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I periodically have problems with erection, and then I take Viagra in a dose of 50 mg. I was advised to take it in courses, but I don't really want to take so many pills, and the instructions say that this medicine is only effective for five hours. Accordingly, if I do not have sex on the day when I take the pill, then what's the point? I don't want to spend extra money. In any way, when I take Viagra before sex, I know that I will have a really good evening. My face blushes sometime after I swallow the pill, but this is the only side effect I feel. I'm lucky, as many men complain about other unpleasant sensations.

Buying Viagra, Levitra, Cialis in California, Florida and Texas: What You Need to Know

Citizens of California, Texas and Florida have better access to telemedicine providers offering e-prescriptions for ED meds compared to other states. Viagra, Levitra or Cialis are not covered by the original Medicare or Medicaid programs in these 3 states, but private insurance plans often include co-pay for 5-8 pills monthly. Manufacturer discount coupons are prohibited in California unless the patient is paying for ED drugs out of their own pockets or their doctor an certify that generic meds are not right for them. It's common for residents of California, Texas and Florida to go to Mexico to buy cheap high-quality impotence drugs there or order them online where the price of one pill is as low as under $1.

The process of buying ED medications in California, Florida and Texas is mostly similar to that in all other US states. The article below outlines the most important local differences.

Buying Viagra Online in California, Florida and Texas vs Other States

E-prescription of ED medications is currently legal in all 50 states. The availability of telemedicine services is higher in California, Texas and Florida where customers already have access to such major providers as Roman (working in 37 states) and Hims (19 states). Sildenafil.com distributing FDA-approved Viagra generics through AUM Pharmacy network is currently available to customers in 15 states including CA, FL, TX as well.

Coverage by Health Insurance Plans

First, it's important to understand that co-payment or co-insurance for Viagra, Levitra or Cialis in California, Florida or Texas are not available to people eligible for Medicare Plan D or Medicaid. Sildenafil and tadalafil as Revatio, Adcirca and their generics are covered as pulmonary arterial hypertension medicines.

ED treatment coverage is a part of private insurance plans in California, Florida and Texas - including but not limited to the more expensive Medco, Aetna Medicare or Golden Rule plans. Note that the latter is not available in California. These plans include 5 to 8 pills a month maximum and will require a prior authorization request from your doctor and copay of $3 to $10 per pill depending on the plan. Daily Cialis used for BPH treatment is also covered by private insurance plans, so consider choosing it for treatment since it helps against erectile dysfunction too.

Viagra or Levitra Discounts Prohibited in California

Starting from 2017, the residents of California enrolled in any sort of health insurance or other healthcare programs that cover, fully or in part, their drug expenses, are not allowed to use discount coupons from ED drug manufacturers like Pfizer or GlaxoSmithKline. The law prohibits copayment from the pharmaceutical company if there's a cheaper generic version of their products available. Such discount coupons are available on Viagra.com and Levitra.com, for example, but Californians will only be able to use them if they are paying for Viagra or Levitra out of their own pockets.

Patients with health insurance plans covering ED treatment are allowed to use the discount coupons only after receiving prior authorization for the use of brand-name drugs - for instance, if they can't tolerate the generic medications well.

Mexican Viagra and Other ED Meds in California, Texas, Florida

Another thing that all 3 states covered in this article have in common is their proximity to Mexico. Many people looking to buy Viagra in California, Texas or Florida choose to go across the border to obtain it at lower prices and without worrying about the quality much - provided they are buying the original brand-name meds or at least the reliable generics they are familiar with.

When it comes to importing the purchased ED medications back into US, it is important to remember the following basic guidelines for avoiding possible problems at the customs:

  1. If you have a prescription for ED medication issued by your US-based doctor, take it with you;
  2. If you don't have a prescription, you might want to get one from a licensed Mexican healthcare provider. Although not all Mexican pharmacies ask for a prescription when you buy ED meds there, there is a possibility you will be asked to present one at the border control on your way back.
  3. Don't buy too much. Generally, the FDA says you can have a maximum of 90 days' worth of medication when you're importing it for personal use.

You are also advised to buy from reliable pharmacies or shops like Walmart, Benevides, etc. to avoid purchasing fake or counterfeit ED pills.

Sildenafil, Vardenafil, Tadalafil Price Comparison in Texas, California, Florida

The table below lists the lowest out of pocket prices for Viagra, Levitra, Cialis and their generic versions. Only the most popular strength is listed for each medication and only the pills for use as needed are covered in this overview. We have included the price quotes from 2 main sources: 1) Local land-based and Web pharmacies, according to GoodRX.com
2) International Web pharmacies, according to PharmacyChecker.com

Medication Los Angeles, CA Miami, FL Houston, TX Price per pill in international Web pharmacies
Price per pill
In local land-based or Web pharmacy
Price per pill
In local land-based or Web pharmacy
Price per pill
In local land-based or Web pharmacy
Viagra, 50mg$59.94$59.94$59.94$6.10
Sildenafil, 50mg$5.83$7.72$5.83$0.41
Levitra, 10mg$56.08$56.08$56.08$5.07
Vardenafil, 10mgN/AN/AN/A$0.55
Cialis, 10mg$60.52$60.52$60.52$13.59
Tadalafil, 10mgN/AN/AN/A$0.18

Thanks to wide telemedicine availability, buying ED meds in Florida, California and Texas is easy nowadays. Those looking for additional savings may consider buying sildenafil, vardenafil, tadalafil and similar drugs online or going south of the border. Don't count on manufacturer discounts though if you live in California - the use thereof is limited by law there.

Sources:

1) ED drugs are excluded from Medicare coverage -
https://en.wikipedia.org/wiki/Medicare_Part_D#Excluded_drugs

2) The use of drug manufacturers' discounts is limited in California -
https://www.hoganlovells.com/~/media/hogan-lovells/pdf/2017/2017_10_16_health_alert_new_california_law_limits.pdf?la=en

3) Limitations for importing medications for personal use into the USA -
https://www.fda.gov/aboutfda/transparency/basics/ucm194904.htm

4) Price comparison, US-based pharmacies - https://www.goodrx.com/

5) Price comparison, foreign pharmacies - https://www.pharmacychecker.com