FillMapPeak PPO Gold

Does Peak PPO Gold cover estradiol?

Peak PPO Gold
32225-32225MT0090001-0 · ACA · ACA Marketplace
estradiol
estradiolunder Peak PPO Gold
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$200per 30-day fill

From the first fill — no deductible on this drug.

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
Non 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 (42)

  • 1000 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 1250 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 168 HR estradiol 0.000583 MG/HR Transdermal System [Menostar]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
  • 250 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 500 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 750 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 84 HR estradiol 0.00104 MG/HR Transdermal System
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]
  • 84 HR estradiol 0.00156 MG/HR Transdermal System
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]
  • 84 HR estradiol 0.00208 MG/HR Transdermal System
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]
  • 84 HR estradiol 0.00313 MG/HR Transdermal System
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]
  • 84 HR estradiol 0.00417 MG/HR Transdermal System
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]
  • 90 DAY estradiol 0.000313 MG/HR Vaginal System [Estring]Amount limit
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Amount limit
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Amount limit
  • estradiol 0.0006 MG/MG Topical GelAmount limit
  • estradiol 0.0006 MG/MG Topical Gel [Elestrin]Amount limit
  • 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 1.53 MG/ACTUAT Topical Spray [Evamist]Amount limit
  • estradiol 2 MG Oral Tablet
  • estradiol valerate 10 MG/ML Injectable Solution

← All coverage for estradiol