Home / Erectile Dysfunction / Does My Medicare Drug Coverage Include Viagra?

Does My Medicare Drug Coverage Include Viagra?


Viagra, the iconic little blue pill developed by Pfizer, remains among the most popular oral ED drugs on the market.

Erectile dysfunction can strike men at almost any age. However, its incidence increases as men grow older. Despite the higher incidence of ED among older men, Medicare Part D drug coverage does not include Viagra or any of the other brand-name oral ED medications.

In the latest edition of its “Medicare Prescription Drug Benefit Manual,” the Centers for Medicare and Medicaid Services (CMS) specifically excludes “agents . . . used for the treatment of sexual or erectile dysfunction” from Part D coverage.

However, it does allow insurers that provide Part D coverage to cover such drugs when they are prescribed to treat other health problems. For example, sildenafil, the active ingredient in Viagra, can be covered under Part D when it is prescribed for the treatment of pulmonary arterial hypertension, a form of high blood pressure that targets the lungs.

Also Sold Under Revatio Brand Name 

Pfizer markets sildenafil in 20-milligram tablets (recommended starting dose for ED treatment is 50 milligrams) under the brand name Revatio, which is prescribed specifically for the treatment of PAH.

Revatio is also available in generic form, also marketed in 20-milligram tablets, the typical dose for PAH treatment. Under CMS regulations, both Revatio and its generic alternative can be covered under Medicare Part D.

Buy Legal FDA-approved prescription medications like Viagra From AccessRx Buy Legal FDA-approved U.S Prescription Online Medications - Real Pfizer Viagra From AccessRx

Because ED medications are expressly excluded from coverage, Part D policyholders will have to pay full price for Viagra. Cash prices for a single 100-milligram tablet of the brand-name drug range from $76 to $81 in the key markets of New York, Miami, Chicago, Dallas, Los Angeles, and Seattle.

You can save by opting instead for the generic alternative to Viagra, marketed simply as sildenafil. Prices for the generic range from a low of $29 to a high of $66 in the same six markets cited above.

* * * * * * *

If you use Viagra or another ED drug, including generic Viagra, you might want to take advantage of the convenience of ordering from AccessRx.com, an online facilitator since the late 1990s.

To learn more about all that AccessRx has to offer, including complimentary online consultations with one of its team of licensed U.S. physicians, click here to visit its Erectile Dysfunction page.

(Visited 63 times, 1 visits today)

About Don Amerman

avatar
Don Amerman has spent more than three decades in the business of writing and editing. During the last 15 years, his focus has been on freelance writing. For almost all of his writing, He has done all of his own research, both online and off, including telephone and face-to-face interviews where possible. Don Amerman on Google+