FillMapPremera Blue Cross Preferred Silver 4500

Does Premera Blue Cross Preferred Silver 4500 cover estradiol?

Premera Blue Cross Preferred Silver 4500
38344-38344AK1060002-0 · ACA · ACA Marketplace
estradiol
estradiolunder Premera Blue Cross Preferred Silver 4500
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

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
Preferred generic drugs
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 (37)

  • 1000 MG estradiol 0.001 MG/MG Topical GelAmount limit
  • 1250 MG estradiol 0.001 MG/MG Topical GelAmount 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 SystemAmount limit
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]Amount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal SystemAmount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Amount limit
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]Amount limit
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]
  • 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 2 MG Oral Tablet
  • estradiol valerate 10 MG/ML Injectable Solution
  • estradiol valerate 20 MG/ML Injectable Solution
  • estradiol valerate 40 MG/ML Injectable Solution

← All coverage for estradiol