FillMapAmeriHealth Medicare Ultimate (PPO)

Does AmeriHealth Medicare Ultimate (PPO) cover estradiol?

AmeriHealth Medicare Ultimate (PPO)
H5361-004-0 · MA_LOCAL · Medicare Part D
estradiol
Do you get help with your Medicare drug costs?None of these

Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.

estradiolunder AmeriHealth Medicare Ultimate (PPO)
Covered — some forms require prior authorization
27 of 33 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 30-day fill

Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Tier
Tier 2
Approval first
Required
Try another first
No
Amount limit
None
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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.

Covered forms and strengths (33)

  • 168 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.00104 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 168 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.00156 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 168 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.00208 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 168 HR estradiol 0.0025 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.0025 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 168 HR estradiol 0.00312 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.00312 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 168 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3Approval first
  • 168 HR estradiol 0.00417 MG/HR Transdermal System [Climara]Tier 4Approval first
  • 84 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3Approval first
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Tier 4Approval first
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Minivelle]Tier 4Approval first
  • 84 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3Approval first
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Tier 4Approval first
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Minivelle]Tier 4Approval first
  • 84 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3Approval first
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Tier 4Approval first
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Minivelle]Tier 4Approval first
  • 84 HR estradiol 0.00313 MG/HR Transdermal SystemTier 3Approval first
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Tier 4Approval first
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Minivelle]Tier 4Approval first
  • 84 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3Approval first
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Tier 4Approval first
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Minivelle]Tier 4Approval first
  • estradiol 0.01 MG Vaginal InsertTier 4
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 4
  • estradiol 0.1 MG/ML Vaginal CreamTier 3
  • estradiol 0.5 MG Oral TabletTier 2
  • estradiol 1 MG Oral TabletTier 2
  • estradiol 2 MG Oral TabletTier 2

← All coverage for estradiol