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In a weird paradox, it's never been cheaper -- and more expensive -- for men to treat themselves with sildenafil Viagra, the mainstay of erectile-dysfunction therapy. And herein lies a tale about the bizarro world of drug pricing. This isn't the way competition in capitalism is supposed to work, and it's hardly healthy for consumers. But some pharmaceutical companies are banking big-time on brand-name loyalty and ignorance about generics, and no one is going to tell them to knock it off. The little blue pill became a household name thanks to celebrity endorsements, TV commercials, and the world's most famous side effect.

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It was the first oral treatment approved to treat erectile dysfunction ED in the United States. ED affects 30 million men a year, according to Urology Care Foundation. The prevalence of ED increases with age. According to research, ED is prevalent in 40 percent of men ages 40 years or older, and that number increased to almost 70 percent in men 70 and up. While Viagra may be the most well-known drug to treat ED, there are several others available as well.