Does Medicare Cover Revatio?

In this article...
  • Learn about Medicare Part D and Medicare Advantage coverage for the drug Revatio. Find out why it's prescribed and how much you might pay for prescriptions.

If you're managing a blood pressure issue or dealing with erectile dysfunction, you may get a prescription for Revatio. Since this drug is typically taken over a long period of time, it can affect your budget. However,  100% of Medicare prescription drug plans cover Revatio. As long as you have a Medicare Part D plan or a Medicare Advantage plan with drug coverage, your plan will cover part or all of the cost.

Revatio Drug Information

Revatio is one of the brand names for the drug sildenafil. It's a phosphodiesterase 5 inhibitor that doctors often use to treat erectile dysfunction. Your doctor may also recommend this medication if you have pulmonary arterial hypertension; in some people, it can make it easier to perform physical activity.

The medication works by slowing the function of the enzyme phosphodiesterase type-5. In the process, it can increase blood flow. If you're taking Revatio for erectile dysfunction, this can make it easier to maintain an erection. If you have pulmonary arterial hypertension, it can assist your vessels in allowing easy blood flow.

You can get Revatio as a tablet or an oral suspension. Both forms can have negative interactions with other substances, including nitrate medications, so it's important to tell your doctor what you're currently taking.

How Much Does Revatio Cost With Medicare?

If you have prescription drug coverage through a standalone Part D plan or Medicare Advantage, your deductible will determine how much you pay for Revatio. While you're in the deductible period, you'll be responsible for the entire cost of the prescription. As soon as you meet the deductible — which could be as low as $0 or as high as $505 in 2023 — your plan will start providing coverage. At that point, you can pick up your Revatio prescription for the cost of the co-pay. Keep in mind that the deductible resets every year.

Revatio is a brand-name medication, so you may be able to save money during the deductible period by opting for a generic option. Your doctor can let you know if there's an acceptable substitution for your situation. After that, the co-pay depends on your plan's tiers; Revatio is often a Tier 3 medication, so it typically has a midrange co-pay.

Does Medicare Have Coverage Restrictions for Revatio?

Your Medicare coverage may have restrictions for Revatio. Many plans allow you to get a certain amount at one time, and some require your physician to get in touch with your healthcare provider for authorization. In some cases, your plan might cover the generic sildenafil but not the brand name.

Read More
Woman uses blood pressure machine at home
Explore the best wrist blood pressure monitors. Find out what to look for in a wrist blood pressure ...
Home health nurse measures patient's blood pressure
Does Medicare cover blood tests for cholesterol? Yes, it does. Keep reading to learn more about Medicare ...
Happy Couple Embrace Outside
Medicare Advantage (Part C) plans are different from traditional Medicare in several distinct ways. ...