ED Medication Costs: Verified Prices by Provider
What ED medications cost on the telehealth plans we could verify, checked on November 1, 2026, plus the insurance rules and fees to watch for.
What you pay for ED medication depends on the drug, the strength, how often you take it and how the seller bills you. In this article's tables and answers, we only print a price when we read it on the seller's own page and kept a screenshot of it. The provider cards on this page show offers we have not checked that way, apart from the per-dose price on the Taurus card. On November 1, 2026, our checks gave us monthly prices from two providers. Strut listed tadalafil 10 mg at $60 and 20 mg at $120 for a 30-day supply, with two 5 mg tablets per dose at 10 mg and four at 20 mg. Maximus listed compounded sildenafil starting at $49.99 a month. The same day, Taurus's homepage listed its compounded Charge liquid at $12.99 a dose or less, and Taurus is the only seller whose per-dose price we verified. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. One seller's per-dose price cannot rank doses, so this page does not name a cheapest dose.
Prices We Verified on November 1, 2026
Each price in this table is one we read on the seller's own page. Not verified means we have no price we can back up right now, not that the drug is unavailable.
| Provider | Monthly Cost | Per Dose | Consultation | Shipping | Notes |
|---|---|---|---|---|---|
| Sildenafil | Compounded sildenafil at Maximus: starting at $49.99 a month | Not verified | Check with the seller | Maximus lists free priority shipping | Maximus says its medications are compounded. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. |
| Tadalafil | Strut: $60 (10 mg) or $120 (20 mg) for a 30-day supply. Compounded tadalafil at Maximus: starting at $53.99 a month | Not verified | Strut says its price includes provider consultations | Free at Strut; Maximus lists free priority shipping | Strut describes its tadalafil tablets as FDA-approved and not compounded, and lists two 5 mg tablets per dose at 10 mg and four at 20 mg. Maximus says its medications are compounded. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. |
| Vardenafil | Compounded vardenafil at Maximus: starting at $59.99 a month | Not verified | Check with the seller | Maximus lists free priority shipping | Maximus says its medications are compounded. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. |
| Avanafil (Stendra) | Not verified | Not verified | Prescription required | Check with the seller | Brand name Stendra. |
Top Erectile Dysfunction Providers by Value
Start for Free - Daily Tadalafil & Custom ED Formulas
- FDA-approved generic Tadalafil and Sildenafil prescribed online by U.S.-licensed physicians
- Once-daily Tadalafil dosing available for always-ready spontaneity
- Strut Mojo: oral Enclomiphene + Tadalafil combo. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Optional at-home test kit measures Testosterone, DHEA-S, Estradiol, Cortisol and SHBG
Compounded Charge™ Liquid - $12.99/Dose or Less
- Charge™ liquid ED treatment listed at $12.99 per dose or less, a compounded four-drug formula that is not FDA-approved and has not been reviewed by the FDA for safety, effectiveness, or quality
- Charge™ blends sildenafil, tadalafil and vardenafil with apomorphine, whose US approvals are all for Parkinson's disease rather than ED
- 100% online - prescribed and monitored by licensed clinicians, then shipped to you
- Part of a full men's health platform: TRT, peptides and hair regrowth
ED Treatment From $22/mo - Sildenafil or Tadalafil Chews From $30/mo
- Generic sildenafil and tadalafil plus prescription-strength flavored chews. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Combo plans: Sex Rx + Hair Health from $35/mo, Sex Rx + Climax Control from $39/mo
- Daily options available so you're never caught off guard
- 100% online consultation, free and discreet shipping
Cost Breakdown by Medication Type
Sildenafil
The one sildenafil price we could verify is compounded, not an FDA-approved generic. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Tadalafil
Tadalafil is where we can compare two sellers, though not like for like. Strut describes its tadalafil tablets as FDA-approved and not compounded. Maximus says its medications are compounded. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Vardenafil
Vardenafil is a PDE5 inhibitor like sildenafil, and Maximus's compounded version is the only vardenafil price we could verify. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Brand-Name Medications (Viagra, Cialis)
We have no verified price for brand-name Viagra or Cialis right now, so we do not print a brand price or a savings figure built on one. FDA's drug database lists brand Levitra as discontinued. If you are weighing a brand against a generic, ask the seller for both prices at the strength you were prescribed.
