PharmacyChecker experts answer consumer questions related to affording lower-cost, prescription medications.
We help people afford the medication they need by verifying online pharmacies and comparing their prices. Drug prices are out of control. Americans face the highest medication prices in the world. That's why millions of Americans choose to buy medication from other countries.
Our Panel of Experts
Tod Cooperman, MD
Chief Executive Officer and Founder
Dr. Tod Cooperman is a noted researcher, writer, and speaker on consumer healthcare issues.
Gabriel Levitt, MA
President and Co-Founder
Mr. Levitt oversees all business operations, development and research. He is a public advocate for prescription drug affordability.
Shivam Patel, PharmD, BSPS, RPh
Director of Pharmacy Verification and Information
Dr. Patel provides expert knowledge regarding safe pharmacy practice, quality assurance, drug safety, and patient access to affordable medication.
The information provided on Ask PharmacyChecker is neither intended nor implied to be a substitute for professional medical advice, nor is it an endorsement of any product or service.
If you are considering purchasing medication from outside the U.S., be aware that, in most circumstances, it is technically not legal for individuals to import prescription drugs; however, U.S. government officials have stated that individuals who order non-controlled prescription drugs from Canada or other foreign sources (up to a three-month supply) for their own use are not being pursued or prosecuted.
How can men get lower cost legitimate Cialis (tadalafil)?
Tadalafil (generic Cialis) is covered by most health insurance plans. But if it’s not covered by yours or you’re uninsured, a quick look at the tadalafil price comparison chart below will certainly bring some relief. Men can save up to 96% off the average retail price of tadalafil by using the PharmacyChecker Discount Card at U.S. pharmacies and an almost unfathomable 99% by ordering online from pharmacies located in other countries. When people hear savings that hefty, it’s difficult not to get suspicious. How can the savings be so great using a discount card? How could an online pharmacy selling medication that cheap possibly be legitimate?
Discount Prices for Tadalafil in the U.S. and Abroad
|Drug Name Strength (Quantity)||Average U.S. Retail Pharmacy Price||Accredited International Online Pharmacy Price|
|Tadalafil 20mg (90 tablets)||$4,605.00||$41.85|
|Tadalafil 10mg (90 tablets)||$4,500.00||$40.00|
|Tadalafil 5mg (90 tablets)||$925.00||$39.05|
|Tadalafil 2.5mg (90 tablets)||$794.00||$38.31|
Prices collected October 2019
Unfortunately, out-of-control drug prices are the reality for many Americans: we are literally paying 100 times more at our local pharmacies than we would if we just ordered online from a pharmacy in another country. And these online pharmacy prices are those listed on websites accredited and monitored through the PharmacyChecker Verification Program. That means the pharmacies that dispense medication to you are properly licensed, always require a valid prescription, do not market controlled substances internationally —among other high standards of pharmacy practice—and they sell affordable tadalafil!
As far as brand Cialis vs. generic tadalafil go, the FDA and comparable regulatory agencies in other countries have strict guidelines that ensure generic drugs contain the same active ingredients and work the same way in your body as their brand. This is called bioequivalence. That means, in most cases, generics are just as effective as the brand. Whether or not men elect to utilize the generic version is up to a private conversation between them and their health care providers.
You might find that the least expensive tadalafil is available from pharmacies in India. While India does not have the same regulatory rigor found in the U.S., it is home to the world’s most robust generic drug industry, and its top products are generally on a par with U.S. FDA standards. The requirements of the PharmacyChecker.com’s Verification Program minimize the risks posed by lower-quality products sold on the Internet, including when purchasing from an Indian pharmacy. Read more about Indian pharmacy safety here: Are Indian pharmacies really safe? The prices are so much lower!
Ordering Tadalafil from International Online Pharmacies
Many years before a generic version of Cialis was launched in the U.S. in 2018, it was lawfully manufactured in India and available from legitimate pharmacies located in other countries, including Canada, India, and the UK.
