generic version of Priligy containing dapoxetine for premature ejaculation treatment, available in 30mg and 60mg dosages. Lower-cost alternative for adult male patients with premature ejaculation.
• Online Medical Consultation (Telemedicine / Remote Consultation) Video-call based online medical consultation service allowing patients to receive prescriptions remotely, with medications mailed to the patient's home. Introduced April 2020 during COVID-19 for first-visit and returning patients who cannot attend the physical Shimbashi clinic.
• In-Clinic ED/PE Consultation and Prescription Dispensing In-person specialist consultation, examination, and in-clinic prescription dispensing for adult male patients with erectile dysfunction or premature ejaculation, provided by all-male staff at the Shimbashi clinic. Free consultation and re-examination fees; medications dispensed in-clinic without external pharmacy referral.

Quantifiable outcome

• Over 80% effectiveness for ED medications

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Expansion highlights5 records

Others

• Towa Pharmaceutical (東和薬品) — generic supplier: Manufacturer of generic Sildenafil OD tablets ('Towa' brand) dispensed by the clinic. Upstream supplier enabling the clinic's generic pricing strategy; relevant for understanding the clinic's generic sourcing economics rather than direct competition.
• Teva Pharmaceutical Japan: Manufacturer of generic Sildenafil VI tablets ('Teva' brand) with anti-counterfeiting packaging dispensed at the clinic. Upstream supplier in the clinic's generic medication portfolio.
• Eli Lilly Japan (Cialis / Tadalafil): Marketer of branded Cialis (Tadalafil) in Japan, one of the principal PDE5 medications the clinic prescribes and dispenses. Pharmaceutical supplier whose product mix and pricing directly shape the clinic's revenue per prescription.

Direct peers

• Hamamatsucho Daiichi Clinic (浜松町第一クリニック): Tokyo-based ED/PE specialty clinic operating on a nearly identical self-pay, in-clinic dispensing model with multiple locations in the Tokyo metro area. Directly comparable in scope (PDE5 + Dapoxetine), pricing structure, and target male patient segment.
• Aozora Clinic (あおぞらクリニック): Japanese online ED/AGA clinic focused on telemedicine-driven prescription dispensing. Competes with Shinbashi First Clinic on the same generic-heavy PDE5 medication menu but without a physical clinic footprint.
• West Clinic (ウエストクリニック): Tokyo-based ED/PE specialty clinic with in-clinic dispensing and online prescription services. Closely comparable in male-only positioning, PDE5 + Dapoxetine portfolio, and self-pay unit pricing.
• Men's Life Clinic (メンズライフクリニック): Japan-wide chain of male-focused clinics offering ED, PE, and AGA treatments with online consultation and dispensing. Closest multi-location analogue to Shinbashi First Clinic, competing on the same self-pay, branded + generic medication mix.
• eLife Clinic (イーライフクリニック): Pure-online Japanese ED/AGA clinic dispensing PDE5 inhibitors and Dapoxetine via telemedicine with mail delivery. Directly comparable in offering (same drug set) and self-pay pricing model; competes on convenience and price rather than physical clinic experience.
• Shinjuku West Exit Clinic (新宿ウエストクリニック): Tokyo Shinjuku-located male sexual health clinic offering ED and PE prescriptions on a self-pay basis. Direct competitor within the same metro area, serving the same target patient profile with comparable unit pricing.

Broad incumbents

• ABC Men's Clinic (ABCクリニック): Larger Japanese men's health network offering ED/PE treatment alongside circumcision, STD testing, and other urological services. Broader service portfolio but overlapping ED/PE prescribing business with Shinbashi First Clinic.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/north-american-airlines

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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