Checked October 18, 2026 · US and Canada
The estrogen patch shortage, brand by brand
Pharmacies in the US and Canada have been running short of estradiol patches since early 2026. We follow every brand and every strength against the shortage lists, the FDA, Drug Shortages Canada and the makers, and show what each one says and when it said it.
5 of 13
US estradiol patches listed as short or limited in at least one strength.
Source: ASHP and the makers, read October 18, 2026
Where each US strength stands
Each card counts the patches made in that strength, from Climara to the newest generic, and how many are listed as short. Open one for the brands, the sources and any date the maker has given.
-
0.025
mg a day
13 products: 2 limited, 6 available, 4 with no data, 1 discontinued
-
0.0375
mg a day
13 products: 2 short, 1 limited, 5 available, 4 with no data, 1 discontinued
-
0.05
mg a day
13 products: 4 limited, 5 available, 3 with no data, 1 discontinued
-
0.06
mg a day
4 products: 1 limited, 2 available, 1 with no data
-
0.075
mg a day
13 products: 3 limited, 6 available, 3 with no data, 1 discontinued
-
0.1
mg a day
13 products: 2 short, 2 limited, 5 available, 3 with no data, 1 discontinued
- Available
- Limited
- Short
- Discontinued
- No data
The FDA says available. ASHP says short.
Two shortage lists matter in the US: the FDA's, and the one kept by ASHP, the society of health-system pharmacists. In October 2026 they disagree, and the gap decides what the FDA can do about it.
FDA drug shortage list
Not listed as a shortage
The FDA says patches "remain available" even though brands vary by pharmacy, that supply has nearly doubled in a year, and that it is working with all six makers. FDA, September 3, 2026.
ASHP drug shortage list
In shortage since January
ASHP lists 17 packs from five makers as affected, on back order or allocation, in its last update. ASHP, August 12, 2026.
If your pharmacy is out
Ask about other makers
Several companies make each strength. Ask whether the pharmacy can order a different maker's patch and whether your prescription allows it.
Check the change days
Climara-type patches are changed once a week, Vivelle-Dot and Minivelle types twice. A swap between the two changes your routine, not only the box.
Call around
Stock differs from one pharmacy to the next, so it pays to ring a few before your last patch runs out rather than after.
Talk to your prescriber
Another strength, two smaller patches, a gel, a spray or tablets are all options people are being offered. Each needs your prescriber's say-so.
Any change of brand, strength or form is a decision for your prescriber, and your pharmacist can check what they can order.
Canada
Estradot, Estradiol Derm and Climara
Canada has three patch families, two of them from Sandoz. Estradot's 100 mcg patch has been out since August and Bayer expects Climara 50 back by December. Health Canada hasn't listed the patches as a Tier 3 shortage or added them to its list of drugs that may be imported from abroad.
- Estradot 100 mcg Short
- Sandoz Estradiol Derm 100 mcg Limited
- Climara 50 mcg Short
What happened, and when
ACOG publishes its first full update on menopause symptom care since 2014, backing hormone therapy before 60 or within 10 years of menopause.
The generic makers' trade group says patch prescriptions doubled from January 2025 to June 2026, and that meeting full demand "may be a while longer".
Former congresswoman Jackie Speier, now a San Mateo County supervisor, urges Congress to press the FDA to declare an official shortage.
Bayer says Climara 50 is short in Canada and expects it resolved by December.
The House Democratic Women's Caucus asks the FDA for a timeline and to consider listing the patches. The FDA replies that they "are not in shortage".
Tell us what you found
Official lists trail the pharmacy counter by weeks. If you filled, or couldn't fill, your patch this week, a four-tap report helps everyone reading.
Reader reports load here.
Get one email when your strength is back
Pick the strength on your box. When ASHP, the makers or Drug Shortages Canada list it as back in normal supply, we write once with what changed.