OpenBilldrug price receipt

NADAC week of 2026-10-14

ESTRACE 0.01% CREAM

FDA nonproprietary name: estradiol

For 42.5 g

Pharmacies pay

$329.86 filed

42.5 × $7.76131 per GM

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

$255.35 filed

42.5 × $6.00834 per GM, 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

0.77× estimated

Medicare paid 23% less than pharmacies pay.

Part D averages every strength and form sold under “Estrace*” / “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

$384.34 estimated

$329.86 + $49.48 (15%) + $5.00 fee per fill = $384.34

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

ESTRACE 0.01% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estradiol, under the trade name “ESTRACE”.

FDA gives its dosage form as cream and its route as vaginal.

The labeler, the company named on the label, is Allergan, Inc.

FDA’s Established Pharmacologic Class for it is Estrogen.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00430-3754-14.

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 $329.86 for 42.5 g (42.5 × $7.76131 per GM, 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.46452 per GM filed.

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

The NDC

Other strengths, forms and brands

59 other products in the NADAC file share the FDA nonproprietary name estradiol with ESTRACE 0.01% CREAM. 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
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
DIVIGEL 0.75 MG GEL PACKET
brand · gel
$5.40611 per EA filed
eff. 2026-09-23
We don’t know yet
DIVIGEL 1 MG GEL PACKET
brand · gel
$5.38098 per GM filed
eff. 2026-09-23
We don’t know yet
DIVIGEL 1.25 MG GEL PACKET
brand · gel
$4.29397 per GM 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
DOTTI 0.0375 MG PATCH
generic · patch, extended release
$8.26227 per EA filed
eff. 2026-09-23
$7.04054 per EA filed
Part D 2024 average
DOTTI 0.05 MG PATCH
generic · patch, extended release
$8.50358 per EA filed
eff. 2026-09-23
$7.04054 per EA filed
Part D 2024 average
DOTTI 0.075 MG PATCH
generic · patch, extended release
$8.11285 per EA filed
eff. 2026-09-23
$7.04054 per EA filed
Part D 2024 average
DOTTI 0.1 MG PATCH
generic · patch, extended release
$8.56811 per EA filed
eff. 2026-09-23
$7.04054 per EA filed
Part D 2024 average
ELESTRIN 0.06% GEL
brand · gel, metered
$3.60934 per GM filed
eff. 2026-09-23
$4.6929 per GM filed
Part D 2024 average
ESTRACE 0.01% CREAM this page
brand · cream
$7.76131 per GM filed
eff. 2026-09-23
$6.00834 per GM filed
Part D 2024 average
ESTRADIOL 0.01% CREAM
generic · cream
$0.46452 per GM filed
eff. 2026-09-23
We don’t know yet
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

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

Its NADAC price is $7.76131 per GM filed.

Of the 8 other products in FDA’s Estrogen class priced per GM, 1 has a higher middle NADAC price and 7 a lower one. The one in the middle is ESTRADIOL 0.06% 1.25G GEL PUMP, at $3.38721 per GM 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 $255.35 for 42.5 g, at an average of $6.00834 per GM in 2024 (2024-01-01 to 2024-12-31) for “Estrace*” 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 6,218 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 ESTRACE 0.01% CREAM 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 Estrace* / 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 GM. Joined on brand name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 1 NADAC NDCs the name join matched to it have an FDA route including VAGINAL.
Why does this page start at 42.5 g?
NADAC prices this product per GM. In the FDA NDC Directory, NDC 00430-3754-14 (“36 CARTON in 1 CASE (0430-3754-14) / 1 TUBE, WITH APPLICATOR in 1 CARTON / 42.5 g in 1 TUBE, WITH APPLICATOR”) is a shipping case of 36 cartons, 1,530 g in all: a wholesale pack of identical units, so OpenBill counts one carton of it. So the card starts at one carton: 42.5 GM. Change it to match your prescription.