Home › Drug Prices › Zithromax
Zithromax Price, Generic and Savings
- U.S. list price
- $2.16 per tabletThe maker's price for brand Zithromax before discounts · Source: Texas DSHS 2026 WAC report
- Lowest price per tablet at online pharmacies abroad
- $6.63 per tabletIn a pack of 90 tablets for $596.31 (before shipping) · brand Zithromax 250 mg, not FDA-approved · ships from United States
FDA-approved generic azithromycin 250 mg from $0.82 per tablet at U.S. pharmacies
See all Zithromax pricesWatch this price
Sign in or get a free account, and we'll bring you back here. Free accounts: 2 alerts · Members: unlimited
Quick answerAs of Nov 12, 2026, brand Zithromax 250 mg costs from $6.63 per tablet at online pharmacies abroad we compared, before shipping, vs. about $2.16 a tablet at the U.S. list price. Generic azithromycin 500 mg lists from $4.41 for a 3-tablet pack in the U.S.
Name check: The Z-Pak is 6 Zithromax 250 mg tablets: 2 on the first day, then 1 a day for 4 days. Zithromax also comes as a liquid and an IV; this page compares prices for the tablets only.
Compare Zithromax prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $2.16 per tablet, brand Zithromax 250 mg before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Pack | Price per unit | Pack price | Shipping & delivery | Total with shipping | Buy |
|---|---|---|---|---|---|---|---|
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 250mgNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $0.41 per tablet | $12.41 | $14.95Pharmacy's estimate: 4–6 weeks | $27.36Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 250mgNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $0.42 per tablet | $12.62 | $14.95Pharmacy's estimate: 4–6 weeks | $27.57Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Generic Equivalent To Zithromax 250mgNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $0.47 per tablet | $14.20 | $14.95Pharmacy's estimate: 4–6 weeks | $29.15Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy D | AzithromycinNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Ltd | 90 tablets2 other pack sizes
| $0.54 per tablet | $48.51 | $14.95Pharmacy's estimate: 4–6 weeks | $63.46Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Azithromycin (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.250 mg · generic · Filled in MauritiusProduct of India | 30 tablets2 other pack sizes
| $0.57 per tablet | $16.98 | Fee not publishedDelivery time not stated | $16.98+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | ZITHROMAX 250MG TABLET 90 (GENERIC AZITHROMYCIN FROM INDIA)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.250 mg · generic · Filled in IndiaMade for sale in India.Product of India | 90 tablets | $0.62 per tablet | $56 | $14.95Pharmacy's estimate: 4–6 weeks | $70.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | Generic Zithromax 250mgNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Product of India | 100 tablets3 other pack sizes
| $0.66 per tablet | $66.21 | Fee not publishedDelivery time not stated | $66.21+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 500mgNot 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.500 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets1 other pack size
| $0.67 per tablet | $19.95 | $14.95Pharmacy's estimate: 4–6 weeks | $34.90Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 500mgNot 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.500 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets1 other pack size
| $0.67 per tablet | $20.09 | $14.95Pharmacy's estimate: 4–6 weeks | $35.04Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy H | Azithromycin (Zithromax)500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 30 tablets2 other pack sizes
| $0.77 per tablet | $23 | $5Pharmacy's estimate: 7–10 business days | $28Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | AzithromycinNot 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.500 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Ltd | 90 tablets2 other pack sizes
| $0.77 per tablet | $69.70 | $9.95Pharmacy's estimate: 4–6 weeks | $79.65Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy J | Azithromycin 250mg Tablet250 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 30 tablets4 other pack sizes
| $0.82 per tablet | $24.61 | FreePharmacy's estimate: 3–5 business days | $24.61Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Azithromycin 250mg Tablets Z-Pak (6 Tablet Pack)250 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 60 tablets4 other pack sizes
