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8/12/2026

Estradiol Transdermal System

Products Affected - Description

    • Estradiol transdermal patch, Sandoz, 0.025 mg/24 hour, 4 count, NDC 00781-7119-54
    • Estradiol transdermal patch, Sandoz, 0.0375 mg/24 hour, 4 count, NDC 00781-7122-54
    • Estradiol transdermal patch, Sandoz, 0.05 mg/24 hour, 4 count, NDC 00781-7133-54
    • Estradiol transdermal patch, Sandoz, 0.06 mg/24 hour, 4 count, NDC 00781-7134-54
    • Estradiol transdermal patch, Sandoz, 0.075 mg/24 hour, 4 count, NDC 00781-7136-54
    • Estradiol transdermal patch, Sandoz, 0.1 mg/24 hour, 4 count, NDC 00781-7104-54
    • Dotti transdermal patch, Amneal, 0.0375 mg/24 hour, 8 count, NDC 65162-0992-08
    • Dotti transdermal patch, Amneal, 0.1 mg/24 hour, 8 count, NDC 65162-0997-08
    • Estradiol transdermal patch, Mylan (Viatris), 0.05 mg/24 hour, 8 count, NDC 00378-4642-26
    • Estradiol transdermal patch, Noven, 0.025 mg/24 hour, 8 count, NDC 68968-3425-08
    • Estradiol transdermal patch, Noven, 0.0375 mg/24 hour, 8 count, NDC 68968-3437-08
    • Estradiol transdermal patch, Noven, 0.05 mg/24 hour, 8 count, NDC 68968-3450-08
    • Estradiol transdermal patch, Noven, 0.075 mg/24 hour, 8 count, NDC 68968-3475-08
    • Estradiol transdermal patch, Noven, 0.1 mg/24 hour, 8 count, NDC 68968-3410-08
    • Estradiol transdermal patch, Zydus, 0.05 mg/24 hour, 8 count, NDC 70710-1193-08
    • Estradiol transdermal patch, Zydus, 0.075 mg/24 hour, 8 count, NDC 70710-1194-08
    • Estradiol transdermal patch, Zydus, 0.1 mg/24 hour, 8 count, NDC 70710-1195-08

Reason for the Shortage

    • Amneal did not provide a reason for the shortage of Dotti twice-weekly transdermal patches. Lyllana is currently available.
    • Bayer has Climara once-weekly transdermal patches available.
    • Noven has estradiol transdermal patches on shortage due to increased demand. Product is distributed by Grove Pharmaceuticals.
    • Sandoz did not provide a reason for the shortage of the once-weekly estradiol transdermal patches.
    • Viatris did not provide a reason for the shortage of the twice-weekly estradiol transdermal patches. .
    • Zydus did not provide a reason for the shortage of the twice-weekly estradiol transdermal patches.

