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Does Medicare Cover My Viagra?

October 6, 2016

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

Generic prescription drug alternatives?

There is a generic version of Viagra (sildenafil citrate) that may be available.

Potential discounts for Medicare coverage for Viagra

Besides possibly obtaining a doctor’s prescription for the generic alternative to Viagra, what are your other options to save money? One step is to check with your local pharmacies to see if they have a discount prescription 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 prescription 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 prescription 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 prescription drug manufacturer is not obligated to offer retail discount programs but some occasionally do.