Medicare Part D coverage · estradiol · RxCUI 2556800

estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]

Per the CMS 2026 Part D formulary file, estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] is covered by 140 Medicare Part D plans (2.8% of enrollable products), averaging Tier 3.9, with prior authorization required on 97.6% of covering formularies.

2.8%
Plan coverage
140
Plans covering
T3.9
Avg tier
97.6%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]

Per the CMS 2026 Part D formulary file, estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] (RxNorm concept RXCUI 2556800, generic name estradiol) appears on 41 distinct formulary files spanning 140 Medicare Part D plan offerings - 2.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.9.

Real-world access to estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] depends on utilization management as much as tier placement: 97.6% of covering formularies require prior authorization. 0% require step therapy. 19.5% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,289,816 Part D beneficiaries filled estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] in 2023, with total plan-and-beneficiary spending of $239,028,017 and an average per-beneficiary annual cost of $185.32. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] today.

Coverage Details

Formularies covering
41
Plans covering
140
Coverage rate
2.8%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
97.6% of formularies
Step therapy required
0% of formularies
Quantity limits
19.5% of formularies

2023 Medicare Spending

Beneficiaries
1,289,816
Total spending
$239,028,017
Avg per beneficiary
$185.32

Tier Distribution Across Plans

20 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
79 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]

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

Plan Insurer Tier PA Premium States
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 Yes $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 Yes $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 Yes $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 Yes $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 Yes $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 Yes $0 MI
SeniorCare Complete (HMO D-SNP) South Country Health Alliance T1 Yes $0 MN
AbilityCare (HMO D-SNP) South Country Health Alliance T1 Yes $0 MN
Alameda Alliance Wellness (HMO D-SNP) Alameda Alliance FOR Health T1 Yes $0 CA
Mass General Brigham SCO (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 Yes $0 MA
Mass General Brigham One Care (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 Yes $0 MA
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Florida, Inc. T1 Yes $4.80 FL
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Michigan, Inc. T1 Yes $8.80 MI
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Illinois, Inc. T1 Yes $15.20 IL
WellSense Added Value (HMO) Boston Medical Center Health Plan, Inc. T1 Yes $21.70 NH
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Colorado, Inc. T1 Yes $35.20 CO
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF North Carolina, Inc. T1 Yes $36.20 NC
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 Yes $40.00 NJ
ElderServe Star (HMO I-SNP) Elderserve Health, Inc. T1 Yes $58.80 NY
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF NEW York, Inc. T1 Yes $58.80 NY
Show the next 30 plans
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T2 Yes $0 CA
Select Health Medicare Essential (HMO) Selecthealth, Inc. T5 Yes $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T5 Yes $0 NV
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T5 Yes $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T5 Yes $0 UT
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T5 Yes $0 NV
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T5 Yes $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare Essential (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare Flex (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare Active (HMO) Selecthealth, Inc. T5 Yes $0 CO
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T5 Yes $0 NV
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T5 Yes $0 NV
The Health Plan SecureCare - Option II (HMO) THE Health Plan OF West Virginia, Inc. T5 Yes $0 OH
The Health Plan SecureCare - Option II (HMO) THE Health Plan OF West Virginia, Inc. T5 Yes $0 OH, WV
The Health Plan SecureCare Capitol Plan (HMO) THE Health Plan OF West Virginia, Inc. T5 Yes $0 WV
The Health Plan SecureChoice Optimum (PPO) THP Insurance Company T5 Yes $0 OH, WV
WellSense Signature (HMO) Boston Medical Center Health Plan, Inc. T5 Yes $0 NH
WellSense Signature Access (PPO) Boston Medical Center Health Plan, Inc. T5 Yes $0 NH
Community Health Plan of WA Dual Complete (HMO D-SNP) Community Health Plan OF Washington T5 Yes $0 WA
Community Health Plan of WA Dual Select (HMO D-SNP) Community Health Plan OF Washington T5 Yes $0 WA
Essence Advantage (HMO) Essence Healthcare, Inc. T5 Yes $0 IL, MO
Essence Advantage (HMO) Essence Healthcare, Inc. T5 Yes $0 AR, MO
Essence Advantage Select (HMO) Essence Healthcare, Inc. T5 Yes $0 IL, MO
Essence Advantage (HMO) Essence Healthcare, Inc. T5 Yes $0 IN, KY
Essence Advantage Select (HMO) Essence Healthcare, Inc. T5 Yes $0 IL
Essence Advantage Choice (PPO) Essence Healthcare PPO, Inc. T5 Yes $0 IL, MO
Essence Advantage Choice (PPO) Essence Healthcare PPO, Inc. T5 Yes $0 AR, MO

Showing top 50 of 100 plans.

Frequently Asked Questions

Is estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] covered by Medicare Part D?

Yes, estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] is covered by 140 Medicare Part D plans (2.8% of all Part D formularies).

What tier is estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] on Medicare Part D plans?

estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] averages Tier 3.9 across Part D plans, ranging from Tier 1 to Tier 5.

Does estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] require prior authorization?

97.6% of Part D formularies require prior authorization for estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]. Step therapy: 0%. Quantity limits: 19.5%.

How much does Medicare spend on estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]?

In 2023, total Medicare Part D spending on estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree] was $239,028,017, covering 1,289,816 beneficiaries. The average spend per beneficiary was $185.32.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

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