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If you have erectile dysfunction and are contemplating taking Cialis, it's likely that you've pondered the associated costs (and if there are ways to cut expenses). Cialis is an FDA-approved medication specifically designed to treat erectile dysfunction (ED). Thanks to its impressive duration of effectiveness – lasting for up to 36 hours – it has earned the nickname “weekend ED pill.” It’s a preferred choice for many individuals seeking reliable treatment for their ED symptoms.

Continue reading as we delve deeper into what Cialis is, the various costs associated with it, and strategies you can utilize to save money, including the availability of generics like tadalafil.

Cialis Treatment

What is Cialis?

Cialis (the generic designation is tadalafil) belongs to a class of medications known as PDE-5 (phosphodiesterase type 5) inhibitors. Other notable PDE-5 inhibitors include widely recognized erectile dysfunction treatments such as Viagra (whose active ingredient is sildenafil) and Levitra (which contains vardenafil). These medications facilitate a person's ability to achieve and sustain an erection once they are sexually aroused. It is vital to understand that Cialis itself does not trigger sexual arousal; rather, it assists in maintaining an erection long enough for fulfilling sexual experiences.

Cialis distinguishes itself from other PDE-5 inhibitors primarily by its extended duration of action. Unlike alternatives such as Viagra, which necessitate ingestion 30 to 60 minutes prior to anticipated sexual activity and remain effective for about 4–5 hours, Cialis can be taken daily and retains its effectiveness for up to 36 hours. This characteristic enhances spontaneity for couples. Additionally, there is an as-needed dosage format for those preferring not to take it daily, which begins to take effect after roughly an hour or two.

For daily treatment, Cialis is available in 2.5 mg and 5 mg tablets. Additionally, the generic variant of Cialis (tadalafil) can be found in 7 mg gummies, similar to Ro’s Daily Rise Gummies. The as-needed dosages are available in strength variations of 5 mg, 10 mg, and 20 mg. Both Cialis forms maintain effectiveness for the same period of up to 36 hours. Importantly, this does not imply that you will maintain an erection for that entire duration. An erection that persists for longer than four hours can be classified as a medical emergency. Essentially, Cialis aids in achieving and sustaining erections when one is sexually stimulated within a maximum 36-hour window.

Beyond its application for erectile dysfunction, Cialis is also FDA-approved for treating benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. BPH is a prevalent condition characterized by prostate enlargement, which exerts pressure on the urethra, causing difficulties with urination. Like erectile dysfunction, BPH tends to be more prevalent with advancing age. For managing BPH, dosages of Cialis typically commence at 5 mg taken daily.

Side effects of Cialis

Generally, experiencing side effects while using Cialis is uncommon. However, the most frequently observed side effects may encompass:

  • Back pain

  • Facial flushing

  • Headache

  • Muscle or limb discomfort

  • Nasal congestion

  • Disturbed digestion or upset stomach

The aforementioned side effects are typically mild and affect only about 2 out of every 100 individuals who consume Cialis. More rare yet serious side effects may include priapism (defined as a painful erection lasting four hours or longer) and potential vision or hearing loss. If any of these severe side effects occur, discontinue Cialis usage and seek medical assistance immediately.

Cialis may not be suitable for all individuals, particularly those with specific health conditions or those taking certain medications. For instance, it should never be combined with nitrates, as this could induce dangerously low blood pressure (hypotension). Similarly, those who are on other blood pressure-lowering medications such as alpha blockers or antihypertensives may also run the risk of hypotension. Individuals with the following risk factors should abstain from using Cialis:

  • Allergic reactions to any of the Cialis components

  • History of heart issues, including heart attack or stroke within the past six months

  • Blood disorders such as leukemia

  • Sickle cell anemia

  • Peyronie’s disease

  • Priapism

  • Active stomach ulcers

Before obtaining a Cialis prescription, it's essential to discuss any underlying health conditions and medications with your healthcare provider to prevent serious side effects.

