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Monurol Cost, Generic and Savings
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Quick answerThe FDA lists brand Monurol as discontinued in the U.S. FDA-approved generic fosfomycin 3 g sachets are sold here at list prices of $60.00 to $80.32 per sachet (one full dose). Ask your pharmacist for the cash price.
Compare Monurol prices from licensed online pharmacies
In our latest check, we found no licensed online pharmacy abroad selling this medicine.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Monurol · Uses · FAQ
Monurol (fosfomycin) 3 g single-dose sachets for bladder infections in women. The FDA lists the brand as discontinued; generics are sold in the U.S.
Monurol cost at a glance
- Brand Monurol is listed as discontinued in the U.S. The FDA's Drugs@FDA database lists Monurol as discontinued, with a Federal Register finding that it was not withdrawn for safety or effectiveness reasons (Drugs@FDA, checked 2026-11-11).
- Generic Monurol is sold in the U.S. The FDA has approved generic fosfomycin 3 g sachets from several companies, rated equivalent to Monurol (FDA Orange Book). The Texas 2026 drug price filing lists one sachet at $60.00 (Aurobindo) to $80.32 (Amneal, Xiromed) (Texas DSHS).
- U.S. list price for the brand: there isn't one on this page, because the FDA lists brand Monurol as discontinued in the U.S. U.S. list prices for the generic are shown above.
- How we count: one dose. The label's dose for women 18 and older is a single sachet, mixed with water, so prices are for 1 sachet.
- From pharmacies we compared: we found no fosfomycin 3 g offers that met our listing rules in our latest check. In Canada, Monurol is still sold under the same name (Health Canada).
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
How much does Monurol cost in the U.S.?
| If you have | What Monurol costs | Source |
|---|---|---|
| No insurance (brand list price) | None. The FDA lists brand Monurol as discontinued in the U.S. FDA-approved generic fosfomycin sachets are sold here; see the next row. | Drugs@FDA |
| No insurance (generic fosfomycin) | FDA-approved generic fosfomycin 3 g sachets are sold in the U.S. The Texas 2026 filing lists one sachet (one dose) at $60.00 (Aurobindo) to $80.32 (Amneal, Xiromed) list price, depending on the maker. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan's drug list. Ask your plan whether it covers generic fosfomycin. | FDA Orange Book |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
The FDA lists brand Monurol as discontinued in the U.S. (Drugs@FDA), so this page shows no U.S. list price for the brand. FDA-approved generic fosfomycin 3 g sachets are sold by several U.S. makers. In the Texas 2026 drug price filing, one sachet lists at $60.00 (Aurobindo) to $80.32 (Amneal, Xiromed), depending on the maker (Texas DSHS). One sachet is one full dose. These are list prices (the maker's wholesale price before discounts); what a pharmacy charges can differ.
Monurol cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for generic fosfomycin depends on your plan's drug list.
| Medicare Part D | What Monurol costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Monurol coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
eDrugSearch does not offer its own Monurol coupons. Brand Monurol is listed as discontinued in the U.S. These programs can help with the cost of the generic:
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Monurol?
Yes. The FDA has approved generic fosfomycin 3 g sachets from Xiromed, Alkem (sold by Ascend and Kesin), Cipla, Amneal, Precision Dose, Aucta, Aurobindo and Novitium, all rated equivalent to Monurol. Xiromed's generic has been listed as on the market since October 6, 2020. The FDA lists brand Monurol as discontinued in the U.S.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 3 g | Yes | Xiromed, Alkem (Ascend, Kesin), Cipla, Amneal, Precision Dose, Aucta, Aurobindo, Novitium (ANI) | Oct 6, 2020 |
Outside the U.S.: Online pharmacies abroad may also sell fosfomycin sachets made for other markets. Those packs are not FDA-approved.
Source: FDA Orange Book: fosfomycin products. As of Nov 11, 2026.
What is Monurol used for?
Monurol (fosfomycin) is an antibiotic. According to the FDA label for fosfomycin tromethamine granules (DailyMed), it is used:
- To treat uncomplicated bladder infections (acute cystitis) in women, caused by bacteria the medicine works against (E. coli and Enterococcus faecalis).
The label's dose for women 18 and older is one sachet, taken once. The granules are poured into 3 to 4 ounces (about half a cup) of cool water, stirred and swallowed right away, with or without food; they are never taken dry. The label says it is not for kidney infections (pyelonephritis). It must not be used by people allergic to fosfomycin. The label has no boxed warning. Your prescriber decides which medicine is right for you.
Is it safe to order Monurol from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Monurol, compare the U.S. price of FDA-approved generic fosfomycin before you order. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Knight Therapeutics sells Monurol 3 g single-dose sachets under the same name (Health Canada).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much is Monurol without insurance?
The FDA lists brand Monurol as discontinued in the U.S., so this page shows no U.S. list price for it. FDA-approved generic fosfomycin is sold here: the Texas 2026 drug price filing lists one 3 g sachet, a full dose, at $60.00 to $80.32, depending on the maker. Ask your pharmacist for the cash price.
Is there a generic Monurol?
Yes. The FDA has approved generic fosfomycin 3 g sachets from several companies, rated equivalent to Monurol. The generic name is fosfomycin. Ask your pharmacist whether a generic can fill your prescription.
Was Monurol discontinued?
The FDA's Drugs@FDA database lists Monurol as discontinued in the U.S. and notes it was not withdrawn for safety or effectiveness reasons. Generic fosfomycin sachets are still sold here. In Canada, Health Canada lists Monurol as marketed.
How many sachets of Monurol do I need?
The FDA label's dose for an uncomplicated bladder infection in women is one sachet, taken once. Your prescriber decides which medicine is right for you, and your prescription says how much you need.
Is there a Monurol coupon or savings card?
eDrugSearch doesn't offer coupons of its own. Brand Monurol is listed as discontinued in the U.S. FDA-approved generic fosfomycin is sold here; ask your pharmacist for the cash price. If you have Medicare and limited income, Extra Help can lower what you pay for prescriptions.
How much does Monurol cost with Medicare?
It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year. People with limited income can apply for Extra Help.
Sources
- Drugs@FDA: MONUROL (NDA 050717) (3 g sachet listed as discontinued (TE code AA), with a Federal Register determination that it was not discontinued for safety or effectiveness reasons; checked 2026-11-11)
- FDA Orange Book: fosfomycin products
- FDA NDC Directory: Xiromed fosfomycin (NDC 70700-268) (ANDA 212548, marketing start October 6, 2020)
- Texas DSHS: 2026 annual WAC report (generic fosfomycin 3 g, one sachet: Aurobindo $60.00, Kesin $61.00, Ascend $69.80, Amneal $80.32, Xiromed $80.32)
- Fosfomycin tromethamine granules: U.S. prescribing information (DailyMed) (generic label (Ascend, ANDA 214554), effective 2025-12-17: use, dose, preparation, contraindications)
- Health Canada Drug Product Database: Monurol (DIN 02240335, 3 g single-dose sachet, Knight Therapeutics, Marketed; checked 2026-11-11)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.