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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. There are many other treatments for erectile dysfunction. Because Sildenafil ratiopharm is a generic medicine , studies in patients have been limited to tests to determine that it is bioequivalent to the reference medicine, Viagra. Objectives: Explain the mechanism of action of sildenafil in the treatment of erectile dysfunction and pulmonary arterial hypertension. Other information about Sildenafil ratiopharm The European Commission granted a marketing authorisation valid throughout the European Union for Sildenafil ratiopharm on 23 December Sildenafil (Generic Viagra, Revatio) is medication used to treat erectile dysfunction (ED) in men who suffer from impotence, or the inability to get or maintain an combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get an erection and maintain it during sexual intercourse.  · VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR on the other to indicate the dosage strengths. 4. Contraindications. Key facts. Sildenafil (Viagra) is a medicine used to treat erectile dysfunction (ED, also called impotence). Sildenafil works by helping to relax the blood vessels in the penis, allowing more blood to flow in and cause an erection. You should take sildenafil about an hour before planned sexual activity, so it has time to work.

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