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Estrace starts at $29.00 per month, while Vagifem starts at $45.00 per month 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 $29–$55 per month $45–$81 per month
Cheapest Pharmacy Costco ($28.49 per month) Costco ($44.49 per month)
Generic Name estradiol vaginal cream estradiol vaginal tablet
Route Vaginal cream Vaginal tablet
Category Menopause Menopause
ODB Coverage General Benefit General Benefit

Pharmacy Total Breakdown

Pharmacy Estrace Vagifem
Costco $28.49 per month $44.49 per month
Walmart $43.97 per month $64.97 per month
Rexall $50.99 per month $74.99 per month
Shoppers Drug Mart $54.99 per month $80.99 per month

Frequently Asked Questions

Which is cheaper, Estrace or Vagifem?
Estrace is generally cheaper, starting at $29.00 per month compared to $45.00 per month for Vagifem. The lowest price is at Costco ($28.49 per month).
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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