Although Viagra is one of the most popular options for erectile dysfunction patients, it is not covered under Medicare’s Part D prescription drug benefit. This is because the Medicare insurance program disqualifies any and all drugs prescribed to enhance sexual performance.
Full Answer
Does Medicare Part D cover Viagra?
Medicare coverage for erectile dysfunction prescriptions may have coverage under Part D. Most brand name medications for erectile dysfunction, such as Viagra, Cialis, and Levitra, are not covered under Part D.
Does Medicare pay for Cialis or Viagra?
Medicare usually does not pay for Viagra and similar drugs, such as Cialis and Levitra, that people use to treat sexual dysfunction. However, the generic version of the drug, which is called sildenafil, is available at a lower cost. A person who needs the medication may find coupons online that further lower the price.
Do prescription plans cover Viagra?
Viagra, in its brand name form, is not covered on insurance plans from most insurance companies. However, many medicare coverage options and health plans offer insurance coverage for it under their prescription drug coverage.
Does Medicare Advantage cover sildenafil?
While some Medicare plans may not cover Revatio, some Medicare Advantage plans and Medicare Part D plans may cover generic Sildenafil. Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD).
Does Medicare pay for erectile dysfunction treatment?
Medicare doesn't typically cover erectile dysfunction oral medications or injections. However, penile implant surgery is partially covered by Medicare for those who qualify. Diagnosing erectile dysfunction, or ED, typically requires you to answer a few questions and undergo a physical exam from your doctor.
Is generic Viagra covered by insurance?
It is available in generic and brand versions. Generic sildenafil is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Compare PDE5 inhibitors.
What is the cost of generic Viagra at CVS?
Average 12 Month Prices for Viagra (Brand) & Sildenafil Citrate (Generic)PharmacyViagra Retail PriceSildenafil Citrate SingleCare PriceCVS Pharmacy$460.93$109.20Walmart$554.32$12.54Walgreens$547.14$109.40Kroger Pharmacy$638.70$43.402 more rows
How much does prescription Viagra cost?
Viagra costs an average of about $70 per pill, while the cost for generic pill sildenafil can start at about $8.50 a pill, according to online retailers. By using an online subscription service, sildenafil pills can be as low as $2 per pill.
Is sildenafil as good as Viagra?
The takeaway Generic Viagra, or sildenafil citrate, works the same as Viagra, but at a lower cost. While Pfizer still manufactures the “little blue pill,” other companies, globally and in the United States, make sildenafil. It may look different, but it's still an effective treatment for ED.
Does Aetna cover generic Viagra?
Under these plans, sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra) and tadalafil (Cialis) are covered only when required by state regulation or when a plan sponsor has elected an optional rider under the pharmacy plan, or, for indemnity or PPO plans without a separate pharmacy benefit, when the plan ...
Are erectile dysfunction drugs covered by insurance?
Under the law, drugs used to treat erectile or sexual dysfunction are excluded from Part D coverage unless they are used as part of a treatment approved by the Food and Drug Administration for a different condition.
Why is Viagra covered by insurance and not birth control?
The argument for Viagra coverage is that it's a medical drug that treats a medical condition, whereas contraceptives are considered “lifestyle drugs” that are not medically necessary—though Baker pointed out that many women take oral contraceptives for medical purposes, such as to prevent uterine bleeding.