Nitroimidazole Cutaneous Antioxidant & Neutrophil ROS Scavenger • Rx

Metronidazole 0.75% / 1% Topical Gel

Brand Reference: MetroGel, Noritate

Medically Reviewed by Dr. Priya Nair, MD, FAAD (NPI #1295730425)
81.80%
Patient “Worth It”
16 verified logs
$15.80
Lowest Monthly Cash

Metronidazole 0.75% / 1% Topical Gel Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Metronidazole 0.75% / 1% Topical Gel RxNorm Concept ID 6922 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.4600 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $114.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $15.80 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $18.00 / mo 16 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Metronidazole 0.75% / 1% Topical Gel

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$15.80/mo
Wholesale Cash Price
View Wholesale Rx →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →
Board-Certified Teledermatology Compounding (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days
$ 20.00
Consult / Starting Tier
Start Online Visit →

Metronidazole 0.75% / 1% Topical Gel Clinical Pharmacology & DailyMed Monograph

RxCUI 6922 • NDC 00168-0323-45

Quenches neutrophil-derived hydroxyl radicals and hydrogen peroxide inside perifollicular dermis, interrupting oxidative tissue injury and telangiectatic rosacea papules without systemic disulfiram reactions.

CMS National Average Drug Acquisition Cost (NADAC) tracking places Metronidazole 0.75% / 1% Topical Gel (MetroGel / Noritate, RxCUI 6922) at $0.4600 per unit, whereas walk-in chain pharmacies bill cash patients an average of $114.00 monthly—creating a 86% ($98.20/mo) wholesale arbitrage spread down to $15.80.

Systemic exposure to Metronidazole 0.75% / 1% Topical Gel reflects < 25 ng/mL serum (100x below single 250 mg oral tablet) absorption kinetics and negligible systemic nitro-reduction, sustaining receptor engagement across a Local dermal half-life ~10 hours half-life window (3–4 weeks baseline redness & papule reduction response profile).

Dosing protocols (0.75% gel BID or 1% gel once daily) balance efficacy (81.80% patient satisfaction across 16 logs) against slight stinging near eyes (11% of reports), dryness (9% of reports), with strict avoidance in nitroimidazole allergy.

Half-Life
Local dermal half-life ~10 hours
Bioavailability
< 25 ng/mL serum (100x below single 250 mg oral tablet)
Metabolism & Clearance
Negligible systemic nitro-reduction
Clinical Onset
3–4 weeks baseline redness & papule reduction

Standard Adult Titration & Dosages

0.75% gel BID 1% gel once daily

Absolute & Relative Contraindications

  • Nitroimidazole allergy

Logged Side-Effect Incidence (16 Reports)

Slight stinging near eyes 11%
Dryness 9%

Metronidazole 0.75% / 1% Topical Gel Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 16 verified cash-pay logs, Metronidazole 0.75% / 1% Topical Gel achieves a 81.80% Worth-It rating with out-of-pocket spend averaging $18.00/mo versus $114.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 0.75% gel BID • Paid: $13.90/mo via Cost Plus Drugs
Slight stinging near eyes

Switched to Cost Plus Drugs at 0.75% gel BID for Metronidazole 0.75% / 1% Topical Gel; monthly out-of-pocket dropped to $13.90 compared with $114.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 1% gel once daily • Paid: $16.12/mo via TeleMed

Completed 10 weeks on Metronidazole 0.75% / 1% Topical Gel (1% gel once daily). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 0.75% gel BID • Paid: $18.33/mo via Compounding
Slight stinging near eyes

Consistent biomarker response on 0.75% gel BID Metronidazole 0.75% / 1% Topical Gel sourced via Compounding ($18.33/mo cash pay without insurance prior authorization).