How much do Rosacea Prescriptions Really Cost?

Written by on September 3, 2013 in prescriptions, Rosacea Coupons, Rosacea Fact Sheets with 53 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: David Pascoe started the Rosacea Support Group in October 1998. .

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53 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. 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. 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. 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. Stuart says

    “My insurance is Medicare/United Health which absolutely, positively will not cover the cost of oracea.

    My doctor even tried a letter to the insurers. The cost without insurance was approx $590.00 for one month’s supply (1 pill per morning).

    I now am getting Oracea through a friend in Toronto and it costs approx $185 for over two month’s supply.”

  15. 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 !

  16. 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.”

  17. 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.

  18. 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.

  19. Comment via facebook.

    “I have not taken Oracea in a while. I got a prescription today for a bad flare. I went to the pharmacy & found out it is no longer covered by my insurance without a prior authorization due to my age. I am 46 & have had rosacea for 10 years. The cash price for 30 pills was $700. Needless to say I did not get it filled.”

  20. Comment from the Efracea UK page.

    “Just arrived to the UK from the US where I was a regular user of Oracea 40mg 1/day pills. My cost for the pills worked like this: full retail cost of 30 pills was $600, my health insurance covered about $385 of that meaning I would pay the remainder of $215, finally I had a coupon from Galderma which then knocked the price down to $25. That is absolutely the only way I would buy this drug. Just before moving to the UK I asked for a 4 month supply and my doctor said yes, my health insurer said yes, but Galderma said no and would not allow the coupon to be used.

    Just went the the local GP and he knew nothing of Oracea but gave me Erythromycin (4 pills a day for a total of 122 pills for 8 pounds 20 pence.). I’ll use this up and then go back and ask for Efracea.”

  21. comment from the Soolantra reviews page.

    “I also downloaded the coupon from Galderma for $25 per prescription. If I only used my company medical insurance it would be $60 per month and with no insurance Galderma charges $250+ for a 30-gram tube per month.”

  22. The dilemma of high cost of prescriptions is critical. Our government has come up with Obama care with high deductibles, and cost prohibitive for small business, so mostly useless. They do not acknowledge a disease called Morgellons, even though physical symptoms are obvious, and studies of the disease are proven. What gives with the US government? Are they ignorant or negligent?

  23. Austin says:

    they said mine would cost 230 dollars at walmart pharmacy in stillwater oklahoma but i said f that and i just apply a very small amount of coconut oil on my face and it works over night and the dry red flaky skin is gone i also started using it in my hair and no more dandruff also makes my hair look and feel amazing

  24. Many of the meds in USA are outrageously expensive. Order from Canada. Most prescriptions are a fraction of the cost.

    • Michael T says:

      They are becoming just as expensive in Canadanow. My wife uses Metrocream.o.05 and used to pay $50.. Canadian, just this week, the price had jumped to $212 for the same thing. This is obviously a racket the drug companies are using. There is absolutely no reason metronidazole should cost that much and I’m an MD.

  25. Laney says:

    Got my first Metrogel 1% prescription filled today from Costco for $42 CAD, equivalent to $29 USD.

  26. Nancy says:

    Galderma charges $250 per month for Soolantra. Luckily my insurance company just gave authorization to cover the cost for me! For those of you trying to afford Oracea, just switch to generic Doxycycline – it is the same as Oracea. Just take a low dose 2x/day.

  27. Ever wondered how big the Finacea market is ?

    “Citing IMS Health sales data, the company (Glenmark) said for the 12 months ending December 2015, the Finacea market achieved annual sales of approximately $128 million.”

    Not bad eh?

  28. Johnny tells us that Rosiver costs $170 in Canada.

  29. Alaine Gentner says:

    Today my pharmacy wanted $600 for Oracea! My insurance, Florida Blue doesn’t cover it at all! I can’t afford this! Hopefully, the Dr. can prescribe something else

  30. Robert Petito says:

    ACUPUNTURE, rosacea cannot be cured but can be controlled. Medications only helped clear it up. My first treatment with acupuncture kept my skin clear for seven months so I decided to get a treatment after five months. Being treated for other things with acupuncture I have not had a breakout for four years. The reason is that the theory in acupuncture is everything is connected and treating one thing helps another. I am 86 years old and acupuncture has given me a new life. Pain free, good internal health avoiding distressful Western medical treatments. Try it the public know so little about it, it has irked for thousands of years. Robert Petito

  31. Comment from Janice via Facebook.

    “Soolantra (called Rosiver in Canada) works great for me, but expensive … I pay $180 for 60 g tube, not covered by any insurance plans in Canada. Come in Galderma do we really have to pay such a high price for this???”

  32. Violet says:

    Rhofade was $492 from a dermatological pharmacy. With my ChampVA I got it for 123 coupons could be used on this item because I have govt. insurance.

