Medications

Lyllana

Lyllana

Previously Found with Medfinder

Comprehensive medication guide to {drug} including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.

Estimated Insurance Pricing
Most insurance plans cover generic estradiol patches with copays of $10–$30; brand-name Lyllana may require prior authorization.
Estimated Cash Pricing
Brand-name Lyllana costs $150–$210 per month without insurance; generic estradiol patches run $29–$55 with a discount card.
Medfinder Findability Score
40
/100
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Post Author

Peter Daggett

Last Updated

February 15, 2026

Lyllana 2026 Availability, Prices, and Tips to Find

What Is Lyllana?

Lyllana is a brand-name estradiol transdermal patch manufactured by Amneal Pharmaceuticals. It delivers estradiol — the primary form of estrogen — through the skin to treat moderate to severe menopausal symptoms such as hot flashes and night sweats. Lyllana is also approved for the prevention of postmenopausal osteoporosis.

The patch is applied twice weekly (every 3–4 days) to the lower abdomen or buttocks, providing a steady release of estradiol to help restore declining estrogen levels during and after menopause.

How does Lyllana work?

Lyllana delivers 17β-estradiol transdermally through the skin directly into the bloodstream. Once absorbed, estradiol binds to estrogen receptors throughout the body, restoring estrogen levels that naturally decline during menopause. By replenishing estrogen, Lyllana reduces vasomotor symptoms like hot flashes and night sweats, and helps maintain bone density to prevent osteoporosis.

Estradiol also modulates the pituitary gland's secretion of gonadotropins (LH and FSH) through negative feedback, which helps stabilize the hormonal fluctuations responsible for menopausal symptoms. Transdermal delivery bypasses the liver's first-pass metabolism, which may reduce certain risks compared to oral estrogen.

What doses are available for Lyllana?

  • 0.025 mg/day transdermal patch
  • 0.0375 mg/day transdermal patch
  • 0.05 mg/day transdermal patch
  • 0.075 mg/day transdermal patch
  • 0.1 mg/day transdermal patch

Your doctor will typically start you on 0.0375 mg/day for vasomotor symptoms (hot flashes) or 0.025 mg/day for osteoporosis prevention, adjusting as needed.

How hard is it to find Lyllana in stock?

Lyllana has a findability score of 40 out of 100, meaning it is currently difficult to find. As of early 2026, estradiol patch shortages continue to affect multiple brands including Lyllana. Major pharmacies like CVS and Optum have reported backorders and difficulty filling prescriptions. The shortage stems from limited manufacturers, global raw material constraints, and a surge in demand after the FDA removed the black box warning from HRT in November 2025.

If your pharmacy is out of stock, ask your pharmacist to check other estradiol patch brands like Climara, Vivelle-Dot, or Dotti, which contain the same active ingredient. Medfinder can help you locate pharmacies that currently have Lyllana or its equivalents in stock.

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Who Can Prescribe Lyllana?

Lyllana is most commonly prescribed by:

  • OB-GYNs — the most frequent prescribers for menopausal hormone therapy
  • Family Medicine doctors — for patients managing menopause alongside other health concerns
  • Internal Medicine physicians — especially for older patients with multiple conditions
  • Endocrinologists — for complex hormonal cases or patients with thyroid conditions
  • Menopause specialists — certified practitioners focused on perimenopause and menopause care

Telehealth services also prescribe Lyllana, making it easier to get a prescription if you don't have a local specialist.

Is Lyllana a controlled substance?

No, Lyllana is not a controlled substance. It is not classified under any DEA schedule. However, it does require a prescription from a licensed healthcare provider. Because Lyllana is not a controlled substance, it can be prescribed via telehealth and is eligible for standard mail-order pharmacy fulfillment.

Common Side Effects of Lyllana

Most side effects of Lyllana are mild and tend to improve as your body adjusts. Common side effects include:

  • Headache
  • Breast tenderness
  • Back pain
  • Nausea or dyspepsia
  • Nasopharyngitis (cold-like symptoms)
  • Application site irritation or redness
  • Intermenstrual bleeding or spotting
  • Pain in limbs

Serious but rare side effects include blood clots (DVT, pulmonary embolism), stroke, heart attack, and increased risk of breast or endometrial cancer with long-term use. Contact your doctor immediately if you experience sudden chest pain, shortness of breath, severe headache, or vision changes.

Alternative Medications to Lyllana

If you cannot find Lyllana in stock, several alternatives deliver the same active ingredient (estradiol) via transdermal patch:

  • Climara — a once-weekly estradiol patch by Bayer, offering fewer patch changes per month
  • Vivelle-Dot — a twice-weekly estradiol patch by Noven, one of the most widely prescribed options
  • Dotti — a twice-weekly generic estradiol patch with similar dosing to Lyllana
  • Minivelle — a small twice-weekly estradiol patch
  • EstroGel — an estradiol topical gel applied daily, for patients who prefer not to use patches

Talk to your doctor about switching brands — most estradiol patches are therapeutically equivalent and can be substituted.

Drug Interactions with Lyllana

Lyllana can interact with several medications and substances:

  • CYP3A4 inducers (Rifampin, Carbamazepine, Phenobarbital, Phenytoin, St. John's Wort) — may decrease estrogen levels, reducing Lyllana's effectiveness
  • CYP3A4 inhibitors (Erythromycin, Clarithromycin, Ketoconazole, Ritonavir) — may increase estrogen levels and side effects
  • Thyroid medications — estrogen may increase thyroid-binding globulin, requiring thyroid dose adjustments
  • Anticoagulants (Warfarin) — estrogen may affect clotting factors
  • Tamoxifen — estrogen may reduce Tamoxifen's effectiveness
  • Grapefruit juice — may increase estrogen levels

Always tell your doctor about all medications, supplements, and herbal products you're taking before starting Lyllana.

Final Thoughts on Lyllana

Lyllana is an effective estradiol transdermal patch for managing menopausal symptoms and preventing osteoporosis. However, the ongoing estradiol patch shortage makes it challenging to find in 2026. With a findability score of just 40 out of 100, patients may need to try multiple pharmacies or consider equivalent alternatives like Climara, Vivelle-Dot, or Dotti.

If you're struggling to find Lyllana, Medfinder can help you locate pharmacies with current stock. Generic estradiol patches are significantly cheaper ($29–$55 vs. $150–$210 for brand-name) and are therapeutically equivalent, so ask your doctor about generic options to save money and improve your chances of finding it in stock.

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