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Estring Price (estradiol)
As of Nov 5, 2026, brand Estring 2 mg costs from $138.95 for 90 days at licensed pharmacies abroad (ships from United Kingdom; packs made for other countries are not FDA-approved), vs. $577.18 at the U.S. list price.
- Lowest U.S. online pharmacy price
- $549.37 per ring$559.61 for 90 days (1 ring), shipping included · FDA-approved brand Estring 2 mg · ships within the U.S.
- Lowest international online pharmacy price
- $129.00 per ring$138.95 for 90 days (1 ring), shipping included · brand Estring 2 mg, not FDA-approved · ships from United Kingdom
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Name check: Femring is a different vaginal ring (estradiol acetate, 0.05 or 0.1 mg a day) approved as a separate product, so its prices are not mixed in here.
Compare Estring prices from licensed pharmacies
For comparison U.S. pharmacy list price: $577.18 for 90 days ($577.19 per ring), brand Estring 2 mg before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per ringOnline pharmacy A | Estring Vaginal Ring 2mg (7.5mcg/24hr) Ring (Extended-Release) (UK/EU pack, ships from United Kingdom)2 mg (7.5 mcg/24 hr) · brand · Filled in United KingdomMaker listed by pharmacy: Maker not shown by pharmacyMade for UK/EU | $95.68for 1 ring$95.68 per ring | Fee not publishedDelivery time not stated | $95.68 for 90 days= $95.68 for 90 days+ shippingincl. $0 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringOnline pharmacy B | Estring Vaginal Ring 2mg (7.5mcg/24hr)2 mg · brand · Filled in United KingdomMaker listed by pharmacy: Pfizer Inc | $129for 1 ring$129.00 per ring | $9.95Pharmacy's estimate: 4–6 weeks | $138.95 for 90 days= $138.95 for 90 daysSave 76%incl. $9.95 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringOnline pharmacy B | Estring Vaginal Ring 2mg (7.5mcg/24hr)2 mg · brand · Filled in CanadaMaker listed by pharmacy: Pfizer Inc | $145for 1 ring$145.00 per ring | $9.95Pharmacy's estimate: 4–6 weeks | $154.95 for 90 days= $154.95 for 90 daysSave 73%incl. $9.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringOnline pharmacy C | Estring Vaginal Ring (7.5mcg/24hr) 2mg Insert2 mg · brand · Filled in United KingdomMaker listed by pharmacy: Pfizer Inc | $157.54for 1 ring$157.54 per ring | FreePharmacy's estimate: 2–3 weeks | $157.54 for 90 days= $157.54 for 90 daysSave 73%incl. $0 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringLicensed Canadian pharmacy D | Estring Vaginal Ring2 mg · brand · Filled in CanadaMaker listed by pharmacy: Pfizer | $148for 1 ring$148.00 per ring | $9.95Pharmacy's estimate: 3–6 weeks | $157.95 for 90 days= $157.95 for 90 daysSave 73%incl. $9.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringOnline pharmacy C | Estring Vaginal Ring 2mg Insert2 mg · brand · Filled in CanadaMaker listed by pharmacy: Pfizer Inc | $174.95for 1 ring$174.95 per ring | FreePharmacy's estimate: 2–3 weeks | $174.95 for 90 days= $174.95 for 90 daysSave 70%incl. $0 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringLicensed U.S. pharmacy E | Estring2 mg · brandU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Oct 29, 2026 | $554.36for 1 ring$554.37 per ring | $5.25Delivery time not stated | $559.61 for 90 days= $559.61 for 90 daysSave 3%incl. $5.25 shippingChecked Oct 29 | See pharmacy (members) Members see the pharmacy |
| Lowest per ringLicensed U.S. pharmacy F | Estring 7.5mcg/24HR 2mg Vaginal Ring - 1ct2 mg (7.5 mcg/24 hr) · brandMaker listed by pharmacy: Maker not listedShips from United StatesShips within the U.S. (no customs) · checked Nov 5, 2026 | $635for 1 ring$635.00 per ring | $5Pharmacy's estimate: 2–8 business days | $640 for 90 days= $639.99 for 90 daysincl. $5 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Estring from Canada?
90-day cost = 1 ring for 90 days, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 5, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price of the same strength (2 mg); rows for other strengths show no saving. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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90-day prices from 3 licensed pharmacies abroad shipping to the U.S.: $138.95 to $174.95, any strength, shipping included.
Jump to: Medicare · Maker savings · Generic Estring · Uses · FAQ
Estring (estradiol vaginal ring) 2 mg for vaginal symptoms of menopause. One ring lasts 90 days, and no generic is sold in the U.S.
Estring price by strength
| Strength | Lowest brand90 days | Price per ring |
|---|---|---|
| Estring 2 mg | $138.95 | $129.00 |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per ring is for that lowest pack, before shipping. Prices checked Nov 5, 2026.
