0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

The Cost-Effectiveness of Sildenafil

Kenneth J. Smith, MD; and Mark S. Roberts, MD, MPP
[+] Article and Author Information

From Mercy Hospital of Pittsburgh and the Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.


Requests for Single Reprints: Kenneth J. Smith, MD, Department of Medicine, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15219; e-mail, ksmith@pmhs.mercy.org.

Requests To Purchase Bulk Reprints (minimum, 100 copies): the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints@mail.acponline.org.

Current Author Addresses: Dr. Smith: Department of Medicine, Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15219.

Dr. Roberts: Center for Research on Health Care, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA 15213.

Author Contributions: Conception and design: K.J. Smith, M.S. Roberts.

Analysis and interpretation of the data: K.J. Smith, M.S. Roberts.

Drafting of the article: K.J. Smith.

Critical revision of the article for important intellectual content: K.J. Smith, M.S. Roberts.

Final approval of the article: K.J. Smith, M.S. Roberts.

Collection and assembly of data: K.J. Smith.


Ann Intern Med. 2000;132(12):933-937. doi:10.7326/0003-4819-132-12-200006200-00002
Text Size: A A A

Coverage of sildenafil (Viagra, Pfizer, Inc., New York, New York) by third-party payers is a contentious issue (14). Sildenafil treatment is effective for erectile dysfunction (57), but it is costly (13) and may lead to serious illness and death when used by men with cardiac conditions, particularly those with coronary artery disease who are taking nitrate medications (810). Because erectile dysfunction is not a life-threatening illness, some authors have questioned the appropriateness of insurance coverage for sildenafil given its costs and potential for harm and abuse (1, 3, 1012). Some insurance plans in the United States and in other countries restrict coverage of sildenafil therapy to men who fall within strictly defined criteria, and some do not cover it at all (2, 1314).

First Page Preview

View Large
First page PDF preview

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

The Cost-Effectiveness of Sildenafil (Viagra)

The summary below is from the full report titled “The Cost-Effectiveness of Sildenafil.” It is in the 20 June 2000 issue of Annals of Internal Medicine (volume 132, pages 933-937). The authors are K.J. Smith and M.S. Roberts.

Read More...

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)