OpenBilldrug price receipt

NADAC week of 2026-10-14

ABIGALE 1 MG-0.5 MG TABLET

FDA nonproprietary name: estradiol and norethindrone acetate

For 30 tablets

Pharmacies pay

$17.09 filed

30 × $0.56967 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$43.82 filed

30 × $1.46071 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

2.6× estimated

Medicare paid 2.6× what pharmacies pay.

Part D averages every strength and form sold under “Estradiol-Norethindrone Acetat” / “Estradiol/Norethindrone Acet” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$24.65 estimated

$17.09 + $2.56 (15%) + $5.00 fee per fill = $24.65

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

ABIGALE 1 MG-0.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estradiol and norethindrone acetate, under the trade name “ABIGALE”.

FDA gives its dosage form as tablet and its route as oral.

The labeler, the company named on the label, is Xiromed LLC.

FDA lists it under 2 Established Pharmacologic Classes: Estrogen and Progestin.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $17.09 for 30 tablets (30 × $0.56967 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

All 2 NDCs

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name estradiol and norethindrone acetate with ABIGALE 1 MG-0.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
ABIGALE 1 MG-0.5 MG TABLET this page
generic · tablet
$0.56967 per EA filed
eff. 2026-09-23
$1.46071 per EA filed
Part D 2024 average
ABIGALE LO 0.5-0.1 MG TABLET
generic · tablet
$0.80198 per EA filed
eff. 2026-09-23
$1.46071 per EA filed
Part D 2024 average
ESTRADIOL-NORETH 0.5-0.1 MG TB
generic · tablet / tablet, film coated
$0.80198 per EA filed
eff. 2026-09-23
$1.46071 per EA filed
Part D 2024 average
ESTRADIOL-NORETH 1-0.5 MG TAB
generic · tablet / tablet, film coated
$0.56967 per EA filed
eff. 2026-09-23
$1.46071 per EA filed
Part D 2024 average
MIMVEY 1-0.5 MG TABLET
generic · tablet, film coated
$0.56967 per EA filed
eff. 2026-09-23
$1.51795 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $0.56967 per EA filed.

Of the 104 other products in FDA’s Estrogen class priced per EA, 90 have a higher middle NADAC price and 12 a lower one; 2 have the same. The one in the middle is DOTTI 0.0375 MG PATCH, at $8.26227 per EA filed (eff. 2026-09-23).

Of the 65 other products in FDA’s Progestin class priced per EA, 36 have a higher middle NADAC price and 27 a lower one; 2 have the same. The one in the middle is ABIGALE LO 0.5-0.1 MG TABLET, at $0.80198 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $43.82 for 30 tablets, at an average of $1.46071 per EA in 2024 (2024-01-01 to 2024-12-31) for “Estradiol-Norethindrone Acetat” and “Estradiol/Norethindrone Acet”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 53,207 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for ABIGALE 1 MG-0.5 MG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Estradiol-Norethindrone Acetat / Estradiol/Norethindrone Acet: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.