FillMapSelect Health Medicare Wellness (HMO)

Does Select Health Medicare Wellness (HMO) cover estradiol?

Select Health Medicare Wellness (HMO)
H1994-044-0 · MA_LOCAL · Medicare Part D
estradiol
Do you get help with your Medicare drug costs?None of these

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 Select Health Medicare Wellness (HMO)
Covered — some forms require step therapy
6 of 34 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
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 $200 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 — how much depends on the strength you are prescribed — the cap for each one is listed below. You can still fill it; more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 3
Approval first
Not needed
Try another first
Required
Amount limit
Varies by strength
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 (34)

  • {18 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]Tier 4Try another first30 suppositories per 30 days
  • {18 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]Tier 4Try another first30 suppositories per 30 days
  • {8 (estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]Tier 4Try another first30 suppositories per 30 days
  • {8 (estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]Tier 4Try another first30 suppositories per 30 days
  • 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
  • 84 HR estradiol 0.00104 MG/HR Transdermal SystemTier 3
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]Tier 3
  • 84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]Tier 3
  • 84 HR estradiol 0.00156 MG/HR Transdermal SystemTier 3
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]Tier 3
  • 84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]Tier 3
  • 84 HR estradiol 0.00208 MG/HR Transdermal SystemTier 3
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]Tier 3
  • 84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]Tier 3
  • 84 HR estradiol 0.00313 MG/HR Transdermal SystemTier 3
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]Tier 3
  • 84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]Tier 3
  • 84 HR estradiol 0.00417 MG/HR Transdermal SystemTier 3
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]Tier 3
  • 84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]Tier 3
  • 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]Tier 4Try another first1 unit per 90 days
  • 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]Tier 4Try another first1 unit per 90 days
  • estradiol 0.01 MG Vaginal InsertTier 330 tablets per 30 days
  • estradiol 0.01 MG Vaginal Insert [Yuvafem]Tier 330 tablets per 30 days
  • estradiol 0.1 MG/ML Vaginal CreamTier 3127.5 grams per 30 days
  • estradiol 0.5 MG Oral TabletTier 3450 tablets per 30 days
  • estradiol 1 MG Oral TabletTier 3450 tablets per 30 days
  • estradiol 2 MG Oral TabletTier 3450 tablets per 30 days
  • estradiol cypionate 5 MG/ML Injectable Solution [Depo-estradiol]Tier 4

← All coverage for estradiol