FillMapAnthem Medicare Advantage 3 (PPO)

Does Anthem Medicare Advantage 3 (PPO) cover estradiol?

Anthem Medicare Advantage 3 (PPO)
H4036-025-0 · 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 Anthem Medicare Advantage 3 (PPO)
Covered — some forms require prior authorization
16 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
$3per 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.

Amount limit applies — how much depends on the strength you are prescribed — the cap for each one is listed below. You can still fill it; more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 1
Approval first
Required
Try another first
No
Amount limit
Varies by strength
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)

  • {18 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]Tier 418 suppositories per 28 days
  • {18 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]Tier 418 suppositories per 28 days
  • {8 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]Tier 418 suppositories per 28 days
  • {8 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]Tier 418 suppositories per 28 days
  • 168 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 168 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 168 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 168 HR estradiol 0.0025 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 168 HR estradiol 0.00312 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 168 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3Approval first4 patches per 28 days
  • 84 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Tier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Tier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Tier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00313 MG/HR Transdermal SystemTier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Tier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3Approval first8 patches per 28 days
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Tier 3Approval first8 patches per 28 days
  • 90 DAY estradiol 0.000313 MG/HR Vaginal System [Estring]Tier 41 unit per 90 days
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Tier 41 unit per 90 days
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Tier 41 unit per 90 days
  • estradiol 0.01 MG Vaginal InsertTier 3
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 4
  • estradiol 0.1 MG/ML Vaginal CreamTier 3
  • estradiol 0.5 MG Oral TabletTier 1
  • estradiol 1 MG Oral TabletTier 1
  • estradiol 2 MG Oral TabletTier 1
  • estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]Tier 3
  • estradiol valerate 10 MG/ML Injectable SolutionTier 4
  • estradiol valerate 20 MG/ML Injectable SolutionTier 4
  • estradiol valerate 40 MG/ML Injectable SolutionTier 4

← All coverage for estradiol