Costco Member Prescription Program (CMPP) is a direct-to-members savings program administered by Costco Health Solutions, Inc.and Ventegra Inc. Participating pharmacies are subject to change without notice and are not available in all areas.

Retailer	Price per Tablet ($)	Delivery Fee ($)	Shipping Countries
AlphaPharm	14	2	Worldwide
MedsOnline	13	Free	US, UK, CA
ViagraShop	15	3	US, UK, AU
CheapMeds	12	0	Worldwide

CMPP is not insurance or intended as a replacement for insurance. Claims submitted for coverage under publicly funded programs (e.g. Medicare, Medicaid, etc.) or private insurance are not eligible for CMPP participation. Costco Health Solutions, Inc. 845 Lake Drive Issaquah, WA 98027 All content on this page has been medically reviewed by: Hassan Thwaini, Clinical Pharmacist and Copywriter, Master of Pharmacy (MPharm) on 30 March, 2026.

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Tadalafil is a clinically-proven erectile dysfunction treatment that gives you the freedom to enjoy sex when you want it. It lasts for 36 hours - so there’s less need for planning before sex.

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These medicines prevent the enzyme PDE5 from working too quickly and help blood flow more freely through blood vessels in the body. The penis is one of the body parts where this enzyme works. When tadalafil (the lowest price generic version of Cialis®) is taken as needed for ED, it can start working within 30-45 minutes, but reaches peak effect in most men 2 hours after it’s taken. Like other ED drugs that are taken as needed for ED, it must be taken in advance of when you plan to be sexually active to give it time to start working. Tadalafil can also be taken at a lower prescribed dose at the same time every day.

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When taken in this way over time, you may find an increased ability to achieve an erection anytime you experience sexual stimulation. After beginning a daily regimen of tadalafil, you may be able to have successful intercourse in as early as 4 to 5 days. One dose of tadalafil taken as needed for sexual activity can remain effective for up to 36 hours, however peak concentration of tadalafil in the bloodstream usually occurs between 30 minutes and 6 hours with a median time of 2 hours. Since the effectiveness of tadalafil lasts for a long time, it can be taken well in advance to allow for more spontaneous sexual activity over the course of a day or night. Tadalafil tablets available through Hims contain the active ingredient tadalafil and the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin. 4.6* from over 33,000 people tadalafil pills like you.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	20mg	30 + 4 Pills	68.05€ 64.81€	Buy
Cialis Generic	20mg	180 + 10 Pills	254.09€ 241.99€	Buy
Cialis Generic	5mg	360 + 10 Pills	268.08€ 255.31€	Buy
Tadalista Super Active	20mg	120 + 16 Pills	382.15€ 363.95€	Buy
Tadalista Super Active	20mg	10 Pills	55.64€ 52.99€	Buy
Cialis Generic	5mg	60 + 4 Pills	86.02€ 81.92€	Buy
Cialis Generic	2.5mg	270 + 10 Pills	199.64€ 190.13€	Buy
Cialis Generic	60mg	90 + 6 Pills	196.67€ 187.30€	Buy
Cialis Generic	40mg	10 Pills	37.79€ 35.99€	Buy
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Cialis Generic	2.5mg	180 + 10 Pills	154.86€ 147.49€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy
Cialis Generic	5mg	270 + 10 Pills	205.81€ 196.01€	Buy
Cialis Generic	10mg	270 + 10 Pills	308.71€ 294.01€	Buy
Tadalista Super Active	20mg	60 + 8 Pills	230.32€ 219.35€	Buy
Cialis Generic	5mg	30 + 4 Pills	53.56€ 51.01€	Buy

BSc (Hons) MBBS MRCGP AFHEA MA (Hons) AFMCP Answer a few simple questions to get the treatment you need. Your Men’s Health Prescription at a Fraction of the Cost Tadalafil is the generic version of Cialis that is the best-known for treating erectile dysfunction but can also help with pulmonary arterial hypertension, enlarged prostate, and various other medical conditions.

other ED treatments

If any of these side effects bother you or don't go away, contact your healthcare provider. Serious side effects are rare, but may include a life-threatening drop in blood pressure, allergic reaction, sudden vision loss, hearing loss, and priapism (an erection lasting four hours or longer). If you experience any of these serious side effects, get medical help immediately. Tadalafil (generic Cialis) is generally safe for most men with ED. However, men who have other health conditions should alert their doctor prior to starting any tadalafil sale erectile dysfunction medication.

