Prescription guides / Cost and access
Duavee cost: 30-tablet reference and Pfizer savings limits
At a glance
The checked cash guide lists Duavee at $206.04 for 30 tablets of 0.45 mg conjugated estrogens/20 mg bazedoxifene. Pfizer also lists limited savings for eligible commercially insured patients. Neither figure guarantees your pharmacy charge.
Price and savings evidence
Published figures below are a dated reference, not a pharmacy quote for you. Cash-price guides are secondary sources; manufacturer offers have separate eligibility rules. Confirm the exact product and final charge before filling. Prices and programs can change.
| Product or payment route | Published amount | What the amount means |
|---|---|---|
| Duavee 0.45 mg conjugated estrogens / 20 mg bazedoxifene, 30 tablets | $206.04 | Published cash reference, not the patient’s insured charge. Drugs.com: duavee published cash-price guide. |
| Pfizer commercial savings | Up to $110 savings per fill | Manufacturer lists a $1,440 annual maximum benefit per patient. Government beneficiaries and cash-paying patients are excluded. Pfizer: menopause therapy savings limits. |
Do not substitute the name of another hormone
Duavee combines conjugated estrogens with bazedoxifene. Bazedoxifene is not progesterone. The label is for specified postmenopausal uses in women with a uterus and advises against taking additional estrogens or progestins with it. Duavee prescribing information.
A quote for generic estradiol or progesterone alone is not a Duavee quote. If the clinician proposes a different regimen, ask for a complete prescription list and compare that total separately; the price table is not a conversion or substitution guide.
A savings limit is not a promised copay
The manufacturer’s $110 figure is the most that may be saved on a qualifying fill, not the amount every patient pays. Ask the pharmacy to process the eligibility check and show the actual remaining charge. The annual cap and any other current terms still apply. Pfizer: menopause therapy savings limits.
If your insurance does not cover Duavee, find out whether the barrier is a missing authorization, a non-formulary product or a deductible. The commercial savings rules do not establish Medicare or Medicaid coverage. A clinician may need to support an exception or discuss another appropriate option.
Build the refill budget
Use the number of tablets and actual refill intervals in the prescription. Keep the medication amount separate from consultation fees. When comparing with Bijuva, record the specific combination and strength for each; comparing two brand names without identifying their ingredients can obscure the decision.
Questions about this decision
Is bazedoxifene progesterone?
No. The combination and its prescribing rules differ from estradiol plus progesterone.
Does “up to $110” mean I pay $110?
No. It describes a maximum discount per qualifying fill.
Can cash-paying patients use the Pfizer copay card?
The current manufacturer summary excludes cash-paying patients and government beneficiaries.
Can I add progesterone to make a cheaper equivalent?
Do not add or change hormones on the basis of a price comparison; the Duavee label specifically addresses additional hormone use.
This guide helps prepare cost and coverage questions. It does not recommend starting, stopping or changing medicine. Your clinician and pharmacist should review the prescription and the full product label.
Organize your menopause budget
Use the main-site tools with your own prescription and care costs. Calculator estimates do not verify pharmacy prices or determine treatment suitability.
Explore menopause calculators →Related prescription decisions
Sources and limits
Selected source facts checked 2026-09-17. Medical facts use the linked labels; program details use the named official source. Cash-guide prices are secondary references, not verified local pharmacy quotes. No independent clinician review is claimed.
Related comparison: Duavee vs Prempro: bazedoxifene or a progestin combination.