Currently, you buy Cialis or its generic version, tadalafil, over the counter in the United States. It remains an FDA-approved medication that requires a prescription from a licensed healthcare provider. Status Report: Cialis Over-the-Counter (OTC) in the USA
: Once you have a prescription, it can be filled at standard retailers such as CVS or Walmart. Risks of OTC "Substitutes"
You may encounter products marketed as "OTC Cialis" in gas stations or through unregulated online pharmacies. These are and carry significant risks: