Estrace Medicare Coverage

Estrace is a prescription medication that contains the active ingredient Estradiol. Estrace is an oral medication that is taken one to three times daily depending on the condition being treated.

Estradiol is a type of estrogen and will help relieve symptoms and prevent or treat complications related to low estrogen levels.

The most common side effects of Estrace include headache, hair loss, nausea and vomiting, cramps and bloating, enlarged breasts, breast soreness, vaginal bleeding or spotting and painful periods.

How much does Estradiol cost with Medicare?

Estradiol coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Estradiol?

According to GoodRx, 99% of Medicare Advantage plans and Medicare Part D plans covered Estradiol, the generic form of Estrace, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Estradiol include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Estradiol. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

This drug may cause dark patches of skin on your face. Avoid sun, sunlamps and tanning beds as much as possible. Use sunscreen and wear protective clothing and eyewear.

Try to take this drug at the same time of day with or without food. Take it with food if it upsets your stomach.

The use of Estrace may increase the risk of breast cancer in postmenopausal women using conjugated estrogens in combination with medroxyprogesterone acetate. The risk declines once therapy is discontinued.

Estrace is also associated with a higher risk of endometrial cancer in women with uteruses.

Estrogens with or without progestin should not be used to prevent dementia or cardiovascular disease. An increased risk of blood clot, heart attack, pulmonary embolism and stroke has been reported with the use of medications like Estrace.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.