Does MyBlue Bronze HMO℠ 904 cover estradiol?
MyBlue Bronze HMO℠ 904
87571-87571OK0510085-0 · ACA · ACA Marketplace
estradiol
estradiolunder MyBlue Bronze HMO℠ 904
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
30%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Your plan’s deductible comes first — you pay the full price until it is met.
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
- Preferred brand
- 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 (37)
- 1000 MG estradiol 0.001 MG/MG Topical Gel
- 1250 MG estradiol 0.001 MG/MG Topical Gel
- 168 HR estradiol 0.00104 MG/HR Transdermal SystemAmount limit
- 168 HR estradiol 0.00156 MG/HR Transdermal SystemAmount limit
- 168 HR estradiol 0.00208 MG/HR Transdermal SystemAmount limit
- 168 HR estradiol 0.0025 MG/HR Transdermal SystemAmount limit
- 168 HR estradiol 0.00312 MG/HR Transdermal SystemAmount limit
- 168 HR estradiol 0.00417 MG/HR Transdermal SystemAmount limit
- 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 0.000313 MG/HR Vaginal System [Estring]
- estradiol 0.0006 MG/MG Topical Gel
- estradiol 0.01 MG Vaginal Insert
- estradiol 0.01 MG Vaginal Insert [Yuvafem]
- estradiol 0.1 MG/ML Vaginal Cream
- estradiol 0.5 MG Oral Tablet
- estradiol 1 MG Oral Tablet
- estradiol 2 MG Oral Tablet
- estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]
- estradiol valerate 20 MG/ML Injectable Solution
- estradiol valerate 40 MG/ML Injectable Solution