Sexual Health

The $0.22 pill and the $10 dose

ED medication went generic years ago. The prices didn't follow — unless you know which door to walk through. Every legitimate channel, priced per dose and per month, fine print included.

Listed prices researched 2026-09-06, live captures where possible · how we verify

The markup, measured: Generic sildenafil 100mg costs $0.22 a tablet at Cost Plus Drugs ($11.94 for 30, delivered) and $10 a dose at Ro — a 45× spread on the same FDA-approved molecule. Subscription telehealth charges roughly 15–45× the cheapest legitimate cash price; the difference buys the consult, the packaging, and the discretion. Amazon's RxPass covers sildenafil entirely for a flat $5/month (tadalafil is not on the list).

Generic sildenafil, as-needed — the markup exhibit

Channel	Price	Fine print	Status
Cost Plus Drugs	$0.22/tab · $11.94/30 delivered (100 mg)	bring your own prescription; $5.25 shipping per order	listed price source
Retail + GoodRx coupon	$0.39–0.99/tab (Sam's $11.81 → CVS $29.77 per 30)	zip- and pharmacy-dependent	unconfirmed source
Amazon Pharmacy	$0.57/tab with Prime	RxPass ($5/mo flat) covers sildenafil; not CA/WA	listed price source
Friday Plans	≤$1.99/tab any strength (87¢ promo)	TINA.org documented a possible hidden fee gating the promo price — treat with caution until checkout-tested	unconfirmed source
Rex MD (LifeMD)	20 mg $2 · 50/100 mg $6 per dose	consult free; all sales final	listed price source
BlueChew	45 mg chew $3.53–5.00/dose ($30/6 → $120/34)	compounded chewable (not FDA-approved as formulated); consult included; cancel anytime	listed price source
Hims	from ~$4–6/dose; "starting at $22/mo" on long plans	$5 processing fee per shipment; cheapest rates need annual prepay; tiers behind intake	unconfirmed source
Ro (Roman)	25 mg $4 · 50 mg $6 · 100 mg $10 per dose	official per-dose pricing page; $35 minimum order on promo plans	listed price source

Daily tadalafil — the same molecule, $11 to $1,045 a month

Channel	Price	Fine print	Status
Cost Plus Drugs	$11.22/month delivered (5 mg × 30)	the cash floor for the daily molecule	listed price source
Retail + GoodRx coupon	~$9–19/month	zip-dependent	unconfirmed source
Amazon Pharmacy	~$13.40–14.80/month with Prime	tadalafil NOT on RxPass	listed price source
Hims	$79/mo monthly → ~$49 quarterly → ~$32 annual	site floor "$24/mo"; plan-length tiers behind intake	unconfirmed source
Rex MD	$2/dose ≈ $60/month	daily 2.5/5 mg	listed price source
BlueChew DailyTAD	$100/mo monthly · $66.67/mo quarterly (9 mg chew + vitamins)	compounded	listed price source
Ro Daily Rise gummy	$89/mo · $69/mo on 3-month (tadalafil 7 mg)	compounded gummy; Ro's daily 5 mg tab lists $8/dose — monthly effective unconfirmed	unconfirmed source
Brand Cialis 5 mg	~$296 (Amazon) – $433 (avg retail) per month	brand reference; Hims brand path $958–1,045/mo	unconfirmed source

Brand reference

Channel	Price	Fine print	Status
Viagra 100 mg	$58–140/tab retail (Amazon $58.13; Ro $90/dose)	GoodRx avg retail ~$2,950/30 (50 mg)	listed price source
Cialis	5 mg ~$9.88–14.45/tab (Ro $20/dose; 10/20 mg $80)	brand premium vs $0.20 generic tadalafil	listed price source

The Custom-Formula Tracker — 2-in-1s, 3-in-1s, 4-in-1s

The compounded blends are where composition transparency goes to die: some publish every milligram, some won't name their third ingredient until you've done the intake. We track what's actually in each formula, per dose, per dollar. All are compounded — none is FDA-reviewed as formulated.

Formula	Blend	What's in it	Format	Price per dose	Status
BlueChew MAX	2-in-1	sildenafil + tadalafil	chew	from $5.63/dose	listed price source
BlueChew VMAX	2-in-1	vardenafil + tadalafil	chew	from $5.63/dose	listed price source
BlueChew GOLD	4-in-1	sildenafil 70–110 mg + tadalafil 18–22 mg + apomorphine + oxytocin	sublingual	$7.30–18.28/dose (~$75–269/mo by count)	listed price source
Hims Hard Mints 3-in-1	3-in-1	tadalafil + sildenafil + third ingredient unpublished	mint	~$8/dose monthly ("from $2" on annual prepay)	unconfirmed source
Lemonaid Bliss	unpublished	ingredients not published pre-intake	sublingual	$8/dose	unconfirmed source
Ro Sparks	2-in-1	sildenafil 55 mg + tadalafil 22 mg	sublingual tab	$12/dose flat ($48–120/mo by count)	listed price source
Rugiet Ready Rugiet	3-in-1	sildenafil + tadalafil + apomorphine	troche	$12.42–22.42/dose monthly ($149–269/mo tiers; promo floor ~$7.29)	unconfirmed source
BlueChew DailyTAD	daily	tadalafil 9 mg + 7 vitamins	daily chew	$100/mo monthly · $66.67/mo quarterly	listed price source
Ro Daily Rise	daily	tadalafil 7 mg (gummy)	daily gummy	$89/mo · $69/mo on 3-month	listed price source

Composition-transparency rule: formulas that publish full ingredients and doses (Ro Sparks, BlueChew GOLD) get listed-price status; blends with unpublished ingredients stay flagged until an intake walk documents them.

The fine print, collected

Lemonaid: $25 one-time consult (the only explicit consult fee; covers 12 refills); sildenafil $2/pill on recurring delivery.
Hims: $5 processing fee per shipment despite "free shipping"; cheapest advertised rates require annual prepay; cancel ≥48h before renewal; shipped orders final.
Cost Plus: $5.25 shipping per order, no membership. Amazon: best prices assume Prime ($139/yr); RxPass excludes tadalafil, CA, WA.
Ro: consult typically free; quarterly discounts imply monthly-billing premium; tadalafil "dosing minimums apply."
Friday Plans: 60-day money-back guarantee, but TINA.org documented a possible hidden fee gating the advertised price.
Rex MD: all sales final; renewals must be stopped before processing (12-hour window on some annual plans).
Chewables/troches run ~5–20× tablet price per dose; every compounded product on this page is not FDA-approved as formulated.

How to read this market

Have a prescription? Cost Plus ($11.94/30 sildenafil, $11.22/30 daily tadalafil delivered) or Amazon with Prime end the price conversation.
Need the prescriber? Lemonaid's $25 one-time consult plus $2/pill is the cheapest legitimate full-service path we found. A one-off telehealth visit plus a cheap pharmacy beats any subscription over time.
Paying for format? Chews, mints, and troches run 5–20× tablet price per dose, and every one is a compounded product the FDA hasn't reviewed as formulated. That's a preference purchase — fine, but know it.
Watch the plan-length trick. "From $2/dose" headlines usually require annual prepay; monthly billing runs 2–4× the headline.

Pricing journalism, not medical advice — ED medications have real contraindications (notably nitrates) that belong in a conversation with a clinician. Some links may earn commissions; rankings never bend: disclosure.