Brand Name NDC 00046087221
Premarin Vaginal Cream-appl
NADAC pharmacy acquisition cost from CMS
NADAC Per Unit
$15.10
Pharmacy acquisition cost
Est. 30-Day Supply
$453
At NADAC cost (1/day)
Est. 90-Day Supply
$1,359
At NADAC cost (1/day)
Est. Retail Price / Unit
$20.38
~35% pharmacy markup
Est. Retail 30-Day
$612
Without insurance
Est. Annual Cost
$7,440
Retail, 1 unit/day
Understanding Drug Pricing
1
NADAC (shown above) — What the pharmacy pays the wholesaler for this drug.
This is the most transparent baseline cost, published weekly by CMS.
2
Retail Price — Pharmacies add a dispensing fee ($2-$15) and markup (20-50%).
This is what you pay without insurance or discount cards.
3
Insurance Copay — With insurance, you typically pay a flat copay
($5-$15 generic, $25-$50 brand) regardless of the NADAC cost.
Frequently Asked Questions
How much does Premarin Vaginal Cream-appl cost?
The pharmacy acquisition cost (NADAC) for Premarin Vaginal Cream-appl is $15.10 per unit. A 30-day supply at 1 unit per day costs approximately $453.
How much does Premarin Vaginal Cream-appl cost without insurance?
Without insurance, expect to pay approximately $612 for a 30-day supply. Pharmacy discount programs (GoodRx, RxSaver, Cost Plus Drugs) and manufacturer coupons can reduce this significantly. Ask your doctor if a generic alternative is available — generics typically cost 80-85% less.
Is Premarin Vaginal Cream-appl available as a generic?
Premarin Vaginal Cream-appl is a brand name medication. Generic alternatives may be available. Ask your pharmacist about equivalent generics which can save 80-85%.