How Much Does ED Treatment Cost? Complete Pricing Guide 2026

January 17, 2026 10 min read Medical Team
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Quick Answer

Generic ED medications like sildenafil (Viagra) and tadalafil (Cialis) cost $1-$3 per pill through online telemedicine services, or $60-$225/month depending on quantity. Brand-name versions can cost $70+ per pill at traditional pharmacies. Insurance rarely covers ED medications.

Erectile dysfunction treatment doesn't have to break the bank. With the rise of generic medications and online telemedicine services, ED treatment is now more affordable than ever. Here's everything you need to know about ED medication costs in 2026.

Generic vs. Brand-Name ED Medication Costs

The biggest factor affecting cost is whether you choose generic or brand-name medication. Here's the breakdown:

Brand-Name

EXPENSIVE

Viagra (sildenafil)

$70-$90

per pill at pharmacy

Cialis (tadalafil)

$75-$95

per pill at pharmacy

Monthly Cost (8 pills):

$560-$760

Same active ingredient as generic, just higher price for the name

Generic

AFFORDABLE

Sildenafil (Generic Viagra)

$1.30-$2.50

per pill online

Tadalafil (Generic Cialis)

$0.96-$1.60

per pill online

Monthly Cost (30 pills):

$60-$75

FDA-approved, same effectiveness as brand-name, up to 95% savings

Money-Saving Tip

Generic sildenafil and tadalafil contain the exact same active ingredients as Viagra and Cialis, are FDA-approved, and work identically. You're literally paying for just the brand name with the expensive versions.

Detailed Price Comparison: Where to Buy

Source Sildenafil (30 pills) Tadalafil (30 pills) Includes
Traditional Pharmacy $240-$450 $300-$600 Pills only, need separate doctor visit
GoodRx/Discount Cards $90-$180 $120-$240 Pills only, need prescription
Mail-Order Pharmacy $70-$120 $80-$150 Pills only, need prescription, slow shipping
Online Telemedicine $75-$234 $48-$187 Pills + doctor consultation + free shipping

Erect Direct Now Pricing (Best Value)

Our transparent pricing includes everything: licensed physician consultation, FDA-approved medication, and free discreet shipping.

Tadalafil

Generic Cialis - Lasts up to 36 hours

30 tablets

$2.00/pill

$60

90 tablets BEST VALUE

$1.20/pill - Save 40%

$108

180 tablets

$1.04/pill - Save 48%

$187

Sildenafil

Generic Viagra - Lasts 4-6 hours

30 tablets

$2.50/pill

$75

90 tablets BEST VALUE

$1.50/pill - Save 40%

$135

180 tablets

$1.25/pill - Save 50%

$225

What's Included

Licensed physician consultation
FDA-approved medication
Free discreet shipping
Cancel anytime, no commitment

Does Insurance Cover ED Medications?

Unfortunately, most insurance plans don't cover ED medications since they're classified as "lifestyle drugs." Here's what you need to know:

Rarely Covered

  • Most commercial insurance plans exclude ED drugs
  • Medicare Part D typically doesn't cover ED meds
  • Medicaid coverage varies by state (usually no)
  • High copays even when "covered" ($50-$100/pill)

May Be Covered If

  • ED results from prostate surgery or cancer treatment
  • Caused by spinal cord injury
  • Related to diabetes complications
  • You have specific supplemental coverage

Good News

Even without insurance, generic ED medications from online services like Erect Direct Now are often cheaper than your insurance copay would be for brand-name versions.

Additional Costs to Consider

Doctor Visit (Traditional Route)

$100-$300

Office visit, consultation, and prescription. May require multiple visits. Not needed with telemedicine services.

Lab Tests (If Needed)

$50-$500

Testosterone levels, blood sugar, cholesterol tests. May be recommended but not always required.

Follow-up Visits

$75-$150

Check-ins to adjust dosage or medication. Included free with online telemedicine services.

Shipping Costs

$0-$15

Free with most online services. Traditional pharmacies may charge for delivery or require pickup.

Annual Cost Comparison

If you take ED medication regularly (2-3 times per week), here's what you can expect to pay per year:

Annual Cost Calculator (100 pills/year)

Based on using medication 2x per week

Brand Viagra/Cialis (Pharmacy)

100 pills × $80/pill + doctor visits

$8,500

per year

Generic with GoodRx

100 pills × $3/pill + doctor visits + prescription fees

$700

per year

Erect Direct Now (Generic)

100 pills with included consultation & free shipping

$120-$200

Save $6,000-$8,000/year

7 Ways to Save Money on ED Treatment

1

Choose Generic

Generic sildenafil and tadalafil are FDA-approved and identical to brand-name versions. Save 90%+ instantly.

2

Buy in Bulk

90-day or 180-day supplies offer per-pill discounts up to 40%. Plus, you save on shipping costs.

3

Use Telemedicine

Skip expensive in-person doctor visits ($100-$300). Online consultations are included free with your order.

4

Try Tadalafil Daily

Lower-dose daily tadalafil (2.5-5mg) costs less per month than on-demand higher doses and provides 24/7 readiness.

5

Pill Splitting

Some doctors prescribe higher doses that you can split (ask your doctor first). Can cut costs in half.

6

Improve Lifestyle

Exercise, diet, and weight loss can reduce ED severity, potentially lowering medication needs over time.

7

Skip Unnecessary Tests

Many men don't need extensive lab work before trying ED medication. Telemedicine can assess if you're a good candidate.

Is ED Treatment Worth the Cost?

When you consider the impact on quality of life, relationships, and mental health, ED treatment is one of the most cost-effective medical interventions available:

85%

Success rate with generic ED medications

$1-2

Cost per pill with online services

24hrs

Average time to get prescription online

What Men Say About the Value

"For less than the cost of a dinner out, I got my confidence and intimacy back. Best money I've ever spent."

- Michael, 52

"I was shocked how affordable generic tadalafil is compared to what my local pharmacy quoted. Same medication, 90% less."

- David, 45

The Bottom Line on ED Treatment Costs

ED treatment doesn't have to be expensive. With generic medications now widely available through online telemedicine services, you can get effective FDA-approved treatment for as little as $48-60 per month—less than most people spend on streaming services or coffee.

Your Best Value: Online Telemedicine

Generic medications: 90% cheaper than brand-name

Free consultation: No separate doctor visit costs

Free shipping: Discreet delivery to your door

Bulk discounts: Save up to 40% on larger quantities

No insurance needed: Often cheaper than copays

Get Affordable ED Treatment Today

Start from just $48/month with free consultation and shipping included

Frequently Asked Questions About ED Treatment Costs