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Is Proctofoam HC covered by insurance? | How much does Proctofoam HC cost without insurance? | How to get Proctofoam HC without insurance
Available only with a prescription, Proctofoam HC is a rectal foam that helps relieve swelling and itching in the anal region. Proctofoam contains two drugs commonly used to treat skin itching and irritation. Pramoxine is a local anesthetic found in many over-the-counter (OTC) and prescription medications for sunburn, insect bites, poisonous plants, and other skin irritants. Hydrocortisone is a corticosteroid commonly found in OTC and prescription topical creams and lotions to relieve skin swelling, redness, and itching.
Proctofoam HC is applied in the anus with an applicator or around the anus with a tissue three to four times per day. Hydrocortisone–pramoxine can also be purchased as a lower-priced generic prescription drug.
What is the generic for Proctofoam HC?
Proctofoam HC can be purchased as generic rectal hydrocortisone–pramoxine ointment, creams, or lotions. Both pramoxine and hydrocortisone can be purchased as separate products in OTC topical formats.
Is Proctofoam HC covered by insurance?
Some health insurance plans cover Proctofoam HC, but many don’t. Proctofoam HC is less likely to be covered by Medicare Part D plans or Medicaid. Those that do cover Proctofoam HC sometimes place it in higher copay tiers, but this will vary by insurance plan. Hydrocortisone–pramoxine may or may not be covered by various health insurance plans, Medicare prescription drug plans, or Medicaid.
How much does Proctofoam HC cost without insurance?
People without insurance can expect to pay around $210 for a single 10 gm container of 1-1% Proctofoam HC. This amount is enough medicine for at least 14 applications. Since three to four applications to the affected area are required daily, $210 buys three to four days of treatment at around $70 per day. The good news is that Proctofoam HC is not intended for long-term use. If there’s no improvement after two to three weeks, the medicine will be discontinued.
If cost is a concern, ask the prescribing healthcare professional about generic versions of hydrocortisone–pramoxine that are also FDA-approved to treat rectal irritation. Most will be creams, but they will be less expensive. For instance, Analpram HC can be purchased for less than $40 with a SingleCare prescription discount card. Finally, OTC 1% hydrocortisone creams can be purchased for $20 or less without a prescription, but most of these are sold to remedy skin irritation rather than rectal complaints. OTC rectal anesthetics are also on drugstore shelves as hemorrhoid medications, but they are more likely to contain lidocaine as the active ingredient.
Compare Proctofoam HC prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Proctofoam HC | $211 per 1, 10 gm of 1-1% foam | $157 per 1, 10 gm of 1-1% foam of brand-name Proctofoam HC | See latest prices |
| Analpram HC | $326 per 1, 30 gm of 2.5-1% cream | $32 per 1, 30 gm of 2.5-1% cream of generic analpram HC | See latest prices |
| Hydrocortisone | $20 per 1, 30 gm of 2.5% tube | $0.80 per 1, 30 gm of 2.5% tube of generic hydrocortisone | See latest prices |
| Zonalon | $732 per 1, 45 gm of 5% tube of cream | $605 per 1, 45 gm of 5% tube of cream of brand-name Zonalon | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs, if available. Click the link under “Savings options” to see the latest drug prices.
How to get Proctofoam HC without insurance
Paying $211 for a course of Proctofoam HC treatment may be challenging for some people without insurance. They’re in good company. Even those with health insurance may find themselves paying the full retail price for Proctofoam HC. Some insurance plan formularies don’t cover it. Unfortunately, patient assistance programs, manufacturer coupons, and rebates are unavailable. Let’s explore a few other, more certain ways to save on Proctofoam HC, starting with a free SingleCare prescription discount card.
1. Save over $50 with a SingleCare savings card
The lowest SingleCare discount price for Proctofoam HC is $157, over $50 off the average retail price. The savings could add up to more than $200 after two weeks of treatment. Keep in mind that SingleCare prescription savings will vary by pharmacy. Visit the SingleCare Proctofoam HC coupons page to browse available discounts and download a Proctofoam HC discount card. Read the FAQs section on this coupon page to find additional savings tips and drug information.
2. Ask the prescriber about generic hydrocortisone–pramoxine
Generic versions of Proctofoam HC may be less costly. They are available as rectal creams in addition to skin creams. A 28-gram tube of generic 2.5% hydrocortisone and 1% pramoxine costs an average of $180 at full retail cost and $30 with a free coupon from SingleCare. Generic hydrocortisone–pramoxine will require a prescription, so ask the prescriber for medical advice about switching to the generic.
3. Ask the prescribing healthcare provider about OTC versions
It may be possible to avoid buying prescription Proctofoam HC by instead buying OTC hydrocortisone cream and an OTC rectal topical anesthetic like Recticare (lidocaine). The total retail price could work out to $60 or less. With a SingleCare discount card, that cost could be less than seven dollars. There will be trade-offs, however. OTC hydrocortisone cream can only be purchased in concentrations of one percent or less. Lidocaine has potentially serious side effects if too much drug enters the bloodstream. Discuss these trade-offs with the prescriber before deciding to switch.
4. Shop for the lowest price
Whether purchasing brand-name Proctofoam HC, generic hydrocortisone–pramoxine, or OTC substitutes, unlock hidden savings by finding the lowest price in your area. The difference between the highest pharmacy price for Proctofoam HC and the lowest can be as great as $50—even greater if a SingleCare discount is applied.
