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Methods: Pharmacy claims for sildenafil were identified from an administrative database of claims with dates of service in calendar year for male members aged 18 years or older. Medical claims for MCO members who had sildenafil claims were used to identify comorbid diseases and categorize patients by degree of cardiovascular risk. High risk was defined as having at least 1 medical claim with a diagnosis of diabetes mellitus, ischemic heart disease, abdominal aortic aneurysm, or peripheral arterial disease, and medium risk was defined as not having any diagnosis in the high-risk category but at least 1 cardiovascular risk factor that included smoking, hypertension, hypercholesterolemia, family history of premature coronary heart disease, or being aged 45 years or older. Results: There were 67, pharmacy claims for sildenafil during for 20, MCO members, an average of 3. The prevalence of sildenafil use was

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