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Link to the most recent updates to the MassHealth Drug List. May be subject to change. Select the drug form, strength and dosage.
3: This drug is available at a higher level co-pay. The Statewide PDL is not the same as the formularies that are commonly used by commercial insurers. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug … At least 45 states use PDLs in their fee-for-service (FFS) drug programs. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent. Drug Search; Preferred Drug List (PDL) DHS Website; Drug Search.
This website also contains material copyrighted by 3rd parties. To review the most up-to-date information, please use the DHS NDC Search. Search to see drugs covered under this Benefit Plan. Film-coated tablet: 10 mg PO ~1 hour before sexual activity; may be increased to 20 mg or reduced to 5 mg, depending on effectiveness and tolerance; not to exceed 1 dose/dayOrally disintegrating tablet (ODT): 10 mg PO placed on tongue ~1 hour before sexual activity; not to exceed 1 dose/day10-mg ODT not interchangeable with 10-mg film-coated tablet; ODT provides higher systemic exposure at same dose; if higher or lower doses are required, film-coated tablet should be prescribedOrphan designation for treatment of pulmonary arterial hypertensionAUC and Cmax increased by 39% and 21%, respectively, in elderly men (compared with men <45 years)Soluble guanylate cyclase (sGC) stimulators (eg, riociguat); concomitant use can cause hypotensionAnatomic deformation of penis, cardiovascular disease, left ventricular outflow obstruction, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, multidrug antihypertensive regimens, retinitis pigmentosa, conditions predisposing to priapism, concomitant use of CYP3A4 inhibitorsAvoid in patients with congenital QT prolongation or those taking class IA or III antiarrhythmicsUse in combination with other treatment for erectile dysfunction has not been studied and is not recommendedNot to be taken with other phosphodiesterase (PDE)-5 inhibitors (eg, sildenafil, tadalafil)Concomitant use of alpha blockers increases risk of hypotensionVision loss may occur rarely and may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION); patient should seek medical assistance for sudden loss in one or both eyes; patients who have already experienced NAION are at increased risk of recurrence; use is not recommended in patients with known degenerative retinal disordersMay increase risk of rare sudden vision loss attributed to nonarteritic ischemic optic neuropathy; if vision problems arise, discontinue, and contact physicianLactation: Unknown whether drug is distributed into breast milk; indicated for malesA: Generally acceptable.
Posted Mar 16, 2011 It is not an exclusive list of drugs covered by Medicaid and includes approximately 35% of all Medicaid covered drugs. Controlled studies in pregnant women show no evidence of fetal risk.Sexual stimulation causes nitric oxide to be released in corpus cavernosum, and nitric oxide activates guanylate cyclase, which in turn increases cyclic guanosine monophosphate (cGMP), thus causing smooth-muscle relaxation; PDE-5 inhibitors enhance smooth muscle-relaxing effects of nitric oxide in corpus cavernosum by inhibiting degradation of cGMPPeak plasma concentration: 8-19% lower for ODT than for film-coated tabletMetabolized in liver by CYP3A4 and (in minor amounts) CYP2C9Metabolites: M1 (active; plasma concentration 26% of parent compound)Adding plans allows you to compare formulary status to other drugs in the same class.To view formulary information first create a list of plans.
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