Average Pharmacy Cost for TADALAFIL

Some medical conditions and symptoms that may predispose someone to adverse effects from tadalafil include heart problems like heart failure or a previous heart attack, angina or chest pain, irregular heartbeats, high or low blood pressure, retinitis pigmentosa (a rare genetic eye disease), pulmonary hypertension, stroke, liver disease, kidney disease, severe vision loss, stomach ulcers, bleeding problems, deformed penis shape or Peyronie’s disease, experience with erections lasting more than 4 hours, or blood cell disorders like sickle cell anemia, multiple myeloma, or leukemia. Tadalafil (generic Cialis) can be taken with other medications unless there is a known interaction between the two drugs. Common drug interactions with tadalafil include nitrates, alpha-blockers, guanylate cyclase stimulators, HIV protease inhibitors, some antifungals, and some antibiotics. Some examples of these drugs include nitroglycerin, amyl nitrate, doxazosin, erythromycin, ketoconazole, rifampin, riociguat, ritonavir, tamsulosin, itraconazole, and poppers. Seek medical advice from a healthcare professional if you are taking any other medications prior to starting tadalafil. It is 1 of the 4 major medications known as “PDE-5 Inhibitors” along with Sildenafil, that is predominately used to treat ED. Taking Tadalafil can also improve the ability to exercise and slows down any related worsening changes in your physical condition by enabling better blood flow throughout the body. Before taking Tadalafil, reach out to your doctor about your current prescriptions so that you don’t experience any unwanted side effects. Do NOT use Tadalafil along with any of the following: Funny enough, grapefruit or grapefruit juice has been proven to raise the level of Tadalafil in your blood higher than intended. This can increase the chance of side effects. Simply put, Tadalafil increases blood flow to the genitals so that an erection can be achieved and maintained. However, most people are unaware of the details of how Cialis/Tadalafil works.

What If You Miss a Scheduled Dose?

It was developed in 1992 by ICI Pharmaceuticals. Tadalafil relaxes the smooth muscles in the cavernous body of the penis, which helps to increase blood flow and, as a result, the appearance of an erection. More than 3,000 men participated in clinical trials of tadalafil. The results of the research have been published in several scientific publications in the USA. In particular, The Journal of Sexual Medicine published an article "The efficacy and safety of tadalafil in men with erectile dysfunction: a double-blind placebo-controlled phase 3 study".

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It provides data on the safety and effectiveness of tadalafil in the treatment of erectile dysfunction. According to data from scientific publications in the United States, in 2022, global sales of tadalafil amounted to more than $ 2.5 billion. This drug occupies a leading position in the market for the treatment of erectile dysfunction. *Costco Member Prescription Program pricing is subject to change without notice and may vary by location. Contact the local pharmacy listed for current discount program card prices or for any medications or quantities not displayed above.Powered by Costco Health Solutions. This medication will not automatically cause an erection. It just makes it easier when that is the intention. Tadalafil works by blocking an enzyme (PDE-5) in your body from decomposing a compound called cGMP. The accumulation of cGMP is what relaxes the smooth muscles that are found in the penis.

5 Reasons Ignoring Erectile Dysfunction Is Dangerous

It is especially important to follow medical advice when combining tadalafil with other ED medications, such as sildenafil (Viagra®), avanafil (Stendra®), and vardenafil (Levitra®). A disclaimer: don't take tadalafil with grapefruit juice. The tadalafil-grapefruit interaction can cause your body to not absorb the drug correctly, and you could end up with heightened effects of tadalafil as a result. It's a good idea to avoid eating or drinking grapefruit for 72 hours before taking tadalafil. Learn more about Cialis® and grapefruit juice.

How do I know my online Cialis prescription and medication are legit?

According to the Controlled Substances Act (CSA), tadalafil is not considered a controlled substance. Typically, the 5 and 10 mg doses may be prescribed daily buy tadalafil but not the 20 mg dose. In other words, there is a daily, low-dose option that is specifically meant to ensure you are ready for sex at the drop of a hat. This daily option is meant for long-term continuous use and a planning-free experience. Tadalafil (Generic Tadafil) is a drug that is used to treat erectile dysfunction. This relaxation allows blood to flow in more easily, resulting in an erection.

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We offer tadalafil at great prices in several different strengths based on individual needs. Tadalafil dosing also depends on whether or not it is taken daily or as-needed. Once-a-day tadalafil builds up in your system to 1.6 times the daily dose, and so the 5 mg daily treatment offered through Hims is similar to taking 8 mg of tadalafil before sex. Tadalafil taken as-needed for sexual activity is usually used at higher doses because it does not have time to build up in your system. Typical starting doses of as-needed tadalafil are 10 or 20 mg, depending on your specific health conditions and age.

Your expert team

Tadalafil is the affordable, generic version of brand-name Cialis®. Cialis® was originally created and is produced by the pharmaceutical company Eli Lilly, and generic tadalafil became available in 2018 after the patent protection ended. Both brand-name Cialis® and tadalafil have been shown to be safe and provide the same treatment effects for erectile dysfunction, but tadalafil is available for a fraction of the price of Cialis®. While dosing for Viagra® and tadalafil are different, tadalafil does have one big advantage: it lasts longer than Viagra® (up to 36 hours rather than 4 to 5). Common side effects of tadalafil (Generic cialis) include headaches, indigestion, heartburn, back pain, muscle aches, facial flushing, nasal congestion, cold symptoms, dizziness, vision changes, and blood pressure changes. Tadalafil typically begins working within 30-60 minutes, and will remain in your body for around 36 hours after ingesting. Unlike Sildenafil, Tadalafil will work regardless of whether it is taken with or without food.

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Contact your doctor if an erection lasts longer than 4 hours. At MediSuite, we’re able to offer Tadalafil tablets in increments of 5mg, 10mg, or 20mg, each with multiple price options, so that you can get the best deal that’s right for you.