OpenBilldrug price receipt

NADAC week of 2026-10-14

METRONIDAZOLE VAGINAL 0.75% GL

For 70 g

Pharmacies pay

$9.84 filed

70 × $0.14055 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

$41.32 filed

70 × $0.59027 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

4.2× estimated

Medicare paid 4.2× what pharmacies pay.

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

$16.32 estimated

$9.84 + $1.48 (15%) + $5.00 fee per fill = $16.32

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 VAGINAL 0.75% GL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as metronidazole, under the trade names “Metronidazole Vaginal Gel, 0.75%” and “metronidazole vaginal”.

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

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Cosette Pharmaceuticals, Inc., Northstar Rx LLC and Encube Ethicals, Inc.

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

The NADAC file of 2026-10-14 prices it under 7 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 $9.84 for 70 g (70 × $0.14055 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.

The 7 labelers

LabelerNDCsPharmacies pay per unit
Cosette Pharmaceuticals, Inc.1$0.14055 per GM filed
Encube Ethicals, Inc.1$0.14055 per GM filed
GLENMARK PHARMACEUTICALS INC., USA1$0.14055 per GM filed
Northstar Rx LLC1$0.14055 per GM filed
Padagis Israel Pharmaceuticals Ltd1$0.14055 per GM filed
Saptalis Pharmaceuticals LLC1$0.14055 per GM filed
Solaris Pharma Corporation1$0.14055 per GM filed
All 7 NDCs, with labeler and price
  • 00713-0575-71 · Cosette Pharmaceuticals, Inc. · $0.14055 per GM · eff. 2026-09-23 filed
  • 16714-0557-01 · Northstar Rx LLC · $0.14055 per GM · eff. 2026-09-23 filed
  • 21922-0039-23 · Encube Ethicals, Inc. · $0.14055 per GM · eff. 2026-09-23 filed
  • 45802-0139-70 · Padagis Israel Pharmaceuticals Ltd · $0.14055 per GM · eff. 2026-09-23 filed
  • 68462-0184-49 · GLENMARK PHARMACEUTICALS INC., USA · $0.14055 per GM · eff. 2026-09-23 filed
  • 71656-0067-70 · Saptalis Pharmaceuticals LLC · $0.14055 per GM · eff. 2026-09-23 filed
  • 73473-0303-70 · Solaris Pharma Corporation · $0.14055 per GM · 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 VAGINAL 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
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 this page
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 7 NDCs’ NADAC prices is $0.14055 per GM filed.

Of the 6 other products in FDA’s Nitroimidazole Antimicrobial class priced per GM, 6 have a higher middle NADAC price and 0 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

Medicare Part D paid $41.32 for 70 g, at an average of $0.59027 per GM in 2024 (2024-01-01 to 2024-12-31) for “Metronidazole*” and “Metronidazole”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 2,260,622 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

3 of the product’s 7 NDCs have this Medicare figure; the other 4 do not, and the interactive card says why for each.

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 METRONIDAZOLE VAGINAL 0.75% GL 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 Metronidazole* / Metronidazole: 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 generic name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 3 NADAC NDCs the name join matched to it have an FDA route including VAGINAL.
Why does this page start at 70 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 70 g in one package for all 7 NDCs of this product (“1 TUBE, WITH APPLICATOR in 1 CARTON (0713-0575-71) / 70 g in 1 TUBE, WITH APPLICATOR”), so the card starts at one package: 70 GM. Change it to match your prescription.