How much do Rosacea Prescriptions Really Cost?

Written by on September 3, 2013 in coupons, fact sheets, prescriptions with 19 Comments

You don’t have to read the online rosacea forums for very long to see the outrage at how much rosacea sufferers, especially in the US, pay for Rosacea Prescriptions.

If you want to try Metrogel 1%, Oracea or Finacea what might you expect to pay?

The answer is actually not straight forward. A lot will depend on which country you live in and and what sort of medical insurance you have access to.

A lot will also depend on whether generic copies of the treatment are available.

Some prescriptions also have rebate programs where for a period of time the out of pocket cost for a prescription fill is reduced.

Rosacea Sufferers Missing Out?

Does the expense of a prescription stop you from using a treatment that you really need ?

Prescription Insurance Working?

Can you use your insurance to get hold of the prescriptions you need?

Example Prescription Costings

LoisAnne wrote:

I recently asked for a new prescription for generic metronidazole and for Finacea from my dermatologist and when I went to pick them up I was totally blown away by the cost! Fortunately I have a medicare prescription insurance plan so my out of pocket cost for each of these was $40. However, the paper I was given said that the metronidazole would have been over $300 and the Finacea would have been over $200. Is that accurate??

Thomas Barrows, MD wrote:

I was spending a little over $200 a month on Oracea and I found that it worked very well. However, I switched to once a day dosing of generic Doxycycline 100 mg and find the results are the same and it now only costs me about $5 a month for therapy.

Sarah G wrote:

I’d be willing to pay up to $100/month (still way overpriced) for Oracea. However, they insist on charging well over $300. Right now I have a card from the manufacturer to get the meds for $25 month for the next year or so…so they get me liking it so I stay on it. I still won’t be able to afford $300.

Adana wrote:

I have now used up the Oracea card that allowed me to get the Oracea 3 times and today the pharmacy wanted $86 for a 30/day supply. Not sure what I’m going to do at this point.

Rory wrote:

… for a one month supply of Oracea and I can get it in Germany for 48 euro. And thats for a box of 56 capsules, almost 2 months worth.

Sue says via email:

Today at Walmart in LA they wanted $485 for a 30 day supply of Oracea. Guess I will take 50 mg of doxycycline. What Galderma charges for oracea is criminal in my opinion.

How Much Did You Pay ?

Please would you let us all know how much you paid for your latest prescription.

This will be a great help to other sufferers who are thinking about embarking on a new regime. Thanks so much.

I’m sure a lot of people are especially waiting to find out just how much a Mirvaso Prescription costs.

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About the Author

About the Author: David Pascoe started the Rosacea Support Group in October 1998. .


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19 Reader Comments

  1. cathy says:

    I pay 76.oo a month for doxy 100mg once a day.

    it is generic, and that is the negotiated price through my Blue Cross Blue Shield plan in Florida. I have a huge deductible before my insurance copays start kicking in.

    Finacea would have been about 120..00 negotiated price per tube, so I order from epharmacy in australia for about 25.00 a tube plus about 25.00 shipping. i get several tubes at a time.

    metrocream was somewhere around 100.00 for a tube.

    tretinoin .025 was a steal at about 30.00 a tube.

    last year my doxy price was incredibly lower, and it used to be on a list of free antibiotics that PUblix supermarket would provide. but no longer. gee, i wonder why?

    I guess with all the new branded formulations of doxy (oracea, doryx) by greedy pharmaceutical companies, the doxy manufacturers are loathe to let it out the door for the old price. that’s my opnion.

  2. cathy says:

    by the way, the finacea is available without prescription from Australia.

  3. L Ann says:

    My latest prescription is Eurax 10% lotion. My HMO (Kaiser Permanente) does not have it in their formulary and refuse to add it ( I tried). It cost $102 for a small bottle. It works better than anything I have ever been prescribed or tried on my own, such as tea tree oil, which it very drying. I have had rosacea for 40 years. I had to go out of network to a dermatology clinic to get this prescribed as the Kaiser dermatologist refused my request.

  4. Suegram says:

    Currently on topical metronidazole, and the special Medicare Insurance Plan I have brings the cost down to $2.65. I feel incredibly thankful because otherwise I would not be able to afford this medication. I expect to be placed on “Doxy” when I see the doctor at the next appointment. I took it last year for about six months and it did a great job of clearing things up. I’m appalled at the prices Big Pharma charges.

  5. Charles says:

    I copaid $20 for a tube of 1% Metrogel, years ago when I had real health insurance. I am so poor now that I am on state paid health insurance, a small step up from Medicaid. They used to cover generic 0.75% Metronidazole, for $40 a tube. Then a year ago, they dropped coverage entirely, saying they wouldn’t cover “cosmetic” prescriptions. The generic .75 cost $200. I couldn’t afford it. Fortunately, it is covered under a Patient Assistance Program and I get the brand name 1% Metrogel for free.

