Proctofoam HC Is Expensive — But There Are Ways to Pay Less

If you've seen the price tag on Proctofoam HC, you might have done a double take. A single 10-gram canister of brand-name Proctofoam can cost $200 to $500 or more without insurance. Even with insurance, high copays and coverage gaps can make this medication feel out of reach.

The good news: there are real ways to lower your cost. In this guide, we'll break down exactly what Proctofoam costs in 2026 and walk you through every savings option available — from discount cards to patient assistance programs.

What Does Proctofoam HC Cost Without Insurance?

Here's what patients are paying out of pocket in 2026:

• Brand-name Proctofoam HC (10 g canister): $200 to $500+
• Generic Hydrocortisone-Pramoxine rectal foam (10 g): $80 to $200 at retail price
• Generic with a discount card: $50 to $150

Prices vary significantly from pharmacy to pharmacy. The same generic product can cost $80 at one pharmacy and $180 at another — which is why shopping around matters.

Why Is Proctofoam So Expensive?

A few factors drive the high price:

• Limited competition: Very few manufacturers produce Hydrocortisone-Pramoxine in aerosol foam form
• Complex manufacturing: Aerosol foam requires specialized equipment, pressurized canisters, and propellants
• Brand discontinuation: With the original brand largely off the market, generic pricing isn't as competitive as it could be
• Small market: Lower patient volume means manufacturers spread their costs across fewer units

For more on the supply issues, read: Why Is Proctofoam So Hard to Find?

Option 1: Prescription Discount Cards

Prescription discount cards are free to use and can significantly reduce the price of generic Proctofoam. Here are the top options:

GoodRx

GoodRx is one of the most popular prescription discount platforms. Search for "Hydrocortisone-Pramoxine foam" on goodrx.com to see prices at pharmacies near you. Savings can bring the generic foam down to $50 to $120 depending on the pharmacy.

SingleCare

SingleCare offers another set of discount pricing that sometimes beats GoodRx at specific pharmacies. Check singlecare.com for current prices. No membership or sign-up required.

RxSaver

RxSaver (rxsaver.com) compares prices across multiple discount programs and pharmacies. It's a good tool for finding the absolute lowest price in your area.

Optum Perks

Optum Perks (perks.optum.com) provides free discount coupons that work at most major pharmacy chains. Worth checking alongside GoodRx and SingleCare.

Pro tip: Always compare prices across at least 2-3 discount cards, and check multiple pharmacies. Prices can vary by $50 or more for the same product at different locations.

Option 2: Ask for Generic

If your prescription says "Proctofoam HC" (brand name), ask your pharmacist or doctor to switch to the generic: Hydrocortisone Acetate 1% / Pramoxine Hydrochloride 1% rectal foam. The generic contains the exact same active ingredients and is typically $50 to $150 cheaper than brand.

If even the generic foam is too expensive, consider asking your doctor about generic Pramosone cream (same active ingredients in cream form), which typically costs $30 to $80 with a discount card.

Option 3: Patient Assistance Programs

If you're uninsured, underinsured, or facing financial hardship, patient assistance programs may help cover all or part of your medication cost:

NeedyMeds

NeedyMeds.org maintains a database of patient assistance programs, discount drug cards, and free/low-cost clinic listings. Search for Hydrocortisone-Pramoxine to see what's available.

RxAssist

RxAssist.org is a comprehensive resource for patient assistance programs. They can help you navigate manufacturer programs and other assistance options.

RxHope

RxHope.com connects patients with pharmaceutical company assistance programs. While Proctofoam's original manufacturer doesn't have a widely advertised savings program, some generic manufacturers may offer assistance.

State Pharmaceutical Assistance Programs (SPAPs)

Many states run their own prescription assistance programs for residents who meet income requirements. Check with your state's health department or social services office to see if you qualify.

Option 4: Insurance Optimization

If you have insurance, here's how to maximize your coverage:

• Check your formulary: Call your insurance company or check their website to see if Proctofoam HC or generic Hydrocortisone-Pramoxine foam is covered and at what tier
• Request prior authorization: If your plan requires prior auth, work with your doctor's office to submit it. Include documentation that you've tried OTC options without success
• Appeal denials: If your insurance denies coverage, you have the right to appeal. Your doctor can provide a letter of medical necessity
• Ask about therapeutic alternatives: Your insurance may cover Pramosone cream or Anusol-HC at a lower copay — ask your doctor if these would work for you

Option 5: Other Ways to Save

Shop Around

Pharmacy prices vary dramatically. The same generic medication can cost 2-3 times more at one pharmacy versus another. Use Medfinder, GoodRx, or SingleCare to compare prices at pharmacies near you.

Consider Cream Instead of Foam

If foam isn't essential for your treatment, switching to a cream formulation can save significantly. Generic Hydrocortisone-Pramoxine cream (Pramosone generic) typically costs $30 to $80 — a fraction of the foam price. Discuss this option with your doctor.

Use OTC Products for Mild Symptoms

For mild symptoms, your doctor may recommend trying over-the-counter options first:

• Preparation H Hydrocortisone: $8 to $15 at most pharmacies
• Tucks Medicated Pads (Witch Hazel): $5 to $10
• Generic Hydrocortisone cream 1% (OTC): $4 to $8

These won't replace Proctofoam for moderate to severe symptoms, but they can help manage mild flare-ups at a much lower cost.

Ask About Compounding

A compounding pharmacy may be able to prepare a Hydrocortisone-Pramoxine rectal preparation for $40 to $100, depending on the formulation. This can be a good middle ground between expensive foam and basic OTC products.

Final Thoughts

Proctofoam HC doesn't have to break the bank. Between discount cards that can save you $50 to $200, generic alternatives, patient assistance programs, and smart insurance strategies, there are real ways to make this medication more affordable.

Start by comparing prices with GoodRx or SingleCare, ask about generic options, and talk to your doctor about whether a cream formulation could work. If you need help finding Proctofoam in stock, Medfinder can show you which pharmacies near you have it available right now.

For more information about Proctofoam, check out our other guides:

• What Is Proctofoam? Uses, Dosage, and What You Need to Know
• Proctofoam Side Effects: What to Expect
• Alternatives to Proctofoam