Menest

Generic: estrogens, esterified (USP)

0.625 Mg — Tablet

Also known as: MENEST TABS .3MG, .625MG, 1.25MG estrogens, esterified (USP) Menest 0.3 Mg Tablet Menest 0.625 Mg Tablet Menest 1.25 Mg Tablet Menest 2.5 Mg Tablet Menest Oral Tablet Estrogens, Esterified (USP)

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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Ambetter (Centene)

116 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Complete Gold via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug 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
Focused Silver with Atrium Health + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug 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
Standard Expanded Bronze	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver	Tier 4 - Non-Preferred	—	—	—	None
Standard 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
Standard Expanded Bronze with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug 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
Standard Silver with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Elite Bronze + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	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
Standard Expanded Bronze with Atrium Health via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug 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
Standard Expanded Bronze + Vision + Adult Dental via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver + Vision + Adult Dental via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold + Vision + Adult Dental via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental via Covaryx	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
Standard Expanded Bronze via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard 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
Standard Expanded Bronze with Atrium Health via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Elite Bronze via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Clear Silver with $0 Insulin Options via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Elite Bronze with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Focused Silver with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze with Atrium Health via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental via estrogens, esterified (USP)	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold via Estratest	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	—	—	—	None
Standard Gold via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Silver via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Standard Expanded Bronze via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Clear Silver with $0 Insulin Options via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Elite Bronze via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Everyday Bronze via Covaryx	Tier 4 - Non-Preferred	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Covaryx	Tier 4 - Non-Preferred	—	—	—	None

AmeriHealth Caritas NC

10 plans

Source: CMS QHP JSON · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Gold Premier + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Gold Signature + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Silver Premier + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Bronze Premier + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Bronze Essential + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Silver Essential + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Bronze Signature + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST
AmeriHealth Caritas Next Silver Signature + No Referrals	Tier 4 - Non-Preferred	—	✓	—	ST

Blue Cross Blue Shield Federal

2 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026 via Covaryx	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Covaryx	Tier 3 - Non-Preferred Brand	—	—	—	None

Cigna

40 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect Silver RD 2200 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Bronze via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver 3500 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Gold RD CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze RD CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Gold CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver RD CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver CMS Standard via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze 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 7000 HSA Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver 4400 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via Covaryx	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Silver via Covaryx	Tier 2 - Generic	—	—	—	None
Connect Bronze CMS Standard	Tier 4 - Non-Preferred	—	—	—	None
Connect myDiabetesCare Silver	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold 1500 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect myDiabetesCare Bronze	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 3500 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 4400 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 3000 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver CMS Standard	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD CMS Standard	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold CMS Standard	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD CMS Standard	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold RD CMS Standard	Tier 4 - Non-Preferred	—	—	—	None

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None

Oscar Health

28 plans

Source: CMS QHP JSON · Checked: 22 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Bronze Classic Standard	Tier 4 - Non-Preferred	—	—	—	None
Silver Classic Standard	Tier 4 - Non-Preferred	—	—	—	None
Gold Classic Standard	Tier 4 - Non-Preferred	—	—	—	None
Bronze Classic Standard \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Classic Standard \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Gold Classic Standard \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Elite + PCP Saver Plus	Tier 4 - Non-Preferred	—	—	—	None
Silver Classic	Tier 4 - Non-Preferred	—	—	—	None
Secure	Tier 4 - Non-Preferred	—	—	—	None
AIAN Cost Share \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
AIAN Cost Share	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Classic 4700	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple Diabetes \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Classic \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Secure \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Bronze Classic 4700 \| with Atrium Health	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple Diabetes	Tier 4 - Non-Preferred	—	—	—	None
Gold Elite Saver Plus	Tier 4 - Non-Preferred	—	—	—	None
Silver Simple PCP Saver	Tier 4 - Non-Preferred	—	—	—	None