Prostaglandin E1 (PGE1)
Alprostadil in the United States: prescription, brands, pricing
This page summarises the situation of Alprostadil in the United States under FDA (Food and Drug Administration): prescription status, available brands and generics, pharmacy dispensing, and online options in USD. Alprostadil belongs to the Prostaglandin E1 (PGE1) class.
- Regulator
- FDA (Food and Drug Administration)
- Currency
- USD
About Alprostadil
Alprostadil is approved for erectile dysfunction of vasculogenic, neurogenic, psychogenic or mixed aetiology in adult men. In the US, most prescription medications require a written or e-prescription from a licensed prescriber. A handful of formerly-prescription medications have moved to OTC after FDA review.
Mechanism and action
Alprostadil binds prostaglandin E receptors on smooth muscle of the corpus cavernosum, triggering cAMP-mediated relaxation of cavernosal smooth muscle independent of the nitric oxide pathway used by PDE5 inhibitors.
Brands and generics in the United States
In the United States, Alprostadil is typically dispensed as one internationally recognised brand along with their corresponding authorised generics. US pharmacies — both chain (CVS, Walgreens, Walmart) and independent — dispense Rx medications under state pharmacy board oversight. Pharmacist consultation is encouraged at pickup. Brand-to-generic substitution is decided by the pharmacist under local FDA (Food and Drug Administration) equivalence rules, and the price difference in USD is usually substantial.
Online and tele-prescribing access
Online prescription fulfilment in the US is well-regulated through state-licensed mail-order and tele-prescribing services. Importing prescription medication for personal use is restricted under federal law. For Alprostadil specifically, the legal online options in the United States depend on its Rx-or-OTC classification under FDA (Food and Drug Administration).
Frequently asked questions
Is Alprostadil available in the United States? ▾
Yes — Alprostadil and its brands are available in the United States through pharmacies authorised by FDA (Food and Drug Administration), in various strengths depending on the commercial product. Authorised generics offer a lower-cost alternative with the same active substance.
Do I need a prescription for Alprostadil in the United States? ▾
In the US, most prescription medications require a written or e-prescription from a licensed prescriber. A handful of formerly-prescription medications have moved to OTC after FDA review. The exact status of Alprostadil (Rx or OTC) is determined by FDA (Food and Drug Administration); most active ingredients in the Prostaglandin E1 (PGE1) class require prescription, although there are exceptions by country and formulation.
How much does Alprostadil cost in the United States? ▾
The price in USD depends on the manufacturer (brand vs authorised generic), the strength and the pack size. Generics are typically substantially cheaper than brands and serve as the economic reference for ongoing use.
Products with Alprostadil in the United States
Alprostadil in other countries
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.