Avanafil 100mg PMI 49.8 - $80 US vs $40 internationalArmodafinil 150mg PMI 47.8 - $50 US vs $26 internationalTirzepatide 5mg (weekly) PMI 36.9 - $1,069 US vs $674 internationalSildenafil costs 97% less if you cross a border. The molecule is the same. The molecule does not care.GoodRx coupon is still a markup. A smaller one. But still.Cost Plus Drugs charges $0.14 a pill for finasteride. CVS charges $4.95. Same molecule, same factory.The US private-pay price for tirzepatide can buy 11 months of the international generic.WAC is what manufacturers tell wholesalers it costs. Cash is what you pay at the counter. They are not the same number.No insurance? Welcome to the markup index.If you can name three pharmacies that sell modafinil for under $40, congratulations, you read this site.Avanafil 100mg PMI 49.8 - $80 US vs $40 internationalArmodafinil 150mg PMI 47.8 - $50 US vs $26 internationalTirzepatide 5mg (weekly) PMI 36.9 - $1,069 US vs $674 internationalSildenafil costs 97% less if you cross a border. The molecule is the same. The molecule does not care.GoodRx coupon is still a markup. A smaller one. But still.Cost Plus Drugs charges $0.14 a pill for finasteride. CVS charges $4.95. Same molecule, same factory.The US private-pay price for tirzepatide can buy 11 months of the international generic.WAC is what manufacturers tell wholesalers it costs. Cash is what you pay at the counter. They are not the same number.No insurance? Welcome to the markup index.If you can name three pharmacies that sell modafinil for under $40, congratulations, you read this site.

Vardenafil 20mg

Levitra . Men's health
28.6
Current PMI
International trades at 71% of US private pay
MarketPriceSource
US private payCash, no insurance$50 / tabletWalgreens cash
International genericLicensed retail equivalent$36 / tabletHSA Singapore licensed

What it is

Vardenafil, brand name Levitra and Staxyn, is a PDE5 inhibitor for erectile dysfunction. Generic vardenafil tablets have been sold in the US since 2018 but cash-pay remains elevated.

Why the spread exists

Generic vardenafil is now manufactured at multiple Indian facilities and exported widely. The US retail premium reflects pharmacy markup and telehealth subscription bundling rather than manufacturing cost.

Brand vs generic

Generic vardenafil 20mg, frequently sold internationally as Vilitra, is bioequivalent to Levitra. The active pharmaceutical ingredient is identical, and the manufacturing standard for export to regulated markets matches branded production.

Regulatory status

Vardenafil is prescription-only in the US, UK, and EU. Some jurisdictions allow pharmacist-screened OTC sale. We track price only.

Prescription requiredRx only. Not a controlled substance.
Where pricing comes from

International generic price is the median of at least three independent licensed retail listings. We do not endorse any single vendor; we treat each as a price observation. Listed below for transparency.

  • AllDayChemist
  • Inhousepharmacy
  • PHARMAX retail listing
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Publisher's note. Rx Price Tracker is funded by PHARMAX, one of the international pharmacies whose prices we publish on this page. PHARMAX does not control which molecules we cover, which competitors we include, or which corrections we issue. Every price observation links to its source URL and capture date. The data is reproducible. We track the gap because pricing transparency works in any direction.