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Titan is aware that pharmacies across the country are still being affected by the estradiol patch shortage. Pharmacies’ supplies are changing week to week, and your provider cannot see what any given pharmacy has in stock. To safely keep your therapy going and avoid delays, it is crucial to coordinate directly with pharmacies first, then with your prescriber.

 

1. Call your pharmacy Before requesting a refill or dose change:

 

Ask which specific doses and patch schedules are available:

  - What strengths (e.g., 0.025, 0.05, 0.075, 0.1 mg) are currently on their shelves? 

  - Do they have twice‑weekly patches, once‑weekly patches, or both?

 

Stock can change rapidly, so consider checking a week or two before you run out to avoid gaps in treatment.

 

2. If your usual pharmacy is out:

 

- Call other local pharmacies (large chains and independents) to see who has your dose or any estradiol patches in stock.

 

- Ask if they can transfer your prescription from the original pharmacy once you find a location that has supply.

 

Each pharmacy’s inventory is different and changes frequently, so checking multiple locations increases your chances of finding a patch that works for you.

 

3. Look into online / mail‑order pharmacies if local options are limited:

 

- Ask your insurer which online or mail‑order pharmacies they contract with and what  estradiol patch products those pharmacies can supply.

 

To make your visit or message as effective as possible:

 

1. First: Identify what is available.

   1. Call the pharmacy and ask:

      1. “Which estradiol patches do you currently have in stock?”  

      2. What doses and frequencies (once‑weekly vs twice‑weekly) are available?”

2. Then: Contact your provider with that information.

   1. Tell them:

      1. The dose and schedule that the pharmacy has (e.g., 0.05 mg twice‑weekly, 0.1 mg once‑weekly).  

      2. The exact pharmacy name and location that can fill it.  

   2. Ask your provider to:

      1. Send an updated prescription that matches what is available.  

 

If there are NO patches available you may need to discuss whether a different dose, or formulation (gel, spray, oral estradiol, compounded cream) is safe and appropriate for you.

In some cases we might recommend filling a patch that is double your current dose and cutting the patch in half.  

 

Bringing specific pharmacy and dose information to your provider allows them to adjust your prescription quickly and reduces delays or repeated backorders.