How Much Is Augmentin Without Insurance?
Key takeaways:
Augmentin (amoxicillin / clavulanate) is an FDA-approved antibiotic used to treat different types of bacterial infections.
Insurance coverage for Augmentin varies widely by plan type, with Medicaid covering the highest percentage of enrollees.
Without insurance, 14 tablets of brand-name 500 mg / 125 mg Augmentin cost an average of $737.76. You may be able to save money on the brand-name or generic version of Augmentin by using a GoodRx coupon.
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Table of contents
Augmentin (amoxicillin / clavulanate) is a commonly prescribed penicillin antibiotic and beta‑lactamase inhibitor. It’s FDA approved to treat various bacterial infections, including urinary tract infections (UTIs), sinus infections, and ear infections. It combines two medications: amoxicillin, which fights harmful bacteria, and clavulanate, which helps keep amoxicillin effective by stopping bacteria from breaking it down.
Both the brand-name and generic versions of Augmentin come in different forms, including immediate-release (IR) and extended-release (ER) tablets, chewable tablets, and liquid suspensions. However, the brand-name ER and chewable tablets are no longer being sold.
Your recommended dosage of Augmentin will depend on factors such as the type and severity of your infection and your body weight. For adults, treatment with Augmentin usually lasts 5 to 7 days, but it can last up to 14 days for more serious infections. For children, recommended dosages are based on age and body weight.
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How much does Augmentin cost?
Without insurance, 14 tablets of 500 mg / 125 mg Augmentin cost an average of $737.76. For the same quantity and dose of the generic version, the cost is around $34.53 on average.
However, the price you pay for Augmentin will depend on various factors, including
Your location
The quantity, form, and dose of the medication
The specific pharmacy you use
Your insurance status
The table below shows the average retail price for various quantities, forms, and doses of brand-name and generic Augementin.
Augmentin (amoxicillin / clavulanate) version | Quantity and form | Dose | Average retail price |
|---|---|---|---|
Brand name | 14 tablets | 500 mg / 125 mg | |
Brand name | 14 tablets | 875 mg / 125 mg | |
Brand name | 21 tablets | 500 mg / 125 mg | |
Brand name | 20 tablets | 875 mg / 125 mg | |
Brand name | 75 mL bottle of oral suspension | 125 mg / 31.25 mg per 5 mL | |
Brand name | 100 mL bottle of oral suspension | 250 mg / 62.5 mg per 5 mL | |
Generic | 14 tablets | 250 mg / 125 mg | |
Generic | 14 tablets | 500 mg / 125 mg | |
Generic | 14 tablets | 875 mg / 125 mg | |
Generic | 14 chewable tablets | 200 mg / 28.5 mg | |
Generic | 14 chewable tablets | 400 mg / 57 mg | |
Generic | 75 mL of bottle oral suspension | 200 mg / 28.5 mg per 5 mL | |
Generic | 100 mL of bottle oral suspension | 400 mg / 57 mg per 5 mL |
In November 2009, GSK (formerly GlaxoSmithKline) notified the FDA of their decision to discontinue the chewable version of brand-name Augmentin. However, depending on your pharmacy and location, generic versions of the chewable tablets may still be available. Check with your healthcare professional or pharmacist to ensure you get the medication you need.
Does insurance cover Augmentin?
Some health insurance plans cover brand-name Augmentin, but many only cover the generic version. If you have insurance, check your plan’s formulary (the list of covered medications) to see which version of Augmentin is covered.
Many Medicaid plans cover brand-name Augmentin. However, more than half of people with Medicaid are required to get a prior authorization before their plan will cover the medication.
Meanwhile, most Medicare plans don’t cover brand-name Augmentin. Though, many Medicare Part D prescription medication plans cover the generic version.
How different insurance plans cover brand-name Augmentin
The following table shows the likelihood of having coverage, as well as prior authorization and step therapy requirements, for Augmentin with different types of insurance plans.
Insurance type | Enrollees covered for brand-name Augmentin | Enrollees required to get a prior authorization | Enrollees required to do step therapy |
|---|---|---|---|
Affordable Care Act (ACA) plans | 41.7% | 7.2% | 0.03% |
Commercial (not including ACA plans) | 78.8% | 6.4% | 5.27% |
Medicare (original Medicare and Medicare Advantage plans) | 17.4% | 0.0% | 0.0% |
Medicaid, including state-run and managed care plans | 98.3% | 54.6% | 2.12% |
Source: Managed Markets Insight & Technology, LLC™, as of November 13, 2024. (See methodology below.)
