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Generic Xifaxan (rifaximin) Price
No FDA-approved generic Xifaxan is sold in the U.S. yet. As of Nov 11, 2026, generic rifaximin made for other countries costs from $144.88 for 90 days at licensed pharmacies abroad (ships from India; not FDA-approved).
- Lowest U.S. online pharmacy price
- Not available
- Lowest international online pharmacy price
- $0.72 per tablet$144.88 for 90 days (180 tablets), shipping included · generic rifaximin 550 mg, not FDA-approved · ships from India
Brand Xifaxan 550 mg from $1,579.99
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Name check: Prices are by strength: 550 mg and 200 mg tablets are labeled for different uses. Zaxine, sold in Canada, is brand rifaximin from Salix, not a generic.
Compare generic Xifaxan prices
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Generic Equivalent to Xifaxan 200mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $20.15per 60 tablets · 3 packs = $60.45$0.34 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $75.40 for 90 days= $75.40 for 90 daysincl. $14.95 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Generic Equivalent to Xifaxan 200mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $20.21per 60 tablets · 3 packs = $60.63$0.34 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $75.58 for 90 days= $75.58 for 90 daysincl. $14.95 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Rifaximin 200mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in indiaMade for sale in india.Maker listed by pharmacy: Sun Pharmaceuticals | $22.25per 60 tablets · 3 packs = $66.75$0.37 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $81.70 for 90 days= $81.70 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent to Xifaxan 200mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $23.09per 60 tablets · 3 packs = $69.27$0.38 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $84.22 for 90 days= $84.22 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in MauritiusProduct of India | $59.99for 100 tablets$0.60 per tablet | Fee not publishedDelivery time not stated | $59.99 for 50 days= $107.98 for 90 days+ shippingWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in MauritiusMaker listed by pharmacy: SunMade for India | $66.97for 100 tablets$0.67 per tablet | FreeDelivery time not stated | $66.97 for 50 days= $120.55 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Generic Equivalent To Xifaxan 400mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $39.52per 60 tablets · 3 packs = $118.56$0.66 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $133.51 for 90 days= $133.51 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Generic Equivalent to Xifaxan 400mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $42.61per 60 tablets · 3 packs = $127.83$0.71 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $142.78 for 90 days= $142.78 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Rifaximin 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Alkem | $43.31per 60 tablets · 3 packs = $129.93$0.72 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $144.88 for 90 days= $144.88 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent To Xifaxan 400mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $43.39per 60 tablets · 3 packs = $130.17$0.72 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $145.12 for 90 days= $145.12 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | RIFAXIMINNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in IndiaMade for sale in India.Product of India | $48.60per 60 tablets · 3 packs = $145.80$0.81 per tablet | FreeDelivery time not stated | $145.80 for 90 days= $145.80 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Generic Equivalent To Xifaxan 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Alkem | $44.06per 60 tablets · 3 packs = $132.18$0.73 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $147.13 for 90 days= $147.13 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Generic Equivalent to Xifaxan 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Alkem | $46.59per 60 tablets · 3 packs = $139.77$0.78 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $154.72 for 90 days= $154.72 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent To Xifaxan 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Alkem | $49.67per 60 tablets · 3 packs = $149.01$0.83 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $163.96 for 90 days= $163.96 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Rifaximin 400mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $50.36per 60 tablets · 3 packs = $151.08$0.84 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $166.03 for 90 days= $166.03 for 90 daysincl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | XIFAXANNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in IndiaMade for sale in India.Product of India | $92.33for 100 tablets$0.92 per tablet | FreeDelivery time not stated | $92.33 for 50 days= $166.19 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in MauritiusProduct of India | $92.99for 100 tablets$0.93 per tablet | Fee not publishedDelivery time not stated | $92.99 for 50 days= $167.38 for 90 days+ shippingWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in MauritiusProduct of India | $93.99for 100 tablets$0.94 per tablet | Fee not publishedDelivery time not stated | $93.99 for 50 days= $169.18 for 90 days+ shippingWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | XIFAXAN (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in