Imvexxy For Painful Sex Due To Menopause
Imvexxy is approved by the Food and Drug Administration for use in adult females* to treat painful sex due to menopause.
* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth.
About painful sex due to menopause
Menopause marks the end of your menstrual cycle. Specifically, menopause is recognized when you havent had a menstrual period in the last 12 months. In the United States, the average age people reach menopause is 51 years.
Menopause can also happen earlier in life. For example, if you have surgery to remove your ovaries, your menstrual cycle will end.
Around the time of menopause, your bodys production of estrogen declines. As a result, many people develop physical changes and symptoms. Some examples may include:
Changes to your vagina can make sex less pleasurable and, for some people, severely painful. Dyspareunia is long-lasting or recurring painful sex due to menopause. Painful sex symptoms may include:
- dull or burning pain in your vagina that occurs just before, during, or after sex
- pain around your vaginal opening thats felt with entry during sex
- pain inside your vagina or pelvic area thats felt with deep penetration during sex
Imvexxy contains the active drug estradiol. Estradiol is a form of estrogen, one of the main sex hormones in females.
Effectiveness for painful sex due to menopause
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About Humana Drug List
Humana Drug List, also called formulary, lists the most widely prescribed drugs covered by Humana and is updated regularly by doctors and pharmacists in our medical committee. Updates to this years formulary are posted monthly. New medicines are added as needed, and medicines that are deemed unsafe by the Food and Drug Administration or a drug’s manufacturer are immediately removed. We will communicate changes to the Drug List to members based on the Drug List notification requirements established by each state.
If a specific drug you need is not on the list, please call the Customer Care number on the back of your Humana member ID card.
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Does Medicare Cover Estrace Or Estradiol
While some Medicare plans may not cover Estrace, 99% of Medicare Advantage plans and Medicare Part D plans cover Estradiol.1
- Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans . Most Medicare Advantage beneficiaries are enrolled in MA-PDs.2
- Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.
Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Estradiol.
Find Medicare Advantage plans with drug coverage
Or call 1-800-557-6059TTY Users: 711 24/7 to speak with a licensed insurance agent.
You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.
Therapeuticsmd Announces Second Quarter 2019 Financial Results

IMVEXXY® Net Revenue $3.1 Million for the Second Quarter of 2019
Total Net Revenue for the Second Quarter of 2019 Above Guidance at $6.1 Million
Company Raises Full-Year Net Revenue Guidance to Range of $29.45 Million to $34.20 Million
Conference Call Scheduled for 4:30 p.m. ET Today
BOCA RATON, Fla.—-TherapeuticsMD, Inc. , an innovative, leading womens healthcare company, today reported financial results for the second quarter ended June 30, 2019 and provided a business update.
We are pleased to report a solid quarter that came in ahead of our expectations and believe the next few quarters will be transformative, said Robert G. Finizio, Chief Executive Officer of TherapeuticsMD. As we move into the second half of the year, we plan to conduct pre-launch activities for ANNOVERATM and continue to expand market access for our menopause portfolio. We expect IMVEXXY and BIJUVA® to have extensive coverage for commercially insured lives by the end of the year. We are pursuing preferred status for IMVEXXY on Medicare Part D plans and expect coverage decisions by the fourth quarter, which is significant given the higher proportion of IMVEXXY Medicare Part D business.
Second Quarter and Recent Developments
Summary of Second Quarter 2019 Financial Results
Balance Sheet
Financial Guidance
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Therapeuticsmd Announces Fourth Quarter And Full
BOCA RATON, Fla.—-Feb 20, 2020–
TherapeuticsMD, Inc. , an innovative, leading womens healthcare company, today reported financial results for the full-year and fourth quarter ended December 31, 2019 and provided 2020 financial guidance.
I am very pleased with our commercial teams execution in 2019, which has put us in a strong position for 2020. We ended the year exceeding our fourth quarter net revenue guidance and achieved the top end of our full-year guidance, said Robert G. Finizio, Chief Executive Officer of TherapeuticsMD. Our goal is to build on this momentum as we make additional investments in our products to generate a significant revenue inflection point in 2020.
Fourth Quarter & Recent Highlights
Net product revenue increased primarily due to an increase in sales of $15.2 million of IMVEXXY for the year ended December 31, 2019, partially offset by a decrease in prenatal vitamin sales of $5.2 million. Product revenue for the year ended December 31, 2019 also included sales of BIJUVA of $1.8 million and sales of ANNOVERA of $6.2 million. The decrease in revenue related to our prenatal vitamins was primarily affected by a lower number of units sold as compared to the prior year period.
Expense, EPS and Related Information
Balance Sheet
As of December 31, 2019, the companys cash on hand totaled approximately $160.8 million, compared with approximately $161.6 million at December 31, 2018.
