Non-Steroidal Macrolide Calcineurin / NFAT T-Cell Inhibitor • Rx

Tacrolimus 0.1% Topical Ointment

Brand Reference: Protopic

Medically Reviewed by Dr. Priya Nair, MD, FAAD (NPI #1295730425)
90.40%
Patient “Worth It”
17 verified logs
$29.80
Lowest Monthly Cash

Tacrolimus 0.1% Topical Ointment Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Tacrolimus 0.1% Topical Ointment RxNorm Concept ID 42316 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.1200 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $162.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $29.80 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $33.00 / mo 17 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Tacrolimus 0.1% Topical Ointment

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$29.80/mo
Wholesale Cash Price
View Wholesale Rx →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →
Board-Certified Teledermatology Compounding (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days
$ 20.00
Consult / Starting Tier
Start Online Visit →

Tacrolimus 0.1% Topical Ointment Clinical Pharmacology & DailyMed Monograph

RxCUI 42316 • NDC 00469-5301-30

Complexes with keratinocyte and Langerhans-cell FKBP12 to inhibit calcineurin phosphatase, blocking nuclear translocation of NFAT and T-cell IL-2/IL-4 cytokine transcription—clearing facial, eyelid, and intertriginous dermatitis with zero corticosteroid collagen atrophy.

For self-pay patients filling Tacrolimus 0.1% Topical Ointment (NDC 00469-5301-30), direct wholesale and telehealth fulfillment drops monthly spend from $162.00 retail to $29.80 (82% savings against a $1.1200 CMS pharmacy acquisition baseline).

Clinical clearance of Tacrolimus 0.1% Topical Ointment (Non-Steroidal Macrolide Calcineurin / NFAT T-Cell Inhibitor) relies on trace hepatic cyp3a4 if absorbed across eroded skin with a Local dermal persistence; minimal blood clearance needed half-life; patients absorbing at < 0.5 ng/mL systemic across intact barrier bioavailability typically observe target onset around 3–7 days pruritus and erythema resolution.

FDA clinical labeling for Tacrolimus 0.1% Topical Ointment restricts administration in netherton syndrome (severe barrier defect absorption); active cutaneous hsv/vzv infection across 0.03% ointment BID, 0.1% ointment thin film BID until clear, then twice-weekly proactive maintenance, with self-reported patient tracking dominated by transient warm burning sensation (days 1–4) (36% of reports), alcohol facial flush reaction (15% of reports).

Half-Life
Local dermal persistence; minimal blood clearance needed
Bioavailability
< 0.5 ng/mL systemic across intact barrier
Metabolism & Clearance
Trace hepatic CYP3A4 if absorbed across eroded skin
Clinical Onset
3–7 days pruritus and erythema resolution

Standard Adult Titration & Dosages

0.03% ointment BID 0.1% ointment thin film BID until clear, then twice-weekly proactive maintenance

Absolute & Relative Contraindications

  • Netherton syndrome (severe barrier defect absorption)
  • Active cutaneous HSV/VZV infection

Logged Side-Effect Incidence (17 Reports)

Transient warm burning sensation (days 1–4) 36%
Alcohol facial flush reaction 15%

Tacrolimus 0.1% Topical Ointment Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 17 verified cash-pay logs, Tacrolimus 0.1% Topical Ointment achieves a 90.40% Worth-It rating with out-of-pocket spend averaging $33.00/mo versus $162.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 0.03% ointment BID • Paid: $26.22/mo via Cost Plus Drugs
Transient warm burning sensation (days 1–4)

Switched to Cost Plus Drugs at 0.03% ointment BID for Tacrolimus 0.1% Topical Ointment; monthly out-of-pocket dropped to $26.22 compared with $162.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 0.1% ointment thin film BID until clear, • Paid: $30.40/mo via Cash Clinic

Completed 10 weeks on Tacrolimus 0.1% Topical Ointment (0.1% ointment thin film BID until clear, then twice-weekly proactive maintenance). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 0.03% ointment BID • Paid: $34.57/mo via Cost Plus Drugs
Transient warm burning sensation (days 1–4)

Consistent biomarker response on 0.03% ointment BID Tacrolimus 0.1% Topical Ointment sourced via Cost Plus Drugs ($34.57/mo cash pay without insurance prior authorization).