estrogens, esterified (USP)

0.625 MG — Tablet

Androgen

GoodRx Compare Prices

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Focused Silver with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 4 - Non-Preferred — — — None
Everyday Bronze Tier 4 - Non-Preferred — — — None
Elite Bronze Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze Tier 4 - Non-Preferred — — — None
Signature Silver Tier 4 - Non-Preferred — — — None
Signature Gold Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Silver + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold
via Estratest 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Estratest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze
via Estratest 		Tier 4 - Non-Preferred — — — None
Elite Bronze
via Estratest 		Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Silver
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Gold
via Estratest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health
via Estratest 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Complete Gold Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Silver + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Gold + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via Estratest 		Tier 4 - Non-Preferred — — — None
Complete Gold
via Menest 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Menest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze
via Menest 		Tier 4 - Non-Preferred — — — None
Elite Bronze
via Menest 		Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Silver
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Gold
via Menest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Silver + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Gold + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Enhanced CHF Heart Care Silver $0 Rx Options
via Menest 		Tier 4 - Non-Preferred — — — None
Streamlined Silver with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Streamlined Silver
via Menest 		Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Menest 		Tier 4 - Non-Preferred — — — None
Complete Gold
via Covaryx 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Covaryx 		Tier 4 - Non-Preferred — — — None
Everyday Bronze
via Covaryx 		Tier 4 - Non-Preferred — — — None
Elite Bronze
via Covaryx 		Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Silver
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Gold
via Covaryx 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health
via Covaryx 		Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Silver + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Gold + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via Covaryx 		Tier 4 - Non-Preferred — — — None
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Premier + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Menest 		Tier 4 - Non-Preferred — ✓ — ST
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via Covaryx 		Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Basic Option 2026
via Covaryx 		Tier 3 - Non-Preferred Brand — — — None
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Silver RD CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze RD CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect myDiabetesCare Bronze
via Covaryx 		Tier 2 - Generic — — — None
Connect myDiabetesCare Silver
via Covaryx 		Tier 2 - Generic — — — None
Connect Gold 1500 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Gold CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver 3000 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver 3600 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver 5000 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze 5500 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze 6500 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect Gold RD CMS Standard
via Covaryx 		Tier 2 - Generic — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Covaryx 		Tier 2 - Generic — — — None
Connect myDiabetesCare Silver
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze 6500 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze 5500 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver 5000 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver 3600 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver 3000 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Gold CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect myDiabetesCare Bronze
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Gold 1500 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze RD CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver RD CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Gold RD CMS Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Menest 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Menest 		Preferred — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via Menest 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Menest 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Menest 		Not Covered — — — None
Source: CMS QHP JSON  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Classic 4700
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple PCP Saver
via Menest 		Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Classic Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Classic Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Gold Classic Standard
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Classic Standard | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus
via Menest 		Tier 4 - Non-Preferred — — — None
AIAN Cost Share | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
AIAN Cost Share
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Simple Diabetes | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple PCP Saver | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Classic | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Classic 4700 | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Secure | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Gold Classic Standard | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Classic Standard | with Atrium Health
via Menest 		Tier 4 - Non-Preferred — — — None
Silver Classic
via Menest 		Tier 4 - Non-Preferred — — — None
Secure
via Menest 		Tier 4 - Non-Preferred — — — None
Something not right?