Metronidazole
Also known as: Flagyl, Likmez, Metrocream, Metrogel, Metrolotion, Metronidazole Top, Metronidazole Topical, Metronidazole Vaginal, Nuvessa, Nuvessa Vaginal, Nydamax, Rosadan and 2 more.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Class |
|---|---|---|---|
| 0.75% | Cream | $0.291 / gram | Generic |
| 0.75% | Lotion | $1.86 / mL | Generic |
| 0.75% | (unspecified) | $0.148 / gram | Generic |
| 0.75% | Gel | $0.333 / gram | Brand |
| 1% | (unspecified) | $0.571 / gram | Generic |
| 1% | Gel | $0.669 / gram | Generic |
| 1.3% | Gel | $42.99 / gram | Brand |
| 250 MG | Tablet | $0.101 / unit | Generic |
| 375 MG | Capsule | $7.31 / unit | Generic |
| 500 MG/5 ML | Suspension | $2.61 / mL | Brand |
| 500 MG | Tablet | $0.100 / unit | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. Liquids, creams, and sprays are priced per mL or gram; a typical package may be a bottle or tube (size not set yet).
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $52,963,851 gross for Metronidazole across 3,285,017 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$56,470,686 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMSBuy it with a cash program — no insurance needed
375 MG · Capsule
TrumpRx discount card$102.52 · 30 capsules — $196.54 · 60 capsules — $290.56 · 90 capsules
Amazon Pharmacy (mail)$158.90 · 30 capsules — $317.30 · 60 capsules — $475.70 · 90 capsules
Cost Plus Drugs (mail)$277.29 · 30 capsules — $544.32 · 60 capsules — $811.36 · 90 capsules
500 MG · Tablet
TrumpRx discount card$13.26 · 30 tablets — $16.27 · 60 tablets — $19.27 · 90 tablets
Cost Plus Drugs (mail)$13.26 · 30 tablets — $16.27 · 60 tablets — $19.27 · 90 tablets
Amazon Pharmacy (mail)$17.54 · 30 tablets — $24.29 · 90 tablets — $34.57 · 60 tablets
Fixed program prices at participating pharmacies or by mail. Covered strengths & quantities only; program terms apply. TrumpRx card & mail-order prices as listed on trumprx.gov (updated weekly). Mail orders take days to arrive.