ED Medication Cost per Year: 4, 8 and 12 Doses a Month Priced

The rest of this page shows the same sum for every program, for generic tadalafil and for compounded products. A per-dose price is the published "from" price. Some need a set pack or a long plan, and each row says which.

How much does ED medication cost a year, by program?

Each row below takes the lowest per-dose price the program publishes for generic sildenafil, the FDA-approved generic of Viagra. We multiply it by 4, 8 or 12 doses a month, then by 12 months. This is our arithmetic, not the program's quote.

The Cost Plus row counts whole packs of 30 and adds the standard shipping charge for each pack. It leaves out the visit you need for a prescription. Our guide to online ED visit costs shows what that adds.

Strut's lowest price needs its 90-day supply of 30 doses. Its page says: "Price includes healthcare provider consultations and free shipping." (Strut sildenafil page, read 14 November 2026). Rex MD lists generic sildenafil from $1.80 a dose, with "Same active ingredient as Viagra" on the same tile (Rex MD sexual health page, read 14 November 2026).

ED medication cost for generic tadalafil

Generic tadalafil is the FDA-approved generic of Cialis. Here is the same sum for its as-needed plans. Daily plans are on a separate page, since a daily pill means about 30 doses a month.

The median of these six programs is the price Rex MD, Hims and Idun Rx share in the table, our arithmetic. Strut's tadalafil page also says the "Price includes healthcare provider consultations" (Strut tadalafil page, read 14 November 2026).

For daily plans, see daily tadalafil cost.

Cost of ED pills per month

Some programs sell a monthly plan and do not publish the dose count. We cannot turn those into a per-dose price, so we show the month and the year.

The 12-month figure is the monthly price times 12, our arithmetic. Hims says its prices are paid upfront and does not show the plan length or dose count. Live monthly prices for every program are on ED cost by program. Right now the cheapest all-in ED plan we track is $16 a month at Strut Health.

Compounded ED products per year

Chews, mints and dissolving tablets are compounded. A pharmacy mixes them to order. The FDA says: "Compounded drugs are not FDA-approved." (FDA: compounding questions and answers, read 14 November 2026). Here is the lowest per-dose compounded product at each program.

The median of these nine programs falls on the Lemonaid Bliss and DudeMeds rows, our arithmetic. That is about 5 times the lowest generic sildenafil row. Most of these products mix two or more drugs, so they are not a like-for-like swap for a plain generic pill. Our guide to compounded ED medication explains the labels.

Why the yearly cost varies so much

Three things move the yearly figure.

1. The drug and its form. A plain generic tablet is the cheapest. Brand Viagra and Cialis cost far more per dose. Compounded mixes sit in between.
2. The pack and plan length. The lowest prices often need a 90-day supply or a 12-month plan. Idun Rx, for example, prices the same 6 pills a month lower on its 12-month plan than month to month.
3. What the price includes. Most programs fold the visit and shipping into the price. Cost Plus Drugs does not include a prescription at all.

A study reported by Urology Times found that "2 out of 3 of the direct-to-consumer pharmacies require a 6- or 12-month commitment to obtain those prices, whereas Cost Plus Drug Company requires no long-term commitment." (Urology Times, read 14 November 2026).

How to pay less over a year

• Ask for a generic. The FDA says: "Generic drugs are FDA-approved copies of brand drugs." (FDA: generic drugs Q&A, read 14 November 2026).
• Count your real doses. A 12-dose pack you only half use doubles your true cost per dose.
• Compare the longest plan you will finish. A prepaid year saves only if you keep using it.
• Check whether the program can send the prescription to a pharmacy you pick. Our guide to Cost Plus Drugs prices shows that route.
• Use pre-tax money if you can. See HSA and FSA for ED medication.

Insurance rarely pays for ED pills bought through these programs. Our ED insurance guide covers the rules.