MedicarePartD.guide

A non-government resource built from CMS public data

ESTROGENS, CONJUGATED 1.25 mg Tablet, Film Coated

Coverage in Oregon and Washington (CMS PDP Region 30).

2 of 10 stand-alone Part D plans in Oregon and Washington cover this drug on tier 3–4.

No plan applies a prior authorization, step therapy or quantity limit.

87 Medicare Advantage plans in OR, WA do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. OR: 45 plans · WA: 42 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$4.2866—None
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$6.4608—None

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →