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Does Medicare Cover My Viagra?

While Medicare drug plans cover a wide range of medications, not every medication is covered. In fact, there are entire classes of drugs not covered by Medicare or Medicare drug plans. For example, drugs used for cosmetic effects are not included with Medicare prescription drug coverage. Erectile dysfunction drugs, which include Viagra, also belong to an excluded drug class. This means that your Medicare drug plan cannot pay for any of the costs of Viagra. The money you spend for this excluded drug also can't count toward Medicare catastrophic coverage. Catastrophic coverage if a government assistance program offered to people meeting the government's annual threshold for exceptionally high out-of-pocket spending for drugs.

Generic Alternatives?

Currently there is no generic version of Viagra available. However, Pfizer's patent now extends through April 2020.

Investigating Potential Discounts

With no Medicare coverage of Viagra and no generic alternative, what are your options to save money? The first step is to check with your local pharmacies to see if they have a discount drug program that could help. These programs are sometimes referred to as pharmacy drug card programs. You can also check with your pharmacist to see if ordering the medication by mail would reduce your costs.

You can also speak with your doctor and pharmacist about the costs of alternative erectile dysfunction medications such as Cialis or Levitra. While Medicare won't cover these drugs, you can see whether they are less expensive. You'll also need to discuss the pros and cons of these medications with your doctor since different drugs can have different effectiveness as well as side effects.

Finally, you can periodically check the Pfizer web site to see if they offer any rebate or discount programs. A drug manufacturer is not obligated to offer retail discount programs but some occasionally do.



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Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by private companies approved by Medicare and provide Medicare Part A and Part B coverage. Medicare prescription drug coverage is insurance run by an insurance company or other private company approved by Medicare. A Medicare Supplement plan is a health insurance plan provided by a private company that fills in the "gaps" in original Medicare coverage.

 
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