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According to 2018 research, 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. It can lead to anxiety surrounding sexual intercourse, along with a disrupted sex life.

However, ED can be treated safely with pharmaceuticals, 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 those who prefer the convenience and discretion of getting medication directly shipped to their house.

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

Thanks to telehealth medicine, purchasing prescriptions online is easier and faster than ever. ED medication, 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 provider. 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.

  • Company reputation. All the companies reviewed here have an A+ rating on the Better Business Bureau (BBB) and have a reputation for delivering quality telehealth services and Cialis.
  • Price. Affordability and accessibility is important. All the companies reviewed offer Cialis at an affordable monthly price.
  • Doctors on-hand. In order to receive Cialis in the United States, it must be prescribed by a licensed medical provider. All the platforms reviewed require an initial consultation and use the expertise of medical professionals.

Best for physician relationships

Roman

  • Price: $11 for a single 2.5 or 5 mg tadalafil tablet, $44 for a single 10 or 20 mg tadalafil tablet, $17 for a single 2.5 or 5 mg Cialis tablet, or $69 for a single 10 or 20 mg Cialis tablet
  • 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.

Roman users get free unlimited follow-ups, and it’s encouraged to be in touch with your healthcare professional through the platform, as it may take a few tries to get the proper dosage. The service also has an option to text a pharmacist at any time.

One of the things that makes Roman stand out is the company’s emphasis on communication with a healthcare professional. There’s an option for video chatting with a doctor, which is a great way to make users feel more comfortable and ensure that they’re getting the right treatment.

While Roman offers an option for people without insurance, it might not be the best value for people with insurance. You may end up paying more for Roman than you would using your insurance at an in-person doctor’s visit.

Roman isn’t available in all states. The service is available in the states where physicians on the Roman platform are licensed.

Most user-friendly

Hims

  • Price: $240 per month for tadalafil or $570 per month for Cialis
  • 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 sister 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.

If appropriate, the doctor will prescribe ED medications that can be purchased on the Hims website for a lower cost than what other retailer pharmacies charge. Once your prescription is signed off by one of the Hims healthcare professionals, it will be shipped to you in discreet packaging.

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.

Unlike Roman, Hims doesn’t have a built-in ongoing relationship with doctors, so users may feel less connected to their healthcare professional.

For someone who needs more support from a medical professional, Hims might not be the best option. It may also be pricier for people who already have insurance.

Best membership

Lemonaid

  • Price: $8 per Cialis tablet
  • 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 emphasizes transparency, and all the healthcare professionals’ names can be found on the service’s website.

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 without a refill, and users can request up to 3 months at one time.

Many reviewers say they were able to get in touch with their practitioner quickly and easily, and many were happy with how much money they saved.

While most parts of the process can be done remotely, in some cases a blood pressure reading is required, and users may have to go to a physical location to do that. Lemonaid provides information on where to go to get blood pressure read.

Best app

K Health

  • Price: starts at $11 per month for tadalafil
  • Insurance: not required

K Health is a telehealth ED prescription service that offers both an app and online platform. The service puts users in touch with practitioners and allows them to track their symptoms and chat with a doctor.

K Health users start by taking a personal health assessment with information on their health history and prescriptions. Users also select their preferences, so the practitioners can get an idea of preferred medication and dosage.

A healthcare professional then puts together a treatment plan within 24 hours, and the prescription is sent within 2 days.

One of the great benefits of using K Health is the app feature, which includes a symptom tracker so that users can track what’s going on with their bodies. They can also use the app to contact their doctor directly through the chat feature.

The app itself is free, but users must pay either a $19 visit fee or $27 membership for 3 months.

While the website is easy to navigate, K Health provides much less educational information than Roman and Hims. However, K Health is a good option for anyone looking for an easy-to-navigate service.

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 medicine?

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.

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 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.