Why Is Ciprofloxacin/Hydrocortisone So Hard to Find? [Explained for 2026]

Updated:

February 17, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Struggling to find Ciprofloxacin/Hydrocortisone ear drops? Learn why Cipro HC Otic is hard to find in 2026 and what you can do to get your prescription filled.

If You're Struggling to Find Ciprofloxacin/Hydrocortisone, You're Not Alone

You've got an ear infection that's driving you crazy. Your doctor wrote a prescription for Ciprofloxacin/Hydrocortisone ear drops (also known as Cipro HC Otic), and now you're being told the pharmacy doesn't have it in stock. Sound familiar?

You're not the only one dealing with this frustration. Ciprofloxacin/Hydrocortisone has been one of the harder ear drop medications to track down in recent years. In this article, we'll explain exactly why it's been so difficult to find and what you can do about it in 2026.

What Is Ciprofloxacin/Hydrocortisone?

Ciprofloxacin/Hydrocortisone is a prescription ear drop (otic suspension) used to treat acute otitis externa, commonly known as swimmer's ear. It combines two active ingredients:

  • Ciprofloxacin — a fluoroquinolone antibiotic that kills the bacteria causing your ear infection
  • Hydrocortisone — a corticosteroid that reduces swelling, itching, and pain in the ear canal

The brand-name version is called Cipro HC Otic, and it comes as a 10 mL bottle of otic suspension. The typical dose is 3 drops in the affected ear twice daily for 7 days.

It's commonly prescribed by ENT specialists, pediatricians, primary care doctors, and urgent care providers. To learn more about how this medication works, check out our guide on how Ciprofloxacin/Hydrocortisone works.

Why Is Ciprofloxacin/Hydrocortisone So Hard to Find?

There are several reasons this ear drop has been difficult to locate at pharmacies. Here are the main factors:

1. It Was a Single-Source Brand Product for Over 27 Years

Cipro HC Otic was originally approved by the FDA in 1998. For more than 27 years, it was only available as a brand-name product with no generic alternative. When only one manufacturer makes a drug, any supply hiccup — from raw material shortages to manufacturing delays — can make the medication hard to find nationwide.

2. A Generic Was Only Just Approved in Late 2025

The good news is that the FDA approved the first-ever generic version of Cipro HC in December 2025, manufactured by Cosette Pharmaceuticals. This generic Ciprofloxacin/Hydrocortisone otic suspension has 180 days of competitive generic therapy (CGT) exclusivity, meaning Cosette is currently the only generic manufacturer. While this is a major step forward, it takes time for a new generic to fully penetrate the market and reach all pharmacy shelves.

3. It's a Niche Product With Limited Demand

Unlike medications that millions of people take every day (like blood pressure pills or diabetes drugs), Ciprofloxacin/Hydrocortisone ear drops are used for a specific condition — acute otitis externa. Because demand is relatively low, pharmacies may not keep it consistently in stock. They often need to special-order it.

4. Seasonal Demand Spikes

Swimmer's ear is more common during summer months when people are spending time in pools, lakes, and oceans. This seasonal spike in prescriptions can create temporary shortages, especially at pharmacies that don't carry large inventories of otic medications.

What You Can Do to Get Your Prescription Filled

If you're having trouble finding Ciprofloxacin/Hydrocortisone, don't give up. Here are some practical steps:

Use Medfinder to Check Pharmacy Availability

Medfinder helps you search for medications that are in stock at pharmacies near you. Instead of calling pharmacy after pharmacy, you can check availability in one place and save yourself hours of frustration.

Try Independent and Compounding Pharmacies

Large chain pharmacies often have standardized inventory systems that may not prioritize niche medications. Independent pharmacies and compounding pharmacies may have more flexibility to order specialty products quickly or even compound a similar formulation if appropriate.

Ask Your Doctor About Alternatives

If you simply can't find Ciprofloxacin/Hydrocortisone, your doctor may be able to prescribe a suitable alternative. Options include Ofloxacin otic drops, Ciprodex (Ciprofloxacin/Dexamethasone), or Cortisporin (Neomycin/Polymyxin B/Hydrocortisone). Learn more about these options in our article on alternatives to Ciprofloxacin/Hydrocortisone.

Ask the Pharmacist to Order It

Many pharmacies can order Ciprofloxacin/Hydrocortisone from their wholesaler and have it within 1-2 business days. If your ear infection isn't severe, ask if they can place an order for you. In the meantime, your doctor may suggest over-the-counter pain relief to manage symptoms.

Check the Generic Version

Since the Cosette generic launched in December 2025, pharmacies may have the generic in stock even if the brand-name Cipro HC is unavailable. Ask your pharmacist specifically about the generic Ciprofloxacin/Hydrocortisone otic suspension — it's the same medication at a lower cost.

How Much Does Ciprofloxacin/Hydrocortisone Cost?

Cost can also be a barrier to filling your prescription. Here's what you can expect to pay in 2026:

  • Brand-name Cipro HC Otic: $350 to $480 for a 10 mL bottle without insurance
  • Generic (Cosette): Estimated $70 to $150 per 10 mL bottle
  • With discount coupons: As low as $130 with SingleCare or GoodRx for the brand

For more ways to save, read our guide on how to save money on Ciprofloxacin/Hydrocortisone.

Final Thoughts

Finding Ciprofloxacin/Hydrocortisone has been a challenge for many patients, but the situation is improving in 2026. The launch of the first generic version in December 2025 is a game-changer that should gradually make this medication easier and more affordable to get. In the meantime, tools like Medfinder can help you locate pharmacies that have it in stock right now.

If you're dealing with swimmer's ear and can't wait, talk to your doctor about alternative treatments. Your ear infection needs timely treatment, and there are good options available.

Is there a generic version of Cipro HC Otic available?

Yes. The FDA approved the first generic version of Cipro HC Otic in December 2025, manufactured by Cosette Pharmaceuticals. This generic Ciprofloxacin Hydrochloride 0.2% and Hydrocortisone 1% otic suspension is now available at pharmacies and is expected to be significantly cheaper than the brand.

Why doesn't my pharmacy have Ciprofloxacin/Hydrocortisone in stock?

Ciprofloxacin/Hydrocortisone is a niche otic medication that many pharmacies don't keep on the shelf regularly. It was a single-source brand product for over 27 years, and the first generic only launched in late 2025. Ask your pharmacist to order it — most can get it within 1-2 business days.

What can I use instead of Ciprofloxacin/Hydrocortisone for swimmer's ear?

Common alternatives include Ofloxacin 0.3% otic solution (generic Floxin Otic), Ciprofloxacin/Dexamethasone (Ciprodex), and Neomycin/Polymyxin B/Hydrocortisone (Cortisporin). Your doctor can help you choose the best option based on your specific situation.

How can I find Ciprofloxacin/Hydrocortisone in stock near me?

Use Medfinder at medfinder.com to check which pharmacies near you have Ciprofloxacin/Hydrocortisone in stock. You can also call independent pharmacies, ask your current pharmacy to special-order it, or check if the new generic version is available.

Why waste time calling, coordinating, and hunting?

You focus on staying healthy. We'll handle the rest.

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