PREMARIN 0.9 MG TABLET
FDA nonproprietary name: estrogens, conjugated
For 30 tablets
Pharmacies pay
$207.94 filed
30 × $6.93133 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 Part D paid
$323.50 filed
30 × $10.78328 per EA, 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
1.6× estimated
Medicare paid 1.6× what pharmacies pay.
Part D averages every strength and form sold under “Premarin*” / “Estrogens, Conjugated” 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
$244.13 estimated
$207.94 + $31.19 (15%) + $5.00 fee per fill = $244.13
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
PREMARIN 0.9 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as estrogens, conjugated, under the trade name “Premarin”.
FDA gives its dosage form as tablet, film coated and its route as oral.
The labeler, the company named on the label, is Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.
FDA’s Established Pharmacologic Class for it is Estrogen.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00046-1103-81.
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 $207.94 for 30 tablets (30 × $6.93133 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.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $5.57252 per EA filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · Why 30 tablets · NADAC explanation codes
The NDC
- 00046-1103-81 · Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc. · $6.93133 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
9 other products in the NADAC file share the FDA nonproprietary name estrogens, conjugated with PREMARIN 0.9 MG TABLET.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| CONJUGATED ESTROGEN 0.625 MG TB | $5.46982 per EA filed | We don’t know yet |
| CONJUGATED ESTROGENS 0.3 MG TB | $5.37279 per EA filed | We don’t know yet |
| CONJUGATED ESTROGENS 0.45 MG TB | $5.4808 per EA filed | We don’t know yet |
| CONJUGATED ESTROGENS 0.9 MG TB | $5.57252 per EA filed | We don’t know yet |
| CONJUGATED ESTROGENS 1.25 MG TB | $5.47658 per EA filed | We don’t know yet |
| PREMARIN 0.3 MG TABLET | $6.94743 per EA filed | $10.78328 per EA filed |
| PREMARIN 0.45 MG TABLET | $6.95576 per EA filed | $10.78328 per EA filed |
| PREMARIN 0.625 MG TABLET | $6.94289 per EA filed | $10.78328 per EA filed |
| PREMARIN 0.9 MG TABLET this page | $6.93133 per EA filed | $10.78328 per EA filed |
| PREMARIN 1.25 MG TABLET | $6.95373 per EA filed | $10.78328 per EA 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 $6.93133 per EA filed.
Of the 104 other products in FDA’s Estrogen class priced per EA, 63 have a higher middle NADAC price and 41 a lower one. The one in the middle is DOTTI 0.0375 MG PATCH, at $8.26227 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
Medicare Part D paid $323.50 for 30 tablets, at an average of $10.78328 per EA in 2024 (2024-01-01 to 2024-12-31) for “Premarin*” and “Estrogens, Conjugated”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 610,592 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.
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 30 tablets? Is it lower than what I would pay through my insurance?
- Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: CONJUGATED ESTROGENS 0.9 MG TB. Ask your pharmacist or prescriber; do not switch on your own.
- 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 PREMARIN 0.9 MG TABLET 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 Premarin* / Estrogens, Conjugated: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 8 NADAC NDCs the name join matched to it have an FDA route including ORAL.
Related pages
Its pharmacologic class
Related in the same class
- PREMPRO 0.3 MG-1.5 MG TABLET
- ESTRADIOL-NORETH 0.5-0.1 MG TB
- ESTRADIOL VALERATE 100 MG/5 ML
- NORTREL 1-35 21 TABLET
- COMBIPATCH 0.05-0.14 MG PTCH