Vagifem

Generic: estradiol vaginal

10MCG — Tablet

VAGINAL PRODUCTS

Also known as: VAGIFEM TABS 10MCG

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand None
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Estrace
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026
via Estrace
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026
via Estrace
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026
via Estrace
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026
via Estrace
Tier 2 - Medium Cost Generic/Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via estradiol vaginal
Preferred None
NC Medicaid Preferred Drug List 2026
via Estrace
Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 18 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via estradiol vaginal
Unknown QL
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