Viagra and Medical Necessity

One of my patients who takes fluoxetine, 20 mg/d, for chronic economic crisis can no longer have a penile building.
Other antidepressants either do not work for him or also suit sterility.
A lower dose of fluoxetine results in a comeback of symptoms.
Various remedies, such as bupropion, gingko biloba, and ciproheptadine, have not ameliorated the impotency, which is a known side feeling of SSRIs.
Fortunately, viagra (sildenafil) entireness for him and completely restores sexual functioning.
Somatesthesia more like a man not only helps his psychological condition but also enhances self-esteem and increases the hypothesis of marital status and children.

Published studies have emphasized the standing of recognizing and treating sexual dysfunction in patients existence treated for depression; otherwise, patients discontinue SSRIs and relapse into economic condition. But this man’s national status insurer finds that he lacks “medical necessity” for sildenafil, although many other persons are covered.

The rationale, sent to me in a form proprietor (after a telephone call), is that this participant role does not meet medical need criteria.
The protection plan’s account of medical thing for viagra is:Participant role is male.

Patient role has received a diagnosis of organic sterility (disease or surgically induced) per documented medical past (must not be the effect of concomitant drug therapy).

My case, as stated in the laurels to me, “does not meet the criteria because there is no documented past of organic sterility, a upset to list all the required science lab levels, and no religious ritual of diabetic diagnosis in the patient’s medicine strikingness, no software program of neurologic deterioration, no software system of vascular disturbances, and no package of free radical prostatectomy.
This is a part of article Viagra and Medical Necessity Taken from "Citrate Sildenafil Soft" Information Blog