I use 1 gram of Estrace Cream three days a week. I receive a 42.5 g tube every three months. While the math is right, one tube seems to last only slightly more that 2 months. I use the applicator that comes with it, filling only to the 1 gram mark each time. Insurance does not allow me to reorder until the end of the 3 month period, which means I go without for 3 weeks. (I use this medication for an autoimmune disease and experience painful flares when I miss a dose.) Has anyone else had the same problem of running out of medication too soon? What am I doing wrong?
Estrace Vaginal Cream - Why does tube of medicine run out before the end of 3 months?
Question posted by LW44 on 5 June 2017
Last updated on 22 December 2023 by Skydancer1971
30 Answers
At least I know I’m not alone. I don’t use a lot at all but I am almost out of the tube and I can’t get more until Feb., it’s December. My insurance won’t pay for me to get more until February. I suffer with UTIs and other issues by not having the cream. when I called and talked to the nurse she said there was nothing she could do because the prescription couldn’t be refilled until February. That’s a long time to go without some thing that I need, I feel really frustrated. Why is it? My husband can go online and get Viagra without even actually talking to a doctor face-to-face but I went to a doctor and I can’t get enough estrogen cream to get me until February? That just doesn’t seem fair to me.
OMG I thought I was going crazy! I am having the exact same problem! I got 28 doses from my tube of Estradiol, and insurance will not pay. I spoke to the pharmacist at OptumRx, and was made to feel that I was incompetent of dosing correctly. I will go without it for nearly a month, because I will not pay well over $300 out of pocket to get the meds. Much earlier in this thread someone suggested that the applicator is incorrect, which, if true, is a major problem in that all of us are using twice what is prescribed. I am going to order new applicators from Amazon to check this out. Where do we go from here? I am furious about this issue that’s gone on for years without resolution!
I am having the same issue..I use to be able to get this tube (42.5) in a 30 day supply but now I cannot because my new insurance will only cover for 90 day supply. It must be the enclosed applicators at fault which has never been recalled for inaccuracy. I have been using 1 gram, 3 times a week. I would run out of the cream before the 90 days.
I found replacement disposable applicators which are individually wrapped on Amazon. We will update to see if these applicators are put to the test for accuracy.
I am having this exact issue as well. I have a Rx for 1 gram three times a week. I get a 42.5 gram tube every three months. I always run out after two months.
I showed the pharmacist how much I was drawing up in the tube and they say each tube should give 42 doses. It does not. I can get 26-28 one-gram doses if I am very conservative.
I've tried to explain this and everyone looks at the tube that says 42.5 grams and insist I am misdosing the med if it doesn't last 3 months.
I am very perplexed as to how our doctors are not hearing about this issue from all of their patients.
I have run out of this medicine many times. I never kept track of when I should have run out, but now that you have figured out the math, I can see why. Thank you for posting this. I always thought I was doing something wrong by using it too often or not measuring it correctly.
Should we contact the maker of Estrodol or the company that makes the generic. I have the generic and I’m wondering if the non-generic is marked correctly? Who has the non-generic that can confirm it’s the same?
It is the same with the generic. My insurance will only cover the generic Estrace cream. I just ran out of cream using 1 gram, 3x a week.
I did a Google search on this topic and found from a different forum saying the same thing.
Same with me. It'll typically last 2 months and then I go without the medication because my insurance won't cover it. When I go to the pharmacy they treat me like I'm abusing the medication. I use it twice per week and never go over the 1 gm line. The drug companies must not be filling the tubes properly.
Thank goodness I found this thread! I’m not crazy. April 2022 and I’m faced with the same issue. Insurance is refusing to pay for my refill bc they claim I should have another month of cream. The tube is totally empty. This is infuriating. I can’t believe this BS had not been addressed yet.
I too have been pursuing an answer to this problem for several months. So happy to have found this thread!! I use the estradiol cream 1 cc, three times a week and use the prescribed applicator. It definitely does not last for three months. So happy to show this thread to my doctor who was doubting me! Thank you, thank you!
I was just started on estradiol. I have a follow up appointment with my OB/GYN in 3 weeks and will bring this to his attention. Another case of how pharmaceutical companies do business in the country. It is sickening. I will track my use to see how long the 42.5 gm tube actually lasts. I will file a complaint with the Dept of consumer affairs, state attorney general along with Allergan if this bears out. At the least they are misleading us putting a financial burden on many and possibility doing harm by incorrect dosing.
I am so happy to find this conversation. I’ve had the same issue with estradiol. My 42.5 oz tube only lasts 2 months. I’ve been photographing it and today I’m at 28 days of 1 gram 3 x week and it is almost empty. I plan to contact the company and I will contact my doctor with reference to this discussion and my own experience. Thank you to everyone above for your comments. I have been very frustrated with my pharmacy and insurance company for refusing to listen to my previous complaints about this issue. And not being able to get the medicine I need.
