PHEXX 1.8-1-0.4% VAGINAL GEL
FDA nonproprietary name: lactic acid, l-, citric acid monohydrate, and potassium bitartrate
For 60 g
Pharmacies pay
$363.25 filed
60 × $6.05411 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
$422.74 estimated
$363.25 + $54.49 (15%) + $5.00 fee per fill = $422.74
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
PHEXX 1.8-1-0.4% VAGINAL GEL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lactic acid, l-, citric acid monohydrate, and potassium bitartrate, under the trade name “Phexx”.
FDA gives its dosage form as gel and its route as vaginal.
The labeler, the company named on the label, is Evofem, Inc.
FDA lists it under 2 Established Pharmacologic Classes: Anti-coagulant and Calculi Dissolution Agent.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 69751-0101-12.
NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $363.25 for 60 g (60 × $6.05411 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 NDC
- 69751-0101-12 · Evofem, Inc. · $6.05411 per GM · eff. 2026-09-23 filed
Other strengths, forms and brands
1 other product in the NADAC file shares the FDA nonproprietary name lactic acid, l-, citric acid monohydrate, and potassium bitartrate with PHEXX 1.8-1-0.4% VAGINAL GEL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| PHEXX 1.8-1-0.4% VAGINAL GEL this page | $6.05411 per GM filed | We don’t know yet |
| PHEXXI 1.8-1-0.4% VAGINAL GEL | $6.05411 per GM filed | $5.83777 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. 2026-09-23 · 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
Its NADAC price is $6.05411 per GM filed.
Of the 5 other products in FDA’s Calculi Dissolution Agent class priced per GM, 0 have a higher middle NADAC price and 4 a lower one; 1 has the same. The one in the middle is FT EPSOM SALT GRANULES, at $0.00389 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.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 60 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 60 g; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 60 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 60 g in one package for this product’s NDC (“12 APPLICATOR in 1 BOX (69751-101-12) / 5 g in 1 APPLICATOR (69751-101-01)”), so the card starts at one package: 60 GM. Change it to match your prescription.
Related pages
Its pharmacologic classes
Related in the same class
- POTASSIUM CITRATE ER 10 MEQ TB
- CLENPIQ 175 ML SOLUTION
- SOD CITRATE-CITRIC ACID SOLN
- POTASSIUM CIT-CITRIC ACID SOLN
- ORACIT ORAL SOLUTION