Question 1

How can I lower the cost of my tadalafil

Accepted Answer

You can lower cost of your tadalafil using one of the 4 following drug savings programs: Rx Advantage Card for tadalafil, Canadian Prescription Savings for tadalafil, tadalafil Drug Coupons, tadalafil Patient Assistance Programs

Question 2

What dosages is tadalafil available in?

Accepted Answer

tadalafil is available as a 2.5 mg, 5 mg, 10 mg, and 20 mg oral tablet.

Question 3

What is tadalafil used for?

Accepted Answer

tadalafil is a PDE-5 inhibitor used for erectile dysfunction.

Question 4

How does tadalafil work?

Accepted Answer

tadalafil is a phosphodiesterase-5 enzyme (PDE-5) inhibitor. It works by blocking PDE-5. This is a protein in your body that breaks down the molecules that normally cause an erection. When it blocks PDE-5, tadalafil helps an erection occur by allowing certain muscles in the penis to relax and the penis to fill with blood.

Question 5

How do I take tadalafil?

Accepted Answer

tadalafil is typically taken by mouth about 30 minutes before sexual activity up to once per day as needed. Your provider will adjust your dose based on your response.

Question 6

Is it safe for me to take tadalafil?

Accepted Answer

tadalafil is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you using any form of organic nitrate is contraindicated, have a history of known serious hypersensitivity reaction to tadalafil or ADCIRCA, or are taking a guanylate cyclase (GC) stimulator such as riociguat.

Question 7

tadalafil Common Side Effects

Accepted Answer

Common side effects of tadalafil include:

Headache
Runny nose, sore throat, and other symptoms of the common cold
Indigestion
Stomach upset
Back pain
Indigestion
Back pain

Other Side Effects:

Muscle ache
Flushing
Pain in arms or legs
Diarrhea
Dizziness

Question 8

tadalafil Serious Side Effects

Accepted Answer

Serious side effects are rare with tadalafil. Contact your healthcare provider immediately if you experience any of the following.  Erection lasting for more than 4 hours Vision loss Dangerously low blood pressure: feeling faint or weak, dizziness, blurry vision, feeling confused

Question 9

Effects of other drugs, drug classes and over-the-counter products on tadalafil

Accepted Answer

The following medications may interact with tadalafil:  tadalafil can potentiate the hypotensive effects of nitrates, alphablockers, antihypertensives or alcohol. CYP3A4 inhibitors (e.g. ketoconazole, ritonavir) can increase tadalafil exposure requiring dose adjustment.In this situation the dose should be no more than 10 mg every 72 hours and tadalafil for once daily use: dose not to exceed 2.5 mg. CYP3A4 inducers (e.g. rifampin) decrease tadalafil exposure requiring dose adjustment.

Question 10

Who makes tadalafil?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is tadalafil safe in pregnancy?

Accepted Answer

tadalafil is not indicated for use in females.

Question 12

What is the brand name for tadalafil?

Accepted Answer

CIALIS

Question 13

How can NowPatient help me to lower the cost of my tadalafil prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your tadalafil prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient tadalafil savings programs work?

Accepted Answer

After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.

Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

Question 15

Are the NowPatient tadalafil savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.

	Rx Advantage Card* for tadalafil	Canadian Prescription Savings* for tadalafil	tadalafil Drug Coupon*	tadalafil Patient Assistance Program*
Insured (federal, state or government)	Available	Available	Not Available	Available If Offered by Pharmaceutical Company
Insured (Commercial or Private)	Available	Available	Available If Offered by Pharmaceutical Company	Available If Offered by Pharmaceutical Company
Uninsured	Available	Available	Not Available	Available If Offered by Pharmaceutical Company
Insured but without pharmacy benefit or drug coverage	Available	Available	Not Available	Available If Offered by Pharmaceutical Company

*This is not insurance.

Question 16

Are the NowPatient drug savings programs suitable for brand and generic versions of tadalafil?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for tadalafil	Canadian Prescription Savings* for tadalafil	tadalafil Drug Coupon*	tadalafil Patient Assistance Program*
Brand	Yes	Yes	Yes, If Offered by Pharmaceutical Company	Yes, If Offered by Pharmaceutical Company
Generic	Yes	Yes	No	No

*This is not insurance.

Question 17

If you have Medicare Part D or Medicare Advantage and none of the tadalafil savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the tadalafil drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.

If you are denied Medicaid for tadalafil, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Question 18

I am uninsured or underinsured and none of the tadalafil prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, tadalafil is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

If you are denied and all else fails, and if you have been prescribed tadalafil for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 19

I am commercially or privately insured and none of the tadalafil prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.

If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.

Question 20

If I have federal, state or commercial insurance and none of the tadalafil prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?

Accepted Answer

If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:

1. Patient Access Network Foundation (PAN) assistance for tadalafil

If you are having trouble paying for your tadalafil medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for tadalafil you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
tadalafil is prescribed for an approved FDA indication
You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
You have Medicare insurance coverage that covers tadalafil
If tadalafil is listed on PAN’s list of covered medications

You can check the Patient Access Network Foundation Website for more information.

2. HealthWell Foundation Copay Program for tadalafil

If you are having trouble paying for your tadalafil medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for tadalafil you will need to meet the following criteria:

You live in and are being treated in the United States
You are insured and your plan covers tadalafil
If tadalafil is listed on the HealthWell Foundation’s list of covered medications

You can check the HealthWell Foundation Website for more information.

3. Patient Advocate Foundation Co-Pay Relief Program for tadalafil

Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your tadalafil treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for tadalafil you will need to meet the following criteria:

You must be currently insured and have coverage for tadalafil
You must have a confirmed diagnosis and treatment plan
You must reside and receive treatment in the United States
Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.

You can check the Patient Advocate Foundation Website for more information.