90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]

Verify with CMS →

RxCUI: 848333

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.
5.5%
Plan Coverage
278
Plans Covering
T3.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]

Per the CMS 2026 Part D formulary file, 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring] (RxNorm concept RXCUI 848333) 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 0.00208 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 0.00208 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 0.00208 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

4 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
23 plans
Tier 3, Preferred Brand
72 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering 90 DAY estradiol 0.00208 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 0.00208 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 0.00208 MG/HR Vaginal System [Femring] covered by Medicare Part D?

Yes, 90 DAY estradiol 0.00208 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 0.00208 MG/HR Vaginal System [Femring] on Medicare Part D plans?

90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring] require prior authorization?

0% of Part D formularies require prior authorization for 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]. Step therapy: 9.4%. Quantity limits: 53.1%.

How much does Medicare spend on 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring]?

In 2023, total Medicare Part D spending on 90 DAY estradiol 0.00208 MG/HR Vaginal System [Femring] was $6,531,877, covering 2,894 beneficiaries. The average spend per beneficiary was $2,257.04.

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