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Staxyn (vardenafil orally disintegrating tablet)Cigna

Benign Prostatic Hyperplasia

Initial criteria

  • For men with erectile dysfunction and benign prostatic hyperplasia, use criterion 1 (Erectile Dysfunction).
  • Patient has tried an alpha-1 (α1) blocker; OR
  • Patient has tried a 5α-reductase inhibitor.

Approval duration

1 year