Limited coverage criteria – estradiol

Last updated on March 17, 2025

 

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Generic name

estradiol

Form

patch, transdermal gel 

Special Authority criteria

Approval period

For indications of menopausal and post-menopausal symptoms

PLUS

extreme intolerance to oral preparations at the minimum dose required to control symptoms

OR

diagnosis of severe liver disease

Indefinite

Practitioner exemptions

  • None

Special notes

  • The following brands will be considered for coverage: Climara®, Divigel®, Estalis®, Estalis-Sequi®, Estracomb®, Estraderm®, Estradot®, Estrogel®, Oesclim®, Vivelle®

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