estradiol 0.1 MG/ML Vaginal Cream [Estrace]
estradiol
RxCUI: 890918
What the CMS Formulary Data Shows for estradiol 0.1 MG/ML Vaginal Cream [Estrace]
Per the CMS 2026 Part D formulary file, estradiol 0.1 MG/ML Vaginal Cream [Estrace] (RxNorm concept RXCUI 890918, generic name estradiol) appears on 4 distinct formulary files spanning 118 Medicare Part D plan offerings - 2.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.5.
Real-world access to estradiol 0.1 MG/ML Vaginal Cream [Estrace] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,289,816 Part D beneficiaries filled estradiol 0.1 MG/ML Vaginal Cream [Estrace] in 2023, with total plan-and-beneficiary spending of $239,154,624 and an average per-beneficiary annual cost of $185.42. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry estradiol 0.1 MG/ML Vaginal Cream [Estrace] today.
Coverage Details
- Formularies covering
- 4
- Plans covering
- 118
- Coverage rate
- 2.3%
- Tier range
- Tier 1 – Tier 2
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,289,816
- Total spending
- $239,154,624
- Avg per beneficiary
- $185.42
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering estradiol 0.1 MG/ML Vaginal Cream [Estrace]
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is estradiol 0.1 MG/ML Vaginal Cream [Estrace] covered by Medicare Part D?
Yes, estradiol 0.1 MG/ML Vaginal Cream [Estrace] is covered by 118 Medicare Part D plans (2.3% of all Part D formularies).
What tier is estradiol 0.1 MG/ML Vaginal Cream [Estrace] on Medicare Part D plans?
estradiol 0.1 MG/ML Vaginal Cream [Estrace] averages Tier 1.5 across Part D plans, ranging from Tier 1 to Tier 2.
Does estradiol 0.1 MG/ML Vaginal Cream [Estrace] require prior authorization?
0% of Part D formularies require prior authorization for estradiol 0.1 MG/ML Vaginal Cream [Estrace]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on estradiol 0.1 MG/ML Vaginal Cream [Estrace]?
In 2023, total Medicare Part D spending on estradiol 0.1 MG/ML Vaginal Cream [Estrace] was $239,154,624, covering 1,289,816 beneficiaries. The average spend per beneficiary was $185.42.
Read our methodology - how this data is sourced, computed, and verified.