Latisse Shortage: What Providers and Prescribers Need to Know in 2026

Updated:

February 16, 2026

Author:

Peter Daggett

Summarize this blog with AI:

A provider-focused update on Latisse availability in 2026. Current supply status, prescribing alternatives, patient access challenges, and tools to help your patients.

Provider Briefing: Latisse Availability in 2026

If your patients are reporting difficulty filling their Latisse (Bimatoprost 0.03%) prescriptions, you're hearing a common complaint. While Latisse is not currently listed on the FDA's drug shortage database, the medication's unique position as a cosmetic prescription product creates persistent access challenges that affect patient satisfaction and treatment adherence.

This article provides a concise overview of the current availability landscape, prescribing considerations, cost factors, and practical tools to help your patients access Bimatoprost-based eyelash treatments in 2026.

Timeline: Latisse Availability History

Understanding the trajectory of Latisse's availability helps contextualize current challenges:

  • 2001: Bimatoprost receives FDA approval for intraocular pressure reduction (marketed as Lumigan)
  • 2008: FDA approves Latisse (Bimatoprost 0.03%) specifically for treatment of eyelash hypotrichosis — the first and still only FDA-approved treatment for this indication
  • 2020s: Generic Bimatoprost 0.03% becomes available from multiple manufacturers, expanding access and reducing costs
  • 2025–2026: No formal shortage. Availability challenges persist due to pharmacy stocking patterns and the cosmetic classification of the product

Latisse has not experienced significant manufacturing or supply chain disruptions. The availability issues patients encounter are predominantly distribution-related rather than supply-related.

Prescribing Implications

The availability landscape has several practical implications for prescribers:

Generic Substitution

Generic Bimatoprost 0.03% is therapeutically equivalent to brand-name Latisse and is available from multiple manufacturers. For most patients, prescribing generic Bimatoprost offers two key advantages:

  1. Better pharmacy availability: Generic formulations are more widely stocked at retail pharmacies
  2. Significantly lower cost: Generic Bimatoprost can be obtained for $58–$62 with a coupon versus $180–$280 for brand-name Latisse

Unless a patient specifically requires brand-name Latisse (e.g., for the included sterile applicators or patient preference), generic Bimatoprost is a practical first-line choice.

Off-Label Considerations

Some providers prescribe Lumigan (Bimatoprost 0.01%) off-label for eyelash enhancement. While this contains the same active ingredient, the lower concentration (0.01% vs. 0.03%) may produce less robust results. Latisse's 0.03% formulation is the only concentration with FDA approval for the eyelash hypotrichosis indication.

Drug Interactions

Key prescribing considerations include:

  • Concurrent use with IOP-lowering prostaglandin analogs (Latanoprost, Travoprost, Tafluprost) may decrease the IOP-lowering effect or cause paradoxical IOP elevation. Monitor glaucoma patients closely.
  • Patients using multiple ophthalmic medications should separate administration by at least 5 minutes.

For a comprehensive review of interactions, see our article on Latisse drug interactions.

The Availability Picture

Current availability challenges stem from several interconnected factors:

Pharmacy Stocking Patterns

Major chain pharmacies (CVS, Walgreens, Walmart) frequently do not stock Latisse as a regular inventory item due to its cosmetic classification and variable demand. Patients may need to request special orders or seek alternative dispensing sources.

Distribution Channels

AbbVie's distribution strategy for Latisse is weighted toward aesthetic practices — dermatology offices, plastic surgery clinics, and medical spas. Providers who dispense in-office may have more reliable supply access than those who rely solely on retail pharmacy networks.

Insurance Coverage Gap

The cosmetic classification means most commercial and government insurance plans exclude Latisse from formulary coverage. This removes a key driver of pharmacy stocking decisions and places the full financial burden on patients. Some plans may provide coverage with prior authorization for documented medical hypotrichosis (e.g., alopecia areata, chemotherapy-induced lash loss).

Cost and Access in 2026

Current pricing for patients paying out of pocket:

  • Brand-name Latisse (5 mL): $180–$280 average retail price
  • Generic Bimatoprost 0.03% (5 mL): $35–$130 retail; $58–$62 with coupon cards (GoodRx, SingleCare)
  • Allē Program: AbbVie's patient loyalty program offers $30 off brand-name Latisse
  • Patient Assistance: The Allergan Patient Assistance Program (through AbbVie) provides medications at no cost to qualifying low-income patients

Directing patients to savings resources can significantly improve adherence. For a comprehensive savings guide suitable for patient handouts, see how to save money on Latisse.

Tools and Resources for Providers

Several tools can help you support patients navigating availability challenges:

Medfinder for Providers

Medfinder offers real-time pharmacy availability data that can help you and your staff direct patients to pharmacies that have Bimatoprost in stock. This eliminates the common scenario where patients visit multiple pharmacies or make numerous phone calls trying to locate their medication.

In-Office Dispensing

If your practice doesn't already dispense Latisse, consider adding it. In-office dispensing eliminates pharmacy availability concerns entirely and can improve patient experience and treatment initiation rates. Contact your AbbVie/Allergan representative for wholesale pricing and supply arrangements.

Telehealth Integration

For follow-up visits and refill management, telehealth platforms can streamline the prescribing process and connect patients directly with mail-order pharmacy fulfillment. This is particularly valuable for patients in areas with limited pharmacy options.

Patient Education Resources

Point your patients to these resources for self-service support:

Looking Ahead

The Latisse availability landscape is unlikely to change dramatically in the near term. As a cosmetic prescription product without broad insurance coverage, it will continue to occupy a unique space in the pharmacy ecosystem. However, several trends favor improved patient access:

  • Generic competition continues to expand, driving prices down and improving pharmacy availability
  • Telehealth prescribing with direct-to-patient shipping is becoming mainstream
  • Real-time availability tools like Medfinder reduce the friction patients face in locating their medication

Final Thoughts

Latisse availability challenges are real but manageable. Prescribing generic Bimatoprost when appropriate, connecting patients with savings programs, and leveraging tools like Medfinder can meaningfully improve patient access and satisfaction. For a complementary guide focused on practical steps, see our article on how to help your patients find Latisse in stock.

Is Latisse currently on the FDA drug shortage list?

No, Latisse (Bimatoprost 0.03%) is not listed on the FDA's drug shortage database as of early 2026. The availability challenges patients report are related to pharmacy stocking decisions and the product's cosmetic classification rather than manufacturing or supply chain shortages.

Should I prescribe brand-name Latisse or generic Bimatoprost?

For most patients, generic Bimatoprost 0.03% is the practical first-line choice. It's therapeutically equivalent, more widely available at retail pharmacies, and significantly less expensive ($58–$62 with a coupon vs. $180–$280 for brand-name). Brand-name Latisse may be preferred by patients who want the included sterile applicators.

Can I prescribe Lumigan off-label for eyelash growth?

Lumigan (Bimatoprost 0.01%) is sometimes prescribed off-label for eyelash enhancement since it contains the same active ingredient. However, the lower concentration may produce less robust results than the 0.03% concentration in Latisse. Additionally, concurrent use with IOP-lowering prostaglandin analogs requires monitoring for paradoxical IOP changes.

What patient assistance programs are available for Latisse?

AbbVie offers the Allergan Patient Assistance Program (PAP) which provides medications at no cost to qualifying low-income patients. The Allē loyalty program offers $30 off brand-name Latisse. Coupon cards from GoodRx and SingleCare can reduce generic Bimatoprost costs to $58–$62 per fill.

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