How Much Does ED Treatment Cost? Daily Tadalafil at a Flat Monthly Price
ED treatment at ACT 2 Health costs $99 a month for Tadalafil Daily, FDA-approved generic tadalafil, and $99 covers both the clinician's care and the medication. The compounded Triple Action Blend is $149 a month. The assessment is free, there is no membership fee, and if you already have a prescription and a good pharmacy price, a retail generic can cost you less. This page says when.
Every ACT 2 price is on the pricing page. Whether a medication suits you is covered on the sexual wellness page, and how tadalafil works on the Tadalafil Daily page.
What ACT 2 charges for ED treatment
| Treatment | Option | Price | How it is billed |
|---|---|---|---|
| Tadalafil Daily | 1 month | $99 | Monthly |
| Triple Action Blend | 1 month | $149 | Monthly |
Both are billed monthly. Neither has a multi-month package, so the price per month does not drop if you commit for longer. The monthly figure includes:
- The clinician review. A licensed clinician reads your assessment, including your medications and cardiovascular history, and decides whether a prescription is appropriate. The review costs nothing, and if the answer is no, you pay nothing.
- The medication. A licensed pharmacy dispenses and ships it. No separate pharmacy bill follows.
- Follow-up. Plans are reviewed and refined over time; if a different medication is prescribed, its own price applies. The American Urological Association's guideline recommends adjusting treatment to get the best response, not leaving a man on his first prescription.
The monthly figure does not include lab work, which is priced separately, or shipping and taxes where they apply. Those are shown before you pay. New patients can get 10% off their first order through the welcome offer.
What the first year costs
The monthly price times twelve is the honest number to plan around.
- Tadalafil Daily for a year: $1,188, assuming twelve monthly charges and no lab work.
- Tadalafil Daily plus one comprehensive panel: $1,387, assuming your clinician asks for one baseline panel ($199) during the year.
- Triple Action Blend for a year: $1,788, assuming twelve monthly charges and no lab work.
The welcome offer reduces the first order only. Erectile difficulty can be an early sign of vascular disease, as the ED and heart health page explains, so some men are asked for a baseline panel; lab testing lists what panels cost.
When a retail generic is the cheaper route
Tadalafil has been sold as a generic for years. The FDA notes that generics cost less than the brand because their makers do not repeat the original clinical trials, and several manufacturers competing for the same product pushes the price down further. So for some men, ACT 2 is not the least expensive way to get tadalafil, and it is better to say so plainly.
A retail pharmacy will probably cost less if:
- You already have a current prescription from your own doctor.
- You are happy with how it works and do not expect to need changes.
- A pharmacy discount program or your insurance brings the price of the generic down.
You are then paying for tablets alone; the clinical work was paid for at your doctor's visit.
The ACT 2 price is the better fit if:
- You do not have a prescription and do not want to book a visit to get one.
- You want one fixed monthly figure that covers the clinician and the medication together.
- You want a clinician reviewing the prescription over time.
- You want your cardiovascular history and current medications reviewed before you start.
The real question is whether you are paying for tablets or for ongoing care that includes them.
Daily versus as-needed: which pattern costs less
ACT 2 prices tadalafil as a daily program at $99 a month and has no separate as-needed price. Which pattern costs less for you depends on how often you would take it; the daily versus as-needed page sets out that trade-off.
Daily tadalafil is also FDA-approved for the urinary symptoms of an enlarged prostate, which can change the arithmetic for a man with both; see prostate and urinary symptoms.
Why insurance often does not cover ED medication
Coverage for ED medication is limited for a specific reason. Federal law lists "agents when used for the treatment of sexual or erectile dysfunction" among the drugs that programs may exclude. Medicare Part D applies that exclusion directly. According to CMS's Part D manual, an ED drug does not count as a Part D drug when it is prescribed for erectile dysfunction.
There is one exception, and it matters for tadalafil. The same manual says an ED drug can count as a Part D drug when it is prescribed for a different FDA-approved condition. Tadalafil is separately approved for the urinary symptoms of an enlarged prostate, so coverage may depend on why it is prescribed. Your plan decides that, not the pharmacy and not ACT 2.
Commercial plans set their own formularies; check yours. ACT 2 does not bill insurance, Medicare or Medicare Advantage in any case. HSA and FSA questions are answered on the pricing and insurance FAQ and the FSA and HSA year-end page.
What the Triple Action Blend price covers
The Triple Action Blend is $149 a month. It is a compounded combination of tadalafil, PT-141 and oxytocin, and it includes the same clinician care as Tadalafil Daily. Compounded medications are not FDA-approved, and they are generally not covered by pharmacy benefits.
The higher price pays for two extra components. Whether they are relevant depends on whether desire has changed as well as function, which the Triple Action Blend page covers. Settle that before paying more.
