How to Save Money on Estradiol/Norethindrone in 2026: Coupons, Discounts, and Patient Assistance

Updated:

February 14, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Save on Estradiol/Norethindrone in 2026. Compare cash prices, discount cards, coupons, and patient assistance programs to lower your monthly cost.

Estradiol/Norethindrone Can Be Expensive — But It Doesn't Have to Be

If you've been hit with sticker shock at the pharmacy, you're not alone. The cash price for Estradiol/Norethindrone can range from $50 to over $200 per month depending on whether you're getting the generic or brand-name version, and which formulation you use.

The good news? There are real ways to bring that cost down — sometimes dramatically. In this guide, we'll walk through exactly what Estradiol/Norethindrone costs in 2026, and every option available to help you save.

How Much Does Estradiol/Norethindrone Cost Without Insurance?

Here's what you can expect to pay at retail (without insurance) for a 30-day supply:

  • Generic oral tablets (1 mg/0.5 mg): $50 to $100 at most pharmacies
  • Generic oral tablets (0.5 mg/0.1 mg): $50 to $90
  • Brand-name Activella: $150 to $200+
  • CombiPatch (transdermal patch): $150 to $250+ (when available)

These prices can vary significantly by pharmacy. Large chain pharmacies often charge more than independent pharmacies for the same generic medication.

Coupons and Discount Cards: Your Best Bet for Instant Savings

Prescription discount cards are free to use and can dramatically lower the price of generic Estradiol/Norethindrone. Here are the most popular options:

GoodRx

GoodRx is one of the most widely used prescription discount tools. For generic Estradiol/Norethindrone oral tablets, GoodRx shows prices as low as $48.53 with GoodRx Gold (a paid membership) and competitive free coupon prices at many pharmacies. Prices vary by pharmacy, so always compare.

SingleCare

SingleCare offers free coupons that can be used at most major pharmacies including CVS, Walgreens, and Walmart. Prices for generic Estradiol/Norethindrone are often comparable to GoodRx. Check singlecare.com for current pricing.

RxSaver

RxSaver compares prices across multiple discount programs to find the lowest price near you. Visit rxsaver.com to search for Estradiol/Norethindrone coupons.

Other Discount Cards to Check

These services also offer free or low-cost prescription coupons:

  • Optum Perks (perks.optum.com)
  • BuzzRx (buzzrx.com)
  • ScriptSave WellRx (wellrx.com)
  • America's Pharmacy (americaspharmacy.com)
  • Inside Rx (insiderx.com)

Pro tip: Compare prices on 2 to 3 discount card sites before filling your prescription. Prices can vary by $20 or more for the same medication at the same pharmacy depending on which card you use.

Patient Assistance Programs: Free or Low-Cost Medication

If you're uninsured, underinsured, or struggling to afford your medication, patient assistance programs (PAPs) may provide Estradiol/Norethindrone at no cost.

Novo Nordisk Hormone Therapy Patient Assistance Program

Novo Nordisk, the manufacturer of brand-name Activella, offers a Patient Assistance Program that provides the medication for free to qualifying patients. To be eligible, you generally must:

  • Be a US resident
  • Be uninsured or underinsured
  • Meet income requirements

Contact: 1-866-668-6336 or visit novonordisk-us.com for application details.

NeedyMeds

NeedyMeds is a nonprofit database that lists patient assistance programs, copay cards, and other savings resources. Search for Estradiol/Norethindrone to see all available programs.

RxAssist

RxAssist is another comprehensive database of patient assistance programs maintained by Volunteers in Health Care. It can help you find programs for both brand and generic medications.

RxHope

RxHope connects patients with manufacturer-sponsored assistance programs. Your doctor's office can submit an application on your behalf.

Other Ways to Save on Estradiol/Norethindrone

Always Choose Generic

The generic version of Estradiol/Norethindrone costs significantly less than brand-name products. Brand Activella can cost $150 to $200+ per month, while generics with a discount card can be $15 to $50 per month. That's a savings of up to $150 or more every month.

Ask your doctor to write your prescription for generic Estradiol/Norethindrone Acetate, and make sure the prescription allows generic substitution.

Compare Prices Across Pharmacies

Prices for the same generic medication can differ by $30 or more between pharmacies in the same neighborhood. Independent pharmacies, Costco, and Walmart often have lower prices than chain pharmacies. Use Medfinder to check both availability and pricing.

Ask About 90-Day Supplies

Many pharmacies and insurance plans offer a lower per-month cost when you fill a 90-day supply instead of 30 days. This is especially true for mail-order pharmacies. Ask your pharmacist or insurance company about this option.

Use Your Insurance Wisely

If you have insurance, Estradiol/Norethindrone generic tablets are typically covered on Tier 2 or Tier 3 of most formularies. Your copay may be $10 to $45 per month. Some tips:

  • Check your plan's formulary to make sure Estradiol/Norethindrone is covered
  • If it's not on formulary, ask your doctor to request a prior authorization or formulary exception
  • Compare your insurance copay to discount card prices — sometimes the discount card is cheaper than using insurance

Look Into the Walmart $4 Prescription Program

Walmart's $4 prescription program covers select generic medications. While Estradiol/Norethindrone may not always be on the list, it's worth checking. Visit walmart.com for the current list of covered medications.

Consider Cost Plus Drugs

Mark Cuban Cost Plus Drugs is an online pharmacy that sells generic medications at cost plus a small markup. Check their website to see if Estradiol/Norethindrone is available.

Final Thoughts

No one should have to skip their hormone replacement therapy because of cost. Between discount cards, patient assistance programs, generic options, and smart pharmacy shopping, most women can find a way to afford Estradiol/Norethindrone in 2026.

Start by comparing prices with a discount card, ask about generics, and explore patient assistance if you're uninsured. And if you're having trouble finding the medication in stock, use Medfinder to locate a pharmacy near you that has it available.

For more information about this medication, read our guides on what Estradiol/Norethindrone is and Estradiol/Norethindrone side effects.

How much does Estradiol/Norethindrone cost without insurance?

Without insurance, generic Estradiol/Norethindrone oral tablets cost $50 to $100 per month at retail price. Brand-name Activella costs $150 to $200+ per month. With a discount card like GoodRx or SingleCare, generic tablets can be as low as $15 to $50 per month.

What is the cheapest way to get Estradiol/Norethindrone?

The cheapest option is generic oral tablets with a prescription discount card. GoodRx Gold shows prices as low as $48.53 for a 30-day supply, and free coupons from SingleCare and RxSaver may offer similar savings. Compare prices at multiple pharmacies for the best deal.

Is there a patient assistance program for Estradiol/Norethindrone?

Yes. Novo Nordisk offers a Hormone Therapy Patient Assistance Program that provides brand Activella at no cost to qualifying uninsured or underinsured patients. Call 1-866-668-6336 to apply. NeedyMeds and RxAssist also list additional programs.

Is generic Estradiol/Norethindrone as effective as brand-name Activella?

Yes. Generic Estradiol/Norethindrone Acetate tablets are AB-rated therapeutic equivalents to Activella. They contain the same active ingredients in the same doses and are required by the FDA to meet the same standards for safety, quality, and effectiveness.

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