Cheapest ways to get Estring 2 mg
The cheapest ways we found to get brand Estring 2 mg (prices checked Nov 5, 2026). The lowest 90-day cost is shaded green.
| Way to buy | Cost | Details |
|---|---|---|
| Licensed online pharmacy abroad | $138.95 for 90 days | Brand Estring 2 mg, ships from United Kingdom, not FDA-approved (made for another country). Shipping included, checked Nov 5, 2026. See all prices |
| U.S. pharmacy cash price | $559.61 for 90 days | FDA-approved brand Estring 2 mg, ships within the U.S. (no customs). Shipping included, checked Oct 29, 2026. See all prices |
| U.S. list price | $577.18 for 90 days | Brand Estring before insurance. Pharmacies may charge more. |
| Maker’s patient assistance program | May be free if you qualify | Pfizer Patient Assistance Program (Pfizer RxPathways), checked Oct 29, 2026. Who qualifies |
| Medicare Part D | Depends on your plan | Your plan’s drug list and coverage phase set your cost. Medicare costs |
Costs abroad and at U.S. pharmacies are for one order closest to 90 days, shipping included, from the price table above. Programs set their own rules, so check the terms before you count on one.
How much does Estring cost without insurance?
Without insurance, Estring costs $192.39 for a 30-day supply at the U.S. list price, or about $577.18 for 90 days. Licensed pharmacies abroad charged from $138.95 for 90 days of brand Estring 2 mg in our latest check (Nov 5, 2026), shipping included.
TrumpRx.gov cash price: $249 per ring (90 days) with the TrumpRx.gov cash price at retail pharmacies that dispense Estring (TrumpRx.gov).
Pfizer patient assistance program: Estring is on the list of medicines Pfizer provides through its Patient Assistance Program, for eligible people who are uninsured or have government insurance, with income limits. Call 1-844-989-7284 (Pfizer RxPathways).
Estring cost with Medicare
In 2026, a Medicare drug plan (Part D) can charge a deductible of up to $615, and once you've spent $2,100 out of pocket on covered drugs, you pay nothing more for covered drugs that year ($2,400 in 2027) (Medicare.gov). What you pay for Estring depends on your plan's drug list and your coverage phase. If your income is limited, Extra Help lowers drug costs: in 2026 you pay no more than $5.10 for a generic and $12.65 for a brand-name drug, with income under $23,940 ($32,460 for a married couple) and resources under $18,090 ($36,100 for a couple) (CMS). The free Medicare Prescription Payment Plan spreads costs into monthly payments, but it doesn't lower the total.
| Medicare Part D | What Estring costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026 ($2,400 in 2027), you pay nothing more for covered drugs that year. | Medicare.gov |
Estring cost with insurance
With private or employer insurance, what you pay for Estring depends on your plan's drug list, deductible and copay. Your copay depends on your plan. Pfizer's MHT copay program may lower it to as little as $25 per prescription, up to $360 off each fill (Pfizer).
Medicaid: Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office (Medicaid.gov).
Estring patient assistance program
Yes. Estring is offered through Pfizer Patient Assistance Program (Pfizer RxPathways), which can give the medicine at no cost to people who qualify. Who qualifies: People who are uninsured, or have government insurance such as Medicare Part D or Medicare Advantage and can't afford their copay, with household income at or below 300% of the federal poverty level ($47,880 for 1 person or $99,000 for 4 in 2026). People with commercial insurance can't apply. You must live in the U.S. or a U.S. territory. People with Medicare must first enroll in the Medicare Prescription Payment Plan. How to apply: Send the enrollment form with your prescriber. New patients can call 1-844-989-7284 (1-844-989-PATH). (Checked 2026-10-29.)
Is there a generic Estring?
No. No generic Estring is sold in the U.S. The FDA Orange Book lists no generic equivalent for Estring, and the FDA drug listing shows no generic estradiol vaginal ring. Femring is a separate brand product, not a generic Estring.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 2 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell estradiol vaginal rings made for other markets. Packs that are not Pfizer's Estring are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: Estring (NDA 020472). As of Oct 26, 2026.
Estring FAQ
How much does Estring cost without insurance?
The U.S. list price is $577.18 for one ring, which lasts 90 days, as listed on TrumpRx.gov. Licensed pharmacies abroad charged from $138.95 for one ring of brand Estring 2 mg in our latest check (Nov 5, 2026). TrumpRx.gov lists Estring for $249 per ring with its offer at retail pharmacies.
How much does Estring cost with Medicare?
It depends on your Part D plan's drug list and copays. In 2026, plan deductibles are capped at $615, and out-of-pocket costs for covered Part D drugs are capped at $2,100 a year ($2,400 in 2027). Pfizer's copay program can't be used with Medicare, but people with limited income can apply for Extra Help.
How much is Estring on TrumpRx?
TrumpRx.gov lists brand Estring 2 mg for $249 per ring (original price $577.18). You show the TrumpRx.gov cash price at a retail pharmacy that dispenses Estring. It is a cash price: it can't be used with Medicare or Medicaid coverage and won't count toward the $2,100 Medicare cap. With private insurance, ask your plan whether a cash purchase counts toward your deductible.