If your insurer does not cover brand-name Augmentin, you have several options:
Find out if your plan covers generic Augmentin, instead.
Talk to your healthcare professional about alternative medications that your insurance might cover.
Request a formulary exception for brand-name Augmentin from your insurance.
If your request for a formulary exception is denied, consider filing an appeal.
During your next open enrollment period, look into insurance plans that offer coverage that better fits your needs.
What to expect when taking Augmentin: Read real-life accounts from people who have taken the antibiotic.
Wondering about side effects? Though serious side effects are rare, here’s what you should know before taking Augmentin.
Augmentin interactions: From alcohol to blood thinners, learn about substances that may interact with Augmentin.
Ways to save on Augmentin
Here are five ways to reduce your out-of-pocket costs for Augmentin, whether you have insurance or not.
1. Use a GoodRx coupon
With a free GoodRx coupon, you may be able to find significant savings on your brand-name or generic Augmentin prescription.
Here’s what you could potentially pay for various quantities, forms, and doses of brand-name and generic Augmentin using a GoodRx coupon.
Augmentin (amoxicillin / clavulanate) version | Quantity and form | Dose | Price with a GoodRx coupon |
|---|---|---|---|
Brand name | 14 tablets | 500 mg / 125 mg | |
Brand name | 14 tablets | 875 mg / 125 mg | |
Brand name | 21 tablets | 500 mg /1 25 mg | |
Brand name | 20 tablets | 875 mg / 125 mg | |
Brand name | 75 mL bottle of oral suspension | 125 mg / 31.25 mg per 5 mL | |
Brand name | 100 mL bottle of oral suspension | 250 mg / 62.5 mg per 5 mL | |
Generic | 14 tablets | 250 mg / 125 mg | |
Generic | 14 tablets | 500 mg / 125 mg | |
Generic | 14 tablets | 875 mg / 125 mg | |
Generic | 14 chewable tablets | 200 mg / 28.5 mg | |
Generic | 14 chewable tablets | 400 mg / 57 mg | |
Generic | 75 mL bottle of oral suspension | 200 mg / 28.5 mg per 5 mL | |
Generic | 100 mL bottle of oral suspension | 400 mg / 57 mg per 5 mL |
To get your free coupon for Augmentin:
Visit www.goodrx.com or download the GoodRx app on your mobile device.
Search for "Augmentin" and select either the brand-name or the generic version (amoxicillin / clavulanate).
Click "Find the lowest prices" or press enter on your keyboard.
Choose to receive your coupon via text or email, or print it out.
Show the coupon at your pharmacy when picking up your Augmentin prescription.
2. Try a lower-cost alternative
There might be other medications in the same category as Augmentin that can treat your condition just as effectively for a lower cost. Talk to your prescriber about alternatives, including generic alternatives, that could work for you.
4.Compare pharmacy prices
You can use the GoodRx app or website to check Augmentin prices at different pharmacies near you. You might find a lower price at a pharmacy you don’t typically visit.
5. Use an HSA or FSA
If you have a health savings account (HSA) or flexible spending account (FSA), you can use the money in your account to pay for eligible medical expenses tax-free. This includes prescription medications, like Augmentin. Remember that while HSA dollars never expire, you must use your FSA funds before the deadline.
The bottom line
Without insurance, the cost for 14 tablets of brand-name 500 mg / 125 mg Augmentin averages around $737.76. However, the exact price you’ll pay for Augmentin (amoxicillin / clavulanate) will depend on factors like your location, pharmacy, and dosage.
To save money on your medication, consider using a GoodRx coupon, opting for the generic version, or asking your prescriber about alternative medications. You can also compare prices at local pharmacies or use funds from a tax-advantaged account.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of November 2024.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
U.S. Food and Drug Administration. (2010). Determination that Augmentin ‘125’ (amoxicillin; clavulanate potassium) chewable tablet and six other Augmentin (amoxicillin; clavulanate potassium) drug products were not withdrawn from sale for reasons of safety or effectiveness.
U.S. Food and Drug Administration. (2024). Determination that Augmentin XR (amoxicillin; clavulanate potassium) extended-release tablets, 1 gram; equivalent to 62.5 milligram base, was not withdrawn from sale for reasons of safety or effectiveness.
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