My experience with my doctor, pharmacist, and insurance company were just as bad as everyone else on here has reported. (I commented much earlier.) Finally my doctor prescribed a different form of the medication, Estradiol Vaginal Inserts USP. This is a tablet that comes pre-wrapped in its own disposable applicator, so you don't have to worry about measuring anything. Also, there's no mess like there was with the cream. I'm sure the Estradiol Vaginal Inserts can be more expensive, depending on your insurance program.
I just thought of one thing I need to do differently before I can conclude that the manufacturers are scalping us!
I have not been screwing the applicator all the way down before filling it... I wonder if that little thing could have added up to a medication shortage over a period of months? I should know in about 3 months!
I have been having the same problem with my prescription of Estradiol (generic Estrace). The prescription instructs to fill the applicator to the 2G mark and use it 2x/week. I seem to be getting around 14 doses. The pharmacy will not refill as they think I should have enough left to last a few more weeks. I've brought this up to my doctor and waiting for a response. Since this thread began 3.5 years ago, nothing seems to have changed in regards to the measurement problems with the applicator. Perhaps if more doctors hear about this issue, they will prescribe half the amount.
I have the same problem. I suspected that either the applicator is marked incorrectly or the tube is marked incorrectly, and it sounds from reading these posts that people have figured out that it's the latter. Glad to find this site because it proves I'm not crazy or bad at math, but sorry so many people are experiencing the same problem. The manufacturer needs to provide an accurately marked applicator.
The same thing just happened to me. My doctor prescribed Estradiol, 2 g every day for two weeks, then after that 2 g once or twice a week. It's the end of my first two weeks and I am almost out of it! I suspect that the applicator is not accurate. Fortunately I have an appointment with my gynecologist next week so will discuss this with her.
I am so glad I found this discussion, thanks to the women who question things that seem wrong. I am a nurse practitioner with 30 years’ experience in measuring medications, yet I came up short of estrogen cream every single time. Theoretically a 42.5 gm tube should deliver 42.5 of 1 gm doses that are commonly prescribed. That would be 14 weeks if you are taking 3 doses per week.
I never took the time to calculate it, but was very aware that if I filled the applicator to the 1 gm mark, I would run out a few weeks early. This was true with the brand Premarin as well as the generic estradiol vaginal cream. I mentioned it to my excellent family practitioner who said that she had not heard this problem before. She now orders 2 tubes/90 days and my insurance pays without complaint, so I think they may be aware of problems with correct gram count.
Because I was extremely busy and because I did not feel that it was medically significant, I did what most women probably do: filled the applicator to about 3/4 gm instead of 1gm. It did not seem to make any difference in my symptoms. Topical estrogen is not systemically well absorbed through the entire body, so you would measure its effectiveness on vaginal symptoms (burning,dryness, painful intercourse.)
I have no idea how multiple manufacturers could all get away with underfilling the tubes, so am wondering if the applicators are the problem.
Same EXACT thing with me, it measures completely wrong so I ran out of it too soon and insurance didn’t cover it! Showed pharmacist, she didn’t understand it either. We really should start a Class action suit, find a Better call Saul lawyer. This screws with our hormones to just stop using for 2weeks and start again. And we’re PAYING for something we’re NOT GETTING, and our HEALTH is being screwed with, It’s criminal. I’m so glad to find you all, I’m taking this “evidence” to pharmacist, see what she says. Let’s look in to layers ok?
I observed a hole in the cream at the top of the tube, after realizing the tube was not fully filled. I contacted the mfg., they told me to go to CVS and return it. HA! CVS refused. I Filed a concern with CVS and await their phone call. In the meantime, almost out (way before I should be) and picked up another tube... GUESS WHAT! Same code numbers on this tube box! I'm not going to open it until I get refund and reimbursement. c o n t a c t m e t e x a s c a n e s a t g m a i l d o t c o m
It’s the applicator that comes in the box it measures almost double what it supposed to. The pharmacist said there’s nothing they can do I have to take it back to my doctor and show her. The Dr is the only one who can complain to the drug company that they’ll listen to. It’s so crazy the difference when measured . I bought a pack of new applicators off of Amazon and there is such an obvious difference between the correct new ones and the one they put in box. The new applicators are much thinner than the Estradiol one. It makes me so angry that we all kept running out and no one is doing anything! Well I am letting my Dr know next appt. You all should spend the 8$ and buy a pack of applicators and show your Drs as well.
It’s the applicator that comes in the box it measures almost double what it supposed to. The pharmacist said there’s nothing they can do I have to take it back to my doctor and show her. The Dr is the only one who can complain to the drug company that they’ll listen to. It’s so crazy the difference when measured . I bought a pack of new applicators off of Amazon and there is such an obvious difference between the correct new ones and the one they put in box. The new applicators are much thinner than the Estradiol one. It makes me so angry that we all kept running out and no one is doing anything! Well I am letting my Dr know next appt. You all should spend the 8$ and buy a pack of applicators and show your Drs as well.
I am having the same issue..something has to be done about this!
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estrace, estrace vaginal cream, medicine, cream, vagina
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