What is the cost of Talicia (clarithromycin, amoxicillin, and omeprazole) for a 14-day course of treatment?

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Last updated: November 19, 2025View editorial policy

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Cost of Talicia for 14-Day Treatment

Talicia costs approximately $700 for a 14-day course in the United States, with or without discount coupons such as GoodRx. 1

Cost Breakdown and Context

  • Talicia retail price: $700 for the complete 14-day treatment course 1
  • Discount availability: Unlike many medications, GoodRx coupons do not reduce the cost of Talicia—it remains $700 with or without such coupons 1

Cost Comparison with Generic Components

Talicia is significantly more expensive than prescribing its individual generic components separately:

  • Generic rifabutin alone: ~$400 retail, but can be obtained for ~$150 with GoodRx coupons 1
  • Generic amoxicillin: Relatively inexpensive (typically <$20 for a 14-day course)
  • Generic PPI (omeprazole/esomeprazole): Typically $10-30 for a 14-day course

Total cost of generic components: Approximately $180-200 with discount coupons, compared to $700 for the branded Talicia formulation 1

Clinical Considerations

  • Talicia is a combination formulation containing rifabutin, amoxicillin, and high-dose PPI in a single package 1
  • Theoretical advantage: Rifabutin resistance is rare, making this an effective empiric therapy option 1
  • Clinical experience: Limited but encouraging data support its use for H. pylori eradication 1

Important Caveats

  • Cost barrier: The $700 price point represents a significant financial burden compared to generic alternatives that cost 70-75% less 1
  • Insurance coverage: Varies widely; many plans may require prior authorization or may not cover branded formulations when generic alternatives exist
  • Patient assistance programs: May be available directly from the manufacturer for eligible patients

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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