MauritiusProduct of India | $98.30for 100 tablets$0.98 per tablet | FreeDelivery time not stated | $98.30 for 50 days= $176.94 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in MauritiusMaker listed by pharmacy: SunMade for India | $99.70for 100 tablets$1.00 per tablet | FreeDelivery time not stated | $99.70 for 50 days= $179.46 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | RIFAXIMIN (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in MauritiusProduct of India | $99.54per 90 tablets · 2 packs = $199.08$1.11 per tablet | FreeDelivery time not stated | $199.08 for 90 days= $199.08 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy H | Rifaximin 400mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Product of India | $111for 100 tablets$1.11 per tablet | FreeDelivery time not stated | $111 for 50 days= $199.80 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy H | Rifaximin 200mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg · generic · Filled in MauritiusProduct of Mauritius | $118for 100 tablets$1.18 per tablet | FreeDelivery time not stated | $118 for 50 days= $212.40 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | RIFAXIMINNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in IndiaMade for sale in India.Product of India | $71.28per 60 tablets · 3 packs = $213.84$1.19 per tablet | FreeDelivery time not stated | $213.84 for 90 days= $213.84 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Rifaximin (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in MauritiusMaker listed by pharmacy: SunMade for India | $106.99per 90 tablets · 2 packs = $213.98$1.19 per tablet | FreeDelivery time not stated | $213.98 for 90 days= $213.98 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | RIFAXIMINNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Product of India | $89.64per 60 tablets · 3 packs = $268.92$1.49 per tablet | FreeDelivery time not stated | $268.92 for 90 days= $268.92 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy H | Rifaximin 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Product of India | $161for 100 tablets$1.61 per tablet | FreeDelivery time not stated | $161 for 50 days= $289.80 for 90 daysWorked out from a 50-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy H | Rifaximin 550mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in MauritiusProduct of Mauritius | $85per 50 tablets · 3 packs = $255$1.70 per tablet | FreeDelivery time not stated | $255 for 75 days= $306 for 90 daysWorked out from a 75-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | XIFAXANNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in IndiaMade for sale in India.Product of India | $60.55per 30 tablets · 6 packs = $363.30$2.02 per tablet | FreeDelivery time not stated | $363.30 for 90 days= $363.30 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | XIFAXAN (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.550 mg · generic · Filled in MauritiusProduct of India | $307.85for 150 tablets$2.05 per tablet | FreeDelivery time not stated | $307.85 for 75 days= $369.42 for 90 daysWorked out from a 75-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | XIFAXAN (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.400 mg · generic · Filled in MauritiusProduct of India | $156.86for 200 tablets$0.78 per tabletOver 3-month supply | FreeDelivery time not stated | $156.86 for 100 days= $141.17 for 90 daysWorked out from a 100-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Rifaximin from Canada?
90-day cost = 180 tablets at the usual dose of 2 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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90-day prices from 7 licensed pharmacies shipping to the U.S.: $75.40 to $369.42, any strength, shipping included.
Jump to: Brand vs. generic · U.S. prices · Insurance · Medicare · Maker savings · Who makes it · Brand or generic · Uses · FAQ
Generic Xifaxan: rifaximin 200 and 550 mg tablets made for sale in other countries, from licensed pharmacies abroad. Not FDA-approved. No FDA-approved generic rifaximin is sold in the U.S. yet. Also sold as: Xifaxan (brand, Salix Pharmaceuticals (Bausch Health))
Rifaximin price by strength
| Strength | Lowest generic abroad90 days, not FDA-approved | Price per tablet |
|---|---|---|
| Rifaximin 200 mg | $75.40 | $0.34 generic |
| Rifaximin 400 mg | $133.51 | $0.66 generic |
| Rifaximin 550 mg | $144.88 | $0.72 generic |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
Rifaximin names
- Brand name: Xifaxan (Salix Pharmaceuticals (Bausch Health))
- Generic name: rifaximin
Rifaximin packs made for other countries are not FDA-approved.
Who makes generic rifaximin in the U.S.
No company sells FDA-approved generic rifaximin in the U.S. yet. The FDA approved a generic rifaximin 550 mg tablet from Actavis Laboratories FL (a Teva company) on March 19, 2026, but it has not launched. Bausch Health says patent settlements let generics launch on January 1, 2028, or earlier in certain cases. The generic name for Xifaxan is rifaximin.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 550 mg | Approved, not sold | Actavis Laboratories FL (Teva) | — |
| 200 mg | No | — |
Outside the U.S.: Licensed pharmacies abroad list generic rifaximin made for sale in other countries, with the same active ingredient as Xifaxan, from makers such as Sun Pharma, Alkem and Lupin (India), among others. These are not FDA-approved, and the price table labels them that way.
Source: FDA approval letter: rifaximin tablets 550 mg (ANDA 208959). As of Oct 29, 2026.
