Such patients must not apply any out-of-pocket expenses incurred using this Savings Offer toward any government insurance benefit out-of-pocket spending calculations, such as Medicare Part D true out-of-pocket TrOOP costs You are responsible for reporting use of this Savings Offer to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this Savings Offer, as may be required. When choosing one, tell your doctor or other health care professional what your preferences are, such as cost, ease of use, how long the drug’s effects last and side effects. Earlier this year, a Canadian died upcountry in just such a case. An inherited eye disease that affects the retina. Not sure what the long term effects of Viagra could be. · Although sildenafil is generally considered safe for most penis owners, taking it without a prescription is not recommended. Doing so could lead to adverse side . Still, if your doctor says it’s okay for you to use and you end up paying out-of-pocket, you can still get the generic for a lot less than Viagra. According to price . Viagra is only available with a doctor’s prescription. Keeping Viagra as a prescription-only medication is for the safety of the person using this medication. ED can be brought about due to other diseases, so having a thorough evaluation with a physician may help you get to the root of the problem. People See more.