Soolantra listed at $275 a tube

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 treatmentCost Per Pack ($)Pack SizeDaily Dosing
(Mean ± SD)
Cost Per Day ($)
Azelaic acid 15% gel BID236.1250 grams1.31 ± 0.62 grams6.19
Ivermectin 1% cream QD275.00 30 grams0.72 ± 0.30 grams6.60
Metronidazole 0.75% cream BID174.5745 grams1.31 ± 0.62 grams5.08

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.

Pricing Pearls

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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About the Author

About the Author:

David Pascoe started the Rosacea Support Group in October 1998.

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4 Reader Comments

  1. Lori S. says:

    Just FYI – I get a generic Metronidazole gel 1%. It is definitely generic, says on the box, “manufactured by TOLMAR Inc. for Sandoz Inc.” I have insurance, so I don’t pay full price, but looking at the Good Rx site, it runs anywhere from $104 to $270 for a 60 ml. tube (and you can get coupons for it on that site that reduce that price). See: http://www.goodrx.com/metrogel I am in the U.S., in case that matters.

    • Lori S. says:

      Apologies: I gave the wrong prices in my comment. If you go to the Good Rx site, you have to choose the 1% concentration (the 0.75% is the default and that is what I looked at). The prices for 1% are a lot higher, running around $275-300 for 60 ml.. The site does offer coupons for significant discounts, though.

  2. Pat says:

    Coupons are only for p e pole with insurance. No help for cash p patients.

  3. Leslie says:

    For the second time I got soolantra for only $25!! My insurance would not cover it, so I was able to get that deal from a pharmacy that my dermatologist sent the RX to… It came in a day by mail. It changed my life… my face anyway, within a couple days of using it, it totally cleared up the scaly flaking skin, redness, eruptions, … I rarely use it now.. as the rosacea just cleared up!… But got the second tube in case that good deal goes away in the future! I’m sold on it!!! The only thing that’s worked in 20 years of Rosacea suffering!

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