Health Care Cost Implications of Sildenafil Citrate
Article first published online: 13 SEP 2004
The Journal of Sexual Medicine
Volume 1, Issue 2, pages 141–149, September 2004
How to Cite
Miner, M. (2004), Health Care Cost Implications of Sildenafil Citrate. Journal of Sexual Medicine, 1: 141–149. doi: 10.1111/j.1743-6109.2004.04022.x
- Issue published online: 13 SEP 2004
- Article first published online: 13 SEP 2004
- Erectile Dysfunction;
- Managed Care;
- Sildenafil Citrate
Conflict of Interest. Supported by Pfizer Inc.
Introduction. As prescription drug expenditures increase, third-party payors are increasingly scrutinizing costs and reimbursement guidelines, such as for medications that treat chronic conditions that are not necessarily directly life threatening (i.e., obesity, nicotine addiction, and erectile dysfunction).
Aim. To review the costs and consequences of pharmacy benefit reimbursement policies related to erectile dysfunction therapies, using sildenafil citrate as the case study.
Methods. Data and references were found through searches of PubMed and Google.
Results and Conclusions. To meet the varied health needs of a defined population under reasonable resource constraints requires analysis of cost and of the economic and non-economic consequences of a treatment. Based on analysis of sildenafil data, oral therapy of erectile dysfunction provides substantial cost savings when compared with other treatment options and contributes insignificant overall costs to health plans. Regardless, health plans impose controls to limit reimbursement. Because erectile dysfunction is often a precursor to other conditions, such limitations could compromise detection and management of underlying disease (e.g., depressive, cardiovascular, and urogenital). Reimbursement restrictions may also decrease membership satisfaction and re-enrollment rates.