Mimvey Cost Without Insurance: 28 vs 84 Tablets in 2026

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Mimvey price at a glance

Every source, date, and price type is in the full ledger below. These are published prices we captured, not quotes. Yours depends on your ZIP code, your pharmacy, and the day.

→ Work out what your own quote costs per 28 days

How much does Mimvey cost without insurance?

That’s the honest answer. Now let’s make it useful.

Mimvey is a once-daily tablet. Each one contains 1 mg of estradiol (a form of estrogen) and 0.5 mg of norethindrone acetate (a synthetic progestin). It comes in a blister card of 28 tablets. You take one a day with no break, so a card lasts 28 days.

This page normalizes every price to one 28-day card. That’s the only way these numbers stop contradicting each other.

The full price ledger — 28 tablets

The full price ledger — 84 tablets

All figures captured July 31, 2026. The “per 28-day card” column is our calculation — we divided each 84-tablet total by three. Discount card prices are not insurance and are not guaranteed at the counter. GoodRx’s page produces different headline figures at different moments; the $56.46 above is the value shown in its package table when we captured it.

Put the two tables side by side and something jumps out.

The cheapest single-card price is $19.04 at Cost Plus. But the cheapest per-cardprice is $16.02 — from an 84-tablet listing. That gap is the whole game.

→ Calculate what your pharmacy quote works out to per 28 days

Why does every website show a different Mimvey price?

We opened GoodRx’s Mimvey page directly on July 31, 2026. The quantity selector reads, word for word:

Read that twice. It says “28 tablets.” It also says “3 packages.” The price attached to it — $56.46 — covers 84 tablets, or 84 days. If you glanced at that and thought “$56 a month,” you were off by nearly three months. Nobody’s hiding it. It’s a default setting. But none of the six price pages we checked led with it, and it’s the single biggest reason your quotes don’t line up.

The five kinds of price you’ll run into

These get used as if they’re the same thing. They aren’t.

1. Retail price. What the pharmacy charges with nothing applied. Usually the scariest number and the least useful.
2. Average price.An aggregate estimate across many fills — not a pharmacy offer or a guaranteed transaction price.
3. Free discount card price. A cash price negotiated by a third party. Real, usable, not insurance.
4. Membership price.A lower price that requires a paid subscription. Real — but the subscription is a cost too.
5. First-fill price. A promotional rate including a one-time signup credit. Your next fill is higher.

SingleCare, for example, showed $31.55 without signup and $28.55 with a one-time $3 new-member credit. The $28.55 is a fine deal. It just isn’t your recurring price — recheck it before every refill.

The other trap: 84 tablets is not “90 days”

Pharmacies and websites often call an 84-tablet fill a “three-month supply.” At one tablet a day, 84 tablets is 84 days— 12 weeks. An 84-tablet fill only leaves you short if you schedule the next one 90 days out. So plan your refill from the tablet count, not from the calendar.

Is 84 tablets cheaper than filling 28 tablets three times?

This is the section we’d keep if we had to delete every other one.

28 vs 84: the math side by side

SaveHealth doesn’t show which manufacturer’s product each price covers, so this is a published-price scenario, not a confirmed same-pharmacy offer. The arithmetic is solid. The counter still has to agree.

Stretched across a year

Mimvey is taken continuously, one card after the next. Thirteen cards covers 364 days — a full year, near enough.

Most sites multiply a card price by 12. That only covers 336 days — you’d run out a month early.

The twist worth noticing

Cost Plus had the lowest price for a single cardat $19.04. But over a year, the 84-tablet route still came out roughly $39 lower — before Cost Plus adds shipping. The cheapest sticker price and the cheapest year are not the same thing. Which is exactly why we normalize everything.

When a larger fill won’t work

We’re not going to pretend this always lands.

• Check what your prescription authorizes. If it says 28 tablets, the pharmacy generally needs a new prescription or prescriber approval for 84.
• You just started.Many clinicians deliberately write a short first prescription so they can reassess. That’s good care, not an obstacle.
• Stock.We didn’t verify local 84-tablet availability anywhere. Ask.
• Card pricing isn’t always proportional. Check both quantities on the same source.

If any of those apply, the 28-tablet route is perfectly reasonable. You’re paying a little for flexibility. If none of them apply — and for a lot of women who’ve been on this a while, none do — that $122 is sitting there waiting.

→ Compare your 28-tablet and 84-tablet quotes side by side

The Mimvey Price Calculator

Enter what you were quoted and how many tablets it covers. We’ll show you what that works out to per 28-day card, per tablet, and per year — and whether a different quantity would save you money.

Which pharmacy is cheapest for Mimvey?