Importantly, Cialis is not an over-the-counter medication; a prescription is required to procure it. Be cautious of any online platforms suggesting that Cialis is accessible without a prescription, as the counterfeit market for erectile dysfunction medications has proliferated, with illegal versions often containing inadequate amounts of the active ingredient or harmful additives.

How much is Cialis per pill?

Without insurance, the cost of Cialis can range from $15 to $83 per pill for the brand-name version, while the generic alternative may range from $9 to $41. Cialis pricing is contingent upon several factors, primarily the prescribed dosage and whether you are utilizing Cialis or tadalafil, the generically equivalent form. For instance, the following table summarizes the average Cialis and tadalafil costs per pill and month, categorized by dosage, according to GoodRx.

Dosage Amount

Cialis cost per pill

Cialis cost per month

Tadalafil cost per pill

Tadalafil cost per month

2.5 mg

$15

$446

$9

$285

5 mg

$15

$457

$10

$287

10 mg

$82

$2,444

$41

$1,244

20 mg

$83

$2,486

$41

$1,239

As illustrated, generic tadalafil is considerably more cost-effective compared to branded Cialis. The overall cost of Cialis is influenced largely by the prescribed dosage and frequency of usage. Generally, the daily Cialis dosage hovers around $15, while the higher doses intended for as-needed use typically exceed $80 per individual pill. Furthermore, despite being generically labeled, Ro's Daily Rise Gummies can be obtained through a monthly subscription consisting of 30 gummies priced at $89 (less than $3 for each day) or a quarterly subscription of 90 gummies for $207 billed and shipped every month (which breaks down to less than $2 per day). Depending on your expected frequency of sexual activity, one option may be more cost-effective than the other. Consult your healthcare professional for tailored medical guidance based on your health profile.

Moreover, Cialis prices can vary depending on geographical location and the pharmacy selected. The prices outlined above reflect a 30-day supply of either Cialis or tadalafil acquired from local pharmacies such as CVS, Walgreens, or Walmart. These costs do not account for travel expenses to and from the pharmacy or costs associated with consulting in-person health professionals to secure a prescription. You can typically achieve significant savings when purchasing Cialis via telehealth services like Ro, which provides complimentary consultations with licensed healthcare providers alongside free delivery.

Is Cialis covered by insurance?

In general, private health insurance policies and government-sponsored plans such as Medicare Part D do not cover brand-name erectile dysfunction medications, as they are generally deemed non-essential. However, it may be possible for generics to receive coverage. Should you be utilizing Cialis for BPH, there is an increased likelihood of obtaining coverage, either for the brand-name Cialis or its generic equivalent, tadalafil. It’s prudent to contact your insurance provider and carefully review your plan’s prescription drug coverage to determine your situation.

How to save money on Cialis

Implementing a few cost-saving strategies can make obtaining Cialis significantly more economical. Below are some practical tips to help you discover lower prices for Cialis.

Opt for generic tadalafil

Choosing generic tadalafil is a smart move, as it holds the same efficacy as Cialis and is available in identical dosage strengths. The FDA stipulates that generic medications must contain equivalent active ingredients in the same concentration and be manufactured following the same safety and quality standards as their brand-name counterparts. Consequently, generic drugs are equally safe and effective, but substantially cheaper.

Review your insurance coverage

Some insurance plans extend coverage to ED medications, while others may only cover generic formulations. The extent to which your plan covers Cialis may also hinge on the underlying health issues you are facing. If you are using Cialis to treat BPH, there may be a higher chance of it being covered.

Consider Cialis alternatives

If you are struggling with ED, BPH, or a combination of both, Cialis can provide effective relief. However, numerous alternative medications also address these conditions. Based on your insurance benefits and chosen pharmacy, you might discover a better value when opting for an alternative to Cialis. For example, the generic version of Viagra, known as sildenafil, is often more affordable than tadalafil. Additionally, these alternative options may also come with their own discounts and manufacturer savings initiatives.

