How can I get an Addyi prescription if my insurance does not cover it?

My doctor prescribed me Addyi for HSDD and I cannot afford it and my insurance does not cover it. Any ideas how I can get the prescription?

Our compliments to you for exploring ways to make your sexual experience more satisfying. Too many cultural forces give women the message that their sexuality is about something other than their own pleasure.  The NWHN is proudly pro-sex and believes that all people have the right to satisfying sexual experiences.

Flibanserin (Addyi) is the first drug approved to treat Hypoactive Sexual Desire Disorder (HSDD) in premenopausal women. The drug isn’t great.  

The FDA rejected flibanserin twice, originally because it wasn’t more effective than a placebo, and later because of safety concerns.  The drug was finally approved in 2015, after a new sponsor convinced the FDA to allow it to change how it measured effectiveness. Using this new measurement, the drug is effective in about 10% of the women who try it, and those women experienced on average one more sexually satisfying event per month.  

The NWHN cautions women against using the drug, because in addition to the very limited effectiveness (if at all) there are serious safety concerns for those who use flibanserin.  Twice as many people who used flibanserin in the clinical trials had car accidents and other accidental injuries, mostly because of sudden loss of consciousness and dangerously low blood pressure.  The FDA asked the sponsor to examine whether these dangerous complications were caused by combining flibanserin with alcohol. The first study to examine this found that combining flibanserin with 2-4 drinks caused loss of consciousness and dangerous drops in blood pressure.  However, the sponsor recruited men for that study, which left women uncertain as to the risks for them of this drug. When it approved the drug, the FDA added a warning women using the drug to completely avoid alcohol.

Recently, the sponsor told Canadian authorities that they’ve done the alcohol safety study in women and didn’t find the same risks.  However, the sponsor excluded women with low blood pressure and limited the amount of alcohol to 3 drinks. This study has not been published and we still don’t know everything we need to know about the safety of the drug.  Until we do, the NWHN believes that women taking flibanserin should follow the FDA warning and not drink alcohol while taking the drug.

Given all this, some women have turned to other possible remedies for low libido, such as seeing a sex therapist, experimenting with sex toys, changing the dose or type of other medicines they’re taking that are known to reduce libido, or addressing relationship or personal stressors.  The NWHN supports this approach to improving sexual satisfaction, as we know that loss of libido can come about for many reasons, not all of which could be addressed by a pill, even a much better pill than flibanserin.

That being said, if flibanserin is an avenue that you want to pursue (as you indicated in your question), it is your right to do so. If your insurance company does not cover the pill, you will have to absorb the cost on your own. According to the company’s website, if your commercial insurance covers Addyi, your cost is $25 per month. If it is not covered by your insurance, or if you choose to self-pay your cost is $99 per month for your prescription. For those buying flibanserin without insurance, the website recommends free home delivery as your lowest cost option.


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