{5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day]

Verify with CMS →

dienogest

RxCUI: 978950

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
14.9%
Plan Coverage
754
Plans Covering
T3.4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day]

Per the CMS 2026 Part D formulary file, {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] (RxNorm concept RXCUI 978950, generic name dienogest) appears on 7 distinct formulary files spanning 754 Medicare Part D plan offerings - 14.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.4.

Real-world access to {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] today.

Coverage Details

Formularies covering
7
Plans covering
754
Coverage rate
14.9%
Tier range
Tier 2 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

2 plans
Tier 2, Generic
98 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T2 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 No $0 CA
Humana Gold Plus H0028-014 (HMO) CHA HMO, INC. T4 No $0 IL, MO
Humana Gold Plus H0028-019 (HMO) CHA HMO, INC. T4 No $0 NM
Humana Gold Plus H0028-021 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-024 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-028 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-029 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-030 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-035 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-037 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-041 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-042 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-043 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-046 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-053 (HMO) CHA HMO, INC. T4 No $0 IA, NE
Humana Gold Plus H0028-054 (HMO-POS) CHA HMO, INC. T4 No $0 KS, MO
Humana Gold Plus H0028-059 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-062 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Essentials Plus Giveback H0028-063 (HMO) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus Giveback H0028-065 (HMO) CHA HMO, INC. T4 No $0 IL, MO
Humana Gold Plus Giveback H0028-066 (HMO-POS) CHA HMO, INC. T4 No $0 KS, MO
Humana Gold Plus H0028-072 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-074 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Dual Select H0028-078 (HMO D-SNP) CHA HMO, INC. T4 No $0 CO
Humana Dual Select H0028-079 (HMO D-SNP) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) CHA HMO, INC. T4 No $0 NE
Humana Total Complete H0028-081 (HMO) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus H0028-082 (HMO) CHA HMO, INC. T4 No $0 HI
Humana Community (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
Humana Gold Plus H0292-002 (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
Humana Gold Plus H0292-003 (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
HumanaChoice H0473-004 (PPO) HUMANA INSURANCE COMPANY OF KENTUCKY T4 No $0 TX
HumanaChoice H0473-005 (PPO) HUMANA INSURANCE COMPANY OF KENTUCKY T4 No $0 TX
Humana Gold Plus H0783-004 (HMO) HUMANA BENEFIT PLAN OF TEXAS, INC. T4 No $0 TX
Humana Gold Plus H1036-137 (HMO-POS) HUMANA MEDICAL PLAN, INC. T4 No $0 NC
Humana Gold Plus H1036-151 (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 MS
Humana Gold Plus H1036-153 (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 OR
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) HUMANA MEDICAL PLAN, INC. T4 No $0 NC
Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP) HUMANA MEDICAL PLAN, INC. T4 No $0 MS
Humana Gold Plus H1036-229 (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 FL
Humana Gold Plus H1036-233 (HMO-POS) HUMANA MEDICAL PLAN, INC. T4 No $0 NC
Humana Community HMO SNP-DE (HMO D-SNP) HUMANA MEDICAL PLAN, INC. T4 No $0 KY
Humana Community (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 KY
Humana Gold Plus Giveback H1036-286 (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 FL
Humana Gold Plus Giveback H1036-318 (HMO-POS) HUMANA MEDICAL PLAN, INC. T4 No $0 NC
Humana Gold Plus Giveback H1036-319 (HMO) HUMANA MEDICAL PLAN, INC. T4 No $0 WA
Humana Gold Plus SNP-DE H1036-320 (HMO D-SNP) HUMANA MEDICAL PLAN, INC. T4 No $0 KY

Frequently Asked Questions

Is {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] covered by Medicare Part D?

Yes, {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] is covered by 754 Medicare Part D plans (14.9% of all Part D formularies).

What tier is {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] on Medicare Part D plans?

{5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] averages Tier 3.4 across Part D plans, ranging from Tier 2 to Tier 4.

Does {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day] require prior authorization?

0% of Part D formularies require prior authorization for {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day]. Step therapy: 0%. Quantity limits: 0%.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial