Last updated: March 2026
How Much Does Ivermectin Cream (Soolantra) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Ivermectin 1% Cream (generic, 45g) | $30 – $100 | $10 – $30 |
| Soolantra 1% Cream (brand, 45g) | $300 – $400 | $30 – $60 |
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 2–3 — generic available; prior authorization may be required for brand
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
Generic ivermectin 1% cream costs $30 to $100 without insurance. Brand-name Soolantra costs $300 to $400.
Topical ivermectin 1% cream is FDA-approved for treating inflammatory lesions of rosacea. It has anti-inflammatory and anti-parasitic properties.
Improvement is typically seen within 4 weeks, with continued improvement over 12 to 16 weeks of daily application. It works by reducing inflammation and Demodex mites on the skin.