90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]
RxCUI: 848343
What the CMS Formulary Data Shows for 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]
Per the CMS 2026 Part D formulary file, 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] (RxNorm concept RXCUI 848343) appears on 32 distinct formulary files spanning 278 Medicare Part D plan offerings - 5.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.5.
Real-world access to 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 9.4% require step therapy. 53.1% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,894 Part D beneficiaries filled 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] in 2023, with total plan-and-beneficiary spending of $6,531,877 and an average per-beneficiary annual cost of $2,257.04. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] today.
Coverage Details
- Formularies covering
- 32
- Plans covering
- 278
- Coverage rate
- 5.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 9.4% of formularies
- Quantity limits
- 53.1% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,894
- Total spending
- $6,531,877
- Avg per beneficiary
- $2,257.04
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | No | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | No | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]
98 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | No | $0 | CA |
| HAP Medicare Explore (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Prime (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Connect (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Superior (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| Henry Ford Select (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T3 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T3 | No | $0 | NY |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $0 | MA |
| Leon MediExtra (HMO) | LEON HEALTH, INC. | T3 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | LEON HEALTH, INC. | T3 | No | $0 | FL |
| Leon MediMore (HMO) | LEON HEALTH, INC. | T3 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | LEON HEALTH, INC. | T3 | No | $0 | FL |
| HAP Member Assist (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $8.80 | MI |
| HAP Medicare Complete Assist (PPO D-SNP) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $8.80 | MI |
| HAP Medicare Diabetes and Heart (HMO C-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $8.80 | MI |
| HAP Senior Plus Henry Ford Tiered Access (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $11.30 | MI |
| HAP Senior Plus (HMO-POS) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $13.50 | MI |
| HAP Senior Plus (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $42.60 | MI |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T3 | No | $51.60 | NY |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T3 | No | $62.00 | MA |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $79.70 | MA |
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $147.20 | MA |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | No | $0 | CA |
| Anthem Full Dual Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | No | $0 | IN |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T4 | No | $0 | IA |
Frequently Asked Questions
Is 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] covered by Medicare Part D?
Yes, 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] is covered by 278 Medicare Part D plans (5.5% of all Part D formularies).
What tier is 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] on Medicare Part D plans?
90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] require prior authorization?
0% of Part D formularies require prior authorization for 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]. Step therapy: 9.4%. Quantity limits: 53.1%.
How much does Medicare spend on 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring]?
In 2023, total Medicare Part D spending on 90 DAY estradiol 0.00417 MG/HR Vaginal System [Femring] was $6,531,877, covering 2,894 beneficiaries. The average spend per beneficiary was $2,257.04.
Read our methodology - how this data is sourced, computed, and verified.