Metronidazole: here's the fair price
This is what US pharmacies pay, on average, for metronidazole. Use it to spot a fair cash price, and feel good about asking for one.
Metronidazole 500 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 Metronidazole 500 Mg Tablet. Pharmacies pay about $3.13 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 |
|---|---|---|---|
| METRONIDAZOLE 500 MG TABLETGeneric | $0.10 per tablet or capsule | $3.13 | 10/21/2026 |
| METRONIDAZOLE 250 MG TABLETGeneric | $0.11 per tablet or capsule | $3.24 | 10/21/2026 |
| METRONIDAZOLE VAGINAL 0.75% GLGeneric | $0.15 per gram | n/a | 10/21/2026 |
| METRONIDAZOLE TOPICAL 0.75% GLGeneric | $0.20 per gram | n/a | 10/21/2026 |
| METRONIDAZOLE 0.75% CREAMGeneric | $0.26 per gram | n/a | 10/21/2026 |
| METRONIDAZOLE TOP 1% GEL PUMPGeneric | $0.56 per gram | n/a | 10/21/2026 |
| METRONIDAZOLE TOPICAL 1% GELGeneric | $0.63 per gram | n/a | 10/21/2026 |
| METRONIDAZOLE 0.75% LOTIONGeneric | $1.82 per mL | n/a | 10/21/2026 |
| METRONIDAZOLE 375 MG CAPSULEGeneric | $9.13 per tablet or capsule | $273.83 | 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 Symptomatic Trichomoniasis. Metronidazole tablets are indicated for the treatment of T. vaginalis infection in females and males when the presence of the trichomonad has been confirmed by appropriate laboratory procedures (wet smears and/or cultures). Asymptomatic Trichomoniasis. Metronidazole tablets are indicated in the treatment of asymptomatic T. vaginalis infection in females when the organism is associated with endocervicitis, cervicitis, or cervical erosion. Since there is evidence that presence of the trichomonad can interfere with accurate assessment of abnormal cytological smears, additional smears should be performed after eradication of the parasite....
Common side effects (FDA label)
ADVERSE REACTIONS The following reactions have been reported during treatment with metronidazole: Central Nervous System: The most serious adverse reactions reported in patients treated with metronidazole have been convulsive seizures, encephalopathy, aseptic meningitis, optic and peripheral neuropathy, the latter characterized mainly by numbness or paresthesia of an extremity. Since persistent peripheral neuropathy has been reported in some patients receiving prolonged administration of metronidazole, patients should be specifically warned about these reactions and should be told to stop the...
Drug interactions (from the label)
Drug Interactions Disulfiram Psychotic reactions have been reported in alcoholic patients who are using metronidazole and disulfiram concurrently. Metronidazole should not be given to patients who have taken disulfiram within the last two weeks (see CONTRAINDICATIONS ). Alcoholic Beverages Abdominal cramps, nausea, vomiting, headaches, and flushing may occur if alcoholic beverages or products containing propylene glycol are consumed during or following metronidazole therapy (see CONTRAINDICATIONS ). Warfarin and other Oral Anticoagulants Metronidazole has been reported to potentiate the anticoagulant effect of warfarin and other oral coumarin anticoagulants, resulting in a prolongation of...
Warnings (from the label)
WARNINGS Hypersensitivity Reactions Hypersensitivity reactions including severe cutaneous adverse reactions (SCARs) can be serious and potentially life threatening (see ADVERSE REACTIONS ). Severe Cutaneous Adverse Reactions Severe cutaneous adverse reactions (SCARs) including toxic epidermal necrolysis (TEN), Stevens-Johnson syndrome (SJS), drug reaction with eosinophilia and systemic symptoms (DRESS), and acute generalized exanthematous pustulosis (AGEP) have been reported with the use of metronidazole. Symptoms can be serious and potentially life threatening (If symptoms or signs of SCARs develop, discontinue metronidazole tablets immediately and institute appropriate therapy. Central...
Source: FDA drug label via openFDA, label effective 2026-03-18. Full label on DailyMed. Excerpts are verbatim and truncated. Read the full label and ask your pharmacist.