Rifaximin FAQ
How much does generic Xifaxan cost?
No FDA-approved generic rifaximin is sold in the U.S. yet. In our latest check (Nov 11, 2026), licensed pharmacies abroad charged from $144.88 for 90 days (180 tablets) of generic rifaximin 550 mg made for sale in other countries, shipping included. It is not FDA-approved. In the U.S., brand Xifaxan costs $4,034.48 per 60 tablets (30 days at 2 a day), wholesale acquisition cost since May 11, 2026, up from $3,671.05 on January 1, 2026. Pharmacy cash prices may differ.
Is there a generic Xifaxan in the U.S.?
Not yet. No FDA-approved generic rifaximin is sold in the U.S. yet. The FDA approved a generic rifaximin 550 mg tablet in March 2026, but it is not on the U.S. market yet. The generic name for Xifaxan is rifaximin.
Is generic rifaximin from abroad FDA-approved?
No. It is generic rifaximin made for sale in other countries, with the same active ingredient as Xifaxan, listed by licensed pharmacies abroad. It is not FDA-approved, and the price table labels it “Not FDA-approved.”
Does Medicare cover generic rifaximin?
No FDA-approved generic rifaximin is sold in the U.S. yet. Medicare drug plans cover drugs on their own drug lists, so check how your plan covers brand Xifaxan. In 2026, Part D deductibles are up to $615 and out-of-pocket costs for covered drugs are capped at $2,100 a year ($2,400 in 2027).
Who makes the generic rifaximin sold abroad?
In our latest check, the pharmacies abroad we compared listed generic rifaximin from Sun Pharma, Alkem and Lupin (India), among others. When a pharmacy doesn't name the maker, the price table says so.
Is rifaximin the same as Xifaxan?
Not in the FDA's sense. No FDA-approved generic Xifaxan is sold in the U.S., so the FDA hasn't rated any generic equivalent to Xifaxan. Generic rifaximin sold abroad has the same active ingredient as Xifaxan but is made for sale in other countries and is not FDA-approved.
Do I need a prescription for generic rifaximin?
Yes. Licensed pharmacies, in the U.S. and abroad, need a valid prescription from your doctor. Never buy it from a website that does not ask for one.
Brand vs. generic: cost for 90 days
| Option | 90 days |
|---|---|
| Generic rifaximin 550 mg, U.S. pharmacy cash priceWe have not confirmed a U.S. pharmacy price yet | — |
| Brand Xifaxan 550 mg from licensed pharmacies abroadLowest price we found, shipping included, checked Nov 11, 2026 | $1,579.99 |
| Brand Xifaxan, U.S. list priceBefore insurance; pharmacies may charge more | $12,103.44 |
Lowest in this comparison: Brand Xifaxan 550 mg from licensed pharmacies abroad.
90 days = 180 tablets of 550 mg. Generic sold abroad is not FDA-approved and is not in this box. Your price with insurance or Medicare depends on your plan.
Generic rifaximin price in the U.S.
Rifaximin cost at a glance
- No FDA-approved generic rifaximin is sold in the U.S. yet. The FDA approved a generic rifaximin 550 mg tablet in March 2026, but it is not on the U.S. market yet.
- From licensed pharmacies abroad: $144.88 to $369.42 for 90 days (180 tablets) of generic rifaximin 550 mg, shipping included (checked Nov 11, 2026). Not FDA-approved.
- What it is: Generic rifaximin made for sale in other countries, with the same active ingredient as Xifaxan, listed by licensed pharmacies abroad. The price table labels every pack “Not FDA-approved.”
- Brand Xifaxan in the U.S.: $4,034.48 per 60 tablets (30 days at 2 a day), wholesale acquisition cost since May 11, 2026, up from $3,671.05 on January 1, 2026. Pharmacy cash prices may differ. See the Xifaxan page for savings programs.
- Prescription needed: licensed pharmacies need a valid prescription from your doctor.
- How we count: 1 tablet of 550 mg twice a day for long-term use, so 90 days is 180 tablets. Some uses are a short course; check your prescription.