| $0.85 per tablet | $51 | $5Pharmacy's estimate: 2–8 business days | $56Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 250mgNot 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.250 mg · generic · Filled in United StatesProduct of United States | 90 tablets2 other pack sizes
| $0.91 per tablet | $82 | $14.95Pharmacy's estimate: 4–6 weeks | $96.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy L | Azithromycin (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.250 mg · generic · Filled in MauritiusProduct of India | 30 tablets2 other pack sizes
| $0.93 per tablet | $27.99 | Fee not publishedDelivery time not stated | $27.99+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Generic Equivalent To Zithromax 500mgNot 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.500 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets1 other pack size
| $0.95 per tablet | $28.50 | $14.95Pharmacy's estimate: 4–6 weeks | $43.45Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy H | Azithromycin (Zithromax)250 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 30 tablets | $0.97 per tablet | $29 | $5Pharmacy's estimate: 7–10 business days | $34Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Azithromycin (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.500 mg · generic · Filled in MauritiusProduct of India | 30 tablets | $1.01 per tablet | $30.21 | Fee not publishedDelivery time not stated | $30.21+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy M | AzithromycinNot 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.250 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla | 90 tablets5 other pack sizes
| $1.01 per tablet | $90.86 | FreePharmacy's estimate: 2–3 weeks | $90.86Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | Azithromycin (India pack, ships from Singapore)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.250 mg · generic · Filled in SingaporeMaker listed by pharmacy: Cipla LtdMade for India | 90 tablets2 other pack sizes
| $1.17 per tablet | $105 | $9.95Pharmacy's estimate: 4–6 weeks | $114.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Azithromycin 600mg Tablets (generic only; brand Zithromax 600 mg isn't sold in the U.S.)600 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 30 tablets4 other pack sizes
| $1.19 per tablet | $35.70 | $5Pharmacy's estimate: 2–8 business days | $40.70Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy N | Azithromycin (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.250 mg · generic · Filled in MauritiusProduct of India | 30 tablets2 other pack sizes
| $1.29 per tablet | $38.59 | $9.95Delivery time not stated | $48.54Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy H | Azithromycin (Zithromax) (generic only; brand Zithromax 600 mg isn't sold in the U.S.)600 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 10 tablets | $1.30 per tablet | $13 | $5Pharmacy's estimate: 7–10 business days | $18Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy L | Azithromycin (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.500 mg · generic · Filled in MauritiusProduct of India | 30 tablets | $1.37 per tablet | $40.99 | Fee not publishedDelivery time not stated | $40.99+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | Generic Zithromax 500mgNot 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.500 mg · generic · Filled in IndiaMade for sale in India.Product of India | 30 tablets2 other pack sizes
| $1.41 per tablet | $42.25 | Fee not publishedDelivery time not stated | $42.25+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy J | Azithromycin 600mg Tablet (generic only; brand Zithromax 600 mg isn't sold in the U.S.)600 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 30 tablets4 other pack sizes
| $1.42 per tablet | $42.73 | FreePharmacy's estimate: 3–5 business days | $42.73Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Azithromycin 500mg Tablets500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 90 tablets2 other pack sizes
| $1.43 per tablet | $128.70 | $5Pharmacy's estimate: 2–8 business days | $133.70Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | ZITHROMAX 500MG TABLET 90 (GENERIC AZITHROMYCIN FROM UK)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.500 mg · generic · Filled in UKProduct of UK | 90 tablets | $1.44 per tablet | $130 | $14.95Pharmacy's estimate: 4–6 weeks | $144.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy O | ZITHROMAX (India pack, ships from Mauritius) (generic azithromycin)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.500 mg · generic · Filled in MauritiusProduct of India | 90 tablets1 other pack size
