OpenBilldrug price receipt

NADAC week of 2026-10-14

CIALIS 5 MG TABLET

FDA nonproprietary name: tadalafil

For 30 tablets

Pharmacies pay

$276.13 filed

30 × $9.20446 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$290.48 filed

30 × $9.68261 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.1× estimated

Medicare paid 1.1× what pharmacies pay.

Part D averages every strength and form sold under “Cialis” / “Tadalafil” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$322.55 estimated

$276.13 + $41.42 (15%) + $5.00 fee per fill = $322.55

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

CIALIS 5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tadalafil, under the trade name “Cialis”.

FDA gives its dosage form as tablet, film coated and its route as oral.

The labeler, the company named on the label, is Eli Lilly and Company.

FDA’s Established Pharmacologic Class for it is Phosphodiesterase 5 Inhibitor.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00002-4462-30.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $276.13 for 30 tablets (30 × $9.20446 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.10319 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

8 other products in the NADAC file share the FDA nonproprietary name tadalafil with CIALIS 5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
ALYQ 20 MG TABLET
generic · tablet, film coated
$0.14633 per EA filed
eff. 2026-09-23
$17.34198 per EA filed
Part D 2024 average
CIALIS 5 MG TABLET this page
brand · tablet, film coated
$9.20446 per EA filed
eff. 2026-09-23
$9.68261 per EA filed
Part D 2024 average
CIALIS 10 MG TABLET
brand · tablet, film coated
$53.6874 per EA filed
eff. 2026-03-18
$9.68261 per EA filed
Part D 2024 average
CIALIS 20 MG TABLET
brand · tablet, film coated
$53.82543 per EA filed
eff. 2026-09-23
$9.68261 per EA filed
Part D 2024 average
TADALAFIL 2.5 MG TABLET
generic · tablet / tablet, film coated / tablet, coated
$0.11265 per EA filed
eff. 2026-09-23
We don’t know yet
TADALAFIL 5 MG TABLET
generic · tablet, film coated / tablet / tablet, coated
$0.10319 per EA filed
eff. 2026-09-23
We don’t know yet
TADALAFIL 10 MG TABLET
generic · tablet, film coated / tablet / tablet, coated
$0.15341 per EA filed
eff. 2026-09-23
We don’t know yet
TADALAFIL 20 MG TABLET
generic · tablet / tablet, film coated / tablet, coated
$0.14633 to $0.16709 per EA filed
eff. 2026-09-23
We don’t know yet
TADLIQ 20 MG/5 ML SUSPENSION
brand · suspension
$13.59311 per ML filed
eff. 2026-10-01
$12.21944 per ML filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-03-18, 2026-09-23, 2026-10-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

Its NADAC price is $9.20446 per EA filed.

Of the 17 other products in FDA’s Phosphodiesterase 5 Inhibitor class priced per EA, 5 have a higher middle NADAC price and 12 a lower one. The one in the middle is TADALAFIL 20 MG TABLET, at $0.16709 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $290.48 for 30 tablets, at an average of $9.68261 per EA in 2024 (2024-01-01 to 2024-12-31) for “Cialis” and “Tadalafil”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 7,402 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for CIALIS 5 MG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Cialis / Tadalafil: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name.