OpenBilldrug price receipt

NADAC week of 2026-10-14

DEPO-ESTRADIOL 5 MG/ML VIAL

For 5 mL

Pharmacies pay

$259.54 filed

5 × $51.90841 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$186.98 filed

5 × $37.39514 per ML, 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 “Depo-Estradiol” / “Estradiol Cypionate” 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. 2026-07-01 (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

$303.47 estimated

$259.54 + $38.93 (15%) + $5.00 fee per fill = $303.47

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. 2026-07-01 (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

DEPO-ESTRADIOL 5 MG/ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estradiol cypionate, under the trade name “Depo-Estradiol”.

FDA gives its dosage form as injection and its route as intramuscular.

The labeler, the company named on the label, is Pharmacia & Upjohn Company LLC.

FDA’s Established Pharmacologic Class for it is Estrogen.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00009-0271-01.

NADAC classes it in its brand rate-setting class B-ANDA, and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $259.54 for 5 mL (5 × $51.90841 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was carried forward from the previous file; 5, calculated based on package size; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-07-01. The file is new; the price is not.

The NDC

Compared with its class

Its NADAC price is $51.90841 per ML filed.

Of the 6 other products in FDA’s Estrogen class priced per ML, 0 have a higher middle NADAC price and 6 a lower one. The one in the middle is ESTRADIOL VALERATE 100 MG/5 ML, at $22.64523 per ML 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. 2026-07-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $186.98 for 5 mL, at an average of $37.39514 per ML in 2024 (2024-01-01 to 2024-12-31) for “Depo-Estradiol” and “Estradiol Cypionate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 3,076 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 DEPO-ESTRADIOL 5 MG/ML VIAL 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 Depo-Estradiol / Estradiol Cypionate: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on brand name.
Why does this page start at 5 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 5 mL in one package for this product’s NDC (“1 VIAL in 1 CARTON (0009-0271-01) / 5 mL in 1 VIAL”), so the card starts at one package: 5 ML. Change it to match your prescription.