The lowest-total-cost pattern on this site

Put together, these four steps are usually the cheapest legitimate way to treat erectile dysfunction in the US:

  1. One consultation with a clinician who can also check blood pressure, HbA1c and lipids — the things telehealth cannot do.
  2. A prescription for generic tadalafil, at the dose and quantity that suits you.
  3. Fill it at a transparent-pricing or warehouse pharmacy.
  4. An annual review rather than a monthly subscription.
FAQ

Frequently asked questions

Is tadalafil cheaper than sildenafil overall?
Per tablet, usually slightly more. Per month, often less — because one dose covers up to 36 hours, so fewer are needed for the same coverage.
Can I get the daily 5 mg strength?
Availability of specific strengths changes. Search the current formulary for the exact strength before relying on it.
Do I still need to see a clinician?
Yes, for the prescription — and you should, because erectile dysfunction warrants a cardiovascular and metabolic check that no pharmacy performs.
Sources

What this is based on

We link to primary sources — clinical guidelines, regulator publications and peer-reviewed research — wherever possible. Links open on third-party sites we do not control.

  1. [01]National Association of Boards of Pharmacy. Digital Pharmacy Accreditation and safe site listings.
  2. [02]U.S. Food and Drug Administration. Drugs@FDA — approved drug products and prescribing information.
  3. [03]American Urological Association. Erectile Dysfunction: AUA Guideline (2018).