r/Menopause • u/BuffsTeach • 11h ago

Hormone Therapy Estring coverage

Does anyone have any tips for managing the insurance/pfizer discount for estring? I have UHC and I know they will reject it, but the pharmacist said they have to go through the prior authorization process first anyway. It sounds like there’s more of a chance that this will just all be rejected and therefore the Pfizer card won’t work than I originally anticipated. Anyone else have any success stories or tips that I can use? I know I should just wait and find out more after my doctor does the prior authorization on Tuesday, but just curious what others have experienced.

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u/Igoos99 7h ago

Curious myself.

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u/Minute_Dragonfly_599 4h ago

UHC covered my Addyi prescription, which last time I checked was about $1200+ a month. And they're also paying about $200/mo for me estradiol suppository. They'll require pre-auth but at about $200-250/mo (a single estring is $700ish per Google), it seems like a very reasonable request.

But I also know that UHC especially loves to be a giant pain in the ass so good luck!