| $1.47 per tablet | $132.49 | FreeDelivery time not stated | $132.49Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy N | Azithromycin (UK/EU pack, ships from United Kingdom)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.500 mg · generic · Filled in United KingdomProduct of UK/EU | 30 tablets3 other pack sizes
| $1.50 per tablet | $44.85 | $9.95Delivery time not stated | $54.80Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy P | ZITHROMAX (India pack, ships from Mauritius) (generic azithromycin)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.500 mg · generic · Filled in MauritiusProduct of India | 90 tablets1 other pack size
| $1.50 per tablet | $134.88 | FreeDelivery time not stated | $134.88Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | ZITHROMAX 250MG TABLET 90 (GENERIC AZITHROMYCIN FROM UK)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.250 mg · generic · Filled in UKProduct of UK | 90 tablets | $1.66 per tablet | $149 | $14.95Pharmacy's estimate: 4–6 weeks | $163.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Azithromycin 250mg Tablets250 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 10 tablets3 other pack sizes
| $1.73 per tablet | $17.30 | $5Pharmacy's estimate: 2–8 business days | $22.30Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 500mgNot 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.500 mg · generic · Filled in United StatesProduct of United States | 90 tablets2 other pack sizes
| $1.94 per tablet | $174.17 | $14.95Pharmacy's estimate: 4–6 weeks | $189.12Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy N | Azithromycin (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.500 mg · generic · Filled in MauritiusProduct of India | 30 tablets | $2.07 per tablet | $61.96 | $9.95Delivery time not stated | $71.91Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy Q | AzithromycinNot 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.250 mg · generic · Filled in CanadaMaker listed by pharmacy: Sandoz | 60 tablets8 other pack sizes
| $2.13 per tablet | $127.86 | $9.95Pharmacy's estimate: 3–6 weeks | $137.81Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy J | Azithromycin 500mg Tablet500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 10 tablets4 other pack sizes
| $2.28 per tablet | $22.76 | FreePharmacy's estimate: 3–5 business days | $22.76Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy M | Azithromycin (India pack, ships from Turkey)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.500 mg · generic · Filled in TurkeyMaker listed by pharmacy: CiplaMade for India | 30 tablets3 other pack sizes
| $2.29 per tablet | $68.78 | FreePharmacy's estimate: 2–3 weeks | $68.78Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 250mgNot 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.250 mg · generic · Filled in CanadaMaker listed by pharmacy: Teva | 90 tablets2 other pack sizes
| $2.64 per tablet | $237.16 | $14.95Pharmacy's estimate: 4–6 weeks | $252.11Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Azithromycin 500mg Tablets Tri-Pak (3 Tablet Pack)500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 12 tablets4 other pack sizes
| $3.06 per tablet | $36.72 | $5Pharmacy's estimate: 2–8 business days | $41.72Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy J | Azithromycin z-pak (6 tablets)250 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 6 tablets | $3.69 per tablet | $22.11 | FreePharmacy's estimate: 3–5 business days | $22.11Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $4.34 per tablet | $130.17 | $14.95Pharmacy's estimate: 4–6 weeks | $145.12Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | AzithromycinNot 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.250 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex Inc | 18 tablets2 other pack sizes
| $4.44 per tablet | $80 | $9.95Pharmacy's estimate: 4–6 weeks | $89.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Zithromax500 mg · brand · Filled in New ZealandProduct of New Zealand | 6 tablets2 other pack sizes
| $4.63 per tablet | $27.75 | Fee not publishedDelivery time not stated | $27.75+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Generic Equivalent To Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $4.67 per tablet | $139.97 | $14.95Pharmacy's estimate: 4–6 weeks | $154.92Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | 30 tablets2 other pack sizes
