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![A tablet of flibanserin female viagra](https://img.money.com/2015/08/150819_ff_femviagra.jpg?crop=154px%2C236px%2C1725px%2C970px&quality=85)
*A tablet of flibanserin*

On Tuesday the Food and Drug Administration approved Addyi, the first sexual dysfunction drug for women. Questions remain about [the drug's side effects and risks](https://time.com/4001475/filbanserin-female-viagra-approved/). But if it works well, will it be affordable for most women?

[Sprout CEO Cindy Whitehead said](http://www.nytimes.com/2015/08/19/business/fda-approval-addyi-female-viagra.html) that while the cost of Addyi has not been finalized, it should be priced similarly to a month of Viagra pills*.* GoodRx, a drug cost comparison site, found that the average fair cash price for Viagra is [around $400](http://www.goodrx.com/pde5-inhibitors) a month. However, Whitehead expected that patients with insurance coverage would only need to pay about $30 to $75 a month in copays.

That's the amount most Americans currently pay for non-generic prescription drugs. Virtually all job-based health plans have prescription drug benefits with a "formulary," or a list of which drugs are covered and which are not. Most drug formularies have more than one tier, which means that some drugs require a higher co-pay or co-insurance rate than others, according to the [Kaiser Family Foundation](http://kff.org/report-section/ehbs-2014-section-nine-prescription-drug-benefits/). For formularies with just two tiers, the average co-pay for first-tier drugs like generics is just $11, while more specialized second-tier drugs go up to $30. On plans with four or more pricing levels, the most expensive average co-pay is $80.

That said, it's not yet known whether all insurers will cover Addyi. For men seeking erectile-dysfunction medication, some insurers require evidence of a documented medical condition or refuse to cover certain drugs, according to the [Cleveland Clinic](http://my.clevelandclinic.org/health/diseases_conditions/hic_Erectile_Dysfunction_Overview). For instance, starting next year, CVS/Caremark [will remove Viagra and Levitra from its formulary](http://www.cvshealth.com/sites/default/files/FDR0116_31140_fmt_sec.pdf) (though Cialis will still be available). Plus, those over 65 are often out of luck: By law, Medicare Part D is [prohibited from paying for erectile dysfunction drugs](http://newoldage.blogs.nytimes.com/2014/02/06/no-sex-please-were-on-medicare/).

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