Revatio (Sildenafil) Medicare Coverage

Revatio is a medication that contains the active ingredient Sildenafil. It is used to treat erectile dysfunction (ED), and also to treat high blood pressure in the lungs.

Revatio inhibits an enzyme called PDE-5 in the smooth muscle of the lungs to relax blood vessels and decrease blood pressure within the lungs. Blocking PDE-5 also helps increase blood flow to the penis.

Revatio is typically taken 1-3 times daily when treating high blood pressure in the lungs.

Side effects of Revatio include headache, heartburn, upset stomach, stuffy or runny nose, muscle pain, back pain, diarrhea, redness, nosebleeds and insomnia.

How much does Sildenafil cost with Medicare?

Sildenafil coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Sildenafil?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Sildenafil, the generic form of Revatio, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Sildenafil include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Sildenafil. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

If you take Revatio for erectile dysfunction, take your dose about 1 hour (effective range is 30 minutes – 4 hours) before sexual activity as needed. Do not take a daily dose of Revatio unless you plan on having sexual activity.

If you take Revatio for high blood pressure in the lungs, take your dose every day unless instructed otherwise by your doctor.

Call the doctor right away if you experience symptoms of a stroke (weakness, confusion, a drooping face or blurry eyesight), hearing changes, trouble breathing that is new or worse, chest pain, or if you experience a painful erection or an erection that lasts longer than 4 hours.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.