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.
What NADAC measures · NADAC explanation codes
The 7 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Cosette Pharmaceuticals, Inc. | 1 | $0.14055 per GM filed |
| Encube Ethicals, Inc. | 1 | $0.14055 per GM filed |
| GLENMARK PHARMACEUTICALS INC., USA | 1 | $0.14055 per GM filed |
| Northstar Rx LLC | 1 | $0.14055 per GM filed |
| Padagis Israel Pharmaceuticals Ltd | 1 | $0.14055 per GM filed |
| Saptalis Pharmaceuticals LLC | 1 | $0.14055 per GM filed |
| Solaris Pharma Corporation | 1 | $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.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| METRONIDAZOLE 0.75% CREAM | $0.2571 per GM filed | We don’t know yet |
| METRONIDAZOLE 0.75% LOTION | $1.81728 per ML filed | We don’t know yet |
| METRONIDAZOLE 250 MG TABLET | $0.10165 per EA filed | We don’t know yet |
| METRONIDAZOLE 375 MG CAPSULE | $7.30796 per EA filed | We don’t know yet |
| METRONIDAZOLE 500 MG TABLET | $0.10426 per EA filed | We don’t know yet |
| METRONIDAZOLE TOP 1% GEL PUMP | $0.53989 per GM filed | We don’t know yet |
| METRONIDAZOLE TOPICAL 0.75% GL | $0.17928 per GM filed | We don’t know yet |
| METRONIDAZOLE TOPICAL 1% GEL | $0.62104 per GM filed | We don’t know yet |
| METRONIDAZOLE VAGINAL 0.75% GL this page | $0.14055 per GM filed | $0.59027 per GM filed |
| NUVESSA VAGINAL 1.3% GEL | $43.02733 per GM filed | $40.24517 per GM filed |
| VANDAZOLE VAGINAL 0.75% GEL | $0.33416 per GM filed | $0.94493 per GM 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. 2026-01-21, 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 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 70 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 70 g; your package may hold a different amount.
- 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 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.
Related pages
Its pharmacologic class
Related in the same class
- TINIDAZOLE 250 MG TABLET
- PYLERA 140-125-125 MG CAPSULE
- SOLOSEC 2 GM GRANULE PACKET
- BISMUTH-METRONIDAZOLE-TETRACYCLINE 140-125-125 MG CAPSULE
- LIKMEZ 500 MG/5 ML SUSPENSION