| $4.96 per tablet | $148.72 | $14.95Pharmacy's estimate: 4–6 weeks | $163.67Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Generic Equivalent to Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in United StatesProduct of United States | 60 tablets1 other pack size
| $5.26 per tablet | $315.76 | $14.95Pharmacy's estimate: 4–6 weeks | $330.71Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | Generic Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in IndiaMade for sale in India.Product of India | 30 tablets2 other pack sizes
| $6.07 per tablet | $181.96 | Fee not publishedDelivery time not stated | $181.96+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy L | Zithromax500 mg · brand · Filled in New ZealandProduct of New Zealand | 6 tablets2 other pack sizes
| $6.50 per tablet | $38.99 | Fee not publishedDelivery time not stated | $38.99+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Brand Zithromax 250mg250 mg · brand · Filled in United StatesMaker listed by pharmacy: PFIZER | 90 tablets2 other pack sizes
| $6.63 per tablet | $596.31 | $14.95Pharmacy's estimate: 4–6 weeks | $611.26Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Brand Zithromax 250mg250 mg · brand · Filled in United StatesMaker listed by pharmacy: Pfizer | 90 tablets2 other pack sizes
| $6.65 per tablet | $598.47 | $14.95Pharmacy's estimate: 4–6 weeks | $613.42Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Brand Zithromax 250mg250 mg · brand · Filled in United StatesMaker listed by pharmacy: Pfizer | 90 tablets2 other pack sizes
| $6.72 per tablet | $604.95 | $14.95Pharmacy's estimate: 4–6 weeks | $619.90Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy J | Azithromycin Tri-pak (3 Tablets of 500mg)500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | 3 tablets | $7.04 per tablet | $21.13 | FreePharmacy's estimate: 3–5 business days | $21.13Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | AzithromycinNot 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.250 mg · generic · Filled in United KingdomProduct of United Kingdom | 12 tablets2 other pack sizes
| $8.00 per tablet | $96 | $9.95Pharmacy's estimate: 4–6 weeks | $105.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy M | AzithromycinNot 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.500 mg · generic · Filled in United KingdomProduct of United Kingdom | 18 tablets5 other pack sizes
| $8.07 per tablet | $145.32 | FreePharmacy's estimate: 2–3 weeks | $145.32Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy N | Zithromax500 mg · brand · Filled in New ZealandProduct of New Zealand | 6 tablets2 other pack sizes
| $8.31 per tablet | $49.88 | $9.95Delivery time not stated | $59.83Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Generic Equivalent To Zithromax 500mgNot 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.500 mg · generic · Filled in United KingdomProduct of United Kingdom | 9 tablets2 other pack sizes
| $8.47 per tablet | $76.23 | $14.95Pharmacy's estimate: 4–6 weeks | $91.18Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy M | Zithromax500 mg · brand · Filled in AustraliaMaker listed by pharmacy: Pfizer Inc | 30 tablets9 other pack sizes
| $8.70 per tablet | $260.90 | FreePharmacy's estimate: 2–3 weeks | $260.90Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Brand Zithromax 500mg500 mg · brand · Filled in United StatesMaker listed by pharmacy: PFIZER | 90 tablets2 other pack sizes
| $8.89 per tablet | $799.75 | $14.95Pharmacy's estimate: 4–6 weeks | $814.70Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 500mgNot 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.500 mg · generic · Filled in United KingdomProduct of United Kingdom | 9 tablets2 other pack sizes
| $8.89 per tablet | $80.04 | $14.95Pharmacy's estimate: 4–6 weeks | $94.99Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Brand Zithromax 500mg500 mg · brand · Filled in United StatesMaker listed by pharmacy: Pfizer | 90 tablets2 other pack sizes
| $8.92 per tablet | $802.65 | $14.95Pharmacy's estimate: 4–6 weeks | $817.60Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Brand Zithromax 500mg500 mg · brand · Filled in United StatesMaker listed by pharmacy: Pfizer | 90 tablets2 other pack sizes
| $9.01 per tablet | $811.34 | $14.95Pharmacy's estimate: 4–6 weeks | $826.29Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | Zithromax250 mg · brand · Filled in United KingdomMaker listed by pharmacy: Pfizer Inc | 6 tablets | $9.17 per tablet | $55 | $9.95Pharmacy's estimate: 4–6 weeks | $64.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy M | AzithromycinNot 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.250 mg · generic · Filled in United KingdomProduct of United Kingdom | 12 tablets2 other pack sizes
