Thanks @JeanLouiseFinch. Unfortunately, the lowest is $261.00.
I found a product called AZ Clear from Australia that has 20% Azelaic acid and has good reviews. With shipping of a little under $30 for 3 25g tubes it's only a little over $53.
My dermatologist it trying to find a coupon etc. to lower the cost. Tara skincare sells it but it's made in India and I'm apprehensive about that plus it costs $25 for a 15g tube of 20% Azelaic acid. The place I found takes PayPal so it's safer. I may go that route. Spending $300 ongoing is not tenable for me.
Unfortunately, there is no generic for Finacea Gel 15%. In Australia it's sold OTC.. I'd rather get it in the US so if anyone has other options please let me know.
~Live with Intention~