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Provider review

Cost Plus Drugs review

Not a telehealth service — a transparent pharmacy for a script you already have

8.4out of 10

Our overall score

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Written by The ED Watch Editorial Board

Medically reviewed by R. Okafor, PharmD

Last reviewed

The short version

Cost Plus Drugs is a pharmacy, not a prescriber. It publishes a transparent formula — manufacturer cost plus a fixed markup and fee — and generic sildenafil and tadalafil have been among the medications where that pricing is dramatically lower than the subscription alternatives. You need a prescription from somewhere else.

Our verdict: Include it in your comparison even though it can't prescribe. Pairing a cheap telehealth consult with a transparent pharmacy is frequently the lowest-cost route available.

What works

  • Published, transparent pricing formula rather than opaque plan tiers
  • Frequently the cheapest cash price for generic sildenafil and tadalafil
  • No subscription and no recurring billing

What to watch

  • Cannot prescribe — you need a prescription from a clinician first
  • Mail-order only, so it doesn't help if you need medication today
  • Not every medication or strength is stocked

See plans and pricing at Cost Plus DrugsAffiliate link — see our disclosure.

The details

Consultation type
None — pharmacy only, bring your own prescription
What they prescribe
Fills prescriptions; does not prescribe · Sildenafil 20, 25, 50, 100 mg · Tadalafil 2.5, 5, 10, 20 mg
Subscription required
No
Insurance
Cash-pay transparent pricing model
Starting price
Manufacturer cost plus a fixed markup and pharmacy fee, published per medicationChecked July 30, 2026. Always confirm current pricing on the provider’s own site before subscribing.
Shipping
Mail order, flat shipping fee
Cancellation
Not applicable
Availability
Most states — check yours at signup
Best for
Anyone who already has a prescription and wants the lowest transparent cash price.

Why a pharmacy is in a provider comparison

Because the pharmacy step is where most of the cost difference lives, and comparing only subscription services hides that.

The direct-to-consumer ED market is built on bundling: one price covering a consult, a prescription, and delivery, with no line items. Unbundle it and the picture changes. A single telehealth consult gets you a prescription. Filling that prescription at a transparent-pricing pharmacy, or with a discount card at a large chain, often costs a few dollars a month for generic sildenafil.

What to check

  • Whether your specific drug and strength is in their catalog
  • The total including shipping, not just the per-tablet price
  • Delivery time, if you need medication soon
  • How it compares to a discount card price at a nearby pharmacy

Common questions

Can Cost Plus Drugs prescribe ED medication?

No. It's a pharmacy. You need a prescription from a licensed clinician — your own doctor or a telehealth service — and then you can have it filled there.

Is it really cheaper?

For generic sildenafil and tadalafil it has typically been dramatically cheaper than subscription services. Check the current published price for your drug and strength, add shipping, and compare directly.

Check today's price at Cost Plus DrugsAffiliate link — see our disclosure.