How much does Rifaximin cost in the U.S.?
| If you have | What Rifaximin costs | Source |
|---|---|---|
| No insurance (brand Xifaxan list price) | $4,034.48 per 60 tablets (30 days at 2 a day), wholesale acquisition cost since May 11, 2026, up from $3,671.05 on January 1, 2026. Pharmacy cash prices may differ. | Texas DSHS |
| Generic in the U.S. | No FDA-approved generic rifaximin is sold in the U.S. yet. Ask your pharmacist if this changes. | FDA |
| Private or employer insurance | Your copay for brand Xifaxan depends on your plan's drug list and tier. Maker savings programs are for brand Xifaxan only (see the Xifaxan page). | Your plan |
| Medicare Part D | Coverage and copay for brand Xifaxan depend on your plan. Check plans with Medicare's Plan Finder. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
No FDA-approved generic rifaximin is sold in the U.S. yet. The prices in the table above are for generic rifaximin made for sale in other countries, with the same active ingredient as Xifaxan, listed by licensed pharmacies abroad, and they are not FDA-approved.
Rifaximin cost with Medicare in 2026
Each Part D plan has its own list of covered drugs and copays (Medicare Plan Finder). No FDA-approved generic rifaximin is sold in the U.S. yet. Check how your plan covers brand Xifaxan; the Xifaxan page has Medicare details. In 2026, Part D plans can have a yearly deductible of up to $615, and your out-of-pocket costs for covered drugs are capped at $2,100 a year ($2,400 in 2027) (Medicare.gov).
| Medicare Part D | What Rifaximin costs | Source |
|---|---|---|
| Part D deductible (2026) | Up to $615 a year, depending on your plan | Medicare.gov |
| Yearly out-of-pocket cap (2026) | $2,100 for covered Part D drugs ($2,400 in 2027) | Medicare.gov |
| Which plans cover Xifaxan | Search your plan's drug list with your ZIP code | Medicare Plan Finder |
Savings programs from the maker
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 Rifaximin coupons. Maker savings and assistance programs are for brand Xifaxan only, not generic rifaximin from abroad (see the Xifaxan page). eDrugSearch has no coupons of its own. These programs can lower prescription costs if you have Medicare:
- 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)
When people choose brand Xifaxan
Some people get brand Xifaxan instead of generic rifaximin. Common reasons:
- In the U.S., rifaximin is sold only as brand Xifaxan. The Xifaxan page shows U.S. prices, prices abroad and the maker's savings programs.
- Some insurance and Medicare drug plans cover brand Xifaxan. Your plan's drug list shows whether it does and what you pay.
Your prescriber decides which medicine is right for you.
Compare prices for your other medicines
- Xifaxan prices from $75.40 for 90 days
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength.
What is Rifaximin used for?
Rifaximin is the active ingredient in Xifaxan. Xifaxan (rifaximin) is an antibiotic that works mainly in the gut. According to its FDA label (DailyMed), it is used to:
- Lower the risk of overt hepatic encephalopathy (HE) coming back in adults. HE is confusion and other brain changes caused by serious liver disease.
- Treat irritable bowel syndrome with diarrhea (IBS-D) in adults.
- Treat travelers' diarrhea caused by certain E. coli bacteria in adults and children 12 and older. It should not be used when diarrhea comes with fever or blood in the stool.
Xifaxan comes as 200 mg and 550 mg tablets. The FDA label lists different schedules for each use: 550 mg two times a day for HE (ongoing), 550 mg three times a day for 14 days for IBS-D (a course that can be repeated up to two times if symptoms come back), and 200 mg three times a day for 3 days for travelers' diarrhea. That is why our 90-day cost uses 2 tablets of 550 mg a day, and why an IBS-D course costs less. Your prescriber decides which medicine is right for you.
Is it safe to order Rifaximin from Canada?
Many Americans do, but U.S. law and customs rules apply. 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 declared in FD&C Act 804(j)(1), 21 U.S.C. 384(j)(1), that enforcement against individuals should focus on imports posing a significant threat to public health. You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. Generic rifaximin sold by pharmacies abroad is not FDA-approved. No FDA-approved generic rifaximin is sold in the U.S. yet.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Sources
- FDA approval letter: rifaximin tablets 550 mg (ANDA 208959) (approved March 19, 2026)
- FDA NDC Directory: rifaximin listings (checked Oct 29, 2026)
- XIFAXAN U.S. prescribing information (DailyMed)
- Texas DSHS: brand Xifaxan list price
- Medicare.gov: costs in drug plans (2026 deductible up to $615; out-of-pocket cap $2,100 in 2026, $2,400 in 2027)
- Medicare Plan Finder
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicaid.gov: cost sharing
- FDA: personal importation
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