Your Viagra cost through the VA depends on several factors. The VA Pharmacy Benefit Program covers Viagra, but co-pays vary. Expect to pay a co-pay based on your income and the VA formulary tier assigned to Viagra.
Income-Based Co-pays
The VA uses a sliding scale based on your annual income to determine your co-pay. Lower income veterans typically pay less. Specific co-pay amounts change occasionally, so confirm your current co-pay directly with the VA. Check your individual benefit letter or contact your local VA facility for up-to-date pricing.
Formulary Tier
Viagra’s placement within the VA’s formulary influences your cost. This changes from time to time, therefore it’s not possible to state a specific tier permanently. Higher tiers generally mean higher co-pays. This is why verifying your current co-pay is vital.
Finding Your Co-pay
To find your precise co-pay, use these resources:
- Check your most recent VA benefit letter: This will specify your current co-pay amounts. Visit your local VA pharmacy: The pharmacy staff can provide accurate and up-to-date information. Contact the VA directly through their website or phone: You can find contact information online.
Comparison of Potential Costs
While exact amounts fluctuate, the following table illustrates potential co-pay ranges. These figures are for illustrative purposes only, and may not be your actual co-pay.
| Low Income | $5 – $15 |
| Medium Income | $15 – $30 |
| High Income | $30 – $45 |
Prior Authorization
In some cases, prior authorization from your VA doctor might be required before the VA will cover Viagra. Confirm this with your physician.
Alternative Options
If the VA’s cost proves too high, explore other options like private insurance or patient assistance programs offered by pharmaceutical companies. However, always talk to your doctor before changing medications or sources.
