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Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Vardenafil Levitra 20 mg As dir $70 BC / NIHB - NC Urology Erectile Dysfunction
4 tablets; may split tablet for lower dose to save costs
Terazosin Hytrin 2 mg QD $65 BC / NIHB - Covered Urology Benign Prostatic Hyperplasia (BPH)
Testosterone Gel Androgel 5 g QD $470 BC - NC / NIHB - SA Urology Testosterone Replacement
Testosterone Undecanoate Andriol 40 mg BID $105 BC - SA / NIHB - Covered Urology Testosterone Replacement
Sildenafil Viagra 50 mg, 100 mg As dir $55 BC / NIHB - NC Urology Erectile Dysfunction
4 tablets; may split tablet for lower dose to save costs
Testosterone Cypionate Depo-Testosterone 100 mg/mL 200 mg Q2W $60 BC / NIHB - Covered Urology Testosterone Replacement
Finasteride Proscar 5 mg QD $50 BC / NIHB - Covered Urology Benign Prostatic Hyperplasia (BPH)
Tamsulosin CR Flomax CR 0.4 mg QD $30 BC / NIHB - Covered Urology Benign Prostatic Hyperplasia (BPH)
Testosterone Enanthate Delatestryl 200 mg/mL 400 mg Q30D $60 BC / NIHB - Covered Urology Testosterone Replacement
Dutasteride Avodart 0.5 mg QD $40 BC / NIHB - Covered Urology Benign Prostatic Hyperplasia (BPH)
Tadalafil Cialis 20 mg As dir $70 BC / NIHB - NC Urology Erectile Dysfunction
4 tablets; may split tablet for lower dose to save costs
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization