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ESTRING vs VIVELLE-DOT

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 21, 2026·How we rate
estringvivelle-dot

Rating

64/100
68/100

Pharmacy pays

$6.55 /g
$6.55 /g

Type

RX
RX

Active ingredient

ESTRADIOL
ESTRADIOL

Manufacturer

Pfizer
Sandoz

Dosage forms

System
Patch, extended release

Drug class

Estrogen
Estrogen

Boxed warning

None
Boxed warning

Treats

Breast Neoplasms, Hypogonadism, Premature Menopause
Breast Neoplasms, Hypogonadism, Premature Menopause

Frequently asked questions

Which is better-rated, Estring or Vivelle-Dot?

By our independent rating, Vivelle-Dot scores higher — 3.4 vs 3.2 out of 5 for Estring. Ratings are based on FDA regulatory (recall-safety) data.

Which is cheaper, Estring or Vivelle-Dot?

Pharmacies pay about the same to acquire either one — roughly $6.55 per gm, per the CMS NADAC survey. That is not what you will be charged: your price is set by your insurer and the pharmacy, not by what the drug cost them.

What is the difference between Estring and Vivelle-Dot?

Both Estring and Vivelle-Dot share the active ingredient Estradiol.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.