Insurance Coverage for ED Medications
Coverage for ED medications depends on your plan, and federal programs restrict it. Medicare Part D excludes drugs used for sexual or erectile dysfunction, per the CMS Part D benefit manual. Check your own plan before assuming coverage.
Commercial Insurance
Coverage: Varies by plan
Coverage and copays depend on your plan and formulary, so check before you fill a prescription.
Medicare
Coverage: Part D excludes drugs used for ED
The CMS Part D manual excludes agents used for sexual or erectile dysfunction. They qualify only when prescribed for another FDA-approved use, such as pulmonary hypertension, and not for off-label use.
Medicaid
Coverage: Federal Medicaid funds exclude drugs used for ED
Section 1903(i)(21) of the Social Security Act bars federal Medicaid payment for drugs used to treat sexual or erectile dysfunction, unless they are used for another FDA-approved condition. Check with your state program.
HSA/FSA
Coverage: Prescribed medicines generally qualify
IRS Publication 502 lets you include amounts you pay for prescribed medicines in medical expenses. Publication 969 ties HSA spending to medical care as defined in Code section 213(d), and says FSA expenses are those your plan specifies that would generally qualify for the medical deduction. Confirm with your plan.
Generic vs Brand-Name ED Medications
FDA-approved generic sildenafil, tadalafil and vardenafil have the same active ingredient and strength as Viagra, Cialis and Levitra, and FDA requires them to be bioequivalent to the brand. FDA says approved generics work in the same way and are manufactured under the same strict standards. Compounded versions are not generics. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
| Medication | Non-Brand Price | Brand-Name | Savings |
|---|---|---|---|
| Sildenafil vs Viagra | FDA-approved generic: not verified | Not verified | Not calculated, no verified prices to compare |
| Tadalafil vs Cialis (10 mg or 20 mg) | Tadalafil at Strut: $60 (10 mg) or $120 (20 mg) for a 30-day supply, with two 5 mg tablets per dose at 10 mg and four at 20 mg | Not verified | Not calculated, no verified brand price to compare |
How to Save Money on ED Medications
- Ask your prescriber whether an FDA-approved generic fits you before you pay for a brand name.
- Price the strength you were actually prescribed. At Strut, a 30-day supply of tadalafil is $60 at 10 mg and $120 at 20 mg, so the strength can double your bill. Strut lists two 5 mg tablets per dose at 10 mg and four at 20 mg, so ask how many doses your supply holds.
- Check how the price is billed. A per-dose price, a pack price and a monthly plan are not comparable until you convert them to the number of doses you expect to use. A "starting at" price may cover only a few doses: Maximus says its compounded plans start with a 4-count, 1-month plan.
- Ask what the price includes. Strut says its price includes provider consultations and free shipping. Other sellers may bill visits separately.
- Find out whether the product is compounded before you compare it with a generic. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- If you have an HSA or FSA, ask your plan whether it covers your prescription and visit fees.
- If you already have a prescription, compare cash prices at local pharmacies before you order online.
What the Sticker Price Leaves Out
- If you see a doctor in person, add any visit fee to the price of the medication.
- Some telehealth platforms charge per visit, and you buy the medication separately at a local pharmacy. Add both, then compare.
- Subscriptions can renew on their own. Maximus, for example, says its plans bill every 30 days and auto-renew. Read the billing and cancellation terms before you commit.
- Longer supplies can change what you pay on day one. Strut, for example, also lists a 90-day tadalafil supply, so check the amount due at checkout and not only the monthly figure.
- Check whether any platform you consider charges for follow-up visits or provider messages.
Frequently Asked Questions
What is the cheapest ED medication?
