Last updated: March 2026
How Much Does Terbinafine (Lamisil) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 250mg Tablets (30-day) | $15 – $60 | $0 – $20 |
| 250mg Tablets (90-day for toenail) | $40 – $120 | $10 – $30 |
| Topical Cream 1% (30g) | $8 – $20 | $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: Covered as generic Tier 1; oral form requires prior auth on some plans
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
Toenail fungus treatment typically requires 12 weeks (84 days) of oral terbinafine 250mg daily, costing $40 to $120 without insurance.
Yes, Lamisil cream (terbinafine 1%) is available over the counter for $8 to $15. The oral tablets require a prescription.
Yes, your doctor may order liver function tests before and during treatment, which can add $50 to $200 in lab costs.