FillMapPacificSource Dual Care (HMO D-SNP)

Does PacificSource Dual Care (HMO D-SNP) cover estradiol?

PacificSource Dual Care (HMO D-SNP)
H3864-043-0 · MA_LOCAL · Medicare Part D
estradiol
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

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 PacificSource Dual Care (HMO D-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
25%of the price your plan negotiates

Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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 $615 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 — this plan covers 18 tablets per 28 days. 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
18 tablets per 28 days
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 (40)

  • 1000 MG estradiol 0.001 MG/MG Topical GelTier 2
  • 1250 MG estradiol 0.001 MG/MG Topical GelTier 2
  • 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 2
  • 500 MG estradiol 0.001 MG/MG Topical GelTier 2
  • 750 MG estradiol 0.001 MG/MG Topical GelTier 2
  • 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 0.01 MG Vaginal InsertTier 218 tablets per 28 days
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 218 tablets per 28 days
  • estradiol 0.1 MG/ML Vaginal CreamTier 2
  • estradiol 0.5 MG Oral TabletTier 2
  • estradiol 1 MG Oral TabletTier 2
  • estradiol 2 MG Oral TabletTier 2
  • estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]Tier 4
  • estradiol valerate 10 MG/ML Injectable SolutionTier 2
  • estradiol valerate 20 MG/ML Injectable SolutionTier 2
  • estradiol valerate 40 MG/ML Injectable SolutionTier 2

← All coverage for estradiol