FillMapSamaritan Dual Advantage (HMO D-SNP)

Does Samaritan Dual Advantage (HMO D-SNP) cover estradiol?

Samaritan Dual Advantage (HMO D-SNP)
H3811-003-0 · 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 Samaritan Dual Advantage (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 1 tablet per 90 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 1
Approval first
Not needed
Try another first
No
Amount limit
1 tablet per 90 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 (39)

  • 1000 MG estradiol 0.001 MG/MG Topical GelTier 4
  • 1250 MG estradiol 0.001 MG/MG Topical GelTier 4
  • 168 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3
  • 168 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3
  • 168 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3
  • 168 HR estradiol 0.0025 MG/HR Transdermal SystemTier 3
  • 168 HR estradiol 0.00312 MG/HR Transdermal SystemTier 3
  • 168 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3
  • 250 MG estradiol 0.001 MG/MG Topical GelTier 4
  • 500 MG estradiol 0.001 MG/MG Topical GelTier 4
  • 750 MG estradiol 0.001 MG/MG Topical GelTier 4
  • 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 41 unit per 90 days
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Tier 41 unit per 90 days
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Tier 41 unit per 90 days
  • estradiol 0.01 MG Vaginal InsertTier 4
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 4
  • estradiol 0.1 MG/ML Vaginal CreamTier 4
  • estradiol 0.5 MG Oral TabletTier 1
  • estradiol 1 MG Oral TabletTier 1
  • estradiol 2 MG Oral TabletTier 1
  • 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 4
  • estradiol valerate 40 MG/ML Injectable SolutionTier 4

← All coverage for estradiol