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After all, CVS is replacing Viagra with Cialis - another brand-name drug that does pretty much the same thing - and has said the changes it is making will result in cost savings. Kaitin noted that because the negotiations between pharmacy benefit companies and drug companies tend to be highly secretive, he can only speculate, but that in general companies such as CVS are trying to get the best bang for their buck from the drug companies. A Pfizer spokesman said: Viagra continues to be available to millions of patients in the marketplace, including many patients whose pharmacy benefit is managed by Caremark. CVS wouldn't say much about why it was substituting Cialis for Viagra, which is one of more than two dozen drugs it is dropping in CVS Health decision to drop Viagra gives drug-pricing insight.

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