| $10.11 per tablet | $121.29 | FreePharmacy's estimate: 2–3 weeks | $121.29Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Azithromycin (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in CanadaProduct of Canada | 30 tablets | $10.40 per tablet | $311.86 | Fee not publishedDelivery time not stated | $311.86+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy L | Azithromycin (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in CanadaProduct of Canada | 30 tablets | $10.77 per tablet | $322.99 | Fee not publishedDelivery time not stated | $322.99+ shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | AzithromycinNot 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.500 mg · generic · Filled in United KingdomProduct of United Kingdom | 3 tablets | $11.67 per tablet | $35 | $9.95Pharmacy's estimate: 4–6 weeks | $44.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Generic Equivalent To Zithromax 600mg (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in CanadaMaker listed by pharmacy: Pharmascience | 90 tablets2 other pack sizes
| $13.08 per tablet | $1,177.54 | $14.95Pharmacy's estimate: 4–6 weeks | $1,192.49Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy N | Azithromycin (generic only; brand Zithromax 600 mg isn't sold in the U.S.)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.600 mg · generic · Filled in CanadaProduct of Canada | 30 tablets | $18.33 per tablet | $550.04 | $9.95Delivery time not stated | $559.99Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy RU.S. shipping limited | Azithromycin (Generic)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.250 mg · generic · Filled in IndiaMade for sale in India.Product of India | 90 tablets1 other pack size
| $1.91 per tablet | $172 | $14.95Pharmacy's estimate: 8–14 business days | $186.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy RU.S. shipping limited | Azithromycin (Generic)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.500 mg · generic · Filled in IndiaMade for sale in India.Product of India | 60 tablets1 other pack size
| $2.97 per tablet | $178 | $14.95Pharmacy's estimate: 8–14 business days | $192.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy RU.S. shipping limited | Zithromax (Azithromycin)250 mg · brand · Filled in United KingdomProduct of United Kingdom | 60 tablets2 other pack sizes
| $7.58 per tablet | $455 | $14.95Pharmacy's estimate: 8–14 business days | $469.95Checked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy RU.S. shipping limited | Zithromax (Azithromycin)500 mg · brand · Filled in TurkeyMade for sale in Turkey.Product of Turkey | 30 tablets1 other pack size
| $20.93 per tablet | $628 | $14.95Pharmacy's estimate: 8–14 business days | $642.95Checked Nov 12 | 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 Zithromax from Canada?
| Strength | Lowest brandper unit, before shipping | Lowest generic abroadper unit, not FDA-approved |
|---|---|---|
| Zithromax 250 mg | $6.63 per tablet | $0.41 per tablet |
| Zithromax 500 mg | $8.31 per tablet | $0.67 per tablet |
| Zithromax 600 mg | — | $4.34 per tablet |
Each row is one product from one pharmacy, shown in the pack size with the lowest price per unit; its other pack sizes are listed under “other pack sizes”. Price per unit = the pack price divided by the units in the pack, before shipping; we sort by it and don't assume how long a pack lasts. Total with shipping = the pack price plus the pharmacy's shipping fee for one order. Prices checked Nov 12, 2026 on each pharmacy's website, in U.S. dollars (converted when a pharmacy prices in Canadian dollars). 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. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
See which pharmacy has each price
Members see pharmacy names, ratings, visit links and price-drop alerts.
Join to See PharmaciesAlready a member? Sign inLowest price per unit See pharmacy (members)
Get an email if the price drops. Free accounts can watch 2 medications. Sign in to watch this price
Prices per tablet from 11 licensed pharmacies abroad shipping to the U.S.: $0.41 to $18.33, any strength, before shipping.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Zithromax · Similar drugs · Uses · FAQ
Zithromax (azithromycin), often sold as the Z-Pak, treats several bacterial infections in short courses. FDA-approved generic azithromycin is sold in the U.S.
