OpenBilldrug price receipt

NADAC week of 2026-10-14

ETONOGESTREL-EE VAGINAL RING

For 1 unit (EA)

Pharmacies pay

$46.35 filed

1 × $46.3541 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

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.


The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$58.30 estimated

$46.35 + $6.95 (15%) + $5.00 fee per fill = $58.30

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

ETONOGESTREL-EE VAGINAL RING is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “etonogestrel and ethinyl estradiol” and “etonogestrel and ethinyl estradiol vaginal ring”, as its NDCs’ listings variously write the nonproprietary name, under the trade name “Etonogestrel/Ethinyl Estradiol”.

FDA gives its dosage form as “insert, extended release” and “ring” and its route as vaginal.

Its labelers, the companies named on the label, are Teva Pharmaceuticals USA, Inc., Northstar Rx LLC and Prasco Laboratories.

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

The NADAC file of 2026-10-14 prices it under 6 NDCs (National Drug Codes); the FDA directory lists 3 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 $46.35 for 1 unit (EA) (1 × $46.3541 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

All 6 NDCs

Other strengths, forms and brands

2 other products in the NADAC file share an FDA nonproprietary name with ETONOGESTREL-EE VAGINAL RING.

ProductPharmacies pay per unitMedicare per unit
ELURYNG VAGINAL RING
generic · ring
$46.3541 per EA filed
eff. 2026-09-23
$75.7298 per EA filed
Part D 2024 average
ETONOGESTREL-EE VAGINAL RING this page
generic · insert, extended release / ring
$46.3541 per EA filed
eff. 2026-09-23
We don’t know yet
NUVARING VAGINAL RING
brand · insert, extended release
$155.70283 per EA filed
eff. 2026-07-22
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. 2026-07-22, 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 6 NDCs’ NADAC prices is $46.3541 per EA filed.

Of the 104 other products in FDA’s Estrogen class priced per EA, 7 have a higher middle NADAC price and 95 a lower one; 2 have the same. The one in the middle is LYLLANA 0.075 MG PATCH, at $8.11285 per EA filed (eff. 2026-09-23).

Of the 65 other products in FDA’s Progestin class priced per EA, 4 have a higher middle NADAC price and 59 a lower one; 2 have the same. The one in the middle is NORETHIN-ETH ESTRAD 1 MG-5 MCG, at $0.57994 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

We don’t know yet; the card above says why.

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 does this page start at 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists 3 of its 6 NDCs (it does not list the other 3) as dosage forms “INSERT, EXTENDED RELEASE”, “RING” 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 none of these is 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.