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Men were excluded if they had a prior erectile dysfunction diagnosis, any phosphodiesterase-5 inhibitors prescription, intracavernosal injections, penile prosthesis placement, history of testosterone deficiency, testosterone prescription, pelvic radiation, radical prostatectomy, pulmonary hypertension, or were deceased

Receptor sensitivity decreases with continuous stimulation

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While participation in the CGT Access Model and VBAs more broadly were the most common cost containment initiative for FY 2025 and FY 2026, states also reported a variety of other policy changes related to maximizing rebates, expanding utilization controls or oversight activities, and updating reimbursement methodologies