Is there a generic version of Estring?
No. The FDA Orange Book lists no generic equivalent for Estring, and no generic estradiol vaginal ring is sold in the U.S. Femring is a different brand ring, not a generic Estring. The generic name for Estring is estradiol.
Is Estring a hormone therapy?
Estring contains estradiol, an estrogen hormone, and its label lists it for vaginal symptoms of menopause. The label says some estradiol is absorbed into the body, though exposure is generally lower than with estrogen taken by mouth or patch.
Is there a patient assistance program for Estring?
Yes. Estring is offered through Pfizer Patient Assistance Program (Pfizer RxPathways), which can give the medicine at no cost to people who qualify. Who qualifies: People who are uninsured, or have government insurance such as Medicare Part D or Medicare Advantage and can't afford their copay, with household income at or below 300% of the federal poverty level ($47,880 for 1 person or $99,000 for 4 in 2026). People with commercial insurance can't apply. You must live in the U.S. or a U.S. territory. People with Medicare must first enroll in the Medicare Prescription Payment Plan. How to apply: Send the enrollment form with your prescriber. New patients can call 1-844-989-7284 (1-844-989-PATH). (Checked 2026-10-29.)
How long does one Estring ring last?
According to the FDA label, one Estring ring stays in place for 3 months (90 days) and is then removed and, if appropriate, replaced with a new ring. That is why one ring is priced here as a 90-day supply.
Is Estring the same as Femring?
No. Both are estradiol vaginal rings used for 3 months, but Femring contains estradiol acetate at 0.05 or 0.1 mg a day and was approved as a separate product, while Estring releases about 7.5 mcg of estradiol a day. One can't be swapped for the other without your prescriber. Your prescriber decides which medicine is right for you.
Savings programs from the maker
eDrugSearch does not offer its own Estring coupons. These are the programs we could verify on Pfizer's and the government's own sites:
- Pfizer MHT co-pay savings card: for people with private (commercial) insurance. You may pay as little as $25 per prescription, with up to $360 off each Estring fill and up to $1,440 a year. Not for Medicare, Medicaid, TRICARE, VA or other government programs, and not for cash-paying patients. Accepted at participating pharmacies. Offer expires December 31, 2026. Call 1-888-966-4584 (1-888-WMN-HLTH). (Pfizer menopause savings)
- Pfizer Patient Assistance Program: Pfizer RxPathways lists Estring among the medicines provided through the Pfizer Patient Assistance Program. You must be uninsured or have government insurance and be unable to afford your copay, live in the U.S., and meet household income limits, which vary by product. People with commercial insurance can't apply. Call 1-844-989-7284. (Pfizer RxPathways)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
What is Estring used for?
Estring (estradiol vaginal system) is a soft, flexible ring that slowly releases estradiol, an estrogen hormone, in the vagina. According to its FDA label (prescribing information), it is used:
- To treat moderate to severe symptoms of vulvar and vaginal atrophy (thinning, dryness and irritation of vaginal tissue) due to menopause.
Estring comes in one strength: a ring holding 2 mg of estradiol that releases about 7.5 mcg a day. The label says the ring stays in place for 3 months, then is removed and, if appropriate, replaced with a new one. It treats local menopause symptoms only. The current U.S. label (revised February 2026) has no boxed warning; its warnings include endometrial cancer with estrogen alone in women with a uterus. Your prescriber decides which medicine is right for you.
Is it safe to order Estring from Canada?
Many Americans do, but U.S. law and customs rules apply. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress declared in FD&C Act 804(j)(1), 21 U.S.C. 384(j)(1), that enforcement against individuals should focus on imports posing a significant threat to public health. You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Estring is sold under the same name by Pfizer Canada (distributed by Paladin), and it is also sold as Estring in the U.K. and Europe.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Sources
- TrumpRx.gov: Estring (original price $577.18, TrumpRx price $249 per ring, checked 2026-10-26)
- Texas DSHS: 2026 annual WAC report (drug price transparency) (Pfizer Estring WAC $562.01, NDC 00013104201, early 2026)
- Pfizer: menopause hormone therapy co-pay savings card (as little as $25; up to $360 per fill, $1,440 a year; expires 12/31/2026; checked 2026-10-26)
- Pfizer RxPathways: available medications (lists ESTRING, July 2026)
- Pfizer RxPathways: Patient Assistance Program eligibility
- ESTRING U.S. prescribing information (FDA) (revised 2/2026)
- ESTRING label (DailyMed)
- FDA Orange Book: Estring (NDA 020472) (EOBZIP_2026_09; no generic equivalent, no patents listed)
- FDA NDC Directory: estradiol vaginal rings (data of 2026-10-23)
- Health Canada: ESTRING product monograph (Pfizer Canada ULC; authorized 2026-01-08)
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicaid.gov: cost sharing
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.