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The cost is the same fore each tablet, whether it is the 25 mg, 50 mg, or the 100 mg. There are two other alternatives, Levitra (vardenafil) and Cialis (tadalafil), but they are newer and cost even more. When getting a prescription from a doctor, you may want to ask that they write the prescription for a higher dose and have you cut it, to avoid confusion. The medication was first developed in England for used as an blood over the counter works like viagra pressure reducer, but it worked better for penile dysfunction, so the makers decided to market it for that.