How much does azithromycin cost?

Azithromycin (a macrolide antibiotic)

* Prices are based on typical out‑of‑pocket retail costs in the United States (pharmacy, no insurance). Actual costs can vary widely by:

• Insurance coverage – many plans cover azithromycin as a preferred drug or as a generic.
• Pharmacy discounts or coupons – some chains or online pharmacies offer lower prices.
• Geographic location – cost differences between regions, rural vs. urban.
• Dosage form and strength – higher‑strength or liquid formulations may be pricier.
• Prescription duration – a longer course (e.g., 7 days instead of 5 days) will raise the total cost.

Quick tips for getting a good price

1. Ask for the generic – generic azithromycin is typically 30–50 % cheaper than the brand name.
2. Check your pharmacy benefit manager – they often have negotiated lower prices for generics.
3. Use online price‑comparison tools – sites like GoodRx or RxSaver can show you the lowest price at nearby pharmacies.
4. Ask your prescriber – they can sometimes prescribe a lower‑dose formulation (e.g., 500 mg for 3 days) if it’s clinically appropriate.

Bottom line

A standard 5‑day course of generic azithromycin usually costs between $30 and $50 out of pocket in the U.S., while brand‑name versions may run $40 to $60. If you’re on insurance, your copay may be much lower, or the medication may be covered entirely. Always confirm the exact price with your pharmacy and insurance provider before filling the prescription.