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.

Avanafil 100mg

Stendra . Men's health
49.8
Current PMI
International trades at 50% of US private pay
MarketPriceSource
US private payCash, no insurance$80 / tabletManufacturer list 2026, GoodRx coupon-card revision
International genericLicensed retail equivalent$40 / tabletHSA Singapore licensed

What it is

Avanafil, brand name Stendra in the US, is a PDE5 inhibitor in the same class as sildenafil and tadalafil. Onset is faster than older PDE5 drugs, typically 15 minutes.

Why the spread exists

Avanafil came off patent in much of Asia and South America before the US. Generic avanafil tablets, often branded Avana, trade at one-third to one-half of the US private-pay cost.

Brand vs generic

Generic avanafil is bioequivalent to Stendra by international regulatory standards. US-side, Stendra remains the only marketed brand and there is no domestic AB-rated generic widely available at cash-pay retail.

Regulatory status

Avanafil is a Schedule POM, prescription only medicine, in the UK and analogous in the US. Some jurisdictions allow OTC PDE5 with pharmacist screening. We do not interpret legality.

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.