Tadalafil Alternatives in Maryland
Compare generic and therapeutic alternatives to Tadalafil (tadalafil) available at Maryland pharmacies. Save up to 92% on your prescription — no insurance required.
Top Alternatives in Maryland
Sildenafil (generic Viagra)
therapeutic
Shorter-acting PDE5 inhibitor — 4-6 hours vs 36 hours
Avg cash price: $20/mo
Vardenafil (generic Levitra)
therapeutic
Similar profile to sildenafil — slightly longer duration
Avg cash price: $40/mo
Cialis (brand tadalafil)
brand
Brand name — same drug at 12× the cost
Avg cash price: $380/mo
Maryland Prescription Assistance Programs
SPDAP (Senior Prescription Drug Assistance Program)
Subsidises Medicare Part D premiums and cost-sharing for eligible low-income Maryland seniors and adults with disabilities.
Eligibility: Maryland residents aged 65+ (or adults with disabilities) enrolled in Medicare Part D with income between 100-300% FPL. Contact the Maryland Department of Aging at 1-800-243-3425.
Maryland Medicaid Rx
Comprehensive prescription drug coverage through Maryland Medicaid (HealthChoice) managed care for eligible residents.
Eligibility: Low-income Maryland adults up to 138% FPL, children, pregnant women, and people with disabilities.
Frequently Asked Questions
Is tadalafil the same as Cialis?
Yes — tadalafil is the generic form of Cialis. It has been generic in the US since 2018 and typically costs $20–$40/month versus $350+ for brand Cialis.
What is the difference between 5 mg daily tadalafil and 20 mg on-demand tadalafil?
Daily low-dose tadalafil (2.5–5 mg) maintains a steady state for continuous ED management and also treats BPH symptoms. On-demand 10–20 mg provides a 36-hour window when taken before activity.
Can tadalafil treat enlarged prostate (BPH)?
Yes — tadalafil 5 mg daily is FDA-approved for benign prostatic hyperplasia and can be used for both BPH and ED simultaneously. It relaxes smooth muscle in the bladder neck and prostate.
Why does tadalafil last longer than sildenafil?
Tadalafil has a half-life of 17.5 hours versus ~4 hours for sildenafil. This extended duration (up to 36 hours) is why it is called "the weekend pill." It does not cause continuous erections — stimulation is still required.
What does generic tadalafil cost through Script Unlock?
Generic tadalafil is typically $20–$35/month through Script Unlock pharmacies — one of the best generic value propositions for ED treatment.