Zithromax cost at a glance
- U.S. list price: Pfizer lists Zithromax 250 mg at $38.89 for a box of three 6-tablet Z-Paks and $64.71 for a bottle of 30 (about $2.16 a tablet), and 500 mg at $89.32 for 30 (about $2.98 a tablet). At that price one Z-Pak of 6 tablets comes to about $12.96. These are the maker's wholesale prices before discounts (Texas DSHS).
- Generic Zithromax is sold in the U.S. The FDA approved the first generic azithromycin tablets on November 14, 2005, and many companies now make them, rated equivalent to Zithromax (FDA Orange Book). Aurobindo's lists at $4.41 for a 3-tablet pack of 500 mg and $26.46 for 30 tablets of 250 mg (Texas DSHS).
- How we count: per tablet. The label's adult courses range from a single 1 gram dose to 5 days (500 mg on day 1, then 250 mg a day) depending on the infection (DailyMed). So we compare prices per tablet and list each pack the way the pharmacy sells it.
- From online pharmacies abroad: $6.63 to $9.17 per tablet of brand Zithromax 250 mg, before shipping (checked Nov 12, 2026). Packs made for other countries are not FDA-approved.
- 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 Zithromax cost in the U.S.?
| If you have | What Zithromax costs | Source |
|---|---|---|
| No insurance (list price) | $38.89 for three 6-tablet Z-Paks of brand Zithromax 250 mg (about $12.96 per Z-Pak) and $64.71 for 30 tablets; 500 mg lists at $89.32 for 30. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic azithromycin) | FDA-approved generic azithromycin is sold in the U.S. Aurobindo's lists at $4.41 for 3 tablets of 500 mg and $26.46 for 30 tablets of 250 mg. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| 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 |
Pfizer lists brand Zithromax 250 mg at $64.71 for 30 tablets and $38.89 for a box of three Z-Paks, and 500 mg at $89.32 for 30 tablets (Texas DSHS). These are list prices (the maker's wholesale price before discounts); a pharmacy usually fills only the tablets on your prescription, and what it charges can differ. Generic azithromycin lists lower in the same report.
Zithromax 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 brand Zithromax or generic azithromycin depends on your plan's drug list.
| Medicare Part D | What Zithromax 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 |
Zithromax coupons and savings programs
How do you pay?
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.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Zithromax coupons. eDrugSearch has no coupons of its own, and we found no Pfizer savings card for Zithromax tablets. If you have Medicare, these programs can help:
- 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 Zithromax?
Yes. The FDA approved the first generic azithromycin 250 mg and 500 mg tablets (Teva, Sandoz and Pliva) on November 14, 2005, and many companies now make them, rated equivalent to Zithromax.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 250 mg | Yes | Sandoz, Pliva, Aurobindo, Lupin, Alembic, Bionpharma and others | Nov 14, 2005 |
| 500 mg | Yes | Teva, Sandoz, Pliva, Aurobindo, Lupin, Alembic and others | Nov 14, 2005 |
Outside the U.S.: Online pharmacies abroad may also sell generic azithromycin made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: azithromycin products. As of Nov 12, 2026.
Compare Zithromax with similar drugs
Other antibiotics people look up. Each treats different infections, so your prescriber decides which medicine is right for you. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Bactrimsulfamethoxazole and trimethoprim | Antibiotic (sulfonamide combination) | From $0.19 per tablet | See prices |
| Minocinminocycline | Antibiotic (tetracycline class) | From $0.33 per capsule | See prices |
Lowest price per unit, before shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Zithromax used for?
Zithromax (azithromycin) is a macrolide antibiotic. According to its FDA label (DailyMed), adults use it for mild to moderate infections caused by certain bacteria, including:
- Community-acquired pneumonia (mild) and flare-ups of chronic bronchitis.
- Sinus infections (acute bacterial sinusitis).
