How to Help Your Patients Find Soolantra in Stock: A Provider's Guide [2026]

Prescribing Soolantra (ivermectin 1% cream) to a rosacea patient is the first step. The second—and often more difficult—step is ensuring they can actually get it. High retail prices, insurance step therapy requirements, and inconsistent pharmacy stocking mean that prescription abandonment is a real and common outcome for Soolantra.

This guide is designed for dermatologists, primary care physicians, nurse practitioners, and physician assistants who prescribe Soolantra. It covers what's causing access issues, how to anticipate them, and the tools and resources that can meaningfully improve prescription fill rates.

Why Patients Don't Fill Soolantra Prescriptions

Before diving into solutions, it helps to understand the barriers. When patients don't fill Soolantra, it's usually because of one or more of the following:

Sticker shock at the pharmacy. Brand-name Soolantra can ring up at $378–$974+ for a 45g tube. Patients who weren't warned about cost frequently walk away.

Insurance denial. Step therapy and prior authorization requirements block many patients before the prescription is even filled.

Pharmacy out of stock. Not all pharmacies stock Soolantra or generic ivermectin cream. Patients who go to their usual pharmacy and find it unavailable may not know to call others.

Step 1: Set Cost Expectations at the Point of Prescribing

The single most effective intervention is a brief conversation about cost before the patient leaves your office. Let patients know:

Soolantra is expensive without insurance or without a coupon

With a GoodRx or SingleCare coupon, generic ivermectin 1% cream can cost around $93–$101 for a 45g tube

Galderma CAREConnect (855-280-0543) offers patient assistance for eligible patients

You have samples available if the patient needs time to arrange payment

Step 2: Streamline Prior Authorization Requests

Many practices lose PA requests through incomplete submissions. A well-prepared PA submission for Soolantra should include:

ICD-10 code: L71.9 (Rosacea, unspecified) or L71.0 (Perioral dermatitis), L71.1 (Rhinophyma), L71.8, or L71.9 as appropriate

IGA score documenting moderate (3) or severe (4) rosacea at time of prescribing

Documented treatment history: dates, durations, and outcomes of trials of metronidazole topical and/or azelaic acid

Clinical rationale if requesting Soolantra as first-line (e.g., allergy, contraindication to alternatives, or severe disease requiring most effective agent)

Step 3: Help Patients Find a Pharmacy That Stocks It

Once cost and insurance are addressed, the next barrier is locating a pharmacy with Soolantra in stock. Consider adding pharmacy access support to your checkout or after-visit summary process:

Direct patients to call ahead before going to their pharmacy

Recommend GoodRx to check which nearby pharmacies carry it and at what price

Recommend medfinder: medfinder calls pharmacies near the patient to find which ones have the prescription in stock, then texts results to the patient. This eliminates the need for patients to call around themselves.

For patients in rural or underserved areas, recommend mail-order pharmacy as a reliable supply channel

When to Switch or Step Down: Clinical Considerations

If a patient cannot access Soolantra despite your best efforts, a brief bridge course of an alternative may be appropriate. Topical metronidazole 0.75–1% or azelaic acid 15% gel are effective and widely available. For patients with moderate-to-severe inflammatory disease, an oral course of doxycycline provides additional control while longer-term access is arranged.

Resources to Share with Patients

medfinder.com — calls pharmacies near you to find Soolantra in stock

GoodRx.com — compare Soolantra/generic ivermectin prices at pharmacies near them

Galderma CAREConnect: 855-280-0543

How to Save Money on Soolantra — detailed savings guide for patients

Learn more about how medfinder can support your practice at medfinder.com/providers.