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Estrogens Replacement Therapy


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ESTROGEN REPLACEMENT THERAPY

SUMMARY:
The consensus before the 2002 Women's Health Initiative (W.H.I.) was clear: ERT (Estrogen Replacement Therapy) was not only beneficial for the symptoms of menopause (hot flushes, vaginal dryness, mental confusion) but offered some protection against osteoporosis, Alzheimer's disease and most importantly heart disease. The W.H.I. using Premarin© (pregnant mare unit) and Provera©(MPA) a synthetic oil derivative was prematurely stopped due to a host of problems including increased risk of breast cancer and heart disease. The major flaw of this one-billion dollar study was the population was over 60 years old; often 20 years after the menopause and using unnatural, not bio-identical hormones. Even then, the group that used one Premarin© in the United States and the United Kingdom study using Aygestin© instead of Provera© had less breast cancer, less heart disease than the Premarin-Provera [Prempro©] and even the control group. Conclusion: ERT is necessary and protective. The articles below show how adding small doses of appropriate androgens prevents menstrual bleeding, reduces the risk of osteoporosis and Alzheimers, and can be used in women with breast cancer and heart disease.

ESTROGEN REPLACEMENT THERAPY

for Menopause

for Osteoporosis

for Atrophic Vaginitis

for Estrogen Replacement Therapy

for Alternative Therapy with DHEA, supplements


FORMULARY-BEST PRICE
Coupon Category US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
US
Brand
Price
US
Generic Price
Prior
Authorization
Price
per unit
______________________________________________________ ______________________________________________________
Walmartbio-identical estrogen Estrace© estradiol 1mg #90 tablets $287.64 $ 10.00 $0.11/ dose

CVSestropipate Ogen© estropipate1.5mg#90 tablets$104.43$ 17.76$0.19/ dose

Krogerbio-identical estrogen patch Vivelle©dot estradiol0.1mg#24 patches/ 3-months$ 83.00
for #24
$298.90$ 39.67 $10.07/ week

CVSbio-identical estrogen patch Climara© estradiol .10mg #4 patches/ month $ 72.55 $ 40.30 10.07/ week

Compoundbio-identical estrogen Bio E2, E1, E3 estradiol/ estrone/ estriol 1% E2, 1% E1, 2.5% E3 #60 mg tube $ 50.00 compounded$1.60/ day

WalmartCEE/ methyl testosterone Covaryx©  estrogen/ testosterone 1.25mg/ 2.5mg #90 tablets $ 50.63
$0.56/ dose

WalmartCEE/ methyl testosterone EstraTest©  estrogen/ testosterone 1.25mg/ 2.5mg #90 tablets $ 55.21

Walmartbio-identical estrogen Estradiol© Vaginal Compound Cream estradiol .015% #60 mg tube $ 60.00 compounded$15.00/ week

Walmartestradiol Delestrogen© estradiol 5mg/ml #1 5ml vial $322.75 $ 96.61 $22.68/ month

Walmartbio-identical estrogen Depo-Estradiol© estradiol 5mg/ml #1 5ml vial $ 69.37 $30.00/ month

Walmartbio-identical estrogen patch Estraderm© estradiol .05mg #8 patches/ month $ 67.35 General Prior
Authorization
$16.86/ week

Krogerbio-identical estrogen Estrogel© estradiol0.06mg#50gm pump$99.00
#5 x 80gm
$115.89General Prior
Authorization
$23.22/ week

Targetbio-identical estrogen patch Minivelle© estradiol0.1mg#8 patches/ month$121.17General Prior
Authorization
$30.29/ week

Walmartbio-identical estrogen Estrace© Vag estradiol .01% #42.5 mg tube $262.49 General Prior
Authorization
$6.17/ gm dose


NON FORMULARY PRICE
Coupon Category US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
US
Brand
Price
US
Generic Price
Prior
Authorization
Price
per unit
______________________________________________________ _____________________________________________________
Krogerestradiol Vagifem© estradiol 10mcg #8 tablets $74.00
for #24
$164.08 General Prior
Authorization
$14.20/ week

Krogerconjugated estrogens Combipatch© estradiol/ norethindrone .0.05mg/ 0.14mg #24 patches $100.00
for #24
$144.03 General Prior
Authorization
$15.01/ patch

Krogerestradiol Divigel©/ Evamist©, Elestrin© estradiol 1mg
estradiol
#90 packet$174.00
#168
$297.16General Prior
Authorization
$3.23/ packet

Krogerbio-identical estrogen Estrogel© estradiol0.06mg3x #50gm pump$84.00
3x 80gm
$300.06General Prior
Authorization
$2.21/ gm dose

Walmartconjugated estrogens Premarin© conjugated estrogens .625mg/ gram1# #30gm tube$49.00
#3 of 14gm
$290.86General Prior
Authorization

Free of Deductible
$9.96/ gm

Walmart estrogen agonist/ antagonistDuavee© CEE estrogen/ bazedoxifene .45mg/ 20mg #90 tablets $400.65 General Prior
Authorization
$4.01/ dose

Krogerestrogen agonist/ antagonist Ospena©  ospemifene 60mg #90 tablets $499.00
#60
$349.40 General Prior
Authorization
Rejected
$5.49/ dose

Walmartconjugated estrogens Premarin© conjugated estrogens 1.25mg #90 tablets $36.00
for #84
$352.27 General Prior
Authorization

Free of Deductible
$3.59/ dose

Krogerestradiol Imvexxy© estradiol 10 mcg #8 implants $187.29 General Prior
Authorization
$23.50/ dose
Kroger premarin/ provera Prempro© estrogen/ progestin .625mg/ 5mg #84 tablets $ 90.00
for #84
$402.32 General Prior
Authorization
$4.80/ dose

Krogerestradiol Estring© estradiol 2mg #3 Ring 258.51
#3
$830.06 General Prior
Authorization
$8.62/ day

KCVSMultifunctional Serotonin agonist/ antagonist Addyi© flibanserin 100mg #30 tablets $826.75 General Prior
Authorization

Rejected
$27.56/ dose



OBSERVATION:
*The key to treatment is to differentiate between sub-therapeutic treatment (symptoms) versus biological treatment. Biological treatment relies on suppression the FSL and LH below 20-30miu/ml. This is rarely possible with low dose estrogens such as Divigel and bio-identical topical creams that use Estriol.

*Conversion Table: Dosage Range of Therapeutic Medications.
The cheapest and most effective form of estrogen replacement is the generic estradiol 1mg tablet. It can be placed vaginally nightly eliminating Premarin vaginal cream, and Vagifem. Estrogen vaginal cream is approved by most oncologists for women with breast cancer.

KEYWORDS:
Rx Estrace, Rx Estrace vaginal cream, Rx Premarin, Rx Premarin vaginal cream, Rx Vivelle dot, Rx Minivelle, Rx Climara, Rx Estring,Rx Ogen, Rx Enjuvia, Rx Menest, Rx Estrogel, Rx Divigel, Rx Evamist, Rx Femring, Rx Cenestin, Rx conjugated estrogens, Rx Cenestin, Rx Alora, Rx Delestrogen, Rx estradiol valerate, Rx Depo-Estradiol, Rx Elestrin, Rx Menostar, Rx Estrasorb, Rx Estraderm, Rx Femtrace, Rx Duavee, Rx bazedoxifene, Rx osphena, Rx ospemifene, Rx Prempro, Rx Covaryx, Rx Estratest, Rx imvexxy, Rx Addyi, rx flibanserin,buy, BUY

Copyrighted© 2014: Revised May 1, 2015; Prices may vary