Estradiol: here's the fair price
This is what US pharmacies pay, on average, for estradiol. Use it to spot a fair cash price, and feel good about asking for one.
Estradiol 0.5 Mg Tablet
A fair cash price is usually this cost plus a dispensing fee. If your quote is many times higher, ask about a generic, another pharmacy, or a cash discount.
Ask for generic Estradiol 0.5 Mg Tablet. Pharmacies pay about $1.86 for 30. Ask your pharmacy for its cash price and compare it with your copay. A fair cash price is close to this cost plus a dispensing fee.
Source: CMS NADAC as of 2026-11-04. Ask your prescriber or pharmacist whether a generic is right for you.
Source: CMS NADAC weekly file as of 2026-11-04. Median across NDCs with the same description. Public domain.
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Every strength and form
| Product | Pharmacy cost | 30 count | Effective |
|---|---|---|---|
| ESTRADIOL 0.5 MG TABLETGeneric | $0.06 per tablet or capsule | $1.86 | 10/21/2026 |
| ESTRADIOL 1 MG TABLETGeneric | $0.06 per tablet or capsule | $1.90 | 10/21/2026 |
| ESTRADIOL 2 MG TABLETGeneric | $0.08 per tablet or capsule | $2.33 | 10/21/2026 |
| ESTRADIOL 0.01% CREAMGeneric | $0.48 per gram | n/a | 10/21/2026 |
| ESTRADIOL 0.1% (0.75 MG) GEL PKGeneric | $0.67 per tablet or capsule | $20.21 | 10/21/2026 |
| ESTRADIOL 0.1% (0.25 MG) GEL PKGeneric | $0.84 per tablet or capsule | $25.07 | 10/21/2026 |
| ESTRADIOL 0.1% (1.25 MG) GEL PKGeneric | $0.84 per gram | n/a | 10/21/2026 |
| ESTRADIOL 0.1% (0.5 MG) GEL PKTGeneric | $0.89 per tablet or capsule | $26.59 | 10/21/2026 |
| ESTRADIOL 0.1% (1 MG) GEL PKTGeneric | $0.97 per gram | n/a | 10/21/2026 |
| ESTRADIOL 0.06% 1.25G GEL PUMPGeneric | $3.31 per gram | n/a | 10/21/2026 |
| ESTRADIOL 10 MCG VAGINAL INSRTGeneric | $5.50 per tablet or capsule | $164.92 | 10/21/2026 |
| ESTRADIOL 0.025 MG PATCH(2/WK)Generic | $8.01 per tablet or capsule | $240.32 | 10/21/2026 |
| ESTRADIOL 0.075 MG PATCH(2/WK)Generic | $8.23 per tablet or capsule | $247.03 | 10/21/2026 |
| ESTRADIOL 0.0375 MG PATCH(2/WK)Generic | $8.26 per tablet or capsule | $247.68 | 10/21/2026 |
| ESTRADIOL 0.05 MG PATCH (2/WK)Generic | $8.61 per tablet or capsule | $258.33 | 10/21/2026 |
| ESTRADIOL 0.1 MG PATCH (2/WK)Generic | $8.73 per tablet or capsule | $261.97 | 10/21/2026 |
| ESTRADIOL 0.05 MG PATCH (1/WK)Generic | $12.22 per tablet or capsule | $366.56 | 10/21/2026 |
| ESTRADIOL 0.06 MG PATCH (1/WK)Generic | $12.27 per tablet or capsule | $368.13 | 10/21/2026 |
| ESTRADIOL 0.025 MG PATCH(1/WK)Generic | $12.33 per tablet or capsule | $369.96 | 10/21/2026 |
| ESTRADIOL 0.1 MG PATCH (1/WK)Generic | $12.77 per tablet or capsule | $383.24 | 10/21/2026 |
| ESTRADIOL 0.0375 MG PATCH(1/WK)Generic | $12.78 per tablet or capsule | $383.52 | 10/21/2026 |
| ESTRADIOL 0.075 MG PATCH(1/WK)Generic | $13.32 per tablet or capsule | $399.57 | 10/21/2026 |
| ESTRADIOL VALERATE 50 MG/5 MLGeneric | $18.37 per mL | n/a | 10/21/2026 |
| ESTRADIOL VALERATE 100 MG/5 MLGeneric | $22.96 per mL | n/a | 10/21/2026 |
| ESTRADIOL VALERATE 200 MG/5 MLGeneric | $37.82 per mL | n/a | 10/21/2026 |
Source: CMS NADAC, as of 2026-11-04. National average acquisition cost, not a retail quote.
Label basics
What it is used for (FDA label)
INDICATIONS AND USAGE Estradiol Vaginal Cream, 0.01% is indicated in the treatment of moderate to severe symptoms of vulvar and vaginal atrophy due to menopause.
Common side effects (FDA label)
ADVERSE REACTIONS See BOXED WARNINGS, WARNINGS and PRECAUTIONS . Systemic absorption may occur with the use of Estradiol Vaginal Cream, 0.01%. The warnings, precautions, and adverse reactions associated with oral estrogen treatment should be taken into account. The following adverse reactions have been reported with estrogen and/or progestin therapy. 1 . Genitourinary System Abnormal uterine bleeding or spotting; dysmenorrhea or pelvic pain, increase in size of uterine leiomyomata; vaginitis, including vaginal candidiasis; change in cervical secretion; cystitis-like syndrome; application site...
Drug interactions (from the label)
D. Drug-Laboratory Test Interactions 1. Accelerated prothrombin time, partial thromboplastin time, and platelet aggregation time; increased platelet count; increased factors II, VII antigen, VIII antigen, VIII coagulant activity, IX, X, XII, VII-X complex, II-VII-X complex, and beta-thromboglobulin; decreased levels of anti-factor Xa and antithrombin III, decreased antithrombin III activity; increased levels of fibrinogen and fibrinogen activity; increased plasminogen antigen and activity. 2. Increased thyroid-binding globulin (TBG) leading to increased circulating total thyroid hormone levels, as measured by protein-bound iodine (PBI), T 4 levels (by column or by radioimmunoassay) or T 3...
Warnings (from the label)
WARNINGS See BOXED WARNINGS . Systemic absorption may occur with the use of Estradiol Vaginal Cream, 0.01%. The warnings, precautions, and adverse reactions associated with oral estrogen treatment should be taken into account. 1. Cardiovascular Disorders An increased risk of stroke and DVT has been reported with estrogen-alone therapy. An increased risk of PE, DVT, stroke and MI has been reported with estrogen plus progestin therapy. Should any of these occur or be suspected, estrogen with or without progestin therapy should be discontinued immediately. Risk factors for arterial vascular disease (e.g., hypertension, diabetes mellitus, tobacco use, hypercholesterolemia, and obesity) and/or...
Source: FDA drug label via openFDA, label effective 2026-04-13. Full label on DailyMed. Excerpts are verbatim and truncated. Read the full label and ask your pharmacist.