OpenBilldrug price receipt

NADAC week of 2026-10-14

METRONIDAZOLE 500 MG TABLET

For 30 tablets

Pharmacies pay

$3.13 filed

30 × $0.10426 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

$8.60 estimated

$3.13 + $0.47 (15%) + $5.00 fee per fill = $8.60

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. 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

METRONIDAZOLE 500 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as metronidazole.

FDA gives its dosage form as “tablet” and “tablet, film coated” and its route as oral.

FDA lists 13 labelers (the companies named on the label) for its NDCs, among them Major Pharmaceuticals, Rising Pharma Holdings, Inc. and Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.

FDA’s Established Pharmacologic Class for it is Nitroimidazole Antimicrobial.

The NADAC file of 2026-10-14 prices it under 26 NDCs (National Drug Codes); the FDA directory lists 23 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 $3.13 for 30 tablets (30 × $0.10426 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.

The 13 labelers

LabelerNDCsPharmacies pay per unit
Unichem Pharmaceuticals (USA), Inc.3$0.10426 per EA filed
Viona Pharmaceuticals Inc3$0.10426 per EA filed
Alembic Pharmaceuticals Inc.2$0.10426 per EA filed
BluePoint Laboratories2$0.10426 per EA filed
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.2$0.10426 per EA filed
Method Pharmaceuticals LLC2$0.10426 per EA filed
Rising Pharma Holdings, Inc.2$0.10426 per EA filed
Teva Pharmaceuticals USA, Inc.2$0.10426 per EA filed
AMICI PHARMA INC1$0.10426 per EA filed
American Health Packaging1$0.10426 per EA filed
AvPAK1$0.10426 per EA filed
Chartwell RX, LLC1$0.10426 per EA filed
Major Pharmaceuticals1$0.10426 per EA filed
Not listed as a package in the FDA directory3$0.10426 per EA filed
All 26 NDCs, with labeler and price
  • 00904-7126-61 · Major Pharmaceuticals · $0.10426 per EA · eff. 2026-09-23 filed
  • 16571-0664-01 · Rising Pharma Holdings, Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 16571-0664-50 · Rising Pharma Holdings, Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 23155-0652-01 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 23155-0652-05 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 29300-0227-01 · Unichem Pharmaceuticals (USA), Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 29300-0227-05 · Unichem Pharmaceuticals (USA), Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 29300-0227-46 · Unichem Pharmaceuticals (USA), Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 50111-0334-01 · Teva Pharmaceuticals USA, Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 50111-0334-02 · Teva Pharmaceuticals USA, Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 50268-0535-11 · not listed as a package in the FDA directory · $0.10426 per EA · eff. 2026-09-23 filed
  • 50268-0535-15 · AvPAK · $0.10426 per EA · eff. 2026-09-23 filed
  • 58657-0934-01 · Method Pharmaceuticals LLC · $0.10426 per EA · eff. 2026-09-23 filed
  • 58657-0934-05 · Method Pharmaceuticals LLC · $0.10426 per EA · eff. 2026-09-23 filed
  • 58657-0934-10 · not listed as a package in the FDA directory · $0.10426 per EA · eff. 2026-09-23 filed
  • 60687-0550-01 · American Health Packaging · $0.10426 per EA · eff. 2026-09-23 filed
  • 60687-0550-11 · not listed as a package in the FDA directory · $0.10426 per EA · eff. 2026-09-23 filed
  • 62135-0796-90 · Chartwell RX, LLC · $0.10426 per EA · eff. 2026-09-23 filed
  • 62332-0017-31 · Alembic Pharmaceuticals Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 62332-0017-71 · Alembic Pharmaceuticals Inc. · $0.10426 per EA · eff. 2026-09-23 filed
  • 68001-0365-00 · BluePoint Laboratories · $0.10426 per EA · eff. 2026-09-23 filed
  • 68001-0365-03 · BluePoint Laboratories · $0.10426 per EA · eff. 2026-09-23 filed
  • 69292-0208-50 · AMICI PHARMA INC · $0.10426 per EA · eff. 2026-09-23 filed
  • 72578-0008-01 · Viona Pharmaceuticals Inc · $0.10426 per EA · eff. 2026-09-23 filed
  • 72578-0008-05 · Viona Pharmaceuticals Inc · $0.10426 per EA · eff. 2026-09-23 filed
  • 72578-0008-18 · Viona Pharmaceuticals Inc · $0.10426 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

10 other products in the NADAC file share the FDA nonproprietary name metronidazole with METRONIDAZOLE 500 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
METRONIDAZOLE 0.75% CREAM
generic · cream
$0.2571 per GM filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE 0.75% LOTION
generic · lotion
$1.81728 per ML filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE 250 MG TABLET
generic · tablet / tablet, film coated
$0.10165 per EA filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE 375 MG CAPSULE
generic · capsule
$7.30796 per EA filed
eff. 2026-01-21
We don’t know yet
METRONIDAZOLE 500 MG TABLET this page
generic · tablet / tablet, film coated
$0.10426 per EA filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE TOP 1% GEL PUMP
generic · gel
$0.53989 per GM filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE TOPICAL 0.75% GL
generic · gel
$0.17928 per GM filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE TOPICAL 1% GEL
generic · gel
$0.62104 per GM filed
eff. 2026-09-23
We don’t know yet
METRONIDAZOLE VAGINAL 0.75% GL
generic · gel
$0.14055 per GM filed
eff. 2026-09-23
$0.59027 per GM filed
Part D 2024 average
NUVESSA VAGINAL 1.3% GEL
brand · gel
$43.02733 per GM filed
eff. 2026-09-23
$40.24517 per GM filed
Part D 2024 average
VANDAZOLE VAGINAL 0.75% GEL
brand · gel
$0.33416 per GM filed
eff. 2026-09-23
$0.94493 per GM 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. 2026-01-21, 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 26 NDCs’ NADAC prices is $0.10426 per EA filed.

Of the 7 other products in FDA’s Nitroimidazole Antimicrobial class priced per EA, 6 have a higher middle NADAC price and 1 a lower one. The one in the middle is BISMUTH-METRONIDAZOLE-TETRACYCLINE 140-125-125 MG CAPSULE, at $2.40281 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.