Look into patient assistance programs

Patient assistance programs (PAPs) offer financial support for individuals with limited incomes who lack health insurance coverage. Eli Lilly, the manufacturer of Cialis, operates a PAP called Lilly Cares. To be eligible, applicants must meet specific income criteria and be lawful, permanent residents of the United States. Furthermore, applicants must not have coverage through private insurance, Medicare Part D, Medicaid, Low Income Subsidy, or Veterans (VA) Benefits. For more details, you can learn more here. It is vital to collaborate with your healthcare provider to complete the requisite paperwork for the application process.

Check for Cialis coupons

Occasionally, pharmacies will have coupons for various medications, including Cialis. You can search for Cialis coupons on pharmaceutical coupon aggregator websites such as GoodRx, SingleCare, RxSaver, or Optum Perks.

Try a telehealth pharmacy

Telehealth services facilitate virtual consultations that allow you to receive prescriptions from certified online pharmacies. For example, at Ro, branded Cialis begins at $20 per dose, while generic tadalafil starts from $8 to $11 per dose. Delivery is free, and you can also save an additional $15 on your inaugural order.

Cialis vs. Viagra cost

When using Cialis for erectile dysfunction, you may be curious about how its pricing compares to other ED treatments like Viagra (whose generic name is sildenafil). Viagra has a shorter duration of effectiveness (lasting 4–5 hours compared to 36 hours for Cialis), but it tends to take effect more quickly when taken as needed. Viagra typically begins to work within 30 to 60 minutes, unlike the 1–2 hours it takes for Cialis to take effect.

In terms of pricing, Cialis and Viagra present different cost structures, with the generic form of Viagra generally being less expensive. Below is a comparison of the cost disparity between Cialis and Viagra:

  • Cialis vs. Viagra cost: On average, the price range for brand-name Viagra spans from $86 to $116, according to GoodRx, making it pricier than Cialis, which has a typical range of $15 to $83.

  • Tadalafil vs. Sildenafil cost: While the brand name Viagra is more costly compared to Cialis, the generic version of Viagra (sildenafil) is considerably cheaper, typically priced between $4 to $10 per dose at Ro — in contrast to the $9 to $41 pricing range for the generic form of Cialis (tadalafil). You can achieve savings by choosing the generic version of Cialis through Ro, which now offers tadalafil starting from $8 per dose.

In conclusion, when considering treatment options for ED, both Cialis and Viagra have demonstrated their safety and effectiveness over the years. It is advisable to discuss with your healthcare professional to determine which option would be the most suitable for you.

DISCLAIMER

For any medical inquiries or concerns, please consult your healthcare provider. The articles provided on Health Guide are based on peer-reviewed research and information sourced from medical authorities and governmental agencies; however, they should not be viewed as a substitute for professional medical advice, diagnosis, or treatment.

  • Dhaliwal, A. & Gupta, M. (2022). PDE5 Inhibitors. StatPearls. Retrieved on Mar. 14, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK549843/

  • Jackson, G., Arver, S., Banks, I., et al. (2010). Counterfeit phosphodiesterase type 5 inhibitors pose significant safety risks. International Journal of Clinical Practice, 64 (4), 497–504. doi:10.1111/j.1742-1241.2009.02328.x. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069491/

  • Ng, M. & Baradhi, K. M. (2022). Benign Prostatic Hyperplasia. StatPearls. Retrieved on Mar. 14, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK558920/

  • Sooriyamoorthy, T. & Leslie, S. W. (2022). Erectile Dysfunction. StatPearls. Retrieved on Mar. 14, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK562253/

  • United States Food and Drug Administration (FDA). (2014). Highlights of Prescribing Information: Viagra. Retrieved on Mar. 14, 2023 from https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/20895s039s042lbl.pdf

  • United States Food and Drug Administration (FDA). (2011). Highlights of Prescribing Information: Cialis. Retrieved on Mar. 14, 2023 from https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf

  • United States Food and Drug Administration (FDA). (2021). Generic drugs: questions and answers. Retrieved on Mar. 14, 2023 from https://www.fda.gov/drugs/frequently-asked-questions-popular-topics/generic-drugs-questions-answers