Does Network Health Anywhere (PPO) cover estradiol?
Network Health Anywhere (PPO)
H5215-010-0 · 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 Network Health Anywhere (PPO)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$8per 30-day fill
Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $320 this year.
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 2
- Approval first
- Not needed
- 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 (46)
- {18 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]Tier 4
- {18 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]Tier 4
- {8 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]Tier 48 suppositories per 28 days
- {8 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]Tier 48 suppositories per 28 days
- 1000 MG estradiol 0.001 MG/MG Topical GelTier 330 grams per 30 days
- 1250 MG estradiol 0.001 MG/MG Topical GelTier 3
- 168 HR estradiol 0.000583 MG/HR Transdermal System [Menostar]Tier 4
- 168 HR estradiol 0.00104 MG/HR Transdermal SystemTier 2
- 168 HR estradiol 0.00156 MG/HR Transdermal SystemTier 2
- 168 HR estradiol 0.00208 MG/HR Transdermal SystemTier 2
- 168 HR estradiol 0.0025 MG/HR Transdermal SystemTier 2
- 168 HR estradiol 0.00312 MG/HR Transdermal SystemTier 2
- 168 HR estradiol 0.00417 MG/HR Transdermal SystemTier 2
- 250 MG estradiol 0.001 MG/MG Topical GelTier 330 grams per 30 days
- 500 MG estradiol 0.001 MG/MG Topical GelTier 330 grams per 30 days
- 750 MG estradiol 0.001 MG/MG Topical GelTier 330 tubes per 30 days
- 84 HR estradiol 0.00104 MG/HR Transdermal SystemTier 2
- 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Tier 2
- 84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]Tier 2
- 84 HR estradiol 0.00156 MG/HR Transdermal SystemTier 2
- 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Tier 2
- 84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]Tier 2
- 84 HR estradiol 0.00208 MG/HR Transdermal SystemTier 2
- 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Tier 2
- 84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]Tier 2
- 84 HR estradiol 0.00313 MG/HR Transdermal SystemTier 2
- 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Tier 2
- 84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]Tier 2
- 84 HR estradiol 0.00417 MG/HR Transdermal SystemTier 2
- 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Tier 2
- 84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]Tier 2
- 90 DAY estradiol 0.000313 MG/HR Vaginal System [Estring]Tier 4
- 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Tier 4
- 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Tier 4
- estradiol 0.0006 MG/MG Topical GelTier 3
- estradiol 0.01 MG Vaginal InsertTier 2
- estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 2
- estradiol 0.1 MG/ML Vaginal CreamTier 2
- estradiol 0.5 MG Oral TabletTier 2
- estradiol 1 MG Oral TabletTier 2