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Image: Thinkstock, there are some potentially helpful differences between these medications, but price can limit your choices. About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70 of otherwise healthy men. Does it make any difference which of the viagra brand online four drugs for erectile dysfunction you take? "Yes, there can be differences says. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance in Boston. "For new patients, I have them try different ones to see what works best.". Sildenafil (Viagra) is often the viagra brand online first drug your doctor offers. It's been on the market longest and its side effects and the medications viagra brand online and foods viagra brand online it interacts with are well known. The latest drug to be approved, avanafil (Stendra may have fewer side effects than the other drugs. But the main challenge to finding the best ED drug for you may turn out to be health insurance rulesnot biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month. After you hit your limit, the out-of-pocket cost for a single pill can be as high. "The main obstacle in my practice is the cost. You'll need to work with your doctor to get the pill you need at a price you can afford. In addition to Viagra and Stendra, the two other ED drugs available in the United States are tadalafil (Cialis) and vardenafil (Levitra). These all improve blood supply to the penis. In combination with sexual viagra brand online stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form viagra brand online of Levitra, called Staxyn, that you put under your tongue. One ED drug, Cialis, is FDA-approved for use daily in a dose.5 or 5 milligrams. This helps to produce erections on demand and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate. How to control the cost, the cost to you for ED drug therapy varies considerably, depending on the pharmacy price, prescription co-pays, and your level of health plan coverage. Nationally, the out-of-pocket cost per pill ranges from approximately 15. Even if private insurance covers it, you may be limited to four doses per month. Here are a few things you can do to contain costs: Shop around, because viagra brand online pharmacy prices vary. Various web-based tools can help you compare prices easily. One of them. Ask your doctor about pill splitting, where you get the pills at a higher dose than you need and divide them. Explore manufacturer discount programs. These allow you to obtain a limited supply of medications not covered by your insurance. How well do they work?

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In news that will delight men off brand viagra who've had difficulties in the bedroom, two generic versions of off brand viagra the erectile dysfunction drug Viagra are scheduled to hit the market Monday. One of the new generics is made by Teva Pharmaceuticals, and the other by Greenstone, a subsidiary of Pfizer, the company that manufactures Viagra. The generic versions of the little blue pill (sildenafil) will likely be cheaper than brand-name Viagra for most men. And more generic versions are expected next year, which could drive prices even lower. Viagra came on the market in 1998 as the first drug to treat impotence. Cialis (tadalafil) and Levitra (vardenafil) are two other erectile dysfunction medications. They work by relaxing muscle cells in the penis, which allows for greater blood flow, according to the Urology Care Foundation. Pfizer says the current wholesale cost for a 50 milligram or 100 milligram Viagra.54 a pill. Greenstone will sell the generic version for between 30 and 35 a pill. However, both of those figures represent the price the drug maker charges. A number of variables affect the final cost a consumer pays, such as mark-ups from pharmacy benefit managers or pharmacies, and insurance coverage and co-pays. "Cost has been a tremendous issue off brand viagra for patients. Many patients have been unable to obtain the medication since insurance companies don't pay for it and out-of-pocket costs are astronomical said. Aaron Katz, chairman of urology at NYU Winthrop Hospital in Mineola,.Y. "The hope is that the introduction of generics will reduce the cost, and patients will have greater access to Viagra, which has been an important medication for healthy men with erectile dysfunction he added. Warren Bromberg is chief of urology at Northern Westchester Hospital in Mount Kisco,.Y. He agreed that cost has been an issue with these drugs. Generic versions "will be of real benefit to the majority of men he said. "The brand erectile dysfunction drugs are often not covered by commercial payers insurance companies, or are covered but with substantial co-pays and restrictions on the number of pills covered per month he said. For older men on Medicare, he said the brand-name drugs can cost as much as 50 for one pill. Both doctors said this has led many men in the United States to buy erectile dysfunction drugs online or in Canada. Pfizer, however, is offering discount programs beginning in January to make Viagra more affordable. For men who pay cash and have a valid prescription, the company is offering home delivery (Pfizer Direct) of brand-name Viagra for about 50 percent off list price. Pfizer Direct doesn't take insurance. The cost of a pill in this program is between 30 and 34, according to Pfizer. Also for cash-paying customers, Pfizer is offering an enhanced savings card that lifts the six-pill minimum purchase and provides a 50 percent savings off the retail price. Pfizer cannot estimate the cost per pill because different pharmacies charge different prices. Another program is for those with insurance. Consumers who have their Viagra prescription filled at a participating pharmacy will have a 20 out-of-pocket co-pay through the first part of 2018. The company estimates that 80 percent to 85 percent of retail pharmacies in the United States participate in this plan. But pills aren't the only treatment available for erectile dysfunction. Katz said the first thing a man should do is have a proper physical from a primary care physician. Impotence can be the first sign of heart disease, particularly in younger men, he said. Bromberg said diabetes is the most common cause of erectile dysfunction in the United States, which is another good reason to ensure your overall off brand viagra health is good. Like most medications, erectile dysfunction drugs can cause side effects.

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