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Does Aetna Cover Viagra

Explore Aetna's Viagra coverage policies, reasons for denial, tips to secure coverage, out-of-pocket costs, and common questions answered.

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Does Aetna Cover Viagra?

Aetna may cover Viagra, primarily for treating erectile dysfunction (ED) as part of its pharmacy benefits. Coverage can vary based on the specific plan and whether the condition aligns with plan criteria.

Approval depends on medical necessity; typically, documentation from a healthcare provider supporting the ED diagnosis may be required.

Some plans may have quantity limits for Viagra. It's possible to obtain more with additional documentation justifying the need.

Brand-name drugs like Viagra may require higher copayments or the use of a preferred alternative unless a medical justification is provided.

Patients are encouraged to check their specific plan details to confirm coverage, limitations, and any required prior authorizations.

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Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Viagra Coverage with Aetna

Contact Aetna Customer Service

Call the Aetna customer service number found on your insurance card to inquire about coverage for Viagra.
Request information on whether your specific plan includes coverage for erectile dysfunction medications.
Ask if there are any preferred pharmacies you need to use to get coverage.

Check Your Prescription Drug Plan

Log into your Aetna online member portal to review your prescription drug benefits.
Locate the formulary or drug list to see if Viagra (sildenafil) or alternative medications are included.
Note any requirements such as prior authorization or step therapy that might be needed for Viagra.

Consult with Your Healthcare Provider

Discuss your Viagra prescription needs with your doctor to determine if it's medically necessary for you.
Ask your doctor to provide documentation if prior authorization is needed by Aetna for coverage.
Consider discussing alternative medications if Viagra is not covered by your plan, as your provider may suggest an option that is covered.

Request Prior Authorization

If your plan requires prior authorization, work with your healthcare provider to fill out the necessary forms.
Submit any supporting documents that illustrate the medical necessity of Viagra for your treatment.
Follow up with Aetna to ensure they receive and process your authorization request.

Visit an In-Network Pharmacy

Once you have confirmed coverage, take your prescription to an Aetna in-network pharmacy to minimize out-of-pocket costs.
Present your Aetna insurance card when picking up your medication to ensure you receive the plan benefits.
Ask the pharmacist to confirm that the prescription is billed correctly under your Aetna plan.

Consider Appeal Options

If coverage is denied, review the reason provided by Aetna and gather further documentation as needed.
File an appeal within the timeframe allowed by Aetna, highlighting any medical evidence or documentation supporting your case.
Contact customer service for assistance with the appeals process if needed.

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Benefits of Curex

At-home treatment

Apply treatments in minutes from the comfort of your own home with under-the-tongue applications instead of shots or pills

5-30x higher cumulative dose vs allergy shots

Sublingual immunotherapy delivers a higher dose of allergens over the course of treatment.

Potential for results in as few as 6 months

Individual results vary but some users have reported a noticeable difference in as few as 6-12 months since starting treatments

Excellent safety profile

Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option

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Clinicaly made allergen extracts are customized for your allergies

Your immune system gets desensitized to allergens, giving you long-term relief.

FAQs

Does Aetna Cover Viagra

Explore Aetna's Viagra coverage policies, reasons for denial, tips to secure coverage, out-of-pocket costs, and common questions answered.

Achieve Your Goals Faster with Curex

Is Viagra Covered by Aetna

Does Aetna Cover Viagra?

Aetna may cover Viagra, primarily for treating erectile dysfunction (ED) as part of its pharmacy benefits. Coverage can vary based on the specific plan and whether the condition aligns with plan criteria.

Approval depends on medical necessity; typically, documentation from a healthcare provider supporting the ED diagnosis may be required.

Some plans may have quantity limits for Viagra. It's possible to obtain more with additional documentation justifying the need.

Brand-name drugs like Viagra may require higher copayments or the use of a preferred alternative unless a medical justification is provided.

