FillMapElite Bronze

Does Elite Bronze cover estradiol?

Elite Bronze
62141-62141AR0080026-0 · ACA · ACA Marketplace
estradiol
estradiolunder Elite Bronze
Covered — some forms require prior authorization
2 of 42 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$40per 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
Generic
Approval first
Required
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 (42)

  • 1000 MG estradiol 0.001 MG/MG Topical Gel
  • 1250 MG estradiol 0.001 MG/MG Topical Gel
  • 168 HR estradiol 0.000583 MG/HR Transdermal System [Menostar]
  • 168 HR estradiol 0.00104 MG/HR Transdermal System
  • 168 HR estradiol 0.00156 MG/HR Transdermal System
  • 168 HR estradiol 0.00208 MG/HR Transdermal System
  • 168 HR estradiol 0.0025 MG/HR Transdermal System
  • 168 HR estradiol 0.00312 MG/HR Transdermal System
  • 168 HR estradiol 0.00417 MG/HR Transdermal System
  • 250 MG estradiol 0.001 MG/MG Topical Gel
  • 500 MG estradiol 0.001 MG/MG Topical Gel
  • 750 MG estradiol 0.001 MG/MG Topical Gel
  • 84 HR estradiol 0.00104 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]Amount limit
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Approval first
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Approval first
  • estradiol 0.0006 MG/MG Topical Gel
  • estradiol 0.0006 MG/MG Topical Gel [Elestrin]
  • estradiol 0.01 MG Vaginal Insert
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]
  • estradiol 0.1 MG/ML Vaginal CreamAmount limit
  • estradiol 0.5 MG Oral Tablet
  • estradiol 1 MG Oral Tablet
  • estradiol 1.53 MG/ACTUAT Topical Spray [Evamist]
  • estradiol 2 MG Oral Tablet
  • estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]
  • estradiol valerate 10 MG/ML Injectable Solution

← All coverage for estradiol