The estrogen shortage is real, with no end in sight.

Expect an issue at every refill. If there is a backorder on your RX, ask for:

  • transfer to another pharmacy (i.e. in a grocery store, Costco, Amazon, Optum, Birdi, Express Scripts, Pandia)

  • other patch options:

    • a weekly patch at same dose

    • weekly or twice weekly at double dose; you can cut in half to equal 0.025-0.05mg patches

    • combined estradiol/progestin (not progesterone) weekly or semi-weekly patches (ClimaraPro (generic coming!) or CombiPatch)

  • other delivery options (dosing may be slightly different that patch):

    • daily estradiol gels (packets or metered pump)

    • daily estradiol mist

    • daily estradiol pill

      • an excellent alternative for most, caution with history of clots, clotting disorder, stroke, heart disease, smoking

      • in combination with progesterone (BIJUVA) (may require prior authorization/manufacturers coupon)

      • in combination with norethindrone (progestin) AMABELZ generic

    • vaginal ring (FEMRING not ESTRING) every 90 days (may require prior authorization/manufacturers coupon)

  • Compounded hormones, pellets, or injections are not comparable or safe alternatives.

←See video or this handout to learn more

KEEP IN MIND

If message for refill, please provide pharmacy information every time

Annual phone appointment required for refills

Thank you in advance for your understanding & assistance.

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