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According to a 2018 research review, erectile dysfunction (ED) affects about one-third of men, and is more likely to occur with advanced age.

While common, ED can be a frustrating experience for many. An older 2002 study showed that it can lead to anxiety surrounding sexual intercourse, along with a disrupted sex life.

However, ED can be treated safely with medications, like Cialis (the brand name for tadalafil), a vasodilator. Cialis is acquired with a prescription, even through online sources.

Online ordering can be a great alternative for people who prefer the convenience and discretion of getting medication directly shipped to their homes.

Read on to find out more about where you can buy Cialis and generic tadalafil online.

  • Most user-friendly: Hims
  • Best for physician relationships: Roman
  • Best membership: Lemonaid

Cialis (tadalafil) is a prescription drug used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works for ED by relaxing smooth muscle in the blood vessels of the penis, therefore increasing blood flow.

Tadalafil is available in several doses in tablet form: 2.5 milligrams (mg), 5 mg, 10 mg, and 20 mg. Depending on the dose for ED, you can use it as needed before sexual activity, or you may take the 2.5 mg or 5 mg once a day.

Like Viagra, Cialis can help you get or maintain an erection when you’re aroused.

Thanks to telehealth medicine, filling your prescriptions online is easier and faster than ever. ED medications, like Cialis and its generic version, can be purchased through a variety of online platforms.

Buying Cialis online is a relatively simple process that allows users to forgo an in-person trip to the doctor. A telehealth professional will conduct an evaluation of your health and provide an electronic prescription. Then, you’ll receive the medication in discreet packaging.

While online services differ slightly, all require a private health assessment and consultation with a virtual specialist or physician before the medication is shipped to you.

Cialis is not available over the counter in the United States, and it must be prescribed by a licensed medical professional. All the telehealth services listed below include a virtual doctor’s guidance.

To ensure safety, it’s important that you purchase Cialis through a legitimate telehealth company, like the ones reviewed below. Otherwise, you risk purchasing Cialis illegally and with potentially counterfeit or dangerous ingredients.

Pros

  • Discreet shipping: All the platforms we reviewed emphasize their use of discreet packaging and shipping.
  • No health insurance required: Cialis can be purchased without health insurance and without going into a pharmacy.
  • Saves time and trips to the doctor: Getting a prescription usually requires going into a doctor’s office and waiting for a prescription to be filled. Purchasing Cialis online removes steps in the process and ships the medication to your door.
  • Resources and education available: Many online telehealth services provide an abundance of educational material so that users can get all their questions answered.
  • Affordable: The initial online visit is less expensive than most copays.

Cons

  • Not available in all states: Some platforms are only available in the states where physicians on the platform are licensed.
  • Not covered by insurance: People with insurance aren’t able to benefit from it on these online telehealth platforms.
  • No ongoing doctor-patient relationship: While physicians are communicated with through the online platform, most online services are generally no match for a doctor-patient relationship developed over time.

Since Cialis requires a prescription, finding a reputable company that can get you in touch with the right healthcare professionals can be a challenge.

We compared several companies against a number of our top priorities to help us build our list of recommendations. Here were our priorities:

  • Meets our internal vetting standards: Healthline assesses brands and products for criteria based on medical and business standards. Read more about our process.
  • Company reputation: All the companies reviewed here have between an A- and A+ rating on the Better Business Bureau (BBB) and a reputation for delivering quality telehealth services and Cialis.
  • Price: Affordability and accessibility are important. All the companies reviewed offer Cialis at an affordable monthly price.
  • Doctors on hand: To get Cialis in the United States, a licensed medical professional must prescribe it for you. All the platforms reviewed require an initial consultation and use the expertise of licensed medical professionals.
  • Brand name and generic Cialis: The price for brand-name Cialis can be pretty high and might be outside of many people’s budgets. We included services that offer brand-name Cialis and generic Cialis so these ED medications are more accessible to those who need them.

Most user-friendly

Hims

  • Price: starts at $958 for 1-month supply of daily Cialis or $82 for 1-month supply of daily tadalafil
  • Insurance: not required

Hims is a telehealth prescription company that ships a daily dosage of prescription medication to your door in trendy packaging. Hims is the companion company of Hers, which provides supplements and prescription medication geared toward women.

Hims offers both Cialis and generic tadalafil, depending on which is recommended by your doctor.

Hims users start by filling out an initial consultation form with basic information, like what symptoms are present and what the user’s looking for. The user will then be connected with a doctor.

