First-in-Class Topical Sebocyte Androgen Receptor Antagonist • Rx

Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate)

Brand Reference: Winlevi

Medically Reviewed by Dr. Priya Nair, MD, FAAD (NPI #1295730425)
83.20%
Patient “Worth It”
15 verified logs
$95.00
Lowest Monthly Cash

Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) RxNorm Concept ID 2395793 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $8.9500 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $568.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $89.00 / mo (Direct TeleMed) Direct Telehealth Formulary
Community Mean Out-of-Pocket Paid $95.00 / mo 15 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate)

DotMD Club Members get $29 flat-rate script renewals →
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 →

Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) Clinical Pharmacology & DailyMed Monograph

RxCUI 2395793 • NDC 73499-0001-60

Competes directly with dihydrotestosterone at sebocyte cytoplasmic androgen receptors in both male and female facial skin, suppressing androgen-driven sebum lipid droplet synthesis and IL-6 transcription while hydrolyzing rapidly to inactive cortexolone before reaching systemic circulation.

Out-of-pocket price dispersion on Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) spans $95.00 to $568.00 per 30-day fill: pharmacy acquisition benchmarks sit near $8.9500/unit, allowing cash buyers bypassing PBM spread pricing to retain $473.00 each month (83% reduction).

With Rapid dermal esterase cleavage residence kinetics and < 4.5 ng/mL steady-state plasma (safe for male facial use without systemic antiandrogenicity) bioavailability, Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) undergoes cutaneous plasma esterase hydrolysis to inactive cortexolone and establishes therapeutic activity over 4–12 weeks sebum and lesion reduction.

Standard adult regimens span 1% cream (~1 gram) applied twice daily (AM & PM). Prescribers screen specifically against hypothalamic-pituitary-adrenal suppression if applied over huge occluded body surface areas in children, while community micro-logs most frequently note localized scaling (12% of reports), erythema (9% of reports).

Half-Life
Rapid dermal esterase cleavage
Bioavailability
< 4.5 ng/mL steady-state plasma (safe for male facial use without systemic antiandrogenicity)
Metabolism & Clearance
Cutaneous plasma esterase hydrolysis to inactive cortexolone
Clinical Onset
4–12 weeks sebum and lesion reduction

Standard Adult Titration & Dosages

1% cream (~1 gram) applied twice daily (AM & PM)

Absolute & Relative Contraindications

  • Hypothalamic-pituitary-adrenal suppression if applied over huge occluded body surface areas in children

Logged Side-Effect Incidence (15 Reports)

Localized scaling 12%
Erythema 9%

Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 15 verified cash-pay logs, Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) achieves a 83.20% Worth-It rating with out-of-pocket spend averaging $95.00/mo versus $568.00/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: 1% cream (~1 gram) applied twice daily ( • Paid: $83.60/mo via TeleMed
Localized scaling

Switched to TeleMed at 1% cream (~1 gram) applied twice daily (AM & PM) for Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate); monthly out-of-pocket dropped to $83.60 compared with $568.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 1% cream (~1 gram) applied twice daily ( • Paid: $96.90/mo via Compounding

Completed 10 weeks on Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) (1% cream (~1 gram) applied twice daily (AM & PM)). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 1% cream (~1 gram) applied twice daily ( • Paid: $110.20/mo via Cash Clinic
Localized scaling

Consistent biomarker response on 1% cream (~1 gram) applied twice daily (AM & PM) Clascoterone 1% Cream (Cortexolone 17-Alpha-Propionate) sourced via Cash Clinic ($110.20/mo cash pay without insurance prior authorization).