Does Medicare Cover Viagra?

Though Medicare Part A and Part B don’t cover medications like Viagra, they may help provide coverage for other erectile dysfunction treatments.

The same is true for Medicare Advantage plans. ED can be caused by a number of other health issues, including, but not limited to:

• Obesity
• Cardiovascular problems
• High blood pressure
• High cholesterol
• Heart disease
• Atherosclerosis
• Smoking
• Prostate problems, including cancer
• Alcoholism
• Certain prescription medications
• Diabetes

Management and treatment of these conditions must be considered medically necessary by your doctor and are typically covered by Medicare Part A and/or Medicare Part B. Treating the root cause of your erectile dysfunction could help alleviate it.

If you receive treatment under Medicare Part B, you typically pay 20% of the cost of services after you meet your Medicare Part B deductible ($240 in 2024).

How much does Viagra cost with Medicare Advantage plans?

Viagra 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 Advantage cover Viagra?

According to GoodRx, Medicare Advantage plans and Medicare Part D plans didn’t typically cover Viagra in 2023.¹

• Part D plans or Medicare Advantage plans that cover drugs 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 2024 Medicare Advantage plans include 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 can find out if Medicare Advantage plan options in your area cover prescription drugs.

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.

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.