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Dotti is a brand of estradiol. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 4,324 of 5,492 Medicare Part D and Medicare Advantage drug plans (78.7%) list Dotti on their formulary, across 258 of 286 formularies. The most common placement is tier 3 (1,825 plans, 42.2% of those covering it). 0 of the covering plans require prior authorization (0%), 0 step therapy and 3,067 a quantity limit. Generic estradiol is on 5,492 of 5,492 plans (100%).
1,443 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $2, 625 of them $0; 2,881 charge coinsurance instead — median 25% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.
2026: 4,262 of 5,496 plans covered it (77.5%); 2027: 4,324 of 5,492 (78.7%).
Of 4,367 plans offered in both years, 25 added it to the formulary and 14 dropped it.
Among plans covering it both years, 216 moved it to a higher tier and 794 to a lower one; 0 added prior authorization and 183 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 112 |
| Tier 2 | 1,369 |
| Tier 3 | 1,825 |
| Tier 4 | 1,018 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 248 of 323 | 76.8% | 0% |
| Medicare Advantage with drugs (MA-PD) | 2,556 of 3,200 | 79.9% | 0% |
| Special needs plans (SNP) | 1,520 of 1,969 | 77.2% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 0 of 830 | No tier listed | 0 |
| Devoted Health | 728 of 728 | Tier 2 | 0 |
| Aetna Medicare | 631 of 631 | Tier 4 | 0 |
| Wellcare | 268 of 268 | Tier 3 | 0 |
| HealthSpring | 226 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 112 of 112 | Tier 2 | 0 |
| SCAN Health Plan | 83 of 83 | Tier 2 | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 12 of 80 | Tier 2 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 0 |
| Anthem Blue Cross and Blue Shield | 74 of 74 | Tier 3 | 0 |
| Wellpoint | 63 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 2 | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 36 of 36 | Tier 2 | 0 |
| Capital Blue Cross | 8 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 2 | 0 |
| Medica | 27 of 27 | Tier 3 | 0 |
| Anthem HealthKeepers | 26 of 26 | Tier 3 | 0 |
| Blue Cross Blue Shield of Michigan | 0 of 26 | No tier listed | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 98 of 114 | 86% |
| Alaska | 7 of 9 | 77.8% |
| American Samoa | 0 of 1 | 0% |
| Arizona | 127 of 147 | 86.4% |
| Arkansas | 73 of 85 | 85.9% |
| California | 339 of 397 | 85.4% |
| Colorado | 84 of 106 | 79.2% |
| Connecticut | 45 of 54 | 83.3% |
| Delaware | 29 of 43 | 67.4% |
| District of Columbia | 7 of 12 | 58.3% |
| Florida | 426 of 545 | 78.2% |
| Georgia | 129 of 149 | 86.6% |
| Guam | 0 of 1 | 0% |
| Hawaii | 42 of 50 | 84% |
| Idaho | 29 of 45 | 64.4% |
| Illinois | 111 of 132 | 84.1% |
| Indiana | 114 of 138 | 82.6% |
| Iowa | 51 of 64 | 79.7% |
| Kansas | 69 of 84 | 82.1% |
| Kentucky | 100 of 121 | 82.6% |
| Louisiana | 102 of 125 | 81.6% |
| Maine | 40 of 52 | 76.9% |
| Maryland | 43 of 49 | 87.8% |
| Massachusetts | 78 of 89 | 87.6% |
| Michigan | 128 of 182 | 70.3% |
| Minnesota | 54 of 63 | 85.7% |
| Mississippi | 85 of 104 | 81.7% |
| Missouri | 141 of 170 | 82.9% |
| Montana | 23 of 27 | 85.2% |
| Nebraska | 42 of 51 | 82.4% |
| Nevada | 80 of 100 | 80% |
| New Hampshire | 18 of 25 | 72% |
| New Jersey | 60 of 73 | 82.2% |
| New Mexico | 38 of 68 | 55.9% |
| New York | 175 of 215 | 81.4% |
| North Carolina | 147 of 176 | 83.5% |
| North Dakota | 20 of 26 | 76.9% |
| Northern Mariana Islands | 0 of 1 | 0% |
| Ohio | 141 of 171 | 82.5% |
| Oklahoma | 61 of 81 | 75.3% |
| Oregon | 82 of 92 | 89.1% |
| Pennsylvania | 193 of 323 | 59.8% |
| Puerto Rico | 2 of 64 | 3.1% |
| Rhode Island | 18 of 29 | 62.1% |
| South Carolina | 78 of 89 | 87.6% |
| South Dakota | 26 of 30 | 86.7% |
| Tennessee | 133 of 156 | 85.3% |
| Texas | 335 of 407 | 82.3% |
| U.S. Virgin Islands | 0 of 1 | 0% |
| Utah | 38 of 53 | 71.7% |
| Vermont | 12 of 14 | 85.7% |
| Virginia | 107 of 144 | 74.3% |
| Washington | 89 of 114 | 78.1% |
| West Virginia | 50 of 69 | 72.5% |
| Wisconsin | 72 of 96 | 75% |
| Wyoming | 9 of 13 | 69.2% |
Medicare Part D paid for 223,604 30-day fills of Dotti in 2024 for about 38,630 enrollees, at an average total cost of $58.82 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Dotti and the rest of a client's list on every plan in their county.
Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.