Does Standard Silver 22 Health cover estradiol / norethindrone?
Standard Silver 22 Health
13887-13887FL0010002-0 · ACA · ACA Marketplace
estradiol / norethindrone
estradiol / norethindroneunder Standard Silver 22 Health
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$20per 30-day fill
From the first fill — no deductible on this drug.
This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Generics
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (10)
- {28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack
- {28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Abigale Lo 0.5/0.1 28 Day]
- {28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Amabelz 0.5/0.1 28 Day]
- {28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack
- {28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Abigale 1/0.5 28 Day]
- {28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Activella 1/0.5 28 Day]
- {28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Amabelz 1/0.5 28 Day]
- {28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Mimvey]
- 84 HR estradiol 0.00208 MG/HR / norethindrone acetate 0.00583 MG/HR Transdermal System [Combipatch]Amount limit
- 84 HR estradiol 0.00208 MG/HR / norethindrone acetate 0.0104 MG/HR Transdermal System [Combipatch]Amount limit