OpenBilldrug price receipt

NADAC week of 2026-10-14

METRONIDAZOLE TOPICAL 0.75% GL

For 45 g

Pharmacies pay

$8.07 filed

45 × $0.17928 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

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

$14.28 estimated

$8.07 + $1.21 (15%) + $5.00 fee per fill = $14.28

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

METRONIDAZOLE TOPICAL 0.75% GL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “metronidazole” and “metronidazole topical”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as gel and its route as topical.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Cosette Pharmaceuticals, Inc., Encube Ethicals, Inc. and Sun Pharmaceutical Industries, Inc.

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

The NADAC file of 2026-10-14 prices it under 4 NDCs (National Drug Codes).

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 $8.07 for 45 g (45 × $0.17928 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.

All 4 NDCs

Other strengths, forms and brands

10 other products in the NADAC file share an FDA nonproprietary name with METRONIDAZOLE TOPICAL 0.75% GL.

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
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 this page
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 4 NDCs’ NADAC prices is $0.17928 per GM filed.

Of the 6 other products in FDA’s Nitroimidazole Antimicrobial class priced per GM, 5 have a higher middle NADAC price and 1 a lower one. The one in the middle is VANDAZOLE VAGINAL 0.75% GEL, at $0.33416 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

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 45 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 45 g in one package for all 4 NDCs of this product (“1 TUBE in 1 CARTON (0713-0637-37) / 45 g in 1 TUBE”), so the card starts at one package: 45 GM. Change it to match your prescription.