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what medically exceptions reasons for medicare viagra

by Doyle Kozey Published 2 years ago Updated 1 year ago

How much does Viagra cost without insurance?

Apr 03, 2020 · Medicare generally does not cover Viagra or other medications for ED treatment. Under Medicare guidelines for coverage, these medications are not considered medically necessary. However, more...

Can you take Viagra every day?

As a result, Medicare coverage will not provide benefits for Viagra under Part A unless the medication is prescribed for a cardiovascular condition. Medicare Part B offers coverage for medical treatments that are provided under a physician’s care in a clinical setting when the treatment is deemed medically necessary.

Does Medicare cover erectile dysfunction drugs?

Aug 11, 2021 · Original Medicare will not cover the brand name drug Viagra. However, there is a possibility that it might cover the generic form of the medication, sildenafil, in rare cases if a doctor prescribes...

Is Viagra available over the counter?

Although Original Medicare does not cover Viagra, some Medicare Advantage plans or Medicare Part D prescription drug plans may cover prescription drugs, such as Viagra. Medicare Part A and Medicare Part B (Original Medicare) do not cover Viagra (sildenafil citrate) or most other prescription medications. Medicare prescription drug benefits sold by private insurance …

Is Viagra a medical necessity?

Sildenafil (Viagra) is considered medically necessary for continued use when initial criteria are met AND there is documentation of beneficial response. Initial approval duration is up to 12 months. Sildenafil (Viagra) is considered not medically necessary for ANY other use.

Is Viagra covered under Medicare?

Medicare generally does not cover Viagra or other medications for ED treatment. Under Medicare guidelines for coverage, these medications are not considered medically necessary. However, more generic versions of ED medications have recently become available.Apr 3, 2020

What qualifies you for Viagra?

Your doctor may offer you a prescription for Viagra if they decide it's the safest treatment option based on your symptoms, medical history, and overall health. If you experience a painful or erection that lasts longer than 4 hours, seek emergency care immediately, as it may be a sign of another urologic condition.

Can Viagra be used for other medical conditions?

Summary: Viagra is now being used to treat not only erectile dysfunction (ED) but also pulmonary hypertension. And the drug may have potential for treating several other conditions, according to a recent report.Jul 30, 2007

Does Medicare pay for erectile dysfunction?

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.

Does insurance cover erectile dysfunction?

Your health insurance plan will probably pay for some kinds of erectile dysfunction (ED) diagnosis and treatment. If you have a prescription drug plan, it will probably pay for a limited number of ED drug doses each month.

Who should not use Viagra?

For example, you shouldn't take Viagra if you take nitrate medications to treat chest pain. You should also avoid taking Viagra if you take a drug called riociguat (Adempas). Taking Viagra with these medications can cause a dangerous drop in your blood pressure that leads to heart attack or stroke.

What happens if you use Viagra without ED?

Viagra can also make an erection last longer and occur faster, even in men without ED. However, even though it improves erection, Viagra may not improve premature ejaculation in men with this issue. As discussed, erections lasting over 4 hours are dangerous and considered to be a medical emergency.Jul 28, 2021

How do I get a prescription for sildenafil?

The most convenient way to get a Viagra prescription is to talk to a licensed healthcare provider online. Using our telehealth platform, you can consult a licensed healthcare provider from home via an online ED consultation.Feb 2, 2022

Which are contraindications for taking sildenafil Viagra?

The following conditions are contraindicated with this drug.
...
Who should not take VIAGRA?
  • multiple myeloma.
  • leukemia.
  • sickle cell anemia.
  • pigmentary retinopathy.
  • hearing loss.
  • significant uncontrolled high blood pressure.
  • a heart attack.
  • a sudden worsening of heart related chest pain called angina.

What other benefits does Viagra have?

Some benefits include:
  • Reduces progression of erectile dysfunction. Taking Viagra daily in a small dose is a way to “reduce the intensity of progression of ED,” according to Goldstein. ...
  • Improves ability to urinate. ...
  • Improves quality of life. ...
  • Endothelial friendly.
Mar 29, 2021

Is sildenafil as good as Viagra?

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 erectile dysfunction.

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