OpenBilldrug price receipt

NADAC week of 2026-10-14

CLIMARA 0.025 MG/DAY PATCH

FDA nonproprietary name: estradiol

For 1 patch

Pharmacies pay

$18.23 filed

1 × $18.22764 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

$13.21 filed

1 × $13.21368 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

0.72× estimated

Medicare paid 28% less than pharmacies pay.

Part D averages every strength and form sold under “Climara” / “Estradiol” 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

$25.96 estimated

$18.23 + $2.73 (15%) + $5.00 fee per fill = $25.96

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

CLIMARA 0.025 MG/DAY PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estradiol, under the trade name “Climara”.

FDA gives its dosage form as patch and its route as transdermal.

The labeler, the company named on the label, is Bayer HealthCare Pharmaceuticals Inc.

FDA’s Established Pharmacologic Class for it is Estrogen.

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 brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $18.23 for 1 patch (1 × $18.22764 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.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $11.75493 per EA filed.

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

All 2 NDCs

Other strengths, forms and brands

59 other products in the NADAC file share the FDA nonproprietary name estradiol with CLIMARA 0.025 MG/DAY PATCH. The 23 below share a strength or dosage form with it first; search OpenBill for the rest.

ProductPharmacies pay per unitMedicare per unit
CLIMARA 0.025 MG/DAY PATCH this page
brand · patch
$18.22764 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
CLIMARA 0.0375 MG/DAY PATCH
brand · patch
$18.29817 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
CLIMARA 0.05 MG/DAY PATCH
brand · patch
$18.25678 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
CLIMARA 0.06 MG/DAY PATCH
brand · patch
$18.14596 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
CLIMARA 0.075 MG/DAY PATCH
brand · patch
$18.25087 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
CLIMARA 0.1 MG/DAY PATCH
brand · patch
$18.27935 per EA filed
eff. 2026-09-23
$13.21368 per EA filed
Part D 2024 average
DIVIGEL 0.25 MG GEL PACKET
brand · gel
$5.388 per EA filed
eff. 2026-09-23
We don’t know yet
DIVIGEL 0.5 MG GEL PACKET
brand · gel
$5.39183 per EA filed
eff. 2026-09-23
We don’t know yet
DOTTI 0.025 MG PATCH
generic · patch, extended release
$7.7577 per EA filed
eff. 2026-09-23
$7.04054 per EA filed
Part D 2024 average
ESTRADIOL 0.025 MG PATCH(1/WK)
generic · patch
$11.75493 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.025 MG PATCH(2/WK)
generic · patch / patch, extended release / film, extended release
$7.7577 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.0375 MG PATCH(1/WK)
generic · patch
$11.93041 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.0375 MG PATCH(2/WK)
generic · patch / patch, extended release / film, extended release
$8.26227 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.05 MG PATCH (1/WK)
generic · patch
$11.28267 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.05 MG PATCH (2/WK)
generic · patch / patch, extended release / film, extended release
$8.50358 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.06 MG PATCH (1/WK)
generic · patch
$12.25248 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.075 MG PATCH(1/WK)
generic · patch
$13.05876 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.075 MG PATCH(2/WK)
generic · patch / patch, extended release / film, extended release
$8.11285 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.1 MG PATCH (1/WK)
generic · patch
$12.76731 per EA filed
eff. 2026-09-23
We don’t know yet
ESTRADIOL 0.1 MG PATCH (2/WK)
generic · patch / patch, extended release / film, extended release
$8.56811 per EA filed
eff. 2026-09-23
We don’t know yet
LYLLANA 0.025 MG PATCH
generic · patch, extended release
$7.7577 per EA filed
eff. 2026-09-23
$6.83197 per EA filed
Part D 2024 average
MENOSTAR 14 MCG/DAY PATCH
brand · patch
$38.74015 per EA filed
eff. 2026-09-23
$38.76489 per EA filed
Part D 2024 average
MINIVELLE 0.025 MG PATCH
brand · film, extended release
$11.58761 per EA filed
eff. 2026-09-23
$27.61649 per EA filed
Part D 2024 average
VIVELLE-DOT 0.025 MG PATCH
brand · patch, extended release
$18.37872 per EA filed
eff. 2026-09-23
$18.29095 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 $18.22764 per EA filed.

Of the 104 other products in FDA’s Estrogen class priced per EA, 27 have a higher middle NADAC price and 77 a lower one. The one in the middle is LYLLANA 0.075 MG PATCH, at $8.11285 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 $13.21 for 1 patch, at an average of $13.21368 per EA in 2024 (2024-01-01 to 2024-12-31) for “Climara” and “Estradiol”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 22,120 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 CLIMARA 0.025 MG/DAY PATCH 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 Climara / Estradiol: 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 brand name.
Why does this page start at 1 patch?
NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as dosage form “PATCH” with route “TRANSDERMAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.