Erectile Dysfunction (Impotence) Causes In Older And Younger Men

Erectile dysfunction, known commonly as impotence, is defined as the consistent inability to obtain or maintain an erection of sufficient quality for satisfactory sexual intercourse. Directs the Department of Health to apply for an 1115 waiver to allow individuals with income or assets in excess of limits generally established in the state plan to receive services under a pharmacy plus program provided that the individual is Medicare eligible, but not been determined to be eligible for full Medicaid benefits under the state plan; the family income of the individual does not exceed 175% of the federal poverty level; and total family net assets do not exceed $350,000.
Based in part on SB06-01 passed in 2006, this Executive Order establishes a "preferred drug list for non-Medicare clients receiving drugs through the fee-for-service and primary care physician programs in the Colorado Medical Assistance Program." Requires the Department to "evaluate the various methods by which a PDL is implemented and maintained and shall determine the best option for Colorado's PDL; also requires obtaining supplemental rebates and an evaluation of the feasibility and cost-effectiveness of entering into one of the existing multi-state purchasing pools.



Also requires the state to submit a Medicaid state plan amendment to allow pharmacies to refuse to fill Medicaid prescriptions for "beneficiaries who demonstrate a documented and continuous failure to pay co-payments in spite of their ability to make these payments", described as unpaid for six prescriptions or six months.
B) allow that use of Medicaid prescription drug funds shall only be available for dual-eligibles "to cover co-payments and non-formulary drugs to pharmacies participating in the federal Medicare Part D program;" also requires Medicaid rebate agreements on such products.

The program excludes persons who receive coverage in whole or in part by Medi-Cal (Medicaid), state-funded health programs like the Healthy Families Program or "another third-party payer, provided that the individual has not reached the annual limit on his or her prescription drug coverage." Also requires the Department to negotiate drug discount agreements with drug manufacturers " and shall attempt to negotiate the maximum possible discount" and pursue manufacturer rebate agreements for drugs in each therapeutic category, with such manufacturer price disclosures defined as confidential.
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Also provides for a "TennCare Rx program prescription benefit to individuals lacking prescription drug insurance coverage who meet criteria established by the bureau of TennCare and the general assembly in its annual appropriation," designed to serve a non-Medicaid population, with further details not specified.

Before coming to CUW SOP, her academic career started as a clinical assistant professor for the Department of Family and Community Medicine at the Medical College of Wisconsin, where she taught pharmacotherapy in clinical practice to physicians in residency and participated in clinical research.
This law requires the state, beginning on January 12, 2006, and concluding 15 calendar days later, to provide drug benefits to a Medicare-eligible person who is also ED Medication Less Than $2 A Pill in Wisconsin eligible for Medi-Cal prescription drug benefits and who is not able to obtain drug benefits from his or her prescription drug plan under the Medicare Program.
Under the "Therapeutic Consultation Service" program, if a patient attempted to fill a fifth brand-name prescription in a month, the pharmacist would contact the beneficiary's physician, who would then have to contact a pharmacist hired by the state for approval.

Deletes reporting requirement from the Medicaid related portion of the bill that arose in the event that the Department of Health and Welfare was not able to achieve the rebate amount required without compromising the best interest of Medicaid recipients and the Medicaid drug rebate program: previously, the department was required to report to the joint standing committee of the Legislature having jurisdiction over health and human services matters and the joint standing committee of the Legislature having jurisdiction over appropriations and financial affairs.

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