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UTI Antibiotics · 2026 Cash-Pay Pricing

There are no over-the-counter UTI antibiotics. Here is the fast, legal way to get one.

Every antibiotic that cures a UTI needs a prescription. The good news: the medication is cheap, and a same-day video visit gets you one without an in-person appointment.

$79visit +$5–$25generic antibiotic

Board-certified MD · 44 states + DC · evenings & weekends · HSA/FSA accepted · 4.97★ (173 reviews)

What each UTI antibiotic costs

Lowest GoodRx cash price, standard course. Prescription required for all.

First-line
Nitrofurantoin (Macrobid)
5-day course · minimal resistance · preferred per IDSA
$7–$22
Cheapest
Trimethoprim-sulfa (Bactrim)
3-day course · where local resistance is under 20%
$5–$20
Alternative
Cephalexin (Keflex)
Beta-lactam alternative · safe in pregnancy
$11–$18
Single dose
Fosfomycin (Monurol)
One-time 3g sachet · convenient but pricier
$20–$52
🚫

No OTC antibiotic exists

Every oral antibiotic that cures a UTI is prescription-only in the U.S. by FDA rule. AZO, Uristat, and Cystex only numb the burning; they do not treat the infection.

Same-day is the fastest legal route

An uncomplicated UTI in a non-pregnant adult woman needs no urinalysis per IDSA guidelines, so the whole encounter can be a $79 video visit plus a $5–$25 generic.

The math

$79 flat. HSA/FSA accepted.

One fee covers the visit. The antibiotic is a separate, inexpensive pharmacy pickup. Here is how the total compares to every other setting.

$79
One flat fee covers your entire visit
  • Board-certified MD video consultation
  • E-prescription to any US pharmacy
  • HSA / FSA-eligible
  • No facility fees, no surprise billing

What treating a UTI costs across settings

Total out-of-pocket including the antibiotic (uninsured, 2026).

TeleDirectMD visit + generic$85–$93
Retail clinic (CVS MinuteClinic)$105–$153
Urgent care (uninsured)$150–$450
ER for a UTI$1,200–$3,000+

Every option, priced

UTI antibiotic cost by medication

Lowest GoodRx cash price for a standard course. All require a prescription; the visit is separate.

Looking for the total cost of care rather than the drug alone? Compare UTI treatment cost across online doctor, urgent care, and ER.

First-line
Nitrofurantoin (Macrobid)
5-day course · minimal resistance · preferred per IDSA
$7–$22
Cheapest
Trimethoprim-sulfa (Bactrim)
3-day course · where local resistance is under 20%
$5–$20
Alternative
Cephalexin (Keflex)
Beta-lactam alternative · safe in pregnancy
$11–$18
Single dose
Fosfomycin (Monurol)
One-time 3g sachet · convenient but pricier
$20–$52
Reserved
Ciprofloxacin (Cipro)
No longer first-line for uncomplicated cystitis
$25
Brand only
Blujepa (gepotidacin)
Newest FDA-approved oral · no generic · rarely needed
$400–$600

How it works

From symptoms to prescription in under an hour

1

Book in 2 minutes

Pick a same-day or next-available slot. Pay $79, or use HSA/FSA, or apply in-network insurance.

2

Video visit with an MD

Connect by secure video with Dr. Bhavsar. No app download. Most visits take 10–15 minutes.

3

Prescription to your pharmacy

Get a diagnosis, a written summary, and an e-prescription routed to your pharmacy, usually within the hour.

Book a $79 Visit Now →

Is telehealth right for you?

When a UTI antibiotic can be prescribed online

Good fit for a video visit

  • Adult, non-pregnant women
  • Classic symptoms: burning, frequency, urgency
  • No fever, flank pain, or vomiting
  • No blood in urine
  • No UTI in the past 4 weeks

Better seen in person

  • Fever, chills, or back/flank pain (possible kidney infection)
  • Pregnancy
  • Recurrent UTI within 4 weeks
  • Visible blood in urine
  • Male patients (warrants in-person workup)

Common questions

UTI antibiotics: your questions answered

Are there any over-the-counter antibiotics for a UTI?

No. In the U.S., all oral antibiotics that cure a UTI (nitrofurantoin, Bactrim, cephalexin, fosfomycin) require a prescription. OTC products like AZO only relieve symptoms; they do not cure the infection.

How much do UTI antibiotics cost without insurance?

Generics are cheap with GoodRx: nitrofurantoin $7–$22, Bactrim $5–$20, cephalexin $11–$18, fosfomycin $20–$52. The newest brand-only option, Blujepa, runs $400–$600 and is rarely needed.

How do I get UTI antibiotics without seeing a doctor in person?

Book a telehealth visit. A licensed MD can assess your symptoms by video and send an e-prescription to your pharmacy same-day, with no in-person appointment or urinalysis required for an uncomplicated UTI.

Is AZO an antibiotic?

No. AZO (phenazopyridine) is a urinary analgesic that numbs burning within about 20 minutes. It has no antibacterial activity and will not cure your UTI.

What is the cheapest UTI antibiotic?

Trimethoprim-sulfamethoxazole (generic Bactrim) is often the cheapest at $5–$20, followed closely by nitrofurantoin. Your prescriber picks based on local resistance and your history.

Can I get UTI antibiotics online same-day?

Yes. A $79 TeleDirectMD video visit typically results in an antibiotic at your pharmacy within an hour, with same-day visits available evenings and weekends in 44 states.

Get your UTI treated today

A board-certified MD, a same-day prescription, and a flat $79. No waiting room, no insurance required.

Get a UTI Prescription Today →

Licensed in 44 states

AlabamaAlaskaArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNorth CarolinaNorth DakotaOhioOklahomaPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Sources: WebMD — Antibiotics for UTI; GoodRx — UTI antibiotic prices (2026); Walgreens; IDSA — Uncomplicated UTI guideline; Mira Health (2025).
Medically reviewed by Parth Bhavsar, MD — Board-Certified Family Medicine · NPI 1104323203 · LegitScript Certified · HIPAA-Compliant. Updated July 2026. AZO and other OTC products only relieve symptoms; they do not cure the infection.

$79 Flat FeeInsurance accepted in select states
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