How Much Is Estring Without Insurance?

Brand vs. generic availability

Generic medications help lower costs without sacrificing quality. So opting for generic versions when they’re available is one of the best ways to save money on prescriptions.

Estring doesn’t have a generic version available. But if a generic does come to market, costs will likely go down.

Location

Where you live may also affect the cost of Estring. For instance, people living in New Orleans tend to pay more overall for prescription medications than people living in Atlanta, according to GoodRx research.

Pharmacy

Different pharmacies, even in the same neighborhood, may charge different prices for Estring. Consider using GoodRx to compare costs at pharmacies in your area before filling your prescriptions.

Insurance coverage

Most people use insurance when filling a prescription for Estring. But out-of-pocket costs for the medication vary among plans.

Deductibles, copays, and coinsurance can all affect how much Estring costs with insurance. For example, you may pay more in the beginning of a plan year until you meet your deductible. After that, when you’re just paying a copay or coinsurance, your price may drop.

It’s a good idea to review your plan’s summary of benefits and coverage and formulary (list of covered medications). This can help you determine if your plan covers Estring and what it might cost. If you’re unsure, you can call the member services phone number on your prescription insurance card.

Ask your prescriber about lower-cost alternatives

There are several vaginal estrogens available. Many have generic versions, and your insurance may offer better coverage for them. Ask your prescriber if one of these vaginal estrogens would be an option for you:

• Estradiol vaginal cream (Estrace)

• Conjugated estrogens vaginal cream (Premarin Vaginal Cream)

• Estradiol vaginal tablets (Yuvafem)

• Estradiol vaginal inserts (Imvexxy)

1. Use a GoodRx coupon

A GoodRx coupon could help you save on Estring without insurance. Anyone with a valid prescription, regardless of insurance status, can use GoodRx to purchase Estring at an exclusive cash price.

Here’s how to get a coupon:

• Go to www.goodrx.com or open the GoodRx app on your mobile device.

• Type “Estring” in the search bar.

• Click “Start saving,” or tap or click return.

• Select your location.

• Choose to get your coupon by text or email, or print it out.

• If possible, show the coupon to the pharmacy staff before it starts filling your prescription to avoid delays in processing.

Keep in mind: GoodRx savings may vary by pharmacy and the state you live in. The GoodRx website and app can help you compare prices in your area.

2. See if you qualify for a copay savings card

If you have commercial insurance, you may be eligible to save with a manufacturer copay savings card. With this card, you could pay as little as $25 per ring for Estrace. This program offers a maximum savings of $360 per prescription and $1,440 per calendar year.

To qualify for the copay savings card, you must:

• Have commercial insurance

• Not be enrolled in a government-funded insurance plan, such as Medicare or Medicaid

• Be at least age 18

• Live in the U.S. or Puerto Rico

If you’re uninsured, you’re unable to use the Estring copay savings card. Those who do qualify can sign up for the card online. For questions, call 1-833-966-4584.

3. Check if you’re eligible for a patient assistance program

If you’re uninsured or underinsured, you may be able to access Estring for free through the manufacturer’s patient assistance program.

To be eligible for the Estring patient assistance program, you must:

• Meet certain financial requirements and be able to submit proof of income

• Be uninsured or have government-funded insurance

• Have a prescription for Estring from a U.S.-licensed healthcare professional

• Live in the U.S. or a U.S. territory

You can check your eligibility and fill out an application form online. Your prescriber will need to complete parts of the form, so you should also talk to them.

If you have questions about the application or program, call 1-866-706-2400 for help.

4. Tap into your HSA, FSA, or HRA

Consider using a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA) to purchase Estring. These accounts let you use pretax dollars for copays, coinsurance, and other qualified medical expenses. This can help you reduce spending through tax savings.

Just be sure to review your account’s rules regarding expiration dates. FSA dollars typically have an expiration date. But HSA funds roll over and can be saved for later. HRA dollars may or may not expire, depending on your account.

Why trust our experts?

Written by:

Christina Aungst, PharmD, MWC

Christina Aungst, PharmD, MWC is a senior pharmacy editor for GoodRx. She began writing for GoodRx Health in 2019.

Reviewed by:

Alyssa Billingsley, PharmD

Alyssa Billingsley, PharmD, is the director of pharmacy content for GoodRx. She has over a decade of experience as a pharmacist and has worked in clinical, academic, and administrative roles.

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