Defense Health Agency panel prescribes generic Viagra first, then generic Cialis

Julia LeDoux
January 24, 2020 - 1:20 pm
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Tricare beneficiaries still have to try a generic version of Viagra before switching to a generic form of Cialis to treat erectile dysfunction.

That’s according to a Defense Health Agency spokesperson who addressed questions following a recent vote of the agency’s Beneficiary Advisory Panel that recommended Tricare coverage for generic Cialis.

“This policy aspect was a part of the discussion and the BAP's recommendation for a larger policy change that would move generic Cialis from non-formulary status to formulary status,” the spokesperson said.

The formulary status change would dramatically decrease Tricare patients’ out-of-pocket expenses, the spokesperson added. According to a Men's Health report, the DoD spent more than $41 million on erectile dysfuncton drugs in 2017.

According to the spokesperson, the panel’s discussion prior to its 6-2 vote earlier this month centered around which patients would need to complete a trial of sildenafil (generic Viagra) before tadalafil (generic Cialis) would be approved.

“Additionally, the discussion included tadalafil having more adverse drug reactions than sildenafil,” the spokesperson said.

The DoD’s Pharmacy & Therapeutics Committee recommended the coverage change last year after deciding that brand-name and generic erectile dysfunction drugs have the same result.

The spokesperson stressed that current and proposed policies do not require men 40 years of age and older complete “a prior authorization for generic Viagra. Men less than 40 will continue to require the existing prior authorization for all uses.."

The DHA’s deputy director will review the recommendation and sign off on it on behalf of the DHA director if it is approved.

Tricare beneficiaries, get set to pay more for prescription drugs 

Reach Julia LeDoux: Julia@connectingvets.com

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