Cialis, Viagra, Levitra, Staxyn, Stendra
- Treatment of erectile dysfunction (ED)
Cialis Only
- Treatment of signs and symptoms of benign prostatic hyperplasia (BPH)
- Treatment of ED and the signs and symptoms of BPH
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Drug | Dosing Regimen | Dose Limit/ Maximum Dose |
---|---|---|
doxazosin (CarduraR/Cardura XL) | BPH Immediate Release 1 mg PO QD, titrate to 2 mg QD and thereafter to 4 mg QD and 8 mg QD Dosing range: 1 - 8 mg Extended Release 4 mg PO QD Dosing range: 4 - 8 mg | 8 mg/day |
terazosin (HytrinR) | BPH 1 mg PO QD; increase the dose to 2 mg, 5 mg, or 10 mg QD in a stepwise fashion Dosing Range: 1 - 20 mg | 20 mg/day |
tamsulosin (FlomaxR) | BPH 0.4 - 0.8 mg PO QD | 0.8 mg/day |
alfuzosin (UroxatralR) | BPH | 10 mg/day |
RapafloR (silodosin) | BPH | 8 mg/day |
finasteride (ProscarR)* | BPH 5 mg PO QD | 5 mg/day |
AvodartR (dutasteride)* | BPH 0.5 mg PO QD | 0.5 mg/day |
JalynR (dutasteride/ tamsulosin)* | BPH 0.5/0.4 mg PO QD | 0.5/0.4 mg/day |
Drug | Dosing Regimen | Authorization Limit |
---|---|---|
Viagra | ED 50 mg PO 1 hour (0.5-4 hours) before sexual activity. Dosing range: 25 -100 mg The maximum recommended dosing frequency is ONCE per day. | Benefit Renewal Date (Quantity limits are plan specific) |
Cialis | BPH 2.5-5 mg PO QD (maximum 5 mg/day) ED Daily for ED 2.5 - 5 mg PO QD* PRN for ED *NOTE: daily therapy for ED is a benefit exclusion. 10 mg PO before sexual activity Dosing range: 5 - 20 mg. The maximum recommended dosing frequency is ONCE per day. Refer to the member's evidence of coverage for plan specific quantity limits. | BPH Length of Benefit ED Benefit Renewal Date (Quantity limits are plan specific) |
Levitra | ED 10 mg PO 60 minutes before sexual activity. Dosing range: 5 - 20 mg The maximum recommended dosing frequency is ONCE per day. | Benefit Renewal Date (Quantity limits are plan specific) |
Staxyn | ED | Benefit Renewal Date (Quantity limits are plan specific) |
Stendra | ED 100 mg PO 30 minutes before sexual activity. Dosing range: 50 - 200 mg. The maximum recommended dosing frequency is ONCE per day. | Benefit Renewal Date |