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The little blue pill that's helped millions of men in the bedroom is turning white. Drugmaker Pfizer is launching its own cheaper generic version of Viagra rather than lose salts when its impotence pill gets its first generic competition. (Dec. 6)
     AP

TRENTON, N.J. – The little blue pill that's helped millions of men in the bedroom is turning white. Drugmaker Pfizer is launching its own cheaper generic version of Viagra rather than lose most sales when the impotence pill gets its first generic competition next week.

Pfizer Inc. will begin selling the white pill at half the $ 65-a-pill retail price on Monday, when its patent-protected monopoly ends. Generic maker Teva Pharmaceuticals can start selling its version then, but is not disclosing the price.

Many more generics go on sale next summer, which will steadily slash the price of generics, possibly by 90%.

"Patients If you are a doctor, you will be very happy, "said Dr. Nachum Katlowitz, a urologist at New York's Staten Island University Hospital.

Launched in 1998, Viagra was the first pill for impotence. It transformed into a private frustration for many aging. It is a publicly discussed medical condition with an easy treatment, far more appealing than options like penile injections and implants. Pfizer's early TV ads for the little blue pill even coined the term erectile dysfunction, ED for short.

Eli Lilly's Cialis came out in 2003 and now dominates the U.S. market with on-demand pills and daily, low-dose ones. Viagra is a close second.

Pfizer says its market research shows 20% of customers are loyal to Viagra. So rather than give up sales to generic makers as brand-name drugmakers once routinely did, the company is selling its own generic and also fighting to keep men on its blue pills.

"We believe that the story for Viagra is not Done, it's going to be a new chapter, "said Jim Sage, president of US brands for Pfizer Essential Health, which sells its older medicines.

In January, the drugmaker will offer two new discount programs and increase its copayment card discounts. Uninsured men can get brand-name Viagra half off through an innovative online home delivery program, Pfizer Direct. Many insured patients will be able to get a month's prescription – usually six to 10 pills, depending on plan limits – for as little as $ 20 copayment.

"This is the most comprehensive pricing and marketing response," said Erik Gordon, a pharmaceuticals analyst at the University of Michigan's business school. "It's unprecedented."

Gordon thinks Pfizer's reduced prices will retain some patients and others who will buy pills, often counterfeits, from the Internet.

Dr. Matthias Hofer, a urologist at Northwestern Memorial Hospital in Chicago, said some of his insured patients who take Viagra would not want to generic. "They will be ecstatic if they can save money and get the product from Pfizer," he said.

Last year, more than 12 million prescriptions for Viagra and Cialis were in the US, generating a combined $ 3 billion in sales , according to health data and clinical research company IQVIA. However, prescriptions have been dropped since 2012, as compared to the price of the contract for many men and women.

According to health information analytics firm Elsevier, over the past decade, retail prices jumped from about $ 10 to $ 62 per pill for Viagra and from $ 11 to $ 61 for Cialis. Pharmacies and other middlemen add a few dollars more per pill.

Generic Viagra, called sildenafil, will become even more affordable Starting June 11, when more versions go on sale.

"Many patients already know it's going generic and they Want it, "said Aracely Pena, a medical assistant at San Diego Sexual Medicine.

Cialis and Levitra, another pill launched in 2003, get their own generic competition next.

In the meantime, some doctors specializing in sexual dysfunction have found other options. Some prescription generic Revatio, the blood pressure pill Pfizer was testing when older patients reported stronger erections as a side effect. It contains one-fifth the sildenafil dose in Viagra and costs as little as $ 1 per pill.

Northwestern's Hofer arranges for its patients to receive made-to-order pills from a couple of specialty pharmacies.

Daniel Lobello, 60, is satisfied with those pills but thinks a lot of men would use cheaper generic or brand-name Viagra.

"It's great" that the prices are getting cut, said the West Chester, Illinois, electrical inspector, "because it's something men need."

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