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Estrace starts at $28/mo, while Vagifem starts at $45/mo in Canada. Estrace contains estradiol vaginal cream, while Vagifem contains estradiol vaginal tablet. Last updated: 2026-02-26.

Head-to-Head Comparison

Estrace Vagifem
Price Range $28–$48/mo $45–$72/mo
Cheapest Pharmacy Costco ($24.00/mo) Costco ($40.00/mo)
Generic Name estradiol vaginal cream estradiol vaginal tablet
Route Vaginal cream Vaginal tablet
Category Menopause Menopause
ODB Coverage General Benefit General Benefit

Pharmacy Price Breakdown

Pharmacy Estrace Vagifem
Costco $24.00/mo $40.00/mo
Walmart $34.00/mo $55.00/mo
Rexall $38.00/mo $62.00/mo
Shoppers Drug Mart $42.00/mo $68.00/mo

Frequently Asked Questions

Which is cheaper, Estrace or Vagifem?
Estrace is generally cheaper, starting at $28.00/mo compared to $45.00/mo for Vagifem. The lowest price is at Costco ($24.00/mo).
What is the difference between Estrace and Vagifem?
Estrace (estradiol vaginal cream) and Vagifem (estradiol vaginal tablet) are different medications in the menopause category. Estrace is a vaginal cream, while Vagifem is a vaginal tablet.
Is Estrace or Vagifem covered by provincial drug plans?
Estrace: General Benefit on the Ontario Drug Benefit formulary. Vagifem: General Benefit on the Ontario Drug Benefit formulary.

Last updated: 2026-02-26

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