Sildenafil Alternatives in Massachusetts
Compare generic and therapeutic alternatives to Sildenafil (sildenafil citrate) available at Massachusetts pharmacies. Save up to 95% on your prescription — no insurance required.
Top Alternatives in Massachusetts
Tadalafil (generic Cialis)
therapeutic
36-hour duration vs. 4-6 hours — "weekend pill" flexibility
Avg cash price: $30/mo
Vardenafil (generic Levitra)
therapeutic
Similar onset, slightly longer duration than sildenafil
Avg cash price: $40/mo
Viagra (brand sildenafil)
brand
Brand name — identical drug at over 20× the cost
Avg cash price: $420/mo
Massachusetts Prescription Assistance Programs
MassHealth (Massachusetts Medicaid)
Comprehensive prescription drug coverage for MassHealth enrollees including generics and formulary brand-name drugs.
Eligibility: Low-income Massachusetts residents: adults up to 138% FPL, seniors through Senior Care Options, children and pregnant women at higher thresholds.
Prescription Advantage (Historical Reference)
Was a state-funded pharmaceutical assistance program for elderly and disabled Massachusetts residents not covered by Medicare.
Eligibility: PROGRAM DISCONTINUED approximately 2014. Former participants were transitioned to Medicare Part D and MassHealth. Contact the Massachusetts Executive Office of Elder Affairs at 617-727-7750 for current alternatives.
Frequently Asked Questions
Is sildenafil the same as Viagra?
Yes — sildenafil is the generic form of Viagra. It has been generic in the US since 2017 and costs $15–$25/month versus $400+ for brand Viagra.
How long does sildenafil last compared to tadalafil?
Sildenafil works within 30–60 minutes and lasts 4–6 hours. Tadalafil (generic Cialis) lasts 24–36 hours, allowing more spontaneity. Daily low-dose tadalafil (2.5–5 mg) is another option.
Can sildenafil be taken daily?
Sildenafil is generally used on-demand rather than daily. Daily tadalafil (2.5 mg) is more commonly prescribed for continuous ED management. Discuss with your prescriber which approach suits your lifestyle.
Is sildenafil safe with blood pressure medications?
Sildenafil causes vasodilation and can significantly lower blood pressure, especially when combined with nitrates (nitroglycerin). This combination is CONTRAINDICATED. Always tell your doctor all medications you take.
What does generic sildenafil cost through Script Unlock?
Generic sildenafil is one of the most dramatic cost-saving generics — often $15–$25/month through Script Unlock pharmacies versus $400+ for brand Viagra.