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  • Viagra and other ED drugs

    Warning: this post will contain TMI, but somewhat necessary to fully explain my rant.

    I'm annoyed and irritated these last few weeks. In the discussions about women's healthcare and the pathetic coverage of contraceptive in the U.S., somebody always goes on some rant about how it's unconscionable that so many insurers fail to cover basic contraceptives to women, but when it's men's ability to get a hard on, they have no problems covering it. As a 39 year old woman, I never thought to challenge that statement by actually researching whether or not those drugs are, in fact, coveted. Guess what? They're not.

    My boyfriend is a 62 year old man (well, technically 61 for 6 more days). As is the case with many men of his age, he's been having some difficulty in getting and maintaining an erection. Being active swingers and also into the BDSM scene, we've worked around this issue to a great extent. I've had no real complaints, but he's been growing steadily more frustrated. Finally last week he had his "last straw" incident which pushed him to the point where he finally talked to his doctor about it. His doctor was more than happy to write a prescription for whatever would be the most financially feasible option for him. So we set out researching cost. This shit is expensive and not covered by his insurance. I talked to multiple pharmacists in out search for the least expensive way to get this prescription filled. In two cases I had a lengthy conversation with the pharmacist about insurance coverage. Both pharmacists stated that the overwhelming majority of insurance plans do not provide any sort of coverage for ED drugs, and the cheapest of those drugs is around $40 per pill. Viagra is the only one that comes in a generic, but that's a pill that's only 20mg, at about $7 per pill, and the most common doses for ED ate 75 and 100mg, so you would need 4-5 pills per dose, so still at least $30 per sexual activity sessions. This is not cheap, folks!* And contrary to certain talking points, most insurance companies aren't covering it!

    If that's the case, why is this line still being used to slam the lack of women's contraceptive coverage? I'm frustrated because I feel that making false statements eventually harms women when it comes to the very real problems in women's healthcare. The powers that be hear those false statements and use that to claim women's advocates are being drama queens, and use that to justify their lack of action to solve the problems that most definitely exist.

    *My boyfriend has an amazing doctor. Viagra is also used to treat pulmonary hypertension, so the doc wrote the script for the generic and coded it for that purpose. BF does have mild hypertension, so the insurance company coveted it for that purpose and we got 24 of the 20mg pills for $15. Turns out that a relatively low dose of 40mg does the job, so if we are careful and don't use it every time we want to have sexy times, we can make it last two weeks, which was the time frame the doctor specified on the original script. Also, this is doing far more than just letting him have a better boner. He'd been having depression issues and suddenly that's been much less of an issue since we started using it. Plus our relationship is under less strain now that he doesn't have performance anxiety. I think I could make an argument that medication to treat ED isn't just a recreational thing giving him a better sex life has had a far reaching affect to his overall health.

    ETA: I'm on my tablet so there's a lot of autocorrect induced typos. I will come back and fix them when I get to a real computer.
    Last edited by mathnerd; 08-21-2015, 10:29 AM.

  • #2
    Originally posted by mathnerd View Post
    If that's the case, why is this line still being used to slam the lack of women's contraceptive coverage?
    Probably because, as you noted, your bf's doc was able to code it so it was covered. BC, even medically necessary BC, doesn't have extra coding. So Viagra's covered (albeit if you lie) but BC has an uphill battle.
    I has a blog!

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    • #3
      I can't say about Viagra, but Levitra and Staxyn were covered by two of the big prescription drug providers that were removed from the coverage lists in 2014, so obviously brand name vardenafil prescriptions were definitely covered until recently.

      I don't know how it stands, now, but ED drugs have been covered.
      Faith is about what you do. It's about aspiring to be better and nobler and kinder than you are. It's about making sacrifices for the good of others. - Dresden

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      • #4
        Originally posted by Kheldarson View Post
        Probably because, as you noted, your bf's doc was able to code it so it was covered. BC, even medically necessary BC, doesn't have extra coding. So Viagra's covered (albeit if you lie) but BC has an uphill battle.
        I don't know about every policy, obviously, but I do know that even the insurance plan for a large archdioces in the Catholic Church has a procedure for getting birth control pills covered for medical, non-contraceptive purposes. Several teachers I know at a Catholic school run by that archdioces admit to getting their doctor to lie for them and fill out the exception paperwork to get it covered. Again, I'm in no way denying that lack of coverage is a problem, but just noting that lying to get shit covered isn't limited to just men. The fact that we have to lie is a problem on both sides.
        Originally posted by Andara Bledin View Post
        I can't say about Viagra, but Levitra and Staxyn were covered by two of the big prescription drug providers that were removed from the coverage lists in 2014, so obviously brand name vardenafil prescriptions were definitely covered until recently.

        I don't know how it stands, now, but ED drugs have been covered.
        Thanks for that information. I have no knowledge of what was or wasn't covered before now since it's never actually affected me before. For the record, BF is with one of the larger providers in the U.S.

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        • #5
          Let me check what my insurance says.

          Viagra 100mg - $8.33 per pill for a 30 pill supply

          Everything else is in lower doses and the same price. Sucks.

          I tend to have the other problem of lasting too long. It's a gift and a curse.
          Violence has resolved more conflicts than anything else. The contrary opinion that violence doesn't solve anything is merely wishful thinking at its worst. - Starship Troopers

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          • #6
            Originally posted by Greenday View Post
            I tend to have the other problem of lasting too long. It's a gift and a curse.
            Ah yes, the subtle explainabrag. :P

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            • #7
              Originally posted by the_std View Post
              Ah yes, the subtle explainabrag. :P
              Lol. Ya gotta be careful with those. BF had the other problem until just a couple years ago. You never know when Mr. Happy is going to betray you b

              Greenday, that's cheaper than full cost, but still pretty expensive. One of the pharmacists I talked to said it was government employee plans that she'd seen cover it, but nothing else. As far as I know, government employee plans have pretty good contraceptive coverage as well.

              Just typing that leads me to wonder if anybody has looked into parallels within the same plans. What I mean by that is that how many insurance plans that do cover ED drugs also have good coverage for contraceptives. I'd also like to see it the other way around: does anybody have good contraceptive coverage but not ED coverage.

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              • #8
                Originally posted by the_std View Post
                Ah yes, the subtle explainabrag. :P
                It's the best problem ever.
                Violence has resolved more conflicts than anything else. The contrary opinion that violence doesn't solve anything is merely wishful thinking at its worst. - Starship Troopers

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                • #9
                  Thanks for the reminder; I am SO looking forward to October when they change all the codes and the game of figuring out which will get by the insurance companies and which will get a claim rejected for no good reason starts over.
                  "My in-laws are country people and at night you can hear their distinctive howl."

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                  • #10
                    Originally posted by Greenday View Post
                    It's the best problem ever.
                    Not really when you get frustrated because you can't cum and sore because of friction. Boyfriend used to have problems with it, got him quite down for a bit.

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