Patients are encouraged to check their specific plan details to confirm coverage, limitations, and any required prior authorizations.

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Aetna's Approved Criteria for Viagra Coverage

Eligibility Criteria for Viagra Coverage

Member must have a diagnosis of erectile dysfunction (ED) confirmed by a legitimate medical evaluation and documentation from their healthcare provider.

Treatment should be deemed necessary for the management of ED by a healthcare professional.

There should be documented evidence of other non-pharmacological treatment attempts for erectile dysfunction.

Member should not have contraindications for the usage of the medication as determined by their healthcare provider.

Prescription and Dosage Specifications

Viagra coverage is applicable for prescribed dosages typically in the range approved by FDA standards (25 mg, 50 mg, or 100 mg).

Prescription must be from a licensed healthcare provider and meet the necessary dispensing frequency as per medical guidelines.

Age Requirements

Member should be 18 years or older, as Viagra is approved for adult males with a medical diagnosis of erectile dysfunction.

Medical Assessment Requirements

Member should have a comprehensive medical and psychological assessment to ensure Viagra is a safe and suitable option.

Continuous assessment and documentation are required to maintain coverage and adjust therapy as needed.

Plan-Specific Limitations

Coverage may have specific limitations on the number of tablets dispensed per month based on individual plan details.

Members should verify specific benefits with their individual insurance plans to account for any variability in coverage.

Prior Authorization Process

Members might be required to go through a prior authorization process to confirm medical necessity and eligibility for Viagra coverage.

Documentation for prior authorization must include relevant medical history and reasons for recommending Viagra over alternative treatments.

Why Aetna Might Deny Viagra Coverage

Reasons for Aetna's Denial of Viagra Coverage

The patient does not meet the medical criteria for coverage, such as having a documented diagnosis of erectile dysfunction.

Viagra is being requested for off-label use or any treatment not approved by the FDA for erectile dysfunction treatment.

The patient is seeking coverage for Viagra for lifestyle reasons rather than medically necessary use.

There is a lack of evidence supporting the clinical necessity of Viagra for the specific condition of the patient.

The prescription exceeds the quantity limits set by Aetna for medication coverage.

The patient is trying to obtain the medication without meeting the policy requirements, such as prior authorization or step therapy protocols.

Viagra is not included in the patient’s specific plan or is excluded under the patient’s plan benefits.

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How Much Does Viagra Cost without Insurance?

Viagra Cost Without Insurance

The price of Viagra without insurance varies based on location, pharmacy, and dosage. On average, a single pill of brand-name Viagra (sildenafil citrate) can range from $60 to $90.

Generic versions of sildenafil typically cost significantly less, often ranging from $10 to $15 per pill. This can offer savings for those paying out-of-pocket.

Online pharmacies and discount programs may offer Viagra or its generic counterparts at reduced rates, but it is crucial to ensure the source is reputable and the medication is FDA-approved.

Pharmacy discount cards and savings programs may also provide additional cost reductions, sometimes bringing the cost down to mere dollars per pill for the generic version.

Factors Influencing Cost

**Dosage and Quantity**: Higher dosages, such as 100mg pills, may cost more per unit than lower ones like 25mg or 50mg.

**Brand vs. Generic**: As with most medications, brand-name versions are pricier compared to generics. Switching to a generic version like sildenafil can drastically reduce costs.

**Supplier Pricing**: Prices can differ between pharmacies, both locally and online, due to varying supplier costs, deals, and pharmacy pricing strategies.

**Location**: Geographical location may affect the price, with urban areas sometimes offering greater competition and thus better pricing than rural areas.

Cost-Saving Tips

**Use Generic**: Opt for the generic version when possible, as it is significantly cheaper and equally effective in many cases.

**Shop Around**: Compare prices at various pharmacies, both in-person and online, to find the best deals. Websites like GoodRx can help compare prices.