2020 Financial Guidance
Conference Call and Webcast Details
How Much Does Vagifem Cost Without Insurance
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Estradiol may cost around $36.42 or even more if you do not have insurance coverage. Using a SingleCare Estradiol coupon can help you to save on your prescription medication.
is there a coupon for Vagifem? Vagifem Coupons& Prices. The generic versions of Vagifem include estradiol and yuvafem. The average Vagifem cost is around $275.99 per prescription fill of 8, 8 Tablets Box. Save on this total and pay $142.75 by using a SingleCare Vagifem coupon at nearby drugstores such as Walmart, Kroger, and Fry’s.
Keeping this in view, is there a generic for Vagifem?
Teva has launched Estradiol Vaginal Inserts 10mcg, the generic version of Novo Nordisk’s Vagifem. Vagifem is an estrogen indicated for the treatment of atrophic vaginitis due to menopause.
What is the price of Yuvafem 10mcg?
The cost for Yuvafem vaginal tablet 10 mcg is around $63 for a supply of 8 tablets, depending on the pharmacy you visit. Vaginal Tablet.
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Does Imvexxy Cause Weight Gain Or Weight Loss
No, weight gain and weight loss werent specifically reported as side effects of Imvexxy during clinical studies.
Some females* taking estrogen can develop fluid retention . This could cause slight weight fluctuations. And keep in mind that Imvexxy is a type of estrogen treatment.
Additionally, if youre taking a thyroid hormone replacement therapy, its possible that Imvexxy could affect your thyroid. Examples of these therapies include levothyroxine . Changes in your thyroid hormone levels can cause weight gain or weight loss.
If you take a thyroid replacement drug or have thyroid problems, make sure to discuss this with your doctor. They may check your thyroid hormone levels with blood tests before you start Imvexxy and regularly during treatment. In some cases, your doctor may need to adjust the dosage of your thyroid medication.
If youre concerned about weight changes with Imvexxy, talk with your doctor.
* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth.
Imvexxy And Herbs And Supplements
Imvexxy may interact with certain herbs or dietary supplements.
St. Johns wort
St. Johns wort is an herb thats used by some people as a natural remedy for depression. It could possibly reduce the effectiveness of estrogen therapy.
Other herbs and supplements could also interact with estrogen therapy. So you should check with your doctor or pharmacist before using any of these products while taking Imvexxy.
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Dosage For Painful Sex Due To Menopause
The usual dosage of Imvexxy for painful sex due to menopause involves two phases: a starting dose and a maintenance dose. These phases are described below.
- Starting dose. For the first 2 weeks, youll insert one 4-mcg Imvexxy softgel into your vagina once a day. You should insert your dose around the same time each day.
- Maintenance dose. After the first 2 weeks, youll insert one Imvexxy softgel into your vagina twice weekly . For example, you may insert one Imvexxy softgel vaginally every Monday and Thursday. Typically, your doctor will prescribe 4-mcg Imvexxy softgels. But they may increase your Imvexxy dose to 10-mcg softgels if they think it may give you a better result.
Will Imvexxy Cause Vaginal Discharge
Possibly. Vaginal discharge wasnt reported as a side effect during clinical studies of Imvexxy. But its been reported as a side effect by females* whove used Imvexxy since its approval by the Food and Drug Administration .
Typically, vaginal discharge is normal, and its color and consistency can fluctuate. But you should call your doctor if your vaginal discharge:
- is different than usual
- has an unpleasant odor
- is happening along with any itching or pain
Also, if youve gone through menopause, you should not ignore vaginal discharge thats brown, red, or bloody. If its been at least 1 year since your last period, and you notice spotting, bleeding, or a dark-colored vaginal discharge, call your doctor right away. Vaginal bleeding after menopause can sometimes be a sign of uterine cancer.
If youre concerned about vaginal discharge with Imvexxy, talk with your doctor.
* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth. regarding the risk of uterine cancer. A boxed warning is the strongest warning required by the Food and Drug Administration . Boxed warnings alert doctors and patients about drug effects that may be dangerous.
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What Is A Formulary
A formulary is a list of drugs that are covered by an insurance plan. These drugs represent the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
Print The 2022 Medicare Drug Lists

- How to Search For Drugs?
- Search by typing the first part of the generic and brand names.
- Search by selecting the therapeutic class of the medication you are looking for.
Products matching the search terms will display. Drugs that are on the List of Covered Drugs will display with tier status and limits and restrictions such as Prior Authorization, Quantity Limits, or Step Therapy requirements. Drugs that are not included on the List of Covered Drugs will display as NF .
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Financial And Insurance Assistance
If you need financial support to pay for Imvexxy, or if you need help understanding your insurance coverage, help is available.
