ED Treatment Cost Index (2026)
What does erectile-dysfunction treatment actually cost online? We compiled the prices across every category - generic pills, brand-name, compounded multi-ingredient formulas, nasal spray and injectables - and normalized them to a single per-dose and per-month view so they can be compared fairly. Figures are either provider-published or representative market ranges, labeled on every row.
Last updated: Oct 14, 2026
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Medically reviewed Reviewed · Written by Treatments Hub Research Team · How we review
Key findings
The full cost index
Sorted from cheapest to most expensive by normalized monthly cost. Per-dose options are normalized at ~8 doses/month for comparison only. Verified price = published by the provider (and still subject to change - confirm at checkout). Est. range= a representative US online-market range, not a single provider’s price.
| Treatment | Category | Headline price | Est. / month | Basis |
|---|---|---|---|---|
| Generic sildenafil (Viagra's active) Oral tablet, as-needed | Generic pill | ~$1-3 / dose | $8–$24 | Est. range |
| Generic tadalafil (Cialis's active), as-needed Oral tablet, as-needed | Generic pill | ~$1.50-3.50 / dose | $12–$28 | Est. range |
| DudeMeds (generic sildenafil / tadalafil) Oral tablet | Generic pill | from $1.63 / tablet | $13–$40 | Verified price |
| Generic tadalafil, low daily dose Oral tablet, daily | Generic pill | ~$15-40 / mo | $15–$40 | Est. range |
| Trimix (compounded injection) Injection | Injectable | ~$1-6 / dose (varies widely) | $20–$120 | Est. range |
| Compounded 4-in-1 programs (category range) Dissolvable | Compounded (multi-ingredient) | ~$90-180 / mo | $90–$180 | Est. range |
| SHED - Roxus (intranasal vardenafil) Nasal spray | Nasal spray | $99.50-199 / mo | $100–$199 | Verified price |
| BraveRX (3-in-1 compounded) Dissolving tablet | Compounded (multi-ingredient) | from ~$28 / week | $112–$140 | Verified price |
| Quad by MEDVi (4-in-1 compounded) Dissolvable | Compounded (multi-ingredient) | $114 / mo (from $179) | $114–$179 | Verified price |
| Brand Viagra Oral tablet | Brand pill | ~$70-90+ / pill | $560–$720 | Est. range |
| Brand Cialis Oral tablet | Brand pill | ~$70-90+ / pill | $560–$720 | Est. range |
Prices and promotions change constantly. Treat every figure as approximate and confirm the current total directly with each provider before subscribing.
Methodology
The index covers the legitimate routes to ED treatment in the US online market: generic oral PDE5 inhibitors, brand-name pills, compounded multi-ingredient formulas, intranasal treatment and injectables. We exclude unregulated “gas station” and “herbal” products, which are not proven ED treatments - see our guide to over-the-counter ED pills for why.
Verified prices are recorded as each provider publishes them. Estimated ranges are compiled editorial estimates of the typical US online spread for a category - intentionally wide, and not a claim about any single provider. To put per-dose and per-month pricing on one axis, per-dose options are normalized at roughly 8 doses per month; your real usage may differ.
This index is refreshed as provider pricing changes. We don’t accept payment to alter a figure. For the reasoning behind these costs - generic vs brand vs compounded, subscription vs per-dose, and the fees to watch for - see our guide to ED treatment cost, and how we research providers on our methodology page.
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Compare the providers behind these prices
See how the licensed clinics stack up on our ED treatment comparison, read the full Quad by MEDVi review (our top pick), or browse all provider reviews.
This page is general information, not medical or financial advice. ED medications are prescription-only; whether one is right for you is a decision for you and a licensed clinician. Confirm current pricing directly with each provider.