Because Cialis and its generic counterpart must be prescribed to be used legally in the United States, prescription medications must be purchased with a Hims subscription that delivers a month’s worth of medications 12 times a year. Nonprescription products, like supplements, can be purchased à la carte.

Pros

  • after receiving an online prescription, ED medications can be purchased through the Hims website
  • online prices may be lower than at your local pharmacy
  • medications shipped in discreet packaging for privacy

Cons

  • infrequent meetings with doctors might make users not feel as connected to their prescriber
  • prices may be high for people who are not using insurance
  • not ideal for people who might need additional medical support after the prescription

Best for physician relationships

Roman

  • Price: $20 per 5 mg dose, $80 per 20 mg dose, or $330 for 1-month supply of daily generic Cialis
  • Insurance: not required

Roman is a telehealth prescription service that provides prescription Cialis for ED, along with a host of other symptoms, like hair loss, cold sores, and premature ejaculation.

When you sign up for Roman, the first step in getting Cialis is doing an online visit where a healthcare professional will review your symptoms and medical history in order to evaluate the best treatment option for you. The online visit is free, and you’ll hear back within 24 hours.

Once a doctor decides on your treatment, your medication will be shipped to you within 2 days in discreet packaging.

Pros

  • free unlimited follow-ups
  • can text a pharmacist with questions
  • option to connect with a doctor over video chat

Cons

  • prices may be high for people who don’t have or are not using insurance
  • only available in states with licensed doctors
  • not available in all 50 states

Best membership

Lemonaid

  • Price: $220 for 1-month supply of daily tadalafil
  • Insurance: not required

Lemonaid is a San Francisco–based telehealth company that uses a mobile app to help users get access to a range of pharmaceuticals, including Cialis, for an affordable price.

Lemonaid users start by filling out an online assessment with information on their health history and other prescribed medications. Once they complete the assessment, users either video chat or have a phone call with a healthcare professional to discuss the best course of action. Then, the Cialis is delivered in 2 to 3 business days.

The Lemonaid membership lasts for 11 months for refills, and users can request up to 3 months at one time.

Pros

  • emphasizes transparency
  • quick and easy to get in touch with healthcare professionals
  • many users report saving money

Cons

  • blood pressure reading required; may have to go to a physical location to get a reading

Pricing (as of Nov. 2022)ED medications availableAdditional ServicesTrustpilot ratingBBB rating
Himsstarts at $958 for 1-month supply of daily Cialis or $82 for 1-month supply of daily tadalafil– branded and generic Viagra
– branded, generic, and daily generic Cialis
– Stendra
medical professional support4.2/5 starsA+ rating
Roman$20 per 5 mg dose, $80 per 20 mg dose, or $330 for 1-month supply of daily generic Cialis– branded and generic Viagra
– branded, generic, and daily generic Cialis
unlimited follow-up support2.5/5 starsA- rating
Lemonaid$220 for 1-month supply of daily tadalafil– generic Viagra
– sildenafil
– tadalafil
physician or nurse practitioner support2.6/5 starsA+ rating

What’s the difference between Cialis and generic Cialis (tadalafil)?

Tadalafil and Cialis are the same medication, though Cialis is the name-brand version of tadalafil. The main difference is likely the shape and color of the tablets. Tadalafil is also generally less expensive than Cialis.

Why can’t I just buy Cialis over the counter?

To be used legally in the United States, ED medications must be purchased with an in-state prescription.

Anyone selling Cialis online without a doctor’s assessment and approval is not legitimate and puts you at risk of using a toxic product.

Why do I need to get my blood pressure read to get ED medication?

ED medication can be dangerous to take if your blood pressure is too high or too low. If you haven’t had your blood pressure taken recently, you can find a free place to have it checked using Pursuant.

How do I know my ED medication is legit?

ED medications are among the most counterfeited drugs out there. According to some news reports, fake versions of these medications can have toxic ingredients in them. This is why it’s important to get medications like Cialis and Viagra from proper online pharmacies and not over-the-counter.

Cialis and other prescription ED medications cannot be purchased over the counter. Online services, like Roman, Hims, Lemonaid, and K Health, offer options for people looking to quickly and discreetly get access to medication without insurance and for an affordable price.


Lucia Whalen is a Chicago-based writer and multimedia journalist specializing in the intersection of health, science, and the environment. She is also a co-founder of Trashy Magazine. Her writing has been featured in Atlas Obscura, South Side Weekly, MindBodyGreen, and other publications. She is a graduate of Northwestern University’s Medill School of Journalism.