To obtain safe and effective (and exceedingly cheap) tadalafil online from other countries, consumers should only shop at PharmacyChecker-accredited international online pharmacies. Properly credentialed online pharmacies sell and ship high quality prescription medicine across the globe.
Too many men have chosen to peruse the internet in order to buy erectile dysfunction pills discreetly and cheaply – and without a prescription. Let it be known that you face greater risks, from getting a counterfeit drug to dealing with identify theft, if you buy from an online pharmacy that doesn’t require a valid prescription. This is especially true for ED medication, which is one of the most counterfeited classes of drugs sold online. Sometimes “no Rx” sites sell the real thing, but that failure to protect a patient by not requiring a valid prescription is a huge indicator of real risk.
We strongly encourage you obtain a valid prescription and only order through websites that are monitored through the PharmacyChecker Verification Program or other similar verification programs.
Which is better sildenafil or tadalafil?
No ED medication is necessarily “better” than the other. It simply depends on which works best for your body and your own lifestyle. Consult your doctor or other clinician to figure that out together.
|Tadalafil vs. Sildenafil|
|Generic name (Brand name)||When you take it||Doses||Lowest International Pharmacy Price|
|sildenafil (Viagra)||30 to 60 minutes before sex; will work for up to 4 hours.||50 mg is recommended for most men. 25 mg is often recommended for men ages 65+. Comes in 20, 25, 50, 100 mg tablets.||$54.99 for 90 20 mg tablets|
|tadalafil (Cialis)||The daily version is, of course, taken daily and can take 4-5 days before it begins working. The “weekender” version can start working in as little as 30 minutes at the highest dose; it works for up to 36 hours.||Daily pill comes in a 2.5 and 5 mg tablet; most men start with the lower dose. The “weekender” pill comes in 5, 10 and 20 mg; The recommended starting dose is 10 mg.||$38.31 for 90 2.5 mg tablets|
Where is tadalafil manufactured?
We found packaging of tadalafil sold in U.S. pharmacies that indicates manufacturing in China and India. Manufacturers of the generic tadalafil include Ajanta Pharma, Apotex Corp., Teva Pharmaceuticals, Torrent Pharma, Camber Pharmaceuticals, Dr. Reddy’s Laboratories, etc.
Can online pharmacies substitute my Cialis prescription for generic Tadalafil?
Unless you authorize the online pharmacy to do so, pharmacies verified by PharmacyChecker are not allowed to substitute your brand-name prescription with the generic. If you would prefer generic tadalafil in lieu of brand-name Cialis, consult the pharmacy. They require your authorization to dispense any version other than what is written on your prescription.
Cialis (tadalafil) Prescription Substitutions at Online Pharmacies
Generic Cialis, which is called tadalafil, is sold online and dispensed from countries. PharmacyChecker Standard, Section VIII, 9.0, prohibits substituting a generic if the customer has ordered a brand-name drug for international dispensing, unless required by law, without the consent of the customer.
If you're ordering medication from a U.S. pharmacy, then most states have automatic generic substitution rules that require the pharmacist to dispense a generic even if the prescription identifies the brand name. Many international online pharmacies in our program do sell generic and brand-name Cialis. But if you order the brand from them, unless you affirm otherwise, that's the product you should receive.
Generic Cialis (tadalafil) is Available in the U.S. & at International Online Pharmacies
The price per pill of Cialis 5 mg at a local U.S. pharmacy is often over $11, compared to the lowest international price for Cialis 5mg found on PharmacyChecker.com of $3.02. Online generic tadalafil 5mg costs as low as 47 cents a pill.
For more about brand vs. generic Cialis, please see PharmacyChecker Blog's: Generic Cialis (tadalafil): Is it real and can you trust it?
Read more about erectile dysfunction drugs on Ask PharmacyChecker
Do you have questions or concerns regarding ordering your erectile dysfunction medication online? We’re here to help.
Comment below or ask a question by logging in to My PharmacyChecker.Updated December 13, 2019