True-cost data
Sildenafil cost without insurance (2026)
The same 100 mg generic tablet is 22 cents at the cash floor and $10 a dose through subscription telehealth — a 45× spread on one FDA-approved molecule. Every legitimate channel, priced per tablet, with the billing fine print attached.
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, by channel
| 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 | reported 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 | reported 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 | reported 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 |
Brand Viagra, for 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 |
Keep reading: Every ED medication priced, including blends · Sildenafil vs tadalafil · Tadalafil cost, compared · Every ED channel priced
"Listed price" is the provider's own published number on the date shown; "reported" comes from concordant published sources where a provider's page blocks verification. Prices change and the checkout is the final word. Pricing journalism, not medical advice. Some links may earn commissions; ordering is by cost, never compensation — disclosure.