We cannot name one right now, because a ranking needs per-dose prices from more than one seller, and we verified them from only one. Taurus listed its compounded Charge liquid at $12.99 a dose or less on its homepage on November 1, 2026, and that does not make it the cheapest: the comparison table on Taurus's own Charge page lists other sellers' products at a lower price per dose, figures we did not verify. The monthly prices we verified that day came from two providers, including compounded sildenafil at Maximus, starting at $49.99 a month, and tadalafil 10 mg at Strut at $60 for a 30-day supply. Both of those sellers also list other plans we did not verify. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Is generic sildenafil as good as brand Viagra?
FDA-approved generic sildenafil has the same active ingredient and strength as brand Viagra, and FDA requires it to be bioequivalent. FDA says a generic must be the same as the brand in dosage, safety, effectiveness, strength, stability and quality. This applies to FDA-approved generics, not to compounded versions. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
How much do ED medications cost per month?
On November 1, 2026, tadalafil at Strut was $60 (10 mg) or $120 (20 mg) for a 30-day supply, with two 5 mg tablets per dose at 10 mg and four at 20 mg. At Maximus, compounded sildenafil started at $49.99 a month, compounded tadalafil at $53.99 and compounded vardenafil at $59.99. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Does insurance cover ED medications?
Coverage depends on your plan. Medicare Part D excludes drugs used for sexual or erectile dysfunction unless they are prescribed for another FDA-approved use, per the CMS Part D manual.
Which ED medication lasts the longest?
We can only compare two. The FDA label for Cialis says as-needed tadalafil improved erectile function compared with placebo up to 36 hours after a dose. Strut lists sildenafil at up to 4 hours on its sildenafil page and 4 to 6 hours in its tadalafil comparison table. One figure is from a drug label and the others are from a seller, so this is not a head-to-head result, and individual results vary. Ask a licensed provider how long a medication may last for you.
Will an HSA or FSA pay for ED medications?
Possibly. IRS Publication 502 lets you include amounts you pay for prescribed medicines in medical expenses. Publication 969 ties HSA spending to medical care as defined in Code section 213(d), and says FSA expenses are those your plan specifies that would generally qualify for the medical deduction. Confirm with your plan administrator before you pay.
Is tadalafil or sildenafil cheaper?
We cannot say in general, because we have no verified price for FDA-approved generic sildenafil. The one seller where we verified both is Maximus, where compounded sildenafil started at $49.99 a month and compounded tadalafil at $53.99 on November 1, 2026. Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Where is the cheapest place to buy ED medication?
Our verified prices do not settle that. Compare the total for the strength you were prescribed, including any visit fee, shipping and the billing term. If you already have a prescription, a local pharmacy may also be an option.
Sources & References
Our comparisons are informed by official sources and regulatory guidelines. We encourage you to verify information with authoritative sources.
- FDA Drug InformationOfficial FDA drug safety and approval information
- American Urological AssociationClinical guidelines for ED treatment
- NIH National Library of MedicineComprehensive ED health information
- Mayo ClinicSymptoms, causes, and treatments
Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards
Start With a Top Erectile Dysfunction Provider
Start for Free - Daily Tadalafil & Custom ED Formulas
- FDA-approved generic Tadalafil and Sildenafil prescribed online by U.S.-licensed physicians
- Once-daily Tadalafil dosing available for always-ready spontaneity
- Strut Mojo: oral Enclomiphene + Tadalafil combo. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Optional at-home test kit measures Testosterone, DHEA-S, Estradiol, Cortisol and SHBG
Compounded Charge™ Liquid - $12.99/Dose or Less
- Charge™ liquid ED treatment listed at $12.99 per dose or less, a compounded four-drug formula that is not FDA-approved and has not been reviewed by the FDA for safety, effectiveness, or quality
- Charge™ blends sildenafil, tadalafil and vardenafil with apomorphine, whose US approvals are all for Parkinson's disease rather than ED
- 100% online - prescribed and monitored by licensed clinicians, then shipped to you
- Part of a full men's health platform: TRT, peptides and hair regrowth
ED Treatment From $22/mo - Sildenafil or Tadalafil Chews From $30/mo
- Generic sildenafil and tadalafil plus prescription-strength flavored chews. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Combo plans: Sex Rx + Hair Health from $35/mo, Sex Rx + Climax Control from $39/mo
- Daily options available so you're never caught off guard
- 100% online consultation, free and discreet shipping
Ready to Compare Providers?