  33. Bonnie says:

    My metro cost $169 in Pennsylvania. My eye doc (as I gave ocular rosacea as well as skin) told me it’s cheaper in Europe. So, traveling in Spain, I found it over-the-counter (no prescription needed) for $5.00.
    Enraging!….needless to say, I got it there.
    Perhaps it’s priced similarly in Canada…

    • Michael T says:

      $169 US would equal approximately $200 in Canada. It’s a rip off. Metronidazole is an old drug that has been around a long time and there is absolutely no reason it should cost anywhere near that much. Just more racketeering from the drug industry.

  34. Anne Fine says:

    I’m on Medicare Advantage. Here in California, Metrogel 1% is a tier 4 drug and would cost me $100. I think I’ll save up for a trip to Spain….

  35. Amy says:

    I live in Australia and pay around $25 for a tube of Finacea. No prescription needed

  36. “I STILL haven’t ordered the face cream. $125. And another med I need costs the same for a different problem. Yet you pay more than $150 every month for insurance and I pay more than $130. For “insurance” we’re financially afraid to use.”

    “my GP and derm are fabulous about getting me samples because I’m unemployed and have no insurance. My Derm will give me a bag of samples good for at least 6 months, and she also discounts my office visit. I’m very lucky she’s my doc. My GP gives me samples for my diabetes and made me aware of free and low-cost drug programs by the pharms.”

    ” Mirvaso is the most expensive. Without insurance is about $500 and with insurance about half of the prices which still high…”

    “Soolantra $600 with no insurance coverage”

    “Hello all, I’ve been prescribed “Finacea gel.” The price is outrageous. Does anyone know of any coupons I could use to help lower the price? I’ve been searching online but no luck. Thank you in advance!”

    “I had been using Oracea, but last year Blue Cross stopped covering it. It was so expensive I had to quit using it.”

    ” I get Ivetmectin for 3.99 at Tractor Supply and Azeliac acid from Deciem for 7.99.”

    “Finacea in Australia $30/tube Rozex $60/tube”

    ” I managed to get finances and 1% metro through insurance after my doctor went to bat for me. Without insurance the metro was nearly $400 and the finacea nearly $500. Walgreens. They are always higher anyway, but that was crazy. I’m in Minnesota USA”

  37. Eileen says:

    I have rosacea and I’ve tried everything from expensive high end moisturizers to drugstore moisturizers. Dermalmd is the perfect moisturizer. It isn’t expensive, is sensitive enough for my skin which doesn’t like many products, and has diminished the redness and flare-ups I used to have regularly. I’ve been using the dermalmd moisturizer for nearly a year and I couldn’t be happier. Everyone has mentioned how much better my skin looks and how softer it is. I love how smooth and cooling it is and how inexpensive it is. I’ll never use another moisturizer.

  38. Debra Bellingham says:

    I am currently on an oral antibiotic 100 mg which cost me about $30.00 for a 90 day supply and Metrogel which cost about $100.00 per tube, both purchased at Walmart pharmacy. I don’t plan to continue with the oral antibiotic after the initial 90 day supply is gone; not sure yet about continuing on the Metrogel. A tube lasts about 6 weeks, so $100.00 is not a prohibitive cost for me right now. I have a high deductible Blue Cross/Blue Shield plan (which I never meet), so it does not cover the cost of prescriptions. I have had Rosacea for about 10 years, but kept it pretty much under control with diet. I had a bad breakout last fall after going on a trip and not taking my usual cleansing soap with me. After trying for 6 months to clear it up with no success I ended up going to the doctor who prescribed the oral antibiotic in conjunction with the Metrogel, which has done a great job. After finding this website I also switched to Dove soap, Jojoba oil ($10.00 for 2 oz lasts me about 6-8 weeks), and am using the Clinique Citiblock SPF 40 sunscreen, all which seem to have helped. Note: The Jojoba oil has also helped tremendously with a recurring rash on my hands. My sister keeps telling me how good my skin looks, so I’m happy with the results. I still have some redness, but it is very minor and barely noticeable. I do not eat gluten or dairy and have gone off sugar as well, but I know diet alone is not enough to keep my Rosacea under control.

  39. “Isotretinoin (accutane) really needs a private prescription in Australia and the drug is only subsidized by the government for cystic acne. The generic OROTANE 10MG- 60 capsules can generally be purchased as a private script for less than $AUD 50”

  40. I’m on minocycline. Yesterday after insurance my portion was $123.09 at Costco. This was for 90 tabs of 50 mg. This will be the last time I use this medication! Have taken it for years and at times, 100mg. In 2015 I paid $0 for my portion with this same ins. company. Now the cost is nearly $400 for the same amount of caps of 50mg! NO MORE FOR ME!

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