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Sign up for Counsel and answer a few simple questions (less than 3 minutes).
Message with a board-certified doctor to discuss which treatment options would be best suited for your body and lifestyle.
Pick up your prescription from a local pharmacy. We’ll be here to monitor your progress and adjust your treatment through ongoing check-ins.
Consultations are $29, which is less than a standard copay. We prescribe generics available at your pharmacy of choice for cents per pill.
Get startedInsurance
Without insurance
Sildenafil (Viagra)
$5 - $25 with most plans
$10 for a 30 day supply
Tadalafil (Cialis)
$5 - $25 with most plans
$10 for a 30 day supply
*Prices will vary depending on your insurance coverage and the pharmacy you choose.
Counsel offers a range of ED treatments. Below are some of the most common and cost-effective choices, and you're always able to select alternative brand-name or generic medications if you prefer.
Sildenafil (Viagra) is a tablet that is used as needed to treat ED. It works by widening blood vessels and allowing more blood flow to the penis.
50 mg orally, as needed
93% of men reported improved erections
Tadalafil (Cialis) is a tablet used to treat ED. It works by widening blood vessels and allowing more blood flow to the penis. It can be effective for up to 36 hours.
Tadalafil can be taken as needed or once daily
85% of men reported improved erections
MALE, 30–39 years old
FEMALE, 40–49 years old
Male, 30–39 years old
FEMALE, 30–39 years old
FEMALE, 20–29 years old
Unlike traditional healthcare, Counsel uses pattern recognition to uncover insights from your whole health history, so our doctors (and you) can see the full picture.
From testing, treatments, and lifestyle changes to second opinions and specialist referrals, Counsel covers the full spectrum of healthcare.
Get free, unlimited personalized support from Counsel AI, then add a doctor to your conversation for $29.
Stay proactive about your health with an on-demand selection of several lab panels.
Our doctors can prescribe medication, order refills, and help you navigate any side effects or interactions.
Most prescription medications for erectile dysfunction (such as Sildenafil and Tadalafil) belong to a class of drugs called PDE5 inhibitors. They work by relaxing the muscles in the blood vessels of the penis, which increases blood flow. It is important to note that these medications do not create an "automatic" erection; they facilitate an erection only when you are sexually stimulated.
Clinical studies show high success rates for PDE5 inhibitors. Sildenafil (generic Viagra), for example, has been shown to be effective in 93% men with ED and Tadalafil (generic Cialis) has been shown to be 85% effective. Individual results can vary based on the underlying cause of the ED, dosage, and other health factors. If one medication is ineffective, your doctor may recommend adjusting the dose or switching to a different type.
Coverage varies significantly by plan. Many private insurance companies and Medicare Part D plans do not cover brand-name drugs like Viagra or Cialis because they are often not classified as "medically necessary." However, some plans may cover the generic versions (Sildenafil or Tadalafil) with a copay. You should check your plan’s "formulary" (drug list) to see if these generics are covered and if prior authorization is required.
If covered, you will typically pay your standard drug copay, which can range from $5 to $50 depending on your plan tier.
The primary difference is the duration of effect: Sildenafil is typically taken “as needed” about 30–60 minutes before activity and lasts for about 4–6 hours. Tadalafil stays in the system longer, lasting up to 36 hours (often called the "weekend pill"). It can be taken as needed or prescribed as a lower-dose daily pill, which allows for more spontaneity without needing to plan around a specific timeframe.
