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To: Anthony Wong who wrote (56)5/27/1998 4:34:00 PM
From: Anthony Wong  Respond to of 1722
 
Second Suit Seeks To Force Insurers To Pay For Pfizer's Viagra
May 27, 1998 4:08 PM

PHILADELPHIA -(Dow Jones)- An unnamed
Horsham, Pa., man, who suffers from impotence caused
by diabetes, has filed a lawsuit against Prudential
HealthCare seeking insurance coverage for Pfizer Inc.'s
Viagra.

It is the second lawsuit in as many weeks that seeks to
force payment for the blockbuster impotence drug. Last
week, a man sued Oxford Health Plans Inc. (OXHP)
and other unnamed health insurance providers.
Prudential HealthCare is a division of Prudential
Insurance Co. of America.

Lawyers for the latest plaintiff said the man, who had
been prescribed Viagra to treat his erectile dysfunction
by his physician, was denied coverage by the medical
plan.

The plantiff's lawyers allege the insurers won't honor
claims for the drug because of its popularity.

A Prudential (PFE) spokesperson wasn't immediately
available for comment.

The suit seeks class-action status for other men who are
beneficiaries of health insurance through Prudential
Insurance and have been denied coverage for the drug.

A similiar suit was filed last week against Oxford Health
Plans and other insurers. That suit alleges the insurers
breached fiduciary duty under the Employee Retirement
Income Security AcCt, which applies to employee
benefit plans.

Pfizer's Viagra, while revolutionizing the treatment of
impotence, has sparked a nationwide debate over what
is considered medically necessary during a time when
insurance companies are increasingly trying to restrict
health-care costs.

In addition, many women are resentful at the frenzy over
Viagra because for years, the costs of birth control
hasn't been covered by traditional health insurance plans.

Some health-care plans, such as Aetna/U.S. Healthcare
Inc., aren't paying for Viagra pending a decision on
whether to cover it. Other plans are limiting the number
of pills they will pay for each month, ranging from a little
as six to as many as 10 or 15, thereby setting the limit
for how many times an impotent man can have
intercourse.

Copyright (c) 1998 Dow Jones & Company, Inc.

All Rights Reserved.