Does Medicare cover Viagra?
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Federal law lets drug plans exclude agents used for sexual or erectile dysfunction unless the drug is FDA-approved for another condition being treated (42 U.S.C. 1396r-8(d)(2)(H)), and Part D applies that exclusion. Sildenafil prescribed for erectile dysfunction is excluded; sildenafil for pulmonary arterial hypertension is a separate approved use.
What Medicare specifically requires
Sources: 42 U.S.C. 1396r-8(d)(2): drugs that may be excluded or restricted (Current code)
About Medicare coverage
- Medicare GLP-1 Bridge: $50 per month for Wegovy (injection or tablet), Zepbound KwikPen or Foundayo, from July 1, 2026 through December 31, 2027. Zepbound single-dose pens and vials are not covered. Medicare.gov fact sheet 12234: Medicare GLP-1 Bridge, Jun 2026
- Bridge eligibility: age 18 or older and BMI 35 or more; or BMI 30 or more with HFpEF, uncontrolled high blood pressure or chronic kidney disease stage 3a or higher; or BMI 27 or more with prediabetes, a prior heart attack, stroke or peripheral artery disease. Medicare.gov fact sheet 12234: Medicare GLP-1 Bridge, Jun 2026
- The $50 Bridge copay does not count toward the Part D deductible or the yearly out-of-pocket limit. Medicare.gov fact sheet 12234: Medicare GLP-1 Bridge, Jun 2026
- People with type 2 diabetes, moderate-to-severe sleep apnea or noncirrhotic MASH get GLP-1s through their Part D plan, not the Bridge. CMS: Medicare GLP-1 Bridge information for providers, Aug 6, 2026
- Federal law lets drug plans exclude agents used for weight loss, hair growth, or erectile dysfunction (42 U.S.C. 1396r-8(d)(2)). 42 U.S.C. 1396r-8(d)(2): drugs that may be excluded or restricted, Current code
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Does Medicare cover Viagra?+
Federal law lets drug plans exclude agents used for sexual or erectile dysfunction unless the drug is FDA-approved for another condition being treated (42 U.S.C. 1396r-8(d)(2)(H)), and Part D applies that exclusion. Sildenafil prescribed for erectile dysfunction is excluded; sildenafil for pulmonary arterial hypertension is a separate approved use.