FillMapSCAN Connections (HMO D-SNP)

Does SCAN Connections (HMO D-SNP) cover estradiol?

SCAN Connections (HMO D-SNP)
H0976-001-0 · 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 SCAN Connections (HMO D-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$0per 30-day fill

Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Tier
Tier 2
Approval first
Not needed
Try another first
No
Amount limit
None
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 (32)

  • {18 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]Tier 3
  • {18 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]Tier 3
  • {8 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]Tier 3
  • {8 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]Tier 3
  • 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
  • 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 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
  • estradiol 2 MG Oral TabletTier 2

← All coverage for estradiol