Tadalafil cost without insurance in 2026
Pharmacies pay about $4.39 for 30 generic tablets. A mail-order pharmacy sells them for $6.69, a prescriber-included service for $40 to $240 a month, and brand Cialis lists at $958. Here is each published price and what it includes.
The answer, route by route:
- Cost Plus Drugs: generic tadalafil 20 mg is $6.69 for 30 tablets including its $5 pharmacy fee, or $11.94 with $5.25 standard shipping. You need your own prescription (Cost Plus listing, 30 October 2026).
- Ro: a 2.5 mg daily prescription is $8 a dose, 30 doses billed $240 a month, with the online visit and free shipping included (ro.co, 30 October 2026).
- Hims: daily generic tadalafil is listed from $40 a month; brand Cialis is listed at $958 a month (hims.com, 30 October 2026).
- Nu Image Medical: "as low as $5/Tbl", sold as a 12-month supply, with an online evaluation by a licensed provider (nuimagemedical.com, 30 October 2026).
- Walmart and Costco: tadalafil is not on Walmart's $4 list, and Costco publishes no tadalafil price; both need a call to the counter.
Tadalafil is the generic of Cialis. It is sold for erectile dysfunction and, in the Cialis form, for the urinary symptoms of an enlarged prostate (MedlinePlus). The medicine is among the cheapest in the federal acquisition data, which is why fees, bundles and brand names, not the tablet, decide what most buyers pay. For the per-drug federal data, see our Cialis page; for the sister drug, see sildenafil and Viagra prices.
- what pharmacies pay (CMS NADAC)
- cash mail-order price
- online service, evaluation included
- brand Cialis
What does generic tadalafil cost at Cost Plus Drugs?
Cost Plus Drugs publishes its arithmetic. On its 20 mg listing, a 30-count supply is $6.69: $1.47 of manufacturing cost, a $0.22 markup (15%) and a $5.00 pharmacy fee. Standard shipping is $5.25 on top, which makes $11.94, and the page says the final cost includes shipping and taxes that vary by location. It fills a prescription from your own doctor; it does not prescribe.
The same listing shows a "retail price at other pharmacies" of $1,300.50 beside the $6.69. That is a list-price comparison, not a measured price (Cost Plus's FAQ says it is an average of other pharmacies' retail prices from third-party data, set when the drug was added, and may not reflect current prices): pharmacies themselves pay about $4.39 for 30 generic tablets (NADAC). The $6.69 is the figure that matters; the $1,293.81 "savings" is measured against a list price, not against what a cash buyer would otherwise pay.
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What do Ro, Hims and Nu Image charge for tadalafil?
These services sell the prescriber and the shipping together with the tablet, so their price is a different product from a pharmacy's. Each decides after an online evaluation whether to prescribe.
- Ro says its plan can "start at $8/dose for 2.5 mg pills for a daily prescription of 30 doses (billed $240/mo)". It also shows a $176 a month card, "starting at 4 doses", without stating the strength, and the page does not reconcile the two. Shipping is free in discreet packaging and no visit fee is listed.
- Hims lists Tadalafil (Daily), the generic of Cialis, "From $40 per month", and brand Cialis at "$958 per month". We did not find a separate as-needed tadalafil price on the page.
- Nu Image Medical shows "As low as $5/Tbl" on its tadalafil card, sold as a 12-month supply, with no strength or monthly total on the page. It says you complete an online visit, that "No prior prescription is required", and that a licensed provider prescribes if you qualify.
None of these three pays RxGrab for its position on this page.
How much is tadalafil at Walmart or Costco?
Neither publishes one. Tadalafil is not on Walmart's $4 Prescription Program list in RxGrab's full read of the list effective 24 March 2025, so a Walmart price is a counter quote. Costco's prices sit in a per-drug lookup inside its online pharmacy, which loads only in a browser; the practical route is a call to the Costco pharmacy with the strength and quantity. Our Costco pharmacy prices guide covers its programme.
Brand Cialis vs generic tadalafil: how big is the gap?
In CMS's acquisition data, brand Cialis costs pharmacies $53.69 a tablet against $0.15 for generic tadalafil, a multiple of 350. Retail brand prices follow: Hims lists Cialis at $958 a month. If a quote is for brand Cialis, ask whether the generic is the same active ingredient at your strength before paying it; the prescriber decides. Our brand vs generic price gap study shows how the multiple varies across drugs.
Which route fits you
You already have a prescription and want the lowest price
Cost Plus Drugs, and ask for a 90-day fill
The $5 fee and the shipping are paid once per order, so a larger fill spreads them.
You do not have a prescription and want privacy
Ro, Hims or Nu Image
The evaluation, the prescriber and the shipping are in the price; compare per-dose cost at the strength you are prescribed.
You prefer to pick up locally
Call Costco and Walmart
Neither publishes a tadalafil price, so ask for strength and quantity and compare to $6.69 plus shipping.
You have been quoted for brand Cialis
Ask about generic tadalafil
The brand costs pharmacies 350 times more per tablet; the prescriber decides whether the generic fits.
