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.
In 2007, Colorado authorized use of a PDL in January and authorized an Rx management plan using reimbursed pharmacists; a Hawaii task force will review the state's maximum allowable cost (MAC) program's reimbursement policy; Idaho urged Congress to modify or drop the "clawback" state payments; Kansas adjusted dispensing fees.



The FY 2006-07 budget (in §1628) requires the Department of Community Health to convene by April 2007 a committee to study the implementation of psychotropic pharmacy administration under Medicare part D for individuals dually enrolled in the Medicare and Medicaid programs, including evaluation of the effectiveness of mental health consumer enrollment and medication access through the Medicare part D procedures for pharmaceutical management for dual eligibles.
Authorizes the Department of Health and Social Services to create a PDL and to use other cost containment strategies including use of supplemental rebates from pharmaceutical manufacturers Drugs approved for the PDL will be selected based on clinical effectiveness, safety and costs.

The bill specifies the composition of a pharmacy and therapeutics committee to advise the Medicaid agency on medications subject to prior authorization, criteria for medical necessity to be used in a prior authorization program, and criteria for lock-in programs to prevent unauthorized multiple refills.
Committee and workgroup participation includes: All Saints Heart Failure Quality Committee, All Saints Ambulatory Care Pharmacy Team, Ascension Wisconsin Graduate Pharmacy Education Council, Ascension Residency Optimization Workgroup, Ascension Wisconsin Therapeutic Affinity Group-Heart Failure, Ascension Wisconsin Chronic Care Model Lead Operations Team and the Wisconsin Nurses Association Team-based Care Advisory Committee.
Among the possible culprits are a variety of stimulants, sedatives, diuretics, antihistamines , and drugs to treat high blood pressure , cancer , or depression But never stop a medication unless your doctor tells you to. In addition, alcohol, tobacco , and illegal drugs, such as marijuana , may contribute to the dysfunction.

Applies to fee-for-service drugs (about 30% of OHP clients in FFS) - all drugs prescribed to fee-for-service clients and mental health drugs (7 & 11 drugs, plus Depakote and Neurontin) for patients in managed care plans (up to now all OHP client mental health drugs-even those in managed care-were provided for through a carve out program).
Requires the Oklahoma Health Care Authority to immediately provide coverage under prior authorization for any new drug approved by the United Get ED Meds for Less In Illinois States Food and Drug Administration if the drug falls within a drug class that the Authority has already placed under prior authorization.
Establishes that a new drug shall be exempt from prior authorization unless 1) there has been a review of the drug and a recommendation regarding prior authorization by the Pharmacy and Therapeutics Advisory Committee or 2) the drug is in a class of drugs for which the Committee has recommended that all new drugs shall require prior authorization.

Removes the automatic override to the preferred drug list in the state Medicaid program; requires the Drug Utilization Review Board to implement prior authorization requirements for a non-preferred drug that is in the same therapeutic class as a drug that is on the list; requires a health care provider requesting an override to provide documentation of the medical need for the preferred drug list override.

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