Pay As Little As $20 With the Primus Care Direct program insured patients may pay as little as $20 for the 90g tube or 225g airless pump of EpiCeram. This is a mail-order pharmacy service. You Might Also Like $10 Co-Pay Card, Free Trial May 19, 2018 Pay As Little As $40 May 19, 2018 Pay No More Than $40 May 19, 2018