A recently published paper that seeks to compare the long term, shall we say, `total cost’ of Soolantra, Finacea and Metrogel 0.75%, has given us a window into official listed prices for these prescription items.
The following table is from this paper – Cost-Effectiveness of Ivermectin 1% Cream in Adults with Papulopustular Rosacea in the United States and shows the base pricing information used for their analysis.
Soolantra and Finacea Pricing
|Topical treatment||Cost Per Pack ($)||Pack Size||Daily Dosing|
(Mean ± SD)
|Cost Per Day ($)|
|Azelaic acid 15% gel BID||236.12||50 grams||1.31 ± 0.62 grams||6.19|
|Ivermectin 1% cream QD||275.00||30 grams||0.72 ± 0.30 grams||6.60|
|Metronidazole 0.75% cream BID||174.57||45 grams||1.31 ± 0.62 grams||5.08|
The drug costs for ivermectin 1% cream once-per-day, metronidazole 0.75% cream twice-per-day, and azelaic acid 15% gel twice-per-day per pack and pack size were sourced from a prescription drug pricing report for the year 2014, which provided the wholesale acquisition cost in the United States [ref].
We know that Finacea has only increased in price since 2014, now costing $284 a tube.
This is good confirmation that Soolantra is currently running at $275 USD for a 30gm tube.
Metrogel 0.75% Pricing
In order to arrive at the cost of $174.57, the study used a weighted average cost of 5 generic and branded versions of metronidazole 0.75% cream was used, taking into account market share as calculated from a U.S. claims database of patients with rosacea (Symphony Health Solutions).
The 5 generic and branded Metronidazole products were: Metrocream from Galderma and generic metronidazole from Fougera, Actavis Pharma, G&W Labs, and Harris Pharm.
We know that Metrogel 1%, which is still protected from generics by patents owned by Galderma, costs around $300 USD per 55gm pump.
The un-insured full list price for rosacea prescriptions are hard to come by. Mostly we have relied on word of mouth for this information. Even that is unreliable, because this full-price is unlikely to be actually paid by many – they are just off the scale expensive.
So this official analysis of rosacea prescription pricing is valuable data for those seeking a treatment path with their doctor.
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