Last updated: March 2026
How Much Does Pimecrolimus (Elidel) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Pimecrolimus 1% Cream (30g) | $200 – $350 | $30 – $60 |
| Pimecrolimus 1% Cream (60g) | $350 – $500 | $50 – $80 |
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 — prior authorization and step therapy typically required; limited generic availability
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
Pimecrolimus (Elidel) costs $200 to $500 without insurance depending on tube size. Generic availability is limited.
Pimecrolimus is a non-steroidal cream used for mild-to-moderate eczema (atopic dermatitis). Like tacrolimus, it is a calcineurin inhibitor that modulates the immune response.
Pimecrolimus is generally considered less potent than tacrolimus and is used for milder eczema. Tacrolimus is preferred for moderate-to-severe cases. Both avoid steroid side effects.