Mixed offer tiers shown in one captured GoodRx session, July 31, 2026, all for Mimvey 1 mg/0.5 mg, 84 tablets.

We want to be straight about the Costco row. Costco and Sam’s Club displayed without the membership tag the other rows carried, so we can’t tell you what offer tier they represent. But even measured against GoodRx’s own free-card price of $56.46, Costco’s $375.97 is roughly 6.7 times higher on the same day, for the same tablets. The lesson isn’t “avoid Costco.” It’s this: the pharmacy that’s cheapest for one drug is routinely not cheapest for another, and no reputation survives contact with an actual price check.

The pharmacies these tools don’t show you

The aggregator tables we checked weren’t comprehensive for independent pharmacies. That doesn’t mean independents are expensive — it means they’re invisible to the tool. So call one. Ask for their cash price, which manufacturer they stock, and whether they have 84 tablets. It takes four minutes and it’s the one price no website can tell you.

→ Get the five questions to ask before you pay

Does GoodRx’s lowest Mimvey price require a membership?

Yes — and this is the part we’d want someone to tell us.

If a monthly subscription isn’t for you, skip it. Two reasons that costs you almost nothing:

First, GoodRx’s own free card was $56.46for the same 84 tablets. That’s $8.40 more across 84 days — about ten cents a tablet.

Second — and this is the bigger one — SaveHealth listed the same $48.06 for 84 tablets through a free coupon. No membership. No subscription. Same total.

So the honest version is: GoodRx’s cheapest number has a paywall attached, but the price itself doesn’t. Compare the free programs before anyone talks you into a monthly fee.

A membership can still make sense if you’re filling several prescriptions a month and the savings stack. For one menopause prescription, it usually doesn’t. If you want to see how the major discount programs differ before you commit, our 2026 HRT cost guide breaks that down.

Is Mimvey a generic — and can the pharmacy give me a different version?

The labels used by price sites are inconsistent. FDA lists Mimvey under ANDA 079193. GoodRx calls it a generic of Activella. SingleCare’s price interface calls it a “trademark generic” while its article text calls it brand-name. That inconsistency has a real cost consequence.

The thing that surprised us

Standard advice says: ask for the generic, save money.

The named product showed the lower total — by about $16. Be careful with this one. Those are two different pages, captured with different stated price dates, and the generic page showed a specific ZIP code. This is an observation, not proof that asking for a generic costs more at any given counter. But the takeaway is durable: they are two separate listings and they price separately. Price both names, using the same ZIP, quantity, and offer type.

The name family

These names all belong to the estradiol/norethindrone acetate family — but not every name is marketed in the same strengths.Compare only 1 mg/0.5 mg rows on this page.

If your real question is “should I be on the brand or a generic,” that’s a different question with a different answer, and we’ve covered it — including what the brand actually costs — on our Activella cost page. This page assumes you already have a generic and want to pay less for it.

Before you assume two versions are interchangeable

Don’t decide to switch versions on your own.

Whether a pharmacy may substitute one manufacturer’s product for another depends on the FDA’s therapeutic equivalence rating, how your prescription was written, and your state’s substitution law. The FDA Orange Book is where equivalence ratings live. Local stock is a separate question entirely.

One more thing: an NDC number does not prove a product is FDA-approved. To check approval status, look the product up in Drugs@FDA or the Orange Book by name, strength, form, and manufacturer. Use the NDC only to confirm you’re looking at the same product you were handed.

Is there a Mimvey coupon or patient assistance program?

If you came here hoping for a savings card from Teva, we couldn’t find one. We’d rather tell you now than let you spend an evening hunting.

We ran the same check on brand Activella separately and hit the same wall — including a claim repeated across the web that a manufacturer program covers it, which the manufacturer’s own published product list doesn’t support. That full record is on our Activella cost page.

For this medication, the levers that actually moved the price in our check were pharmacy, discount program, quantity, and which listing you price.Two of those — quantity and switching products — may need prescriber or pharmacist authorization. The other two you can act on this afternoon.

Which Mimvey strength and quantity do these prices cover?

We read the current FDA-approved label on DailyMed on July 31, 2026. Here’s what’s on it, so you can confirm you and your pharmacy are discussing the same thing.

That five-card carton matters. It’s 140 tablets. If a pharmacy quotes a number that seems wild in either direction, “how many tablets is that for?” is very often the answer.

One strength, not two

The current Teva Mimvey label states plainly that Mimvey tablets are available in one strength: 1 mg/0.5 mg.

