Last updated: March 2026
How Much Does Brimonidine Topical Gel (Mirvaso) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Mirvaso 0.33% Topical Gel (30g) | $200 – $500 | $30 – $80 |
| Brimonidine 0.2% Ophthalmic (5mL, generic) | $10 – $30 | $0 – $10 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Tier 3 brand for rosacea; ophthalmic generic Tier 1-2
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Topical brimonidine gel (Mirvaso) treats facial redness from rosacea. Brimonidine eye drops treat glaucoma by reducing eye pressure.
Mirvaso gel costs $200 to $500 without insurance. Brimonidine eye drops are only $10 to $30 as a generic.
Some patients experience rebound redness worse than baseline when the medication wears off. Discuss this risk with your dermatologist.