PDF Coverage of Viagra through the Medicaid Program

The purpose of this letter is to advise States about the appropriate coverage of Viagra through the Medicaid program and to encourage States to ensure that appropriate medications are provided to the Medicaid population. The issue of whether State Medicaid programs must cover Viagra is governed by the Omnibus Budget Reconciliation Act of 1990 ...

Does Medicaid Cover Viagra? | Medicare & Medicare Advantage Info, Help ...

Viagra helps to counteract these potential causes by stimulating blood flow and helping to dilate, or open up, the blood vessels throughout the body. This medication usually takes between 30 and 60 minutes to take full effect and should only be taken on an as-needed basis. It can be taken any time within four hours of sexual activity as it is ...

Does Medicaid Cover Viagra? - HelpAdvisor.com

No, Medicaid does not cover Viagra. Medicaid doesn't pay for the cost of any medications used to treat sexual or erectile dysfunction (ED), including Viagra, also known by its generic name, sildenafil.To be covered under Medicaid's formulary list, drugs must be deemed medically necessary for the participant's health, and Viagra does not meet that definition.

Viagra Coverage | Guidance Portal - HHS.gov

Viagra Coverage. Guidance for : The purpose of this letter is to advise States about the appropriate coverage of Viagra through the Medicaid program and to encourage States to ensure that appropriate medications are provided to the Medicaid population. The issue of whether State Medicaid programs must cover Viagra is governed by the Omnibus ...

Reviewing Medicaid's Viagra Coverage Parameters

Medicaid's coverage policy for Viagra varies significantly depending on the state and individual circumstances. Generally, Medicaid does not deem Viagra as medically necessary, leading to its exclusion from coverage under most plans. The criteria for coverage prioritize medications addressing life-threatening conditions or significantly ...

Prescription Drugs | Medicaid

Prescription Drugs. Prescription Drugs. Medicaid is a joint Federal-State program that pays for medical assistance for individuals and families with low incomes and relatively few assets. Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all ...