An older version of the same label, from 2017, covered both Mimvey and a lower-dose product called Mimvey Lo (0.5 mg/0.1 mg). The current one doesn’t. We’re not saying Mimvey Lo has been discontinued — we haven’t verified that. What we can tell you is that the current Teva label lists one strength, so if you were prescribed the lower dose, ask your pharmacy which company’s version they’ll dispense.

A cost note on the lower strength

Something counterintuitive turned up when we checked both strengths:

The lower strength listed about 28% higher. If you assumed a smaller dose means a smaller bill — reasonable assumption, wrong here. Please don’t act on this alone. Your dose is a clinical decision made for clinical reasons. What this is good for is raising it: “I noticed the lower strength costs more — does that change anything for you?” Let your prescriber answer.

What these prices don’t cover

Don’t compare these numbers to:

• Estradiol-only tablets, patches, gels, or sprays
• Vaginal estrogen products
• Birth control pills containing ethinyl estradiol— a different molecule at a very different dose, despite the similar name
• Separate estrogen and progestogen taken as two prescriptions
• Compounded hormone preparations, which are not FDA-approved products

That third one causes real trouble. Cash pharmacies list “norethindrone acetate and ethinyl estradiol” birth control products right beside menopause products, sometimes for a few dollars. Different drug. If a price looks impossibly good, read the ingredient names letter by letter.

Did the FDA change Mimvey’s warning label in 2026?

We’re including this because we know it’s on your mind, and because a price page usually skips it.

The accurate timeline:

• November 2025— HHS and FDA announced they were beginning the process of removing the broad boxed warnings from menopausal hormone therapy labels.
• February 12, 2026— FDA approved labeling changes for six products. Twenty-nine companies had submitted proposed changes.
• July 31, 2026— Mimvey’s label had not been updated. Neither had Activella’s, still stamped 11/2023.

A lot of articles compress this into “the FDA removed the black box warning.” That’s the announcement, not the labels. Labels change one product at a time.

What to ask before you pay

The highest-value action on this page takes about four minutes and costs nothing. Call the pharmacy before you fill or transfer, and ask these five questions.

Copy it. Screenshot it. Print it. It works at any counter, for this drug or any other.

And one thing worth saying plainly: asking is normal. Pharmacy staff field these questions all day, and a good pharmacist would much rather spend two minutes checking than watch you leave a prescription behind.

What if Mimvey is still too expensive?

The telehealth services below charge for clinical care. Mimvey is priced separately by whichever pharmacy fills it. None of the services we looked at discounts this medication — they write the prescription, your pharmacy sets the price.

What a prescriber can do — and these are worth real money:

• Write it for 84 tablets.That $122-a-year difference requires a prescription authorizing the larger quantity. Yours may say 28. The pharmacy generally can’t change that; the prescriber can.
• Discuss substitution.Ask whether your prescription permits it and whether the pharmacy can quote the available FDA-approved 1 mg/0.5 mg products.
• Look at whether a different product fits you better. Other continuous-combined options exist, and separate estrogen and progestogen prescriptions are sometimes cheaper. Whether any suits you depends on your history and risk profile.
• Talk to you before you stop. If cost is making you consider changing or stopping treatment, contact your prescriber before you do.

If you don’t have a prescriber to ask

Some women reading this got a prescription from a doctor they no longer see, moved states, or were prescribed this by someone who doesn’t do menopause care and won’t engage with the cost question. If that’s you, a telehealth visit is a reasonable way to get someone who will.

Two providers we deliberately left out

We’re not featuring Winona or Inner Balance / Oestra here. Both are built around compoundedhormone preparations. Compounded medications are not FDA-approved — the FDA does not review them for safety, effectiveness, or quality before they’re used. Mimvey is an FDA-approved product. Those are different categories, and swapping one for the other isn’t a cost decision.

Hersisn’t a route here either. Their published menopause offering is FDA-approved estradiol with micronized progesterone — a different progestogen than norethindrone acetate. They don’t publicly list estradiol/norethindrone acetate, so don’t assume it’s available unless you confirm at intake.

What we actually verified — and what we didn’t

You should be able to see the seams.

Every price source here is dynamic. We captured three different “lowest price” figures for Mimvey from a single site within one session — that’s not an accusation, it’s how these tools work. It’s also why we normalize, date, and record everything, and why the counter always gets the last word.

How we did this: we read the current FDA-approved labeling, captured published prices from seven commercial sources for the same strength, recorded the quantity and offer type attached to each, converted every figure to a 28-day basis, and documented what still needs confirming. This follows The HRT Index Verification Standard— our documented process of reading every published price, separating FDA-approved from compounded, verifying availability, and re-checking on a fixed schedule.

Why this page exists: so no woman transfers a prescription, or walks away from one, over a price that turned out to be for a different quantity.

