FillMapSilver Simple Diabetes · 23552-23552TN0020055-0About this plan

Does Silver Simple Diabetes cover estradiol?

1 · Your plan

Silver Simple Diabetes

23552-23552TN0020055-0 · ACA · ACA Marketplace

2 · Your medication

estradiol

estradiolunder Silver Simple Diabetes

Covered — just walk in

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

What you'd pay

$0per 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: Generic
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 (31)

{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
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 0.00156 MG/HR Transdermal SystemAmount limit
84 HR estradiol 0.00208 MG/HR Transdermal SystemAmount limit
84 HR estradiol 0.00313 MG/HR Transdermal SystemAmount limit
84 HR estradiol 0.00417 MG/HR Transdermal SystemAmount limit
estradiol 0.0006 MG/MG Topical Gel [Elestrin]
estradiol 0.0006 MG/MG Topical Gel [Estrogel]Amount limit
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]
estradiol 2 MG Oral Tablet
estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]
estradiol valerate 20 MG/ML Injectable SolutionAmount limit
estradiol valerate 40 MG/ML Injectable Solution

← All coverage for estradiol