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Sexual health · Generic for Cialis®
Tadalafil is a prescription tablet that helps you get and keep an erection firm enough for sex. Taken as needed before sex, 20 mg. From $25 a month.
Plan, provider care included · Cancel anytime
Plans
From$25/mo
Nothing is charged until a clinician prescribes.
Viagra® is a registered trademark of Viatris Specialty LLC and Cialis® is a registered trademark of Eli Lilly and Company. Neither trademark owner is affiliated with, a sponsor of, or an endorser of Pallas. Pallas dispenses generic sildenafil and tadalafil tablets through US-licensed pharmacies.
Tadalafil is a prescription tablet that helps you get and keep an erection firm enough for sex. It is taken as needed before sex, no more than once a day [2]. At Pallas it's prescribed in a 30, 60 or 90-day supply. One plan price covers your clinician, ongoing check-ins, care-team messaging, and your medication — shipped free in plain packaging.
Tadalafil is a prescription tablet that helps you get and keep an erection firm enough for sex. It is taken as needed before sex, no more than once a day [2]. It is the generic of Cialis®, dispensed by US-licensed pharmacies.
That's a clinical decision. A US-licensed clinician reviews your health history, your heart and blood-pressure history, your medications and the answers you give about your erections, and decides whether this medication is appropriate for you — it isn't right for everyone. PDE5 inhibitors aren't taken with nitrates, for example, and your clinician weighs other medications and conditions the same way.
One price with provider care included, and nothing is charged until a clinician prescribes. Tadalafil starts at $49 for 6 tablets on a 30-day supply; the 90-day supply of 18 tablets is $75 — $25 a month. The supplies: 6 tablets for 30 days ($49), 12 tablets for 60 days ($60), 18 tablets for 90 days ($75). Each is charged once a clinician prescribes and renews every 30, 60 or 90 days, on the schedule of the supply you choose, until you cancel — change your supply or cancel anytime from your portal. Cash-pay only; not billed to insurance.
Complete a short online intake about what you'd like help with, your health, your medications and your erections. A US-licensed clinician reviews it and, if appropriate, prescribes the medication, which a licensed partner pharmacy fills and ships to your door in plain packaging.

What is tadalafil
Tadalafil is a prescription tablet that helps you get and keep an erection firm enough for sex. Sildenafil and tadalafil belong to a class of medications called PDE5 inhibitors, which help you get and keep an erection by increasing blood flow to the penis during sexual stimulation 12 — they don't cause an erection without it. It is taken as needed before sex, no more than once a day 2.
Sildenafil and tadalafil are not taken with nitrates, and they don't work without sexual stimulation.
What it supports
PDE5 inhibitors help you get and keep an erection by increasing blood flow to the penis during sexual stimulation 12. Individual responses vary.
Taken as needed before sex, or as a low daily dose of tadalafil 2.
A 30, 60 or 90-day supply sized to how often you expect to use it, adjusted from your portal, with your care team a message away.
What it's prescribed for
Individual responses vary.
Answer a few questions about your health and goals — about two minutes. A licensed provider reviews everything 100% online.

If eligible, your provider writes a prescription and medication ships free and discreet from a US-licensed pharmacy — often within a week.

We stay with you the whole way, with regular check-ins and on-demand messaging with your care team.


Pharmacy & safety
Your medication is filled once it's prescribed, then shipped to your door in plain packaging.
Tadalafil is a prescription tablet that helps you get and keep an erection firm enough for sex. It is taken as needed before sex, no more than once a day [2]. It is the generic of Cialis®, dispensed by US-licensed pharmacies.
That's a clinical decision. A US-licensed clinician reviews your health history, your heart and blood-pressure history, your medications and the answers you give about your erections, and decides whether this medication is appropriate for you — it isn't right for everyone. PDE5 inhibitors aren't taken with nitrates, for example, and your clinician weighs other medications and conditions the same way.
One price with provider care included, and nothing is charged until a clinician prescribes. Tadalafil starts at $49 for 6 tablets on a 30-day supply; the 90-day supply of 18 tablets is $75 — $25 a month. The supplies: 6 tablets for 30 days ($49), 12 tablets for 60 days ($60), 18 tablets for 90 days ($75). Each is charged once a clinician prescribes and renews every 30, 60 or 90 days, on the schedule of the supply you choose, until you cancel — change your supply or cancel anytime from your portal. Cash-pay only; not billed to insurance.
Complete a short online intake about what you'd like help with, your health, your medications and your erections. A US-licensed clinician reviews it and, if appropriate, prescribes the medication, which a licensed partner pharmacy fills and ships to your door in plain packaging.
It is taken as needed before sex, no more than once a day [2]. Follow the directions on your prescription label; your clinician decides the strength and regimen, and your care team is a message away with any question about fitting it into your routine.
You tell us how often you expect to use it, and the picker sizes the supplies with the number of tablets each holds and the price per tablet. A longer supply costs less per tablet and is billed less often. You can change your supply anytime from your portal, and your clinician decides the strength.
Yes. Tadalafil is the generic of Cialis®, dispensed by US-licensed pharmacies; which preparation your pharmacy dispenses is decided per prescription. Every prescription starts with a US-licensed clinician who reviews your health history and prescribes only when clinically appropriate.
Men taking nitrates in any form — nitroglycerin, isosorbide mononitrate or dinitrate — or riociguat: that combination is a contraindication on every PDE5 inhibitor's label because it can cause a dangerous drop in blood pressure. Beyond it, a clinician weighs alpha-blockers and blood-pressure medicines, recent heart events or chest pain with exertion, severe liver or kidney disease, retinitis pigmentosa or a prior episode of sudden vision loss, sickle cell disease, bleeding disorders, and conditions like Peyronie's disease. Those are screening questions, not automatic answers — the clinician decides, and if treatment isn't right for you, you're told plainly and nothing is charged.
Tell your clinician everything you take — the intake asks. PDE5 inhibitors aren't taken with nitrates (medications for chest pain such as nitroglycerin, isosorbide mononitrate or isosorbide dinitrate), and your clinician will also weigh alpha blockers, riociguat, HIV antiretrovirals and nitric-oxide supplements. Chest pain during sex, fainting, or vision changes are reasons to stop and seek care.
Sildenafil and tadalafil are prescribed for erectile dysfunction — trouble getting or keeping an erection firm enough for sex. They don't increase desire and they don't work without sexual stimulation. If you're not sure whether what you're experiencing is erectile dysfunction, the intake's questions about your erections are the ones clinicians use.
Usually not. 43 of 50 states are fully asynchronous: you complete the intake online and a US-licensed clinician reviews it by secure message. Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, and West Virginia, plus Washington, D.C., require one live video visit to start care — if you live there, you'll schedule a short video visit after your intake.
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Feedback from Pallas members across our programs.
Quotes from Pallas members, shared with permission; names abbreviated for privacy. Testimonials reflect individual experiences — individual results vary.
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The class facts on this page — that sildenafil and tadalafil are PDE5 inhibitors that treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation, how each is taken, and that these medications are not taken with nitrates — are from MedlinePlus's drug information for the FDA-approved sildenafil and tadalafil products. Nothing on this page is a promise of a result. Cash-pay only; not billed to insurance.