God I fucking hope not lol. Its available over the counter at a lower percentage as a lice cream which is actually what I use since my insurance doesnt want to cover soolantra and its ridiculously expensive (like a tube of topical cream is more than $150 with goodRX)

I have no idea why the prescription is so expensive but its reputation for being unaffordable and hard to get insurance to pay for is pretty well known by people with rosacea. The lice cream from the Walmart store brand is like $25