Metronidazole Prices in 2025: Discounts and Additional Options
In the fight against certain bacterial and parasitic infections, metronidazole has proven to be a valuable ally. This medication, available in various forms, includes brand-name versions such as Flagyl, Metrocream, Metrolotion, Noritate, Rosadan gel and Rosadan cream, Nuvessa, and Vandazole.
The Food and Drug Administration (FDA) has approved metronidazole for use in treating these infections. However, the cost of this medication can vary significantly, depending on several factors.
Factors Affecting Metronidazole Cost
- Formulation: The cost of injection forms like metronidazole 10 mg is set via HCPCS fee schedules, with national average reimbursements around $0.03 to $0.04 per unit. Oral tablets, on the other hand, vary by quantity and supplier.
- Dosage & Quantity: Higher doses or larger quantities raise the total cost. For example, a quantity of 1000 tablets may cost around $52.82.
- Payer Type: Different payer types, such as Medicare, Medicaid, and private insurance, have negotiated or government-set reimbursement rates, with geographic variation.
- Insurance Tier & Plan: Drug tier determines copay/coinsurance, and plan benefits specify cost-sharing and coverage phase (before/after deductible).
As a result, patients using different forms of metronidazole may see widely different prices, especially when it comes to insurance coverage specifics and tier placement in their drug formulary.
Insurance Considerations
Insurance considerations significantly impact patient out-of-pocket costs. For instance, metronidazole formulations may be classified into different tiers, affecting copayment or coinsurance amounts. Generic drugs typically fall into lower tiers with lower cost-sharing, whereas brand or specialty drugs may be on higher tiers with higher costs to the patient. Cost-sharing can also vary depending on whether the deductible has been met and the specific insurance plan.
Brand-Name Versus Generic
If you're considering taking the brand-name version of metronidazole, such as Flagyl, it's important to check with your insurance provider to understand the costs involved.
Finding Cost Information
To find out the cost of metronidazole gel and cream, ask your doctor or pharmacist for more information. For personalized guidance about cost issues related to metronidazole, it's best to discuss these matters with your healthcare provider or insurance company.
In conclusion, the cost of metronidazole can vary depending on factors such as treatment plan, insurance coverage, and pharmacy used. For those in need of financial support, websites like Medicine Assistance Tool and NeedyMeds offer cost resources and information.
[1] National Average Reimbursements for Metronidazole 10 mg Injection: https://www.cms.gov/medicare-provider-charge-data/downloads/HCPCS-Common-Procedure-Coding-System-Medicare-Fee-Schedule-Historical-Data-Detail-Files [2] Understanding Drug Tiers and Cost-Sharing: https://www.healthcare.gov/glossary/drug-tier/ [3] Medicare Coverage of Metronidazole: https://www.medicare.gov/coverage/drug-coverage-part-d/drug-coverage-determination-process/drug-coverage-determination-process-for-part-d [4] Understanding Health Insurance Cost-Sharing: https://www.healthcare.gov/glossary/cost-sharing/ [5] Cost of Metronidazole Tablets: https://www.goodrx.com/metronidazole/price-comparison
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- The cost of metronidazole, especially the brand-name versions like Flagyl, can be affected by factors such as insurance coverage and insurance tiers, with generic alternatives often being less expensive.
- In the health insurance context, the formulation and dosage of metronidazole can significantly impact the out-of-pocket costs for patients, with some insurance plans reimbursing national average rates for medications like metronidazole 10 mg injection.
- Healthcare providers and insurance companies can be valuable resources for understanding the cost of products such as metronidazole gel and cream, as well as the potential financial support options available for those in need.