1. Generic tadalafil or brand Cialis? (Brand costs pharmacies about 350 times more per tablet.) 2. Which strength, and daily or as needed? Is the price per tablet, per dose or per month? 3. Is the visit, the prescriber and shipping in the price, or extra? 4. Is there a minimum quantity or a subscription I must keep? 5. For mail order: is the fee per prescription, so a bigger fill costs less per tablet? 6. Do I take nitrate heart medicines? (Tadalafil must not be combined with them.)
To check another medicine's published prices, use the RxGrab pharmacy finder.
Every route, one table
| Route | Generic tadalafil | Brand Cialis | What is included | Read |
|---|---|---|---|---|
| Mark Cuban Cost Plus Drugs | 20 mg x 30: $6.69; $11.94 with $5.25 standard shipping | Not listed | Medication and $5 pharmacy fee; your own prescription needed | 30 Oct 2026 |
 Ro | 2.5 mg daily: $8 a dose, 30 doses billed $240 a month; a $176 a month card "starting at 4 doses", strength not stated | Not on this page | Online visit, Ro-affiliated provider, free discreet shipping | 30 Oct 2026 |
| Hims | Tadalafil (Daily): from $40 a month; strengths not shown | $958 a month | Online evaluation; visit and shipping terms not itemised on the page we read | 30 Oct 2026 |
| Nu Image Medical | "As low as $5/Tbl", 12-month supply; strength and monthly total not shown | Not listed | Online evaluation by a licensed provider, home shipping in discreet packaging; prescription subject to consultation | 30 Oct 2026 |
| Walmart | Not on the $4 list (list effective 24 Mar 2025); counter quote | Not listed | Pharmacy counter; your own prescription needed | RxGrab read of the list |
| Costco | No published price; per-drug lookup in its online pharmacy | No published price | Pharmacy counter; your own prescription needed | Programme matrix, Oct 2026 |
| CMS NADAC | $0.15 median a tablet; $4.39 for 30 (10th to 90th percentile $3.10 to $5.01) | $53.69 a tablet, 350 times the generic | What pharmacies pay to acquire the drug; not a shelf price or a quote | As of 14 Oct 2026 |
Prices as each route publishes them on the date shown. Online-service prices depend on plan and dose; the provider decides whether a prescription is appropriate.
How we built this page
How we built this page: we read the Cost Plus Drugs tadalafil 20 mg listing in a browser, and the Ro, Hims and Nu Image tadalafil pages, on 30 October 2026; Walmart's programme list through RxGrab's programme matrix (verified 13 October 2026); and the CMS NADAC file as of 125 October 2026, and cite each figure where it appears. We did not buy tadalafil or use these services for this page; where a price is only shown after sign-in, we say so rather than estimate it. Per-dose conversions on the figure are our arithmetic and are labelled. Nothing here is medical advice; tadalafil is prescription-only and is not safe for everyone, including anyone who takes nitrate heart medicines.
Frequently asked questions
How much does generic tadalafil cost without insurance?
The route sets the price more than the drug does. Pharmacies pay about $4.39 for 30 generic tablets (CMS NADAC, 14 October 2026). Cost Plus Drugs sells 30 x 20 mg for $6.69, or $11.94 with standard shipping, if you already have a prescription. Telehealth services that include the prescriber run from $40 a month (Hims, daily) to $240 a month (Ro, 2.5 mg daily), read 30 October 2026.
Is generic tadalafil cheaper than Cialis?
Yes, by a wide margin. Brand Cialis costs pharmacies $53.69 a tablet in CMS NADAC data, 350 times the generic median of $0.15. Hims lists brand Cialis at $958 a month and generic daily tadalafil from $40 a month (hims.com, 30 October 2026).
Is tadalafil cheaper at Walmart or Costco?
Neither publishes a tadalafil price. Tadalafil is not on Walmart's $4 Prescription Program list in RxGrab's read of the list effective 24 March 2025, and Costco shows prices only in a per-drug lookup inside its online pharmacy, so both need a call to the counter with the strength and quantity.
Does daily tadalafil cost more than as-needed?
The pages we read do not publish separate prices for the two. Ro prices a 2.5 mg daily prescription at $8 a dose, 30 doses billed $240 a month; Hims lists tadalafil daily from $40 a month. Which schedule and strength is right is a prescriber's decision, and the price follows the dose and plan.
Do I need a prescription for tadalafil?
Yes. Tadalafil is prescription-only in the United States. Mail-order pharmacies such as Cost Plus fill a prescription from your own doctor, and telehealth services include an online evaluation by a licensed provider who decides whether to prescribe. Tadalafil must not be combined with nitrate heart medicines such as nitroglycerin (MedlinePlus).
Sources
- Cost Plus Drugs: tadalafil 20 mg listing ($6.69 for 30; manufacturing, markup, labour and shipping breakdown)
- Ro tadalafil page ($8 a dose, $240 a month; $176 a month card)
- Hims tadalafil page (Tadalafil Daily from $40 a month; Cialis $958 a month)
- Nu Image Medical tadalafil page ("As low as $5/Tbl", 12-month supply)
- Walmart Prescription Program (list effective 24 March 2025)
- CMS NADAC weekly file (National Average Drug Acquisition Cost) (as of 14 October 2026)
- MedlinePlus: tadalafil (National Library of Medicine drug information)
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