Tadalafil zeigt eine konstante Resorption im Gastrointestinaltrakt, mit maximalen Plasmaspiegeln nach rund zwei Stunden. Der Wirkstoff verteilt sich gut im Gewebe und weist eine hohe Plasmaproteinbindung auf. Seine lange Halbwertszeit erlaubt eine verlängerte Wirkphase. Der Metabolismus erfolgt über das hepatische Enzymsystem CYP3A4, mit der Bildung inaktiver Metaboliten. Exkretion geschieht primär über den Stuhl. Die Häufigkeit von Nebenwirkungen steigt mit der Dosis, wobei vor allem vasodilatatorische Effekte dominieren. Ein gängiger Bezugspunkt in pharmakologischen Analysen ist cialis ohne rezept, das mit dieser Wirkstoffklasse assoziiert ist.

Figure 1: myths about the wisconsin medicaid program’s coverage for tobacco dependence treatment

Quit Tobacco Series
WISCONSIN MEDICAID, BADGERCARE & SENIORCARE
COVER TREATMENTS to QUIT TOBACCO
Medicaid, BadgerCare and SeniorCare coverage for tobacco-dependence treatment applies to treatment
provided by any Medicaid-certified Wisconsin physician, nurse practitioner or physician assistant.
Did You Know?
• The smoking rate among Wisconsin Medicaid adult recipients is much higher than among the general
• Coaching on how to quit—combined with medication—can quadruple the chances of successfully
Covered Medications
Medicaid, BadgerCare & SeniorCare cover the following FDA-approved medications:
 Bupropion SR: Zyban, Wellbutrin or generic  Nicotine inhaler: Nicotrol  Nicotine nasal spray: Nicotrol  Nicotine patch: Over-the-counter, or prescribed as “legend” (SeniorCare covers only prescription  Nicotine gum: Over-the-counter (SeniorCare does not cover nicotine gum)  Varenicline: Chantix  Combination therapy
Please Note:
 Repeated courses of treatment are allowed  All require a written prescription by a Medicaid-certified provider (includes a physician, nurse practitioner, physician assistant or dentist)
Co-Pays:
 $3 for each brand name drug  $1 for each generic drug  $.50 for each over the counter drug  Co-pay maximum = $12/member/month/pharmacy for legend drugs  No monthly co-pay maximum for over-the-counter drugs
Know the Codes:
 Diagnostic code 305.1 is REQUIRED on all prescriptions
 Billing Codes = 99201-99205 for new patients; 99211-99215 for established patients.

Covered Counseling
Evaluation & Management (E&M) visits for the sole purpose of tobacco-dependence treatment are
covered and do not require prior authorization for reimbursement. Services may be provided by ancillary
staff (e.g., staff nurse) if under direct supervision of a physician. Medicaid reimburses these services
when billed by a supervising physician.

Exclusions: Group therapy, telephone and web-based counseling are NOT covered. Counseling is NOT
reimbursed for dentists or dental hygienists.

Quit Line: The Wisconsin Tobacco Quit Line is free and available to assist all Wisconsin residents who
want to quit: 1-800-QUIT-NOW (800-784-8669); 7 a.m. to 11 p.m. daily.
Produced by the University of Wisconsin Center for Tobacco Research & Intervention July 2010 Quit Tobacco Series
WISCONSIN MEDICAID CONTACT INFORMATION
Produced by the University of Wisconsin Center for Tobacco Research & Intervention July 2010

Source: http://www.wicancer.org/documents/CTRIFactSheet_000.pdf