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Estrace is listed at $29.00 per tube, while Vagifem is listed at $45.00 per pack in Canada. These listed prices use different bases, so compare final cost using the prescribed dose and fill quantity. Estrace contains estradiol vaginal cream, while Vagifem contains estradiol vaginal tablet. Last updated: 2026-02-26.

Head-to-Head Comparison

Estrace Vagifem
Listed Price Basis per tube per pack
Price Range $29–$55 per tube $45–$81 per pack
Cheapest Pharmacy Costco ($28.49 per tube) Costco ($44.49 per pack)
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 tube $44.49 per pack
Walmart $43.97 per tube $64.97 per pack
Rexall $50.99 per tube $74.99 per pack
Shoppers Drug Mart $54.99 per tube $80.99 per pack

Frequently Asked Questions

Which is cheaper, Estrace or Vagifem?
Estrace and Vagifem are listed on different price bases, so the listed prices are not directly comparable. Estrace ranges $29–$55 per tube; Vagifem ranges $45–$81 per pack. Compare final cost using the prescribed dose and fill quantity.
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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