FillMapAnthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) · 32753-32753MO0990013-0About this plan

Does Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) cover estradiol?

1 · Your plan

Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

32753-32753MO0990013-0 · ACA · ACA Marketplace

2 · Your medication

estradiol

estradiolunder Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Covered — just walk in

Nothing to clear first — take the prescription to an in-network pharmacy.

What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

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: Tier three
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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (34)

{18 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]Amount limit
{18 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]Amount limit
{8 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]Amount limit
{8 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]Amount limit
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
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]Amount limit
estradiol 0.004 MG Vaginal Insert [Imvexxy]Amount limit
estradiol 0.01 MG Vaginal InsertAmount limit
estradiol 0.01 MG Vaginal Insert [Imvexxy]Amount limit
estradiol 0.01 MG Vaginal Insert [Yuvafem]Amount limit
estradiol 0.1 MG/ML Vaginal CreamAmount limit
estradiol 0.5 MG Oral Tablet
estradiol 1 MG Oral Tablet
estradiol 2 MG Oral Tablet

← All coverage for estradiol