Frequently asked questions

How much does Mimvey cost per month without insurance?

About $25 to $38 for a 28-day card with a free discount card, based on prices captured July 31, 2026. A generic listing at Cost Plus Drugs showed $19.04 before shipping and taxes. Filling 84 tablets at once brought the cost to roughly $16 to $19 per 28 days. Selected retail examples for 28 tablets were $104.86 and $124.88.

Does the lowest generic price include shipping?

No. Cost Plus Drugs listed the medication at $19.04 for 28 tablets, but the final checkout total adds shipping and location-dependent taxes. Factor those in before comparing it to a local pharmacy price you'd pick up the same day.

Why is the online price different from what my pharmacy quoted?

Usually quantity -- four of the six sources we checked defaulted to 84 tablets rather than 28. Other causes: your location, which manufacturer's version is stocked, whether the price shown requires a paid membership or included a one-time signup credit, and the fact that online prices are estimates until the pharmacy processes the claim.

Is Mimvey a generic?

Yes. Mimvey is an FDA-approved product from Teva marketed under ANDA 079193, the FDA's generic drug approval pathway. Some price sites call it a "branded generic" or "trademark generic," which is why comparing by strength, quantity, and manufacturer is more reliable than comparing by the word "generic."

What's the generic name for Mimvey?

Estradiol and norethindrone acetate. The Mimvey strength is 1 mg estradiol and 0.5 mg norethindrone acetate per tablet.

Is a Mimvey coupon better than using my insurance?

Sometimes. Discount cards produce a cash price that occasionally beats a copay, especially before you've met a deductible. You can't use both at once. For Medicare Part D, a card purchase sits outside your plan and won't count toward your deductible or out-of-pocket maximum. Medicaid rules vary by state.

Is there a Mimvey manufacturer savings card?

We found none in the sources we checked as of July 31, 2026, and Drugs.com reported no manufacturer promotion or patient assistance program for this medication. Free third-party discount cards are the practical route for cash payers. Verify any program directly with the manufacturer before paying anyone to file paperwork.

Can I ask my doctor to write it for 84 tablets?

You can ask. In our July 2026 price check, the 84-tablet listing was $28.26 lower per fill and $122.46 lower over 364 days than the 28-tablet card rate. Whether it's appropriate is your prescriber's decision -- they may want to reassess you sooner than 84 days, particularly if you've recently started or changed treatment.

Is 84 tablets the same as a 90-day supply?

No. At one tablet daily, 84 tablets covers 84 days -- 12 weeks. A true 90-day supply needs 90 tablets. Plan refills by tablet count, not by month.

Why does the lower strength cost more?

We don't know, and we won't invent a reason. What we can tell you is that on July 31, 2026, one source listed the 0.5 mg/0.1 mg strength at $48.76 for 28 tablets versus $38.15 for the 1 mg/0.5 mg strength. Mention it to your prescriber rather than changing anything yourself.

Does Medicare cover Mimvey?

That depends on your specific Part D or Medicare Advantage formulary, tier, and pharmacy network, and it changes each plan year. Check your plan's formulary, then compare your copay to a cash discount price -- remembering that a cash purchase won't count toward your deductible or out-of-pocket maximum.

Is Mimvey a controlled substance?

No. The current FDA label lists DEA Schedule: None. It requires a prescription, but it isn't a controlled substance.

Can I buy Mimvey online without a prescription?

No. It requires a valid prescription in the United States. Sites offering to sell it without one aren't operating legitimately, and the FDA has stated it can't assure the safety or effectiveness of drugs bought from foreign online sellers.

Why did my pharmacy give me a box that doesn't say Mimvey?

Multiple FDA-approved products carry this combination. Depending on how your prescription was written, the FDA's therapeutic equivalence rating, and your state's substitution law, the pharmacy may dispense a different manufacturer's version. Ask which one they stocked and what it cost.

Is Mimvey the right hormone therapy for me?

A price page can't answer that. Mimvey is labeled for postmenopausal women with a uterus and carries important contraindications, including unexplained vaginal bleeding and a history of certain cancers or blood clots. Report any vaginal bleeding to your healthcare provider as soon as possible. That decision belongs with a clinician who knows your history.

Before you pay for your next fill

Three things, in order of what they’re worth:

1. Check the quantity on every price you compare.Most of the confusion — and most of the savings — lives right there.
2. Call two pharmacies, including one independent. Ask the five questions above. The spreads are real.
3. Ask your prescriber whether 84 tablets makes sense for you. That’s the $122 conversation.

None of that requires our help, and none of it earns us anything. That’s rather the point.