ESTRING 7.5 MCG/DAY (2 MG) RING
FDA nonproprietary name: estradiol
For 1 unit (EA)
Pharmacies pay
$551.32 filed
1 × $551.31736 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
$539.53 filed
1 × $539.53308 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
0.98× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Estring” / “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
$639.02 estimated
$551.32 + $82.70 (15%) + $5.00 fee per fill = $639.02
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
ESTRING 7.5 MCG/DAY (2 MG) RING is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estradiol, under the trade name “Estring”.
FDA gives its dosage form as system and its route as vaginal.
The labeler, the company named on the label, is Pfizer Laboratories Div Pfizer 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), 00013-1042-01.
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 $551.32 for 1 unit (EA) (1 × $551.31736 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.
What NADAC measures · NADAC explanation codes
The NDC
- 00013-1042-01 · Pfizer Laboratories Div Pfizer Inc · $551.31736 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
59 other products in the NADAC file share the FDA nonproprietary name estradiol with ESTRING 7.5 MCG/DAY (2 MG) RING. The 23 below share a strength or dosage form with it first; search OpenBill for the rest.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| CLIMARA 0.025 MG/DAY PATCH | $18.22764 per EA filed | $13.21368 per EA filed |
| CLIMARA 0.0375 MG/DAY PATCH | $18.29817 per EA filed | $13.21368 per EA filed |
| CLIMARA 0.05 MG/DAY PATCH | $18.25678 per EA filed | $13.21368 per EA filed |
| CLIMARA 0.06 MG/DAY PATCH | $18.14596 per EA filed | $13.21368 per EA filed |
| CLIMARA 0.075 MG/DAY PATCH | $18.25087 per EA filed | $13.21368 per EA filed |
| CLIMARA 0.1 MG/DAY PATCH | $18.27935 per EA filed | $13.21368 per EA filed |
| DIVIGEL 0.25 MG GEL PACKET | $5.388 per EA filed | We don’t know yet |
| DIVIGEL 0.5 MG GEL PACKET | $5.39183 per EA filed | We don’t know yet |
| DIVIGEL 0.75 MG GEL PACKET | $5.40611 per EA filed | We don’t know yet |
| DIVIGEL 1 MG GEL PACKET | $5.38098 per GM filed | We don’t know yet |
| DIVIGEL 1.25 MG GEL PACKET | $4.29397 per GM filed | We don’t know yet |
| DOTTI 0.025 MG PATCH | $7.7577 per EA filed | $7.04054 per EA filed |
| DOTTI 0.0375 MG PATCH | $8.26227 per EA filed | $7.04054 per EA filed |
| DOTTI 0.05 MG PATCH | $8.50358 per EA filed | $7.04054 per EA filed |
| DOTTI 0.075 MG PATCH | $8.11285 per EA filed | $7.04054 per EA filed |
| DOTTI 0.1 MG PATCH | $8.56811 per EA filed | $7.04054 per EA filed |
| ELESTRIN 0.06% GEL | $3.60934 per GM filed | $4.6929 per GM filed |
| ESTRACE 0.01% CREAM | $7.76131 per GM filed | $6.00834 per GM filed |
| ESTRADIOL 0.01% CREAM | $0.46452 per GM filed | We don’t know yet |
| ESTRADIOL 0.025 MG PATCH(1/WK) | $11.75493 per EA filed | We don’t know yet |
| ESTRADIOL 0.025 MG PATCH(2/WK) | $7.7577 per EA filed | We don’t know yet |
| ESTRADIOL 0.0375 MG PATCH(1/WK) | $11.93041 per EA filed | We don’t know yet |
| ESTRADIOL 2 MG TABLET | $0.07959 per EA filed | We don’t know yet |
| ESTRING 7.5 MCG/DAY (2 MG) RING this page | $551.31736 per EA filed | $539.53308 per EA filed |
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 $551.31736 per EA filed.
Of the 104 other products in FDA’s Estrogen class priced per EA, 3 have a higher middle NADAC price and 101 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 $539.53 for 1 unit (EA), at an average of $539.53308 per EA in 2024 (2024-01-01 to 2024-12-31) for “Estring” 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 90,750 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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.
- What is your cash price for 1 unit (EA)? Is it lower than what I would pay through my insurance?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for ESTRING 7.5 MCG/DAY (2 MG) RING 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 Estring / 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 unit (EA)?
- NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “SYSTEM” with route “VAGINAL”. 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. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- PREMARIN 0.3 MG TABLET
- PREMPRO 0.3 MG-1.5 MG TABLET
- ABIGALE 1 MG-0.5 MG TABLET
- ESTRADIOL VALERATE 100 MG/5 ML
- NORTREL 1-35 21 TABLET