Does Anthem Medicare Advantage 2 (HMO-POS) cover estradiol?
Anthem Medicare Advantage 2 (HMO-POS)
H7220-004-0 · 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 Anthem Medicare Advantage 2 (HMO-POS)
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
$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.
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