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EXTINA vs VAGISTAT-1

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 21, 2026·How we rate

Rating

72/100
New

Pharmacy pays

$0.27 /g
$2.41 /g

Type

RX
OTC

Active ingredient

KETOCONAZOLE
TIOCONAZOLE

Manufacturer

Dosage forms

Spray/Inhaler, Topical
Topical

Drug class

Azole Antifungal
Azole Antifungal

Boxed warning

None
None

Treats

Blastomycosis, Chronic Mucocutaneous Candidiasis, Cutaneous Candidiasis
Vulvovaginal Candidiasis

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Frequently asked questions

Which is cheaper, Extina or Vagistat-1?

Extina costs pharmacies less to acquire — about $0.27 vs $2.41 per gm, per the CMS NADAC survey. That gap is in the pharmacy's cost of goods, not necessarily in what you pay: your price is set afterwards by your insurer and the pharmacy.

What is the difference between Extina and Vagistat-1?

Extina contains Ketoconazole, while Vagistat-1 contains Tioconazole — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.