Coverage depends on your specific Express Scripts plan and your doctor’s prescription. Generic sildenafil (the active ingredient in Viagra) is often covered under many plans, but brand-name Viagra may require prior authorization or have higher co-pays.
Check your formulary. This document lists covered medications and their costs. Access your formulary online through your Express Scripts account or by contacting your plan administrator.
Contact your doctor. Discuss treatment options, including generic alternatives, that might be covered by your insurance. Your doctor can also help navigate the prior authorization process if needed.
Call Express Scripts directly. Their customer service representatives can clarify your coverage and explain any co-pays or deductibles associated with Viagra or sildenafil.
Be aware of potential cost differences. Generic sildenafil usually costs significantly less than brand-name Viagra. Consider this cost difference when discussing options with your doctor.