Available Products

    • Climara transdermal patch, Bayer, 0.025 mg/24 hour, 4 count, NDC 50419-0454-04
    • Climara transdermal patch, Bayer, 0.0375 mg/24 hour, 4 count, NDC 50419-0456-04
    • Climara transdermal patch, Bayer, 0.05 mg/24 hour, 4 count, NDC 50419-0451-04
    • Climara transdermal patch, Bayer, 0.06 mg/24 hour, 4 count, NDC 50419-0459-04
    • Climara transdermal patch, Bayer, 0.075 mg/24 hour, 4 count, NDC 50419-0453-04
    • Climara transdermal patch, Bayer, 0.1 mg/24 hour, 4 count, NDC 50419-0452-04
    • Estradiol transdermal patch, Mylan (Viatris), 0.025 mg/24 hour, 4 count, NDC 00378-3349-99
    • Estradiol transdermal patch, Mylan (Viatris), 0.0375 mg/24 hour, 4 count, NDC 00378-3360-99
    • Estradiol transdermal patch, Mylan (Viatris), 0.05 mg/24 hour, 4 count, NDC 00378-3350-99
    • Estradiol transdermal patch, Mylan (Viatris), 0.06 mg/24 hour, 4 count, NDC 00378-3361-99
    • Estradiol transdermal patch, Mylan (Viatris), 0.075 mg/24 hour, 4 count, NDC 00378-3351-99
    • Estradiol transdermal patch, Mylan (Viatris), 0.1 mg/24 hour, 4 count, NDC 00378-3352-99
    • Dotti transdermal patch, Amneal, 0.025 mg/24 hour, 8 count, NDC 65162-0989-08
    • Dotti transdermal patch, Amneal, 0.05 mg/24 hour, 8 count, NDC 65162-0993-08
    • Dotti transdermal patch, Amneal, 0.075 mg/24 hour, 8 count, NDC 65162-0995-08
    • Lyllana transdermal patch, Amneal, 0.025 mg/24 hour, 8 count, NDC 65162-0126-08
    • Lyllana transdermal patch, Amneal, 0.0375 mg/24 hour, 8 count, NDC 65162-0148-08
    • Lyllana transdermal patch, Amneal, 0.05 mg/24 hour, 8 count, NDC 65162-0149-08
    • Lyllana transdermal patch, Amneal, 0.075 mg/24 hour, 8 count, NDC 65162-0150-08
    • Lyllana transdermal patch, Amneal, 0.1 mg/24 hour, 8 count, NDC 65162-0228-08
    • Estradiol transdermal patch, Mylan (Viatris), 0.025 mg/24 hour, 8 count, NDC 00378-4644-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.025 mg/24 hour, 8 count, NDC 00378-4619-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.0375 mg/24 hour, 8 count, NDC 00378-4643-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.0375 mg/24 hour, 8 count, NDC 00378-4620-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.05 mg/24 hour, 8 count, NDC 00378-4621-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.075 mg/24 hour, 8 count, NDC 00378-4641-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.075 mg/24 hour, 8 count, NDC 00378-4622-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.1 mg/24 hour, 8 count, NDC 00378-4640-26
    • Estradiol transdermal patch, Mylan (Viatris), 0.1 mg/24 hour, 8 count, NDC 00378-4623-26

Estimated Resupply Dates

    • Amneal has Dotti 0.0375 mg/24 hour and 0.1 mg/24 hour twice-weekly patches in 8 count packages on back order and the company cannot estimate a release date.
    • Noven (distributed by Grove) has all presentations on intermittent back order with weekly releases.
    • Zydus has all presentations on allocation.
    • Sandoz has 0.0375 mg/24 hour and 0.1 mg/24 hour once-weekly patches on back order and the company cannot estimate a release date. All other presentations are on allocation.
    • Viatris has estradiol 0.05 mg/24 hour twice-weekly patches in 8 count (NDC 00378-4642-26) on intermittent back order and the company is releasing supplies as they become available.

Safety

    • Clinicians may be curious if patches may be cut during this shortage, particularly if a patient's usual dose is unavailable. Transdermal patches are typically either a reservoir dosage form (and should never be cut) or a matrix dosage form. Cutting a matrix patch may result in uneven dose release resulting in variable therapy. Stability of cut patches may also be variable and result in variable therapy.
    • Some estradiol patches that are matrix dosage forms in the US currently include: Alora, Climara, Dotti, Lyllana, Menostar, and the authorized generic of Minivelle (Minivelle was discontinued in February) from Noven.
    • The NHS United Kingdom website discusses some of the issues and principles of cutting patches: https://sps.nhs.uk/articles/cutting-or-masking-transdermal-patches-safely/

Updated

Updated August 12, 2026 by Michelle Wheeler, PharmD, Drug Information Specialist. Created January 30, 2026 by Leslie Jensen, PharmD, Drug Information Specialist. © 2026, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. ASHP and the University of Utah make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information, and specifically disclaim all such warranties. Users of this information are advised that decisions regarding the use of drugs and drug therapies are complex medical decisions and that in using this information, each user must exercise his or her own independent professional judgment. Neither ASHP nor the University of Utah assumes any liability for persons administering or receiving drugs or other medical care in reliance upon this information, or otherwise in connection with this Bulletin. Neither ASHP nor the University of Utah endorses or recommends the use of any particular drug. Any application of this information for any purpose shall be limited to personal, non-commercial use.

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