Use our cost calculator to get personalized pricing estimates based on your insurance and location.
Disclaimer: Pricing information is based on publicly available data and may change without notice. Actual costs depend on your specific treatment plan, insurance coverage, and provider. Always verify current pricing with providers before purchasing. This article is for informational purposes only and is not financial or medical advice. We may receive compensation through affiliate links, which helps support our research.
Regulatory noticeRegulatory note (verified October 8, 2026): The FDA reviewed struthealth.com in December 2025 and, on February 20, 2026, issued Strut Health, LLC a warning letter, MARCS-CMS 721448. It raises two separate problems. Pictured product labels carry the "Strut" name, which the agency said represents Strut as the compounder of the semaglutide and tirzepatide products when it is not. The letter also quotes three claims from the site, among them "Generic Zepbound, Mounjaro", along with site copy naming semaglutide and tirzepatide as the active ingredient in the brand medications. Because compounded drugs hold no FDA approval, the FDA said wording of that kind implies one, and it cited misbranding under sections 502(a) and 502(bb) of the FD&C Act. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for Strut Health, LLC on October 8, 2026 it showed no response letter and no close-out letter, so we treat the matter as open. Read the FDA letter
Regulatory noticeRegulatory note (verified October 31, 2026): On September 9, 2025 the FDA sent Hims & Hers Health, Inc. a warning letter covering the Hims brand, MARCS-CMS 716567, drawn from a review of hims.com the previous month. Two lines about compounded semaglutide are quoted in it: "Same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." Compounded drug products are not FDA-approved, and the agency said phrasing of this sort suggests otherwise, which is what makes the products misbranded under FD&C Act sections 502(a) and 502(bb). A companion letter went to the same company that day for its Hers brand. No close-out letter appears in FDA’s index; treat this as open. Read the FDA letter
Regulatory noticeRegulatory note (verified October 8, 2026): On February 20, 2026 the FDA issued MEDVi, LLC a warning letter (MARCS-CMS 721455) citing misbranding under sections 502(a) and 502(bb) of the FD&C Act. Reviewing medvi.io in December 2025, the FDA said labels bearing "MEDVi" implied MEDVi compounds the drugs when it does not, and that site copy presenting the compounded drug as having the same active ingredient as Wegovy and Ozempic, and as Mounjaro and Zepbound, implied an FDA approval compounded drugs do not have. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for MEDVi, LLC on October 8, 2026 it showed no response letter and no close-out letter entered against it, so the letter is not closed out on the public record. MEDVi states medvi.io is affiliate-operated rather than company-operated; we could not verify that, and the letter is addressed to MEDVi, LLC. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): A May 2026 review of maximustribe.com led the FDA to issue Maximus Health, Inc. warning letter MARCS-CMS 730095 on June 8, 2026. The language quoted here concerns effect and sourcing rather than ingredient comparison: "Clinically studied ingredients," "Clinically studied to help patients...," and "Proven to lose weight effectively," alongside a statement that the compounded products come from "FDA approved pharmacies." On that last point the agency was explicit that no FDA-approved or FDA-licensed designation exists for compounding pharmacies or outsourcing facilities, so describing one that way is misleading. Both findings were cited as misbranding under FD&C Act 502(a) and 502(bb). Nothing in FDA’s index records a close-out, so we log the matter as open. Read the FDA letter
Verification limitationVerification note (checked August 23, 2026): we could not identify the legal entity behind HealthRx through public records. Its website does not name an operating company, its domain registration is privacy-shielded, and we could not confirm a listing in any business registry or accreditation database we checked. This is not a finding of wrongdoing. It means our usual checks, including our search of FDA enforcement records, could only be run against the brand name and domain rather than a confirmed company.