Frequently asked questions
ED treatment at ACT 2 Health costs $99 a month for Tadalafil Daily, FDA-approved generic tadalafil. The price includes the clinician's review and the medication. The compounded Triple Action Blend is $149 a month. The assessment is free, there is no membership fee, and lab work is priced separately. A year of Tadalafil Daily is $1,188, assuming twelve monthly charges and no lab work.
Cialis is the brand name for tadalafil. ACT 2 prescribes generic tadalafil, not the brand, at $99 a month with clinician care included. The FDA requires a generic to have the same active ingredient as the brand and to work the same way in the body. Generics generally cost less because their makers do not repeat the original trials. Brand prices are set by the manufacturer and are not quoted here.
Generic tadalafil can be cheaper at a retail pharmacy if you already have a prescription and a pharmacy discount program or your insurance lowers the price. In that case you are paying for tablets alone. ACT 2's $99 a month also includes the clinician who prescribes and reviews it. Without an existing prescription, you would need to add the cost of a visit to the pharmacy price.
Daily tadalafil through ACT 2 costs $1,188 a year, assuming twelve monthly charges at $99 and no lab work. If your clinician asks for a baseline comprehensive panel, the first year is $1,387. There is no multi-month package, so committing for longer does not lower the monthly price. New patients get 10% off the first order.
Medicare Part D generally does not cover ED medication. CMS guidance says a drug prescribed to treat erectile dysfunction does not meet the definition of a Part D drug. The drug can be covered when it is prescribed for a different FDA-approved condition, and tadalafil is approved for the urinary symptoms of an enlarged prostate. Your plan decides which applies. ACT 2 does not bill Medicare.
No. Lab work is not included in the $99 monthly price for Tadalafil Daily or the $149 price for the Triple Action Blend. A comprehensive lab panel is $199, billed separately, and your clinician decides at the eligibility review whether you need one. Erectile problems after 45 sometimes share causes with blood sugar, blood pressure or testosterone, which is why a clinician may suggest one.
Where this fits in your plan
Whether you need treatment comes before price; the sexual wellness page covers that. If you already have a prescription and a pharmacy price you are happy with, keep them. If you want the prescription, the clinician and adjustments in one monthly figure, the price is above and the assessment is free.
We measure first. Then we act.
References
- U.S. Food and Drug Administration. CIALIS (tadalafil) tablets, prescribing information: indications for erectile dysfunction and benign prostatic hyperplasia; use as needed and once daily. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
- MedlinePlus. Tadalafil. U.S. National Library of Medicine. https://medlineplus.gov/druginfo/meds/a604008.html
- U.S. Food and Drug Administration. Generic Drug Facts. https://www.fda.gov/drugs/generic-drugs/generic-drug-facts
- Centers for Medicare & Medicaid Services. Medicare Prescription Drug Benefit Manual, Chapter 6: Part D Drugs and Formulary Requirements (excluded drugs: agents used for sexual or erectile dysfunction). https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/downloads/part-d-benefits-manual-chapter-6.pdf
- 42 U.S. Code § 1396r-8(d)(2)(K). Drugs subject to restriction: agents when used for the treatment of sexual or erectile dysfunction. Legal Information Institute, Cornell Law School. https://www.law.cornell.edu/uscode/text/42/1396r-8
- Burnett AL, Nehra A, Breau RH, et al. Erectile Dysfunction: AUA Guideline. American Urological Association. https://www.auanet.org/guidelines-and-quality/guidelines/erectile-dysfunction-%28ed%29-guideline
- U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers. https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
- Back toPricing
- Tadalafil DailyA once-daily tablet that keeps the effect steady rather than timed to the occasion.Read
- Daily vs as-neededSame medication either way. Daily removes the timing; as-needed costs far less when sex is occasional. How often you have sex is what actually decides it.Read
- Triple Action BlendA triple-action blend pairing tadalafil with oxytocin and PT-141, considered under clinical guidance.Read
- Pricing and insurance FAQWhat ACT 2 Health costs, what each price includes, whether insurance is accepted, how HSA and FSA work, billing cadence, cancellation and shipping.Read
How we write and review our content
ACT 2 Health provides clinician-led care. Treatments are available only to eligible patients following clinical evaluation and within applicable regulations. This content is educational and is not medical advice. Individual results vary.
Diagnostic testing does not diagnose or rule out disease on its own and is interpreted by a licensed provider alongside your history and examination.
Compounded medication. Prepared by a licensed compounding pharmacy under a prescription written for you. Compounded medications are not FDA-approved, are not reviewed by the FDA for safety or effectiveness, and are not equivalent to or interchangeable with any branded product. Prescribed only when a licensed provider determines it is medically appropriate.
Care is delivered via telemedicine by healthcare professionals licensed in the state where the patient is located. Services are available only in states where our providers are licensed.
Prices shown are current catalog prices and are confirmed at your eligibility review; third-party pharmacy and brand prices change and are deliberately not quoted.