XACIATO 2% VAGINAL GEL
FDA nonproprietary name: clindamycin phosphate
For 8 g
Pharmacies pay
$150.95 filed
8 × $18.86864 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
$154.72 filed
8 × $19.3401 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
1.0× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Xaciato” / “Clindamycin Phosphate” 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
$178.59 estimated
$150.95 + $22.64 (15%) + $5.00 fee per fill = $178.59
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
XACIATO 2% VAGINAL GEL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as clindamycin phosphate, under the trade name “XACIATO”.
FDA gives its dosage form as gel and its route as vaginal.
The labeler, the company named on the label, is Organon LLC.
FDA’s Established Pharmacologic Class for it is Lincosamide Antibacterial.
The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.
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 $150.95 for 8 g (8 × $18.86864 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
All 2 NDCs
- 78206-0189-01 · Organon LLC · $18.86864 per GM · eff. 2026-09-23 filed
- 78206-0189-99 · not listed as a package in the FDA directory · $18.86864 per GM · eff. 2026-09-23 filed
Other strengths, forms and brands
11 other products in the NADAC file share the FDA nonproprietary name clindamycin phosphate with XACIATO 2% VAGINAL GEL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| CLEOCIN 2% VAGINAL CREAM | $1.79228 per GM filed | We don’t know yet |
| CLEOCIN 100 MG VAGINAL OVULE | $60.17905 per EA filed | We don’t know yet |
| CLINDACIN 1% FOAM | $1.83049 per GM filed | $3.23058 per GM filed |
| CLINDAMYCIN 2% VAGINAL CREAM | $1.85916 per GM filed | We don’t know yet |
| CLINDAMYCIN PH 1% GEL | $0.13074 to $0.14236 per GM filed | We don’t know yet |
| CLINDAMYCIN PH 1% SOLUTION | $0.14989 to $0.1788 per ML filed | We don’t know yet |
| CLINDAMYCIN PHOS 1% PLEDGET | $0.28544 per EA filed | We don’t know yet |
| CLINDAMYCIN PHOSP 1% LOTION | $0.24475 per ML filed | We don’t know yet |
| CLINDAMYCIN PHOSPHATE 1% FOAM | $1.83049 to $2.20962 per GM filed | We don’t know yet |
| CLINDAMYCIN PHOSPHATE 1% GEL | $3.40149 per ML filed | We don’t know yet |
| CLINDESSE 2% VAGINAL CREAM | $26.6211 per GM filed | $27.16372 per GM filed |
| XACIATO 2% VAGINAL GEL this page | $18.86864 per GM filed | $19.3401 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
The middle of its 2 NDCs’ NADAC prices is $18.86864 per GM filed.
Of the 12 other products in FDA’s Lincosamide Antibacterial class priced per GM, 1 has a higher middle NADAC price and 11 a lower one. The one in the middle is CLEOCIN 2% VAGINAL CREAM, at $1.79228 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 $154.72 for 8 g, at an average of $19.3401 per GM in 2024 (2024-01-01 to 2024-12-31) for “Xaciato” and “Clindamycin Phosphate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 65 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 8 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 8 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 XACIATO 2% VAGINAL GEL 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 Xaciato / Clindamycin Phosphate: 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 brand name.
- Why does this page start at 8 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 8 g in one package for the 1 of this product’s 2 NDCs it lists (“1 TUBE in 1 CARTON (78206-189-01) / 8 g in 1 TUBE”), so the card starts at one package: 8 GM. Change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- CLINDAMYCIN HCL 150 MG CAPSULE
- CLINDAMYCIN (PEDI) 75 MG/5 ML
- CLINDA-TRETINOIN 1.2%-0.025%
- CLIND PH-BENZOYL PERO 1.2-2.5%