  6. johntissington says:

    I get Finacea for free as I am over 60 years old. It was around $7 before that.
    I live in the UK where access to medical care is for all rather than those who can afford to pay.

  7. Marya Tietz says:

    I used oracea for several years but my insurance company stopped paying. I would have had to pay $525 per month so I stopped taking oracea and crossed my fingers. Surprisingly my skin stayed healthy with little flushing and no breakouts. However, I do continue to take 50 mg of spironolactone and use financea nightly on my chin. Both of these products are covered by my insurance; there is no charge for the spiro and $75 for the financea.

  8. David Pascoe says:

    Response via email from the RSG.

    • From FG: Hi, In Wales we don’t pay for NHS prescriptions these days. If I were to have a private prescription from my IPL dermatologist, it would be a different matter!
    • From GS: I am on Medicare, and I pay for my own health insurance supplement. SS advised me that I qualified for special assistance with prescriptions, so I pay $2.65 per prescription no matter what it is. That is what I paid for the metrodiazole (sp?) ointment that I use daily. I feel blessed after seeing what others are paying and what the cost for that medication is!!!
    • From FR: I order the rifaximin from Canada and got 100 pills for at that time $54.00 but believe they are a little higher to get now. Better then the $600. & $700. that Walmart & Costco wanted for 64 pills. Took about 3 weeks to get them.
  9. Andy Smith says:

    Every time I see some Republican blow hard lambasting the NHS or some other national health scheme, I remember these articles. I pay about £7-8 quid for my prescription, however north of the border a friend in Scotland gets it all free, including over the counter emolients such as E45 etc. U.s healthcare is a dispicable over priced profit machine

  10. David Pascoe says:

    Not that this is a rosacea product, namely for acne but “Epiduo combines benzoyl peroxide, with a prescription product, adapalene. At Walgreen’s it has retail price of $332 for a 45 gram supply, which can last three months. That is the price for someone without insurance paying with cash.”

  11. David Pascoe says:

    and again “Ziana, which also won an AARS (American Acne and Rosacea Society) level recommendation in the guidelines has a retail price of $743 for 60 grams at Walgreen’s.”

    Acanya, has a retail price of $426 for 50 grams. It too is marketed by the Medicis division of Valeant. Acanya combines benzoyl peroxide with the topical antibiotic, clindamycin gel. If those two components were bought separately the cost would be less than $140.

  12. michael says:

    I have tried Oracea and doxycline but did not work that well. Finacea is way too expensive. But my dermtalogist got me taking Moxocin or generic Monocycline 100mg twice a day and really keeps my rosacea away. I do use metro cream not the gel at times.

  13. Carol Rea says:

    My Finacea was around $200 when I bought it the last time in November – I’m in Southern California. Since it works very well for me, I don’t have to use it regularly and it lasts me quite a while so I didn’t mind the expense too much. The good news is that this web site – – provides a card to download that saved me quite a bit recently on my daily arthritis meds so I looked up Finacea on the web site and found it around $60 less, twice the savings that the Finacea coupon/card my dr. gave me. Worth a try for Finacea and other meds.

  14. David Pascoe says:

    I thought this claim was interesting.

    “According to IMS Health, US sales for branded metronidazole 1% topical gel were USD 110 million for the 12 months ending in April 2013.”

    So Metrogel 1% is responsible for almost $10 million in sales per month !

  15. David Pascoe says:

    Comment via email.

    “I have been using the Rosula/ Sodium Sulfacetamide cleanser for at least the past 10 years. I needed a refill and discovered that Medicare considers this cleanser as being “not FDA approved” and they will not pay for it. For me to buy it and pay out of pocket would cost $238. I will do without or go to Mexico where it is a LOT cheaper.”

  16. Karla says:

    I had been using Finacea for about 5 years, but recently switched employers and, therefore, insurance carriers. When I went about 2 months ago to get my prescription filled, I found that I had to pay the full $200+ for it, which I declined. I then went on line and tried to order from Australia but that did not go well. I finally gave up and decided to live with it for the most part. I now use a mask of Milk of Magnesia once in awhile, and use sea buckthorn oil but that does not help much.

  17. A L M says:

    Metrogel .1% is about $300 USD at Costco, the lowest price in my metropolitan area. I was able to get a prescription, but decided to pay the light bill instead of medicine.

    When quoting the cost of medicine as $20, or $40 or whatever, that is neither true nor relevant. The pharmacy charges SOMEONE the full price. And someone, somewhere is PAYING it even if it isn’t you.

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