Is Viagra covered by Medicare?

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Medicare generally 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, called sildenafil, is available at a lower cost. A person who needs the drug can find coupons online which further reduce the price.

This article explains whether Medicare covers Viagra, Viagra costs, generic drug alternatives, and how Viagra works.

Original Medicare consists of Part A, which is hospital insurance, and Part B, which is medical insurance. Neither Part A nor Part B includes general prescription drug coverage, which is available under Part D.

Part A will pay for certain medications that must be administered if a person is in a qualified nursing facility. Part B also covers some outpatient medicines in a limited form.

Original Medicare will not cover the brand name drug Viagra. However, it may cover the generic form of the medication, sildenafil, in rare cases if prescribed by a doctor for a different medically necessary condition.

This is because sildenafil can treat conditions other than erectile dysfunction (ED). For example, doctors can use the generic version of Viagra to treat pulmonary arterial hypertension.

To help cover uninsured health costs, some people with original Medicare purchase a Medigap plan, which is Medicare supplemental insurance. However, it does not cover drugs.

Advantage plans are an alternative to original health insurance. They should provide the same coverage as Parts A and B, and in most cases, they also include prescription drug coverage. However, the plans generally do not cover Viagra and similar brand name drugs.

However, some plans cover generic versions of these drugs. A person can look at their particular Advantage plan to see which drugs it covers.

Similar to the original Medicare, Medicare Part D, which covers drugs, views treatment for erectile dysfunction as lifestyle enhancement rather than medically necessary.

In general, Part D does not cover drugs that treat erectile dysfunction, including Viagra, unless a doctor prescribes them for different medically necessary indications for which the Food and Drug Administration has approved their use.

However, some Part D regimens may not cover Viagra, or even sildenafil, if a doctor prescribes it off-label to treat another medical condition, even if the doctor says it is medically necessary.

Viagra prices can vary widely from pharmacy to pharmacy. However, it can cost over $ 600 for 10 of the 50 milligram (mg) tablets. Generic versions will generally cost less than the branded version.

In some cases, a person may be able to find coupons online from retailers that can cut costs. This makes the pills more affordable for many people, even if they don’t have health insurance.

Drug maker Pfizer also has a patient assistance program for some of its drugs, including Viagra. This program makes drugs available free of charge under certain circumstances.

Viagra is a pill that people use if they have difficulty getting an erection during sexual activity. It works by increasing the availability of an essential chemical for the body.

An erection requires the release of a chemical called nitric oxide (NO) during sexual stimulation.

NO allows smooth muscles in the penis to relax, which allows increased blood flow which results in an erection. Viagra increases the effect of NO by suppressing the enzyme responsible for its breakdown.

The FDA states that for most people the recommended dose is 50 mg, which is best taken 1 hour before sexual activity. A person can also take it 30 minutes to 4 hours in advance, however.

However, a doctor may prescribe a starting dose of 25 mg for people over 65 years of age or with reduced liver or kidney function.

The FDA also reports eight studies that compare the effects of Viagra and a placebo on male participants with sexual dysfunction. Research has shown that sexual stimulation leads to better erections in those who take Viagra.

It is important to note that Viagra can cause side effects, such as flushing of the face, headache, and diarrhea.

A person should talk to their doctor about all of their medications and current health concerns before using Viagra.

Medicare does not cover Viagra and similar drugs for the treatment of erectile dysfunction.

However, Medicare may cover sildenafil and other generic ED drugs to treat other medically necessary conditions. For the treatment of erectile dysfunction, people can get the generic forms at a lower cost than the brand name drugs.

A person with sexual dysfunction may wish to discuss the condition with their doctor and ask if it is safe for them to take Viagra or its generic alternative. A doctor can give them a prescription and perhaps recommend other measures.

The information on this website may help you make personal insurance decisions, but it is not intended to provide advice regarding the purchase or use of insurance or insurance products. Healthline Media does not carry on any insurance business and is not licensed as an insurance company or producer in any US jurisdiction. Healthline Media does not recommend or endorse any third party that may be engaged in insurance business.

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