**Discount Programs**: Check for pharmacy discount programs or patient assistance programs available for prescription medications.

**Bulk Purchase**: Purchasing a larger quantity, if prescribed for regular use, often reduces the cost per pill.

Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Kayla Mardaga, NP

How to Get Viagra Coverage with Aetna

Contact Aetna Customer Service

Call the Aetna customer service number found on your insurance card to inquire about coverage for Viagra.
Request information on whether your specific plan includes coverage for erectile dysfunction medications.
Ask if there are any preferred pharmacies you need to use to get coverage.

Check Your Prescription Drug Plan

Log into your Aetna online member portal to review your prescription drug benefits.
Locate the formulary or drug list to see if Viagra (sildenafil) or alternative medications are included.
Note any requirements such as prior authorization or step therapy that might be needed for Viagra.

Consult with Your Healthcare Provider

Discuss your Viagra prescription needs with your doctor to determine if it's medically necessary for you.
Ask your doctor to provide documentation if prior authorization is needed by Aetna for coverage.
Consider discussing alternative medications if Viagra is not covered by your plan, as your provider may suggest an option that is covered.

Request Prior Authorization

If your plan requires prior authorization, work with your healthcare provider to fill out the necessary forms.
Submit any supporting documents that illustrate the medical necessity of Viagra for your treatment.
Follow up with Aetna to ensure they receive and process your authorization request.

Visit an In-Network Pharmacy

Once you have confirmed coverage, take your prescription to an Aetna in-network pharmacy to minimize out-of-pocket costs.
Present your Aetna insurance card when picking up your medication to ensure you receive the plan benefits.
Ask the pharmacist to confirm that the prescription is billed correctly under your Aetna plan.

Consider Appeal Options

If coverage is denied, review the reason provided by Aetna and gather further documentation as needed.
File an appeal within the timeframe allowed by Aetna, highlighting any medical evidence or documentation supporting your case.
Contact customer service for assistance with the appeals process if needed.

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Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

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Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Viagra FAQ

1. What is the recommended dosage for Viagra?

Recommended Dosage for Viagra

The typical recommended dose of Viagra for most patients is 50 mg. It's usually taken about 1 hour before sexual activity but can be taken anywhere from 30 minutes to 4 hours beforehand.

Depending on individual efficacy and tolerance, the dose may be adjusted. It can be increased to a maximum recommended dose of 100 mg or decreased to 25 mg.

It's important to take Viagra only once per day. Taking more than the approved dosage can increase the risk of potential side effects.

Always consult with a healthcare provider before adjusting the dosage to suit individual health conditions and requirements.

2. How long does Viagra take to work?

Time to Onset

Viagra typically takes 30 to 60 minutes to become effective after ingestion.
The onset can vary depending on factors like metabolism, age, and diet.

Factors Affecting Effectiveness

Food Intake: Consuming a high-fat meal may delay the drug's effect.
Dosage: Common doses are 25 mg, 50 mg, and 100 mg. A doctor determines the appropriate dose.
Health Condition: Underlying conditions can impact Viagra's efficacy.

Environmental and Mental Factors

The drug requires sexual arousal to work effectively.
Stress or anxiety may reduce effectiveness.

Duration of Effect

Viagra's effects can last for up to 4-5 hours.

3. Can women take Viagra?

Can Women Use Viagra?

Viagra, known by its generic name sildenafil, is primarily designed for men with erectile dysfunction.

Some studies explore its effects on women, but it is not FDA-approved for female use.

Potential off-label uses for women include addressing sexual arousal disorders, but results vary.

Side effects in women can include headaches, flushing, and vision changes.

Consult a healthcare provider before considering Viagra for women to discuss risks and benefits.

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Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

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Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide. Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Does Aetna Cover Viagra

Explore Aetna's Viagra coverage policies, reasons for denial, tips to secure coverage, out-of-pocket costs, and common questions answered.

Achieve Your Goals Faster with Curex