Revatio (Sildenafil) Medicare Coverage

Revatio
Chemical name: Sildenafil

Brand name: Revatio

Typical dosage: 20mg

Typical type: Tablet1

Revatio is a medication used to treat erectile dysfunction, as well as high blood pressure in the lungs. It is available as a brand name or generic drug and comes as an oral liquid and an oral tablet.

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.

Does Medicare cover Revatio or Sildenafil?

While some Medicare plans may not cover Revatio, some Medicare Advantage plans and Medicare Part D plans may cover generic Sildenafil.

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.1

  • 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.

Find Medicare Advantage plans with drug coverage

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

 

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.

Average costs for Sildenafil with Medicare drug coverage

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.

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.