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Metronidazole

Brand names: Metronidazole, Noritate, Nuvessa, Vandazole

Nitroimidazole Antimicrobial Vaginal

At a glance

Medicare prescriptions, 2024
1,008,442
Medicare drug cost
$33.1M
Average cost per prescription
$32.87
Clinicians who prescribed it
42,733

Where it is prescribed

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List the prescribers in any state, county, city or ZIP code →

What it is used for

VANDAZOLE ® is indicated in the treatment of bacterial vaginosis (formerly referred to as Haemophilus vaginitis, Gardnerella vaginitis, nonspecific vaginitis, Corynebacterium vaginitis, or anaerobic vaginosis) in post-menarchal females.

From the FDA-approved prescribing information (label dated December 2025). Full labels on DailyMed (opens in a new tab)

Who prescribes it

All prescribers, by place, name or specialty →

Share of Medicare prescriptions written by each specialty. Select one to list its prescribers.

Trend, 2019–2024

Medicare prescriptions rose 6% from 2019 to 2024.

Medicare Part D prescriptions per year, all prescribers
  • 20192,135,467
  • 20201,969,720
  • 20212,044,190
  • 20222,017,499
  • 20232,106,632
  • 20242,265,114

Biggest change by state since 2019

  • Utah +22%
  • Minnesota +21%
  • Idaho +17%
  • Washington +16%
  • New Hampshire +14%
  • Tennessee (smallest change) −4%
  • Kentucky (smallest change) −2%

From CMS’s yearly state and national Part D summaries, which count every prescriber, including those CMS leaves out of its per-clinician data (fewer than 11 prescriptions). That is why these totals are higher than the count at the top of this page. Prescriptions include refills.

What it looks like

Pills from 3 makers on file. The same medicine can look different depending on who made it, so check the imprint (the letters and numbers on the pill) with your pharmacist if a refill looks different.

Evereen Shanghai Biotechnology Ltd.

StrengthLooks likeImprint
1 kgwhite powder

Remedyrepack Inc.

StrengthLooks likeImprint
500 mgwhite oval tablet, 18 mmU 227

Upsher-Smith Laboratories, LLC

StrengthLooks likeImprint
7.5 mgyellow gel

Source: DailyMed (U.S. National Library of Medicine), from each maker’s FDA drug listing. A few makers are shown, not every one. Never take a pill you can’t identify; ask a pharmacist.

Industry payments about this drug

Drug makers reported $661 in payments to clinicians that named this drug in 2025 (meals, speaking, consulting and similar).

  • Exeltis, USA Inc. $661

See all companies →

Source: CMS Open Payments, general payments (not research), program year 2025. A payment is not evidence of wrongdoing. Payments by doctor

Recalls and shortages

On the FDA shortage list now

  • Flagyl I.v. Rtu In Plastic Container, Injection, 500 mg/100 mL (NDC 0338-1055-48) (Baxter Healthcare)
  • Metronidazole in Flexible Container, Injection, 500 mg/100 mL (NDC 0409-0152-24) (Inforlife SA)
  • Metronidazole, Injection, 500 mg/100 mL (NDC 25021-131-82) (Inforlife SA)
  • Metronidazole In Plastic Container, Injection, 500 mg/100 mL (NDC 47335-993-01) (Gland Pharma Limited)

No FDA-reported recalls since 2020.

Sources: CMS Medicare Part D Prescribers by Provider and Drug (2024; prescriptions include refills, and CMS hides counts under 11 per prescriber); U.S. Food and Drug Administration, openFDA (drug labels, NDC directory, enforcement reports, drug shortages); CMS Open Payments 2025; ClinicalTrials.gov. General information only, not medical advice; not yet reviewed by our medical reviewer.