Tadalafil Generic

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

Mail Order Pharmacy

  1. Medication
    You save
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  2. Tadalafil
    Generic for Cialis
    60 tablets $5.7 USD
    Save $608.10
  3. Tadalafil
    Generic for Cialis
    30 tablets $4.8 USD
    Save $302.10
  4. Tadalafil
    Generic for Cialis
    60 tablets $6.6 USD
    Save $607.20
  5. Tadalafil
    Generic for Cialis
    30 tablets $4.8 USD
    Save $302.10
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Save up to 90% of your branded or generic medications using the Now Patient Rx Advantage Card

Do you need a prescription for tadalafil?

Yes, tadalafil is only available with a valid physician Rx.

How much is tadalafil without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase tadalafil, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for tadalafil in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a tadalafil savings card?

Yes. Save up to 90% on your tadalafil with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a tadalafil coupon provider in the US?

No. Now Patient does not provide tadalafil coupons or FREE tadalafil samples.

Do you accept commercial, Medicare or Medicaid coverage for tadalafil in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much tadalafil?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using tadalafil. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much tadalafil. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic tadalafil?

Generic tadalafil refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of tadalafil

Tadalafil is approved by the U.S. Food and Drug Administration (FDA) for the treatment of erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension (PAH).

Active ingredient of tadalafil

The active ingredient of tadalafil is tadalafil.

US brand name of tadalafil and manufacturer

Tadalafil is available in the US under the brand name Cialis. The manufacturer is Eli Lilly and Company.

UK brand name of tadalafil and manufacturer

In the UK, tadalafil is available under various brand names, including Cialis and Adcirca. The manufacturers may vary depending on the brand names.

Prescription requirement for tadalafil

A prescription (Rx) is required for tadalafil in both the US and the UK.

Availability of tadalafil in the UK with NHS prescription

Tadalafil is available in the UK with an NHS prescription.

Conditions treated by tadalafil

Tadalafil is used for the treatment of erectile dysfunction, benign prostatic hyperplasia, and pulmonary arterial hypertension.

How does tadalafil work?

Tadalafil belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels and increasing blood flow to certain areas of the body, which helps improve erectile function and alleviate symptoms associated with BPH and PAH.

Forms of tadalafil available

Tadalafil is available in oral tablet form.

Dosage of tadalafil

The dose of tadalafil may vary depending on the individual’s specific condition, response to the medication, and other factors. Take tadalafil at least 30 minutes before sexual activity. Its effects may last up to 36 hours. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for tadalafil use

Tadalafil should be taken exactly as directed by the healthcare provider. The timing and frequency of dosing may vary depending on the specific indication being treated. It can be taken with or without food.

Warnings and precautions for tadalafil

  • Tadalafil may have certain risks and potential side effects. It is important to discuss these with a healthcare provider before starting the medication
  • Tadalafil should not be used in combination with nitrates, as it may cause a severe drop in blood pressure
  • Tell your doctor if you have diabetes, high or low blood pressure, other heart problems such as a heart attack or heart failure, angina (chest pain), stomach ulcers or a bleeding disorder, priapism, sickle cell anemia, leukemia, retinitis pigmentosa, or sudden severe vision loss caused by a blockage of blood flow
  • Do not drink grapefruit juice or eat grapefruit-containing foods while taking tadalfil, as they may increase the side effects of tadalafil

Use of tadalafil if pregnant or planning pregnancy

Tadalafil is not intended for use in women and is not recommended during pregnancy or breastfeeding.

Possible side effects of tadalafil

Common side effects of tadalafil may include headache, indigestion, back pain, muscle aches, and flushing. Serious side effects are rare but can occur. Promptly report any concerning symptoms to a healthcare provider. Get medical help right away if you have a life threatening allergic reaction. Symptoms include hives, trouble breathing, shortness of breath, sore throat, chest pain, swelling of the face, tongue or throat, skin rash, and severe skin reactions. Promptly report any adverse effects to a healthcare professional for medical advice.

Interactions with other drugs

Tadalafil may interact with certain medications, including antifungals such as fluconazole, ketoconazole, itraconazole and voriconazole, an alpha blocker (such as doxazosin, or tamsulosin) to treat an enlarged prostate or high blood pressure, finasteride, erythromycin, HIV protease inhibitors such as ritonavir, other medications for high blood pressure such as isosorbide mononitrate, isosorbide dinitrate, or nitroglycerin, other treatments for erectile dysfunction, phenytoin, rifabutin, or rifampin. It is important to inform your healthcare provider about all the prescription drugs, over the counter nonprescription medication, salt substitutes, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.

Similar drugs to tadalafil

Other PDE5 inhibitors, such as sildenafil (Viagra) and vardenafil, may be used as alternatives for the treatment of erectile dysfunction.


Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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