KetoconazolePrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Ketoconazole
    Generic for Nizoral
    60g tube of creams $11.23 USD
    Save $14.99
  3. Ketoconazole
    Generic for Nizoral
    120mL bottle of shampoos $17.32 USD
    Save $8.90
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Do you need a prescription for ketoconazole?

Yes, ketoconazole is only available with a valid physician Rx.

How much is ketoconazole without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase ketoconazole, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for ketoconazole in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a ketoconazole savings card?

Yes. Save up to 90% on your ketoconazole with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a ketoconazole coupon provider in the US?

No. Now Patient does not provide ketoconazole coupons or FREE ketoconazole samples.

Do you accept commercial, Medicare or Medicaid coverage for ketoconazole in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much ketoconazole?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using ketoconazole. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much ketoconazole. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic ketoconazole?

US brand name of ketoconazole and manufacturer

Ketoconazole is available in the US under the brand name Nizoral A-D. It is manufactured by Janssen Pharmaceuticals.

UK brand name of ketoconazole and manufacturer

In the UK, ketoconazole is also available under the brand name Nizoral. It is manufactured by Janssen-Cilag Ltd.

Prescription requirement for ketoconazole

Ketoconazole is a prescription medication and requires a prescription from a healthcare provider.

FDA approval of ketoconazole

Ketoconazole has received FDA approval for the treatment of fungal infections.

Is ketoconazole available in the UK on NHS?

Ketoconazole is available on the NHS in the UK, and it can be obtained with a prescription.

Active ingredient of ketoconazole and mechanism of action

Ketoconazole contains the active ingredient ketoconazole, which is an antifungal medication. It works by inhibiting the growth of fungi and yeast, thereby treating or preventing fungal infections.

Uses of ketoconazole

Ketoconazole is an azole antifungal primarily used for the treatment of the following conditions:

  • Fungal infections including athlete’s foot, jock itch (tinea cruris), ringworm (tinea corporis), and sun fungus, (also known as pityriasis or tinea versicolor)
  • Yeast infections, including vaginal yeast infections (when other treatments have failed or are not tolerated)

Forms of ketoconazole

Ketoconazole is available in various forms, including oral tablets, topical ketoconazole creams, shampoos, and foams. The specific form and strength will depend on the intended use and the recommendation of your healthcare provider.

Dosage of ketoconazole

The dosage of ketoconazole will depend on the specific formulation, the severity of the infection, and individual factors. It is important to follow the drug administration and dosage instructions provided by your healthcare provider.

Precautions and warnings for ketoconazole

  • Ketoconazole may interact with certain medications, including other medications that affect liver function or that are metabolized by the liver. It is important to inform your healthcare provider about all the medications you are taking
  • Ketoconazole should not be used in patients with known hypersensitivity to the drug or its components
  • Ketoconazole may cause liver problems. Symptoms include loss of appetite, weight loss, yellowing of the skin or eyes, dark urine, clay colored stools, pain in the upper right part of the stomach
  • It is not known if this drug passes into breast milk. Speak to your doctor before breast-feeding

Side effects of ketoconazole

Common side effects of ketoconazole may include skin irritation, itching, burning, and dryness at the site of application. Other possible side effects include stomach upset, nausea, headache, and changes in liver function tests. If you experience any severe or concerning side effects, seek medical attention. Get medical advice right away if you have a serious side effects such as an allergic reaction. Symptoms include hives, trouble breathing, worsening shortness of breath, sore throat, chest pain, swelling of the face, tongue or throat, skin rash, blisters, and serious skin reactions.

Interactions with other drugs

Ketoconazole may interact with certain medications, including anticoagulants such as warfarin, alprazolam, midazolam, triazolam, simvastatin, pimozide, cisapride, methadone, and ranolazine. It is important to inform your healthcare professional about all the prescription drugs, over the counter nonprescription medications, salt substitutes, herbal products, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.

Similar drugs to ketoconazole

Other topical antifungal medications used for the treatment of fungal skin infections include clotrimazole, fluconazole, imidazole, itraconazole, and miconazole.


Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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