Price without insurance · Uninsured

bismuthcost and price(30 Count)

bismuth subcitrate 140 MG / metronidazole 125 MG / tetracycline hydrochloride 125 MG Oral Capsule [Pylera]

Used for

Abscess, Acne vulgaris, Amebiasis, Bacillary dysentery, Bacterial endocarditis, Bacterial eye infections, Bacterial meningitis, Bacterial vaginosis and 28 more

Nitroimidazole Antimicrobial · NLM RxClass and the FDA drug label

The Pharmacy Cost

$2.43/Ct

$72.83/30

What it cost pharmacies

CMS NADAC benchmark

Prescription required

Prices may vary by location

On shelves only as ointment or solution

Remove Add to my list

Generic version

2% cheaper

What pharmacies pay for 30 count, from CMS.

$71.28bismuth subcitrate 140 MG / metronidazole 125 MG / tetracycline hydrochloride 125 MG Oral CapsulePrice it

Whether to switch is your prescriber's call.

Need a prescription?

Every option on this page needs one. These services have a licensed provider review your details and write a prescription online, often the same day, and send it to whichever pharmacy you name — including the cheapest one above.

Sesamefrom $34.00
About $130.54 all in — $34.00 for the visit plus $96.54 for the medicine.
All 50 states, 24/7. No membership. Their own page showed a second figure of $37 on the telehealth-visit page the same day, so treat $34 as a floor rather than a price.
Their published starting price, read on 2026-08-26 from their own page. Confirm at their checkout before you rely on it.
QuickMDfrom $75.00
About $171.54 all in — $75.00 for the visit plus $96.54 for the medicine.
Most states. No membership. A $19 figure appeared beside the $75 on 3 Sep 2026 and could not be confirmed before their site stopped responding, so the higher published number is the one shown.
Their published starting price, read on 2026-08-26 from their own page. Confirm at their checkout before you rely on it.

Check first whether you already have a repeat on file, or whether your own prescriber will send one to a different pharmacy — they usually will, and it costs nothing. A paid consultation is worth it only when neither is true.

Telepharmacy

Coming next

In much of the country a pharmacist can verify and counsel remotely while the prescription is filled at a licensed hub. It carries far less overhead than a counter, and where it is available the cash price can undercut one.

We are not showing any yet — we have no verified telepharmacy price to put here, and an indicative one would be worth less than nothing. It is the next source we are adding.

Where to buy

1 option

All figures are estimates, not quotes. Verify at the pharmacy counter. Not medical advice.

Cost Plus Drugs

$96.54out the door

Drug cost (30 Count): $86.54
Per-order fees: $10.00
Pharmacies paid: $72.83
Markup over that: +18.8%

12 fills cost$1,158.48

12 × 30 count at $96.54. That is a year if you fill monthly — check your own prescription for how often you actually need it.

Ordered alongside other medication so the per-order fee is shared: $1,038.48/year

Buy at Cost Plus Drugs

Still too expensive?

Manufacturer programmes cover many uninsured people, often for nothing. A few questions about income and insurance — none of it stored.