TherapeuticsMD, the manufacturer of Imvexxy, offers a savings card that may lower the cost of their drug. For more information and to find out if youre eligible for support, visit the manufacturers website.
Is Imvexxy Safe To Use
Yes, in general, this drug is safe to use.
Imvexxy contains the active drug estradiol, which is a form of estrogen. Although Imvexxy is a vaginal insert, low amounts of estradiol may get absorbed into your bloodstream. But this doesnt typically cause the estrogen in your body to increase to a high level. Instead, its effects in your body are considered local and only affect your vaginal area.
However, Imvexxy does have boxed warnings. These are the most serious warnings from the Food and Drug Administration . They alert doctors and patients about drug effects that may be dangerous. To learn more about Imvexxys boxed warnings, see the Imvexxy side effects section above.
All hormone replacement therapies have risks related to them. So its recommended that Imvexxy is used in the lowest dosage thats effective for the shortest duration possible.
If you have questions about the safety of Imvexxy treatment, talk with your doctor.
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What Medicare Part D Drug Plans Cover
All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes, like drugs to treat cancer or HIV/AIDS. A plans list of covered drugs is called a formulary, and each plan has its own formulary. Many plans place drugs into different levels, called tiers, on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally cost you less than a drug in a higher tier.
Is Imvexxy Used For Utis
No, Imvexxy is not approved to treat or prevent urinary tract infections . Instead, Imvexxy is FDA-approved to treat painful sex due to menopause.
Researchers have learned that females* have a higher risk for UTIs after menopause. Its thought that estrogen may help to support the health of your normal vaginal flora.
These good bacteria can help protect you from germs that can cause UTIs. But when your body makes less estrogen after menopause, your normal flora may not be as protective.
Vaginal estrogen products, including a vaginal ring or cream, were shown in a clinical study to prevent recurrent UTIs. The females in the study had a history of recurrent UTIs and had gone through menopause. Keep in mind that Imvexxy is vaginal estrogen therapy.
If you have questions about UTIs, talk with your doctor. Theyll be able to guide you on the best options to treat or prevent recurrent UTIs depending on your health and medical conditions.
* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth.
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What To Do In Case Of Overdose
If you think youve taken too much of this drug, call your doctor. You can also call the American Association of Poison Control Centers at 800-222-1222 or use its online tool. But if your symptoms are severe, call 911 or your local emergency number, or go to the nearest emergency room right away.
When you get Imvexxy from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically 1 year from the date they dispensed the medication.
The expiration date helps guarantee that the medication is effective during this time. The of the Food and Drug Administration is to avoid using expired medications. If you have unused medication that has gone past the expiration date, talk with your pharmacist about whether you might still be able to use it.
Why Does Vaginal Estrogen Cost So Much
After menopause, a majority of women don’t take hormonal therapy with estrogen and often find they have a sense of dryness or burning in the vaginal area. The good news is the treatment is easy. The bad news is the treatment can be costly. Women’s health expert Dr. Kirtly Parker Jones talks about why the pharmaceutical industry places high prices on vaginal estradiol and alternative options that might be available for your symptoms if you cannot afford vaginal estrogens.
Dr. Jones:
Announcer:
Dr. Jones:
After menopause, women who don’t take hormonal therapy with estrogen, and that’s the majority of women actually, often find they have a sense of dryness or burning in the vaginal area. They may have painful intercourse. They may have more urinary tract infections. And the good news is the treatment is easy. Estrogen applied in very small doses to the vagina with the cream, a little pill, a suppository, or even a ring placed in the vagina that slowly releases small amounts of estrogens locally.
A big study that followed 50,000 women over 10 years, looked at these women who used local natural estrogen after menopause and compared their health outcomes to women who didn’t use any estrogens. There was no increase in the risk of breast cancer, heart disease, or blood clots, diseases that can be slightly associated with postmenopausal estrogens taken in larger doses for hot flashes.
Announcer:
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Imvexxy And Birth Control
Its not known if Imvexxy is safe to take during pregnancy. But Imvexxy is not meant to be used by females* who can get pregnant.
Instead, its approved for use in females whove gone through menopause. Birth control is no longer needed to prevent pregnancy in females after menopause is reached.
For more information about taking Imvexxy during pregnancy, see the Imvexxy and pregnancy section above.
If you have questions about birth control, talk with your doctor.
* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth.
Average Costs For Estradiol With Medicare Drug Coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage youre in.
Deductible stage | Typical copay stage |
---|---|
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.In the deductible stage, youre responsible for the full cost of your prescription drugs.Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $480 in 2022. | After you meet your Part D deductible, you enter the initial coverage period.During this phase , you pay a copayment or coinsurance for your covered medications. |
$1 $17 | $Free $17 |
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