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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.

Cost Plus Drugs: nitrofurantoin — $5–$8 (cost + 15% + $5 fee, no insurance required).

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.

Prescribing limits: before you book

Can TeleDirectMD prescribe IV medications or IM shots?

TeleDirectMD does not prescribe intravenous (IV) medications or intramuscular (IM) medications, except EpiPen (epinephrine auto-injector) refills when clinically appropriate. This includes IV fluids and infusions, and IM antibiotic or steroid shots. We cannot issue these prescriptions for administration at another clinic or by another provider.

How long can a TeleDirectMD prescription last, including refills?

Every TeleDirectMD prescription, including all refills, covers no more than a 90-day supply. To continue a medication beyond 90 days, you need a new visit. There are no exceptions.

$79 Flat FeeInsurance accepted in select states
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