Health Net
Viagra (sildenafil)
Drugs for the Urinary System : Drugs for Erectile Dysfunction
  • Prior Authorization Required
  • Age Limit: This drug may require prior authorization if your age does not fall within manufacturer, FDA, or clinical recommendations. At least 21 yrs old
  • Quantity Limit: limit maximum 8 EA PER 30 day(s) limit maximum 8 EA PER fill retail