- Strep throat and tonsillitis, when first-choice treatment can't be used.
- Uncomplicated skin infections.
- Some sexually transmitted infections: urethritis and cervicitis, and genital ulcer disease (chancroid).
- In children, it's also used for ear infections, pneumonia and strep throat.
Zithromax tablets come in 250 mg and 500 mg; generic azithromycin also comes in 600 mg tablets. Adult courses depend on the infection: for example, 500 mg on day 1 and 250 mg a day on days 2 to 5 (the Z-Pak), 500 mg a day for 3 days, or a single 1 gram dose. People allergic to azithromycin, erythromycin or similar antibiotics shouldn't take it. Antibiotics don't work for colds or flu. Your prescriber decides which medicine is right for you.
Is it safe to order Zithromax from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Zithromax, compare the U.S. price of FDA-approved generic azithromycin before you order. Short antibiotic courses are usually needed right away, so mail-order delivery times matter. 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, Health Canada lists Pfizer's Zithromax tablets as cancelled in 2025 (Health Canada, checked 2026-11-12), so we don't show Canadian brand Zithromax tablets.
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 does a Z-Pak cost without insurance?
Pfizer lists brand Zithromax 250 mg at $38.89 for a box of three 6-tablet Z-Paks, about $12.96 per Z-Pak (the maker's wholesale price before discounts). Generic azithromycin lists lower. Online pharmacies abroad charged from $6.63 per tablet of brand Zithromax 250 mg in our latest check (Nov 12, 2026).
Is there a generic Zithromax?
Yes. Generic azithromycin tablets have been FDA-approved since November 2005 and are made by many companies, rated equivalent to Zithromax. Ask your pharmacist whether a generic can fill your prescription.
How much does azithromycin cost?
In the Texas 2026 drug price filing, Aurobindo's generic azithromycin lists at $4.41 for 3 tablets of 500 mg and $26.46 for 30 tablets of 250 mg; AvKare lists 6 tablets of 250 mg at $2.44. These are list prices, so ask your pharmacist for the cash price.
What is in a Z-Pak?
Six Zithromax (azithromycin) 250 mg tablets. The label's dose for this course is 2 tablets (500 mg) on the first day, then 1 tablet a day for the next 4 days.
Is Zithromax the same as azithromycin?
Yes. Zithromax is Pfizer's brand of azithromycin. FDA-approved generic azithromycin is rated equivalent to it.
How much does Zithromax 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
- ZITHROMAX U.S. prescribing information, Pfizer (DailyMed) (label version 49 (published 2026-07-29): tablets 250/500 mg and oral suspension; adult indications and dose table)
- FDA NDC Directory: Zithromax tablets (0069-3060-75 (3 x 6 tablets, 250 mg), 0069-4061-01 (30 x 250 mg), 0069-3070-30 (30 x 500 mg), 0069-3070-75 (3 x 3 tablets, 500 mg); active)
- Drugs@FDA: Zithromax tablets (NDA 050711 and NDA 050784) (250 mg and 500 mg: Prescription (RLD))
- FDA Orange Book: azithromycin products (first generics ANDA 065193 (Teva), 065211/065212 (Sandoz), 065223/065225 (Pliva) approved 2005-11-14)
- Texas DSHS: 2026 annual WAC report (Pfizer Zithromax 00069306075 (3 x 6 x 250 mg) $38.89, 00069406101 (30 x 250 mg) $64.71, 00069307030 (30 x 500 mg) $89.32; generic Aurobindo 65862064264 (3 x 500 mg) $4.41, 65862064130 (30 x 250 mg) $26.46; AvKare 42291008206 (6 x 250 mg) $2.44)
- Health Canada Drug Product Database: Zithromax (Pfizer Zithromax 250 mg tablet (DIN 02212021) Cancelled 2025-06-27, 600 mg Cancelled 2025-07-08)
- 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.