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    Sildenafil is the active ingredient in Viagra and is available in a generic, unbranded tablet. Sildenafil and Viagra are medically equivalent but Sildenafil is available at a much lower cost. Generic medicines contain the same active ingredient and are equally effective and medically equivalent as the branded products but are available at a lower price. Generic manufacturers have to demonstrate that they are medically identical to the branded product - i.e. they offer the same quality, strength, stability and effectiveness. Visit our Generic Medicine FAQ for more information. The recommended starting dose for sildenafil is one 50mg tablet taken 1 hour before sexual activity. One of the new generics is made by Teva Pharmaceuticals, and the other by Greenstone, a subsidiary of Pfizer, the company that manufactures Viagra. The generic versions of the little blue pill (sildenafil) will likely be cheaper than brand-name Viagra for most men. And more generic versions are expected next year, which could drive prices even lower. Viagra came on the market in 1998 as the first drug to treat impotence. Cialis (tadalafil) and Levitra (vardenafil) are two other erectile dysfunction medications. They work by relaxing muscle cells in the penis, which allows for greater blood flow, according to the Urology Care Foundation. Pfizer says the current wholesale cost for a 50 